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Stone, MD Mount Sinai Health System tim.hodson Wed, 04/02/2025 - 15:26 March 31, 2025 Using intravascular imaging (IVI) to guide stent implantation during complex stenting procedures is safer and more effective for patients with severely calcified coronary artery disease than conventional angiography, the more commonly used technique.
tim.hodson Thu, 03/27/2025 - 15:40 March 27, 2025 GE HealthCare is announcing theU.S.launch of Flyrcado(flurpiridaz F 18) injection at the 2025American College of Cardiology(ACC) AnnualScientific Session & Expo inChicago. Flyrcado is aunit dose positron emission tomography myocardial perfusion imaging (PET MPI) agent.
Brittany Weber, MD, PhD , of Brigham and Women’s Hospital, is the 2024 YIA winner for her abstract, "The Frequency, Prevalence, And Outcomes Of Incidentally Detected Coronary Artery Calcium Using Artificial Intelligence Analysis Among Patients With Immune Mediated Inflammatory Diseases.”
Stroke, Volume 56, Issue Suppl_1 , Page AWP35-AWP35, February 1, 2025. Neutrophils are reported to be critical mediators of to poor outcome after subarachnoid hemorrhage (SAH). In this study, our hypothesis was that markers of NETs are higher in aneurysmal SAH patients developing DCI compared to SAH patients not developing DCI.
Stroke, Volume 56, Issue Suppl_1 , Page A113-A113, February 1, 2025. Background:Early detection and intervention of cerebral ischemia is critical to improving patient outcomes. This method has the potential to identify ischemic changes and facilitate expeditious intervention.
Stroke, Volume 56, Issue Suppl_1 , Page AWP209-AWP209, February 1, 2025. Background:COVID-19, primarily a respiratory illness caused by SARS-CoV-2, is associated with vascular complications like ischemia due to endothelial injury, hypercoagulability, and inflammation. Demographics, clinical data, and outcomes are found in Table 1.
Stroke, Volume 56, Issue Suppl_1 , Page AWP368-AWP368, February 1, 2025. Introduction:Oxidative stress plays an important role in both early brain injury and delayed cerebral ischemia after subarachnoid hemorrhage (SAH). In further studies, we will test how MnP-05 affects long-term outcomes of SAH. P<0.05, Fig.
Stroke, Volume 56, Issue Suppl_1 , Page AWMP87-AWMP87, February 1, 2025. Background:Complete recanalization, defined as modified Treatment in Cerebral Ischemia (mTICI) score of 2c or better, has been shown to be superior to mTICI 2b in terms of patient outcomes following stroke thrombectomy.
Stroke, Volume 56, Issue Suppl_1 , Page ADP26-ADP26, February 1, 2025. Our results suggest that the transcription of eSINE-RNAs represents a robust neuroprotective response to transient focal ischemia, thus positioning them as potential molecular targets for modulating post-stroke outcomes.
Stroke, Volume 56, Issue Suppl_1 , Page AWMP93-AWMP93, February 1, 2025. Total endovascular reconstruction (TER) is increasingly feasible but mid-term and long-term outcomes have not been reported.Methods:Data from all patients treated with carotid CTO treated with TER over the past 18years were collected in a database.
Stroke, Volume 56, Issue Suppl_1 , Page A48-A48, February 1, 2025. Remote ischemic conditioning (RIC) with transient ischemia and reperfusion applied to the arm has been shown to accelerate hematoma resolution in both animal and clinical studies. This trial is registered with ClinicalTrials.gov, NCT04657133.Results:Between mL (IQR 10.0-18.0).
Stroke, Volume 56, Issue Suppl_1 , Page ADP39-ADP39, February 1, 2025. We used the ICD-10 to identify patients hospitalized with diagnosis of stroke, TIA, or retinal ischemia with stenosis of carotid artery who underwent CAS or CEA. We divided patients based on presence or absence of atrial fibrillation.
Stroke, Volume 56, Issue Suppl_1 , Page ATP349-ATP349, February 1, 2025. Background:Inflammation, a key player in both acute and chronic cerebral ischemia, is activated in brain tissues by bilateral carotid stenosis (BCAS)- induced chronