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Prehospital Scales for Large Vessel Occlusion [PDF]

Stroke, 2017
See related article, p 290 . The strong evidence for benefits of rapid thrombectomy in patients with acute ischemic stroke (AIS) is challenging prehospital systems around the world. Although high-tech endovascular treatment (EVT) works only for a minority of patients, healthcare systems cannot afford to miss suitable candidates anymore. Recent figures
openaire   +3 more sources

Treatment strategy of endovascular recanalization for chronic ischemic stroke with large vessel occlusion

Chinese Journal of Contemporary Neurology and Neurosurgery, 2020
The diagnosis and treatment of chronic large vessel occlusion is in its infancy period. At present, few studies reported some successful cases, but on the whole, the opening of large vessel occlusion is in a state of exploration in terms of preoperative ...
Zhong⁃rong MIAO, Yi⁃ming DENG
doaj  

RapidAI Compared With Human Readers of Acute Stroke Imaging for Detection of Intracranial Vessel Occlusion

Stroke: Vascular and Interventional Neurology
Background Rapid detection of intracranial arterial occlusion in patients with ischemic stroke is important to facilitate timely reperfusion therapy.
Lee‐Anne Slater, Nandhini Ravintharan, Stacy Goergen, Ronil Chandra, Hamed Asadi, Julian Maingard, Ahilan Kuganesan, Reuben Sum, Sandra Lin, Victor Gordon, Deepa Rajendran, Yenni Lie, Subramanian Muthusamy, Peter Kempster, Thanh G. Phan   +14 more
doaj   +1 more source

Preclinical Large Vessel Occlusion Stroke Model: Capybaras (Hydrochoerus hydrochoeris)

Stroke: Vascular and Interventional Neurology, 2022
Background Existing preclinical large vessel occlusion stroke models have multiple limitations. We evaluated the capybara (Hydrochoerus hydrochoeris), the largest living rodent possessing sizable cerebral cortex with gyral complexity and large caliber ...
Diogo C. Haussen, Srikant Rangaraju, Alhamza Al‐Bayati, Christian Rolfes, Mahmoud Mohammaden, Michael Frankel, Raul G. Nogueira   +6 more
doaj   +1 more source

Identifying large vessel occlusion at first glance in telemedicine

Journal of Neurology, 2023
Abstract Background Telemedicine has rapidly emerged as an important tool in emergency neurology. In particular, reliable biomarkers of large vessel occlusions (LVOs) are critically necessary in order to identify the need for in-hospital mechanical thrombectomy (MT).
Nils Schröter, Antonia Weiller, Michel Rijntjes, Andreas Harloff, Horst Urbach, Juraj Kukolja, Jürgen Bardutzky, Cornelius Weiller, Lena-Alexandra Beume   +8 more
openaire   +3 more sources

Mechanical thrombectomy: can it be safely delivered out of hours in the UK?

BMC Neurology, 2020
Background Mechanical thrombectomy was approved by NICE as a treatment for stroke in 2016. However, most of the evidence is from studies conducted during working hours. Only few centres in the UK perform thrombectomies out-of-hours.
Jake Weddell, Emma Parr, Stacey Knight, Girish Muddegowda, Indira Natarajan, Jayan Chembala, Phillip Ferdinand, Nasar Ahmad, Zoltan Pencz, Saad Rana, Anushka Warusevitane, Changez Jadun, Sanjeev Nayak, Zafar Hashim, Albin Augustine, Julius Sim, Christine Roffe   +16 more
doaj   +1 more source

Reperfusion‐Dependent Outcomes After Endovascular Thrombectomy Stratified by NIHSS‐ASPECTS Clinical‐Core Mismatch

Annals of Clinical and Translational Neurology, EarlyView.
ABSTRACT Objective This analysis evaluates the effect of successful reperfusion on functional outcomes after MT, stratified by admission National Institutes of Health Stroke Scale (NIHSS) and Alberta Stroke Program Early CT Score (ASPECTS) as surrogates for clinical‐core mismatch, using multicenter registry data.
Felix Schlicht, Lukas Meyer, Gabriel Broocks, Matthias Bechstein, Christian Thaler, Christian Heitkamp, Laurens Winkelmeier, Vincent Geest, Alexander Heitkamp, Maximilian Jungnitz, Gregor Peter, Luca Meucci, Tobias Faizy, Jawed Nawabi, Caspar Brekenfeld, Fabian Flottmann, Maximilian Schell, Alexandros Hadjilaou, Uta Hanning, Götz Thomalla, Jens Fiehler, Susanne Gellißen, Helge C. Kniep, for the German Stroke Registry Endovascular Treatment, (GSR‐ET) Alexander Nave, Anna Alegiani, Annerose Mengel, Arno Reich, Bernd Eckert, Charlotte Pietrock, Christian Nolte, Eberhard Siebert, Fabian Flottmann, Fee Keil, Franziska Dorn, Gabor Petzold, Götz Thomalla, Hanna Zimmermann, Jan Borggrefe, Jan Hendrik Schäfer, Jens Fiehler, Joachim Röther, Klaus Gröschel, Lars Kellert, Mario Abruscato, Maximilian Schell, Omid Nikoubashman, Peter Schellinger, Silke Wunderlich, Steffen Tiedt, Sven Thonke, Timo Uphaus, Tobias Boeckh‐Behrens, Ulrike Ernemann   +53 more
wiley   +1 more source

Analysis of risk factors for non-cardioembolic (large-artery atherosclerotic) cerebral infarction with and without intracranial large vessel occlusion: focus on immune-related markers

European Journal of Medical Research
Introduction Stroke is a disease with a high incidence, disability rate and mortality rate, imposing a heavy economic and social burden on patients.
Yinglian Zhou, Shuang Li, Jin Fu
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Histopathological diagnosis of clot tissues collected by mechanical thrombectomy provides understanding of cerebral infarction pathology in cancer associated thrombosis: A case report

Interdisciplinary Neurosurgery, 2021
Endovascular treatment has become a major tool for managing large vessel occlusion, and its applications in cancer associated thrombosis (CAT) is increasing.
Toshiaki Bando, Yasushi Ueno, Takahiro Kuroyama, Daisuke Shimo, Kazuyuki Mikami, Shinya Hori, Yuya Tanaka, Osamu Hirai   +7 more
doaj   +1 more source

IV Thrombolysis Facilitates Interventional Reperfusion in Non‐Cardioembolic but Not Cardioembolic Stroke

Annals of Clinical and Translational Neurology, EarlyView.
ABSTRACT Objective Intravenous thrombolysis (IVT) before thrombectomy for ischemic stroke may alter clot structure and procedural performance. We investigated how IVT relates to thrombectomy metrics across stroke etiologies. Methods We performed a time‐to‐event analysis of consecutive patients with anterior circulation large vessel occlusion (acLVO ...
Annahita Sedghi, Daniel P. O. Kaiser, Martin Arndt, Norma J. Diel, Erik Simon, Witold H. Polanski, Volker Puetz, Hagen B. Huttner, Timo Siepmann   +8 more
wiley   +1 more source