Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Both anticoagulants can be used intraoperatively and postoperatively for DVT prophylaxis in patients undergoing subarachnoid hemorrhage (SAH) treatment. Patients from both groups were assessed for baseline clinical characteristics, comorbidities, interventions, complications, and outcomes. vs 61.39, p = 0.01), obese (0.4%

Hemorrhage 40

Hemorrhage Aneurysm Outcomes Thrombosis 40

Stroke Journal

FEBRUARY 5, 2024

hours of onset) and thrombectomy treatment from January 2019 to April 2023. The outcomes included successful reperfusion (modified Thrombolysis in Cerebral Infarction score, 2b–3), symptomatic intracerebral hemorrhage, 90-day modified Rankin Scale score, and 90-day mortality. mg/kg alteplase).METHODS:We

Thrombolysis 75

Thrombolysis Hemorrhage Atrial Fibrillation Stroke 75

Stroke Journal

FEBRUARY 1, 2024

Introduction:Pregnant patients are at risk of neurological complications including intracerebral hemorrhage (ICH). We compared characteristics between pregnant and non-pregnant patients using t-tests and chi-squared tests. Pregnant patients experienced lower in-hospital mortality (12.4% vs 23.2%, p<0.001).

Hemorrhage 40

Hemorrhage Outcomes Kidney Disease Atrial Fibrillation 40

Stroke Journal

JANUARY 30, 2025

Introduction:Cerebral amyloid angiopathy (CAA) is a common cause of intracerebral hemorrhage in elderly patients. Whether CAA is associated with isolated subdural hemorrhage (SDH), without an accompanying intracerebral hemorrhage, remains unclear. Stroke, Volume 56, Issue Suppl_1 , Page A139-A139, February 1, 2025.

Hemorrhage 40

Hemorrhage Cerebrovascular Disease Dementia Document 40

Stroke Journal

JANUARY 30, 2025

Clinical and neuroimaging predictors of an unfavorable discharge outcome (modified Rankin score 4) were assessed in univariate and multivariable models.Results:Between 2003 and 2019, 1,791 patients were admitted with non-traumatic ICH. Introduction:The recent update (version 2.0)

Hemorrhage 40

Hemorrhage Dementia Hypertension Outcomes 40

Stroke Journal

JANUARY 30, 2025

Methods:Data from adult patients who discharged from two medical centers in Portland, OR in 2019 or between January 2022 and May 2023 were abstracted from electronic medical records. Inclusion criteria was a diagnosis of ischemic stroke or intracerebral hemorrhage (ICH). Two-tailed p value of less than 0.05

Hemorrhage 40

Hemorrhage Hospital Stroke Strokes 40

Stroke Journal

FEBRUARY 1, 2024

Background:Nationwide data demonstrating the impact of the COVID-19 pandemic on hemorrhagic stroke outcomes are lacking.Methods:We used the National Inpatient Sample (2016-2020) to identify adults (>=18 years) with primary intracerebral hemorrhage (ICH) or subarachnoid hemorrhage (SAH). 2.51; SAH: 2.76, 1.68-4.54),

COVID-19 40

COVID-19 Hemorrhage Public Health Inpatient 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Introductionintracranial dissecting aneurysm in pediatric age group is uncommon and very few studies are available comparing outcome following endovascular and surgery. Overall, 22 (88%) patients experienced a favorable outcome, while three (12%) had an unfavorable outcome during a mean follow‐up of 22.32 ± 7.43

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Aneurysm Pediatrics Outcomes Hemorrhage 40

Stroke Journal

FEBRUARY 1, 2024

Introduction:Spontaneous intracerebral hemorrhages (ICH) remains the most devastating form of stroke. SCUBA patient was matched with control ICH patient who received standard medical treatment at 1:1 ratio by variables (hematoma volume and laterality, intraventricular hemorrhage [IVH] with hydrocephalus, age, NIHSS, GCS).

