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Introduction:Strokes affecting the posterior circulation (PCS) account for 20% of all ischemic strokes. Recent studies indicate that PCS are half as likely to receive thrombolytic therapy and threefold less likely to receive intervention with mechanical thrombectomy compared to anterior circulation strokes (ACS). in 2021, 37.5
Stroke, Volume 55, Issue Suppl_1 , Page A85-A85, February 1, 2024. Intravenous thrombolysis was administered in 55 patients (22.1%) while general anesthesia was used in 94/248 patients (37.9%). Conclusion:EVT seems to be a safe and effective approach for posterior circulation tandem occlusions.
Variables included demographics and NIHSS.Results:Seventy-one adults were analyzed, including 46 patients treated on the MSU between August 2021 and May 2024, and 25 controls. Twenty-three (88%) patients received IV thrombolysis and 7 (27%) had mechanical thrombectomy. Twenty-six (57%) MSU patients were confirmed ischemic stroke (AIS).
Stroke, Volume 55, Issue Suppl_1 , Page AWP179-AWP179, February 1, 2024. Clinical outcomes were assessed using uni- and multivariable logistic regression models.Results:A total of 216 patients were included, with target vessels located within the anterior circulation (133; 63.4%) and posterior circulation (79; 36.6%).
Stroke, Volume 55, Issue Suppl_1 , Page A106-A106, February 1, 2024. Nineteen (68%) MSU patients were diagnosed as stroke, with 17 (61%) confirmed and 2 likely TIA or stroke averted by thrombolysis; 9 were stroke mimics. Median initial NIHSS score was 7 (range 1-22) and 12 (71%) received intravenous thrombolysis with tPA or TNK.
Stroke, Volume 55, Issue Suppl_1 , Page ATP133-ATP133, February 1, 2024. Purpose:Clot Burden Score (CBS) is a semiquantitative measure of thrombus extent on CTA for proximal anterior circulation strokes whose relationship with perfusion metrics has not been fully explored.
In this context, we need a movement to revive the pre-hospital thrombolysis. Efficiency of thrombolysis is highly reproducible. Strategy to Reduce Mortality Rates of ST-elevation Acute Myocardial Infarction Using Prehospital Thrombolysis: A Meta-analysis. Research in Cardiovascular Medicine 13(2):p 48-57, Apr–Jun 2024. |
Random-effect models in a meta-analysis were employed to get the pooled risk ratios (RRs) and their corresponding 95% confidence intervals (95% CI) for sICH with MT, compared to other reperfusion treatment regimens, including best medical treatment and intravenous thrombolysis (IVT).Results:MT 2.07; P = 0.037). 2.07; P = 0.037).
Stroke, Volume 55, Issue Suppl_1 , Page AWP192-AWP192, February 1, 2024. The primary outcome measure was successful recanalization defined as modified Thrombolysis in Cerebral Ischemia (mTICI) score of 2b or higher. 90-day modified Rankin score (mRS) 0-2, mortality and symptomatic hemorrhage were used as secondary outcomes.
Stroke, Volume 55, Issue Suppl_1 , Page AWP180-AWP180, February 1, 2024. We included AIS patients treated with MT for ICA, M1, or M2 occlusion with successful recanalization (modified Thrombolysis in Cerebral Infarction [mTICI] score ≥ 2C) and procedure durations under 60 minutes.
Stroke, Volume 55, Issue Suppl_1 , Page AWP205-AWP205, February 1, 2024. Predictive score was calculated by adding 1 point for age (< 70 years), premorbid status (mRS 0), and NIHSS < 20 and 3 points for a mTICI ≥2b (ranging 0-6). 90-day mRS 0-3 was observed in 0% of patients with a score of 0 or 1, 6.3% with a score of 2, 17.7%
This study addresses this gap in the literature by evaluating the effectiveness of those prognostic tools in stroke patients treated in a rural area of the Midwest.Methods:We conducted a retrospective study of stroke patients treated with thrombolytics at Southern Illinois Healthcare Stroke Network from July 2017 to June 2024.
Stroke, Volume 55, Issue Suppl_1 , Page AWP154-AWP154, February 1, 2024. Prolonged ICU stay were more likely to have higher baseline median NIHSS score (19 vs. 14%, p < 0.0001), posterior circulation stroke (12.6% Patients receiving thrombolysis prior to thrombectomy were less likely to have a prolonged LOS (27.8%
Stroke, Volume 55, Issue Suppl_1 , Page AWP182-AWP182, February 1, 2024. Background:Atrial fibrillation (AF) has been shown to be associated with better procedural outcomes in patients with anterior circulation large vessel occlusion (aLVO) undergoing endovascular therapy (EVT). In the NOAC group, 59.5%
Circulation: Cardiovascular Interventions, Volume 18, Issue 1 , Page e014499, January 1, 2025. METHODS:This retrospective cohort study analyzed data from 2 academic centers involving patients with intermediate-risk PE from January 2020 to January 2024. The median time to intervention was 6.1 hours in the early group and 20.8
Circulation, Volume 150, Issue Suppl_1 , Page A4141279-A4141279, November 12, 2024. Background:Slow flow phenomenon is impaired coronary flow during percutaneous coronary intervention (PCI) in absence of mechanical obstruction, and it is associated with deteriorated outcome.
Circulation, Volume 150, Issue Suppl_1 , Page A4119169-A4119169, November 12, 2024. She was diagnosed with NSTEMI with a thrombolysis in myocardial infarction (TIMI) score of 5. PCI has become a common treatment of chronic total occlusion, and techniques continue to be developed to tackle more challenging cases.
Stroke, Volume 55, Issue Suppl_1 , Page ATP188-ATP188, February 1, 2024. Here, we investigate the association of middle cerebral artery(MCA) tortuosity on radiographic and functional outcome.Methods:The Analysis of Revascularization in Ischemic Stroke with EmboTrap II was utilized to identify patients with anterior circulation stroke.
Stroke, Volume 55, Issue Suppl_1 , Page AWP10-AWP10, February 1, 2024. We aimed to examine the impact of dexmedetomidine on outcomes in patients with anterior circulation large vessel occlusion (acLVO) requiring neurocritical care after endovascular therapy (EVT).Methods:We vs. 28.8%; p=0.24).
Stroke, Volume 55, Issue Suppl_1 , Page ATP212-ATP212, February 1, 2024. Background:Endovascular thrombectomy (EVT) for treatment of acute ischemic stroke (AIS) in the proximal cerebrovasculature has, since its inception, become part of the standard of care when addressing AIS.
During the American Stroke Association’s International Stroke Conference 2024, ISC24, eleven scientists leading the way in stroke research will be recognized for their exceptional professional achievements. Man’s winning presentation, Abstract 43, “Race-Ethnic Specific Trends in Stroke Thrombolysis Care Metrics in Relation to U.S.
The International Stroke Conference 2024 will be held Feb. Best Medical Therapy in Acute Ischemic Stroke due to Large VEssel OcclusioN Trial in the Extended Time Window: Raul Nogueira, University of Pittsburgh, Pittsburgh, PA MOST Multi-Arm Optimization of Stroke Thrombolysis Trial: Opeolu Adeoye, Washington University, Saint Louis, MO Thurs.,
We assessed the clinical outcomes of patients with and without a CBF core at stroke onset, who underwent mechanical thrombectomy.Methods:Data from the National Cerebral and Cardiovascular Center Endovascular Thrombectomy database (January 2018 to April 2024) were analyzed. 2.25, p=0.04).Conclusions:Stroke
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