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Hemorrhage Stroke Strokes Hospital 40

Stroke Journal

FEBRUARY 1, 2024

Introduction:Evaluating the prognosis of aSAH patients who may be at risk of poor outcomes using grading systems is one way to make a better decision on treatment for these patients. Finally, we used logistic regression to identify factors associated with the 90-day poor outcome.Results:Of 415 patients, 32% had a 90-day poor outcome.

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Hemorrhage Outcomes Aneurysm Hospital 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionSubarachnoid Hemorrhage (SAH) resulting from the spontaneous rupture of an aneurysm is a rare and highly debilitating condition. The AKI and non‐AKI groups were assessed for baseline clinical characteristics, interventions, complications, and outcomes. Patients with AKI were on average older (63.29

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Hemorrhage Aneurysm Cardiac Arrest Myocardial Infarction 40

Stroke Journal

JANUARY 30, 2025

Moderate/severe alcohol consumption did not display clear negative effects on ICH- or cSVD-related characteristics or short-term outcomes. Alcohol intake was categorized as none/mild (<5 drinks/week), moderate/severe (5 drinks/week-5 drinks/day), and heavy (>5 drinks/day).

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Hemorrhage Hospital Outcomes Stroke 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionDue to the relative rarity of unruptured intracranial aneurysms (UIA) in the pediatric population, evidence regarding treatment modalities and clinical outcomes remains limited. Utilization of EVT significantly increased during the study period from 54.3% (2002‐2004) to 78.6% (2017‐2019) (p = 0.002 by Cochrane‐Armitage test).

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Pediatrics Aneurysm Outcomes Inpatient 40

Stroke Journal

FEBRUARY 1, 2024

Introduction:Collateral status imaging parameters are associated with predicting hemorrhagic transformation (HT) in acute ischemic stroke caused by large vessel occlusions. Stroke, Volume 55, Issue Suppl_1 , Page ATP146-ATP146, February 1, 2024. Average age was 74 [IQR 64-81] years, 34 (56.7%) were female.

Hemorrhage 40

Hemorrhage Thrombolysis Diabetes Biomarkers 40

Stroke Journal

JANUARY 17, 2025

We aimed to determine the optimal duration of DAPT by identifying the differences in clinical events that occur depending on the DAPT maintenance period.METHODS:Data were obtained from the nationwide database of the Korean Health Insurance Review and Assessment Service between 2007 and 2019.

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Stents Stent Hemorrhage Stroke 49

Stroke Journal

FEBRUARY 1, 2024

Background:We have previously identified that hemoglobin decrements and new-onset anemia during an intracerebral hemorrhage (ICH) hospitalization is frequent, rapid, and associates with poor outcome. Stroke, Volume 55, Issue Suppl_1 , Page AWP176-AWP176, February 1, 2024.

Hemorrhage 40

Hemorrhage Blood Pressure Ischemia Hospital 40

Stroke Journal

FEBRUARY 1, 2024

Introduction:Remote ischemic lesions identified on MRI neuroimaging after intracerebral hemorrhage (ICH) may be related to microthrombosis. The presence and count of ischemic lesions identified on DWI imaging >10 mm from the ICH were the outcome variables. ROTEM assessments of clot strength were the primary exposure variable.

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Hemorrhage Stroke Strokes Outcomes 40

Stroke Journal

DECEMBER 9, 2024

BACKGROUND:Although the presence of amyloid deposits is associated with a more severe cognitive status in patients with stroke at baseline, its influence on the subsequent cognitive outcome has not been extensively assessed. Patients underwent annually comprehensive clinical and cognitive assessments for 5 years after the PET scan.

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Dementia Outcomes Stroke Strokes 40

Stroke Journal

JANUARY 30, 2025

Patient function based on ADLs/IADLs (higher scores worse) along with patient quality of life based on SS-QOL (higher scores better) were used to measure patient outcome. Patient function based on ADLs/IADLs (higher scores worse) along with patient quality of life based on SS-QOL (higher scores better) were used to measure patient outcome.

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Quality of Life Outcomes Stroke Strokes 40

Stroke Journal

FEBRUARY 1, 2024

Background:Coronavirus disease 2019 (COVID-19) increases the risk of cerebral venous sinus thrombosis (CVST), and previous reports derived from small case series reported a high mortality in these patients, up to 40%. Stroke, Volume 55, Issue Suppl_1 , Page ATP180-ATP180, February 1, 2024.

COVID-19 40

COVID-19 Thrombosis Outcomes Hospital 40

Stroke Journal

FEBRUARY 1, 2024

Patients diagnosed with stroke (ischemic, subarachnoid, or intracerebral hemorrhage) were included. functional dependence or death, modified Rankin Score [mRS] 3-6) versus favorable outcomes (ie., Conclusions:The effects of social determinants were significantly greater in patients with less favorable functional outcomes.

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Stroke Strokes Outcomes Health Disparities 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionCurrent literature suggests a benefit in functional outcomes and reperfusion rates when carotid artery stenting (CAS) and mechanical thrombectomy (MT) are performed emergently. However, rates of symptomatic intracranial hemorrhages have been inconclusive. Seven (26%) patients had symptomatic intracranial hemorrhages.

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Stents Stent Hemorrhage Inpatient 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

It represents a high mortality and morbidity rate due to its risk of rupture causing Sub Arachnoid Hemorrhage which is a dangerous and life‐threatening condition. Based on limited reports, the 30‐day mortality rate from aneurysmal Sub Arachnoid Hemorrhage was 26.6% Africa presents a fatality rate higher than developed countries.

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Aneurysm Hemorrhage Risk Factors Outcomes 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionThe coronavirus disease 2019 (COVID‐19) pandemic has had a global impact on healthcare systems. There is limited data on the influence of COVID‐19 on treatment and outcomes in patients with intracranial aneurysms. Of these, 45,979 occurred pre‐COVID and 11,736 during the COVID pandemic period.

COVID-19 40

COVID-19 Aneurysm Outcomes Inpatient 40

Stroke Journal

JANUARY 30, 2025

Our study investigated outcomes following TNK or ALT for AIS by stroke severity.Methods:Data was collected from the TriNetX US Collaborative Network, which allowed access to de-identified retrospective electronic medical records. Patients who underwent acute mechanical thrombectomy were excluded. vs 9%, p<0.0001). vs 22.8%, p=0.203).

Stroke 40

Stroke Strokes Hemorrhage Outcomes 40

Stroke Journal

JANUARY 4, 2024

Primary outcome was a shift toward better functional outcome on the modified Rankin Scale at 90 days. Although symptomatic intracranial hemorrhages occurred more often in the IVT group (4.8% These studies mainly concerned anterior circulation occlusions. All patients with a posterior circulation occlusion were included.

Thrombolysis 40

Thrombolysis Circulation Hemorrhage Ischemia 40

Journal of the American Heart Association

JANUARY 31, 2024

BackgroundPrevious clinical trials found improved outcome of thrombolytic treatment in patients with ischemic wake‐up stroke (WUS) selected by advanced imaging techniques. Functional outcomes were assessed by the modified Rankin Scale (mRS) at 3 months. Symptomatic intracranial hemorrhage after thrombolytic treatment occurred in 4.4%

Stroke 40

Stroke Strokes Hemorrhage Thrombolysis 40

Stroke Journal

FEBRUARY 1, 2024

Global cognition (primary outcome), executive function, and memory were harmonized across studies and standardized as T-scores (mean [SD], 50 [10]); a 1-point difference represents a 0.1-SD Linear mixed-effects models were used to estimate longitudinal changes in cognition after incident stroke. SD difference in cognition.

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Stroke Strokes Atherosclerosis Hemorrhage 40

Stroke Journal

DECEMBER 28, 2023

The primary safety outcome was symptomatic intracranial hemorrhage (SITS definition) within 36 hours. Symptomatic intracranial hemorrhage occurred in 3 of 60 (5.0%) in the reteplase 12+12 mg group, 1 of 66 (1.5%) in the reteplase 18+18 mg group, and 1 of 50 (2.0%) in the alteplase group (P=0.53).

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Stroke Strokes Hemorrhage Thrombolysis 40

Stroke: Vascular and Interventional Neurology

OCTOBER 2, 2023

BackgroundSoutheast Asia accounts for approximately 10% of stroke‐related mortalities worldwide, yet there are limited data regarding mechanical thrombectomy (MT) outcomes in this region. Safety end points included symptomatic intracerebral hemorrhage, emboli in new territory at 24 hours, and all‐cause mortality at 90 days.

Stroke 40

Stroke Strokes Hemorrhage Thrombolysis 40

Stroke Journal

FEBRUARY 1, 2024

Background:Minor stroke, defined as a National Institutes of Health Stroke Scale (NIHSS), score of less than or equal to 5, accountedfor half of Acute Ischemic Stroke (AIS) patients in 2019. Outcomes of interest included: Modified Rankin Scale (mRS) 0-1, symptomatic intracranial hemorrhage (sICH) and stroke recurrence.

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Stroke Strokes Hemorrhage Outcomes 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionTo provide our single‐institution experience and outcome data with the WEB device in 51 patients treated for ruptured and unruptured intracranial aneurysms.MethodsOcclusion rates in a cohort of 51 patients treated with WEB were collected at time of procedure and at last follow‐up between the years 2019 and 2021.

Aneurysm 40

Aneurysm Embolism Hemorrhage Document 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Many studies have aimed to determine if heart failure (HF) is an independent risk factor in the development of AIS, but there is a paucity of literature describing the interventions and functional outcomes in this group of patients. AIS patients with CM and HF were compared to those without. 5.6%, p < 0.001) and EVT and tPA (0.9%

Heart Failure 40

Heart Failure Cardiomyopathy Inpatient Stroke 40

Stroke Journal

JANUARY 30, 2025

to identify patients with a diagnosis of AVM from the statewide inpatient and emergency department databases of Florida, Georgia, Maryland, New York, and Washington (2016-2019). Patients with a history of primary intracerebral hemorrhage or subarachnoid hemorrhage at baseline were classified as ruptured AVM (rAVM) patients.

Hemorrhage 40

Hemorrhage Medicare Inpatient Research 40

Journal of the American Heart Association

JANUARY 16, 2025

BackgroundTransport by mobile stroke units (MSUs), which provide access to computed tomography scanning and intravenous blood pressure medications and thrombolytics, reduces time to treatment and may improve shortterm functional outcomes for patients with acute stroke. had an intracerebral hemorrhage, and 31.1% versus 15.1%,P=0.86).

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Stroke Strokes Medicare Blood Pressure 40

Stroke Journal

FEBRUARY 1, 2024

Introduction:Head CT hyperdensity (HCH) commonly follows mechanical thrombectomy (MT) for large vessel occlusion (LVO), often due to contrast extravasation (CE) or intracerebral hemorrhage (ICH). Given the 20-88% prevalence in studies, understanding associated variables is crucial for outcomes.

Stroke 40

Stroke Strokes Risk Factors Hemorrhage 40

Stroke Journal

FEBRUARY 1, 2024

There was a strong trend towards improved 90-day clinical outcomes for TNK-treated patients (mRS 2.5 No significant differences in rates of symptomatic Intracerebral Hemorrhage (SICH) were observed between two groups (2.6% The mean DTN was 53.0 minutes for ALT and 41.5 minutes for TNK (p<0.001). ALT vs 2.9%

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Academic Stroke Strokes Nursing 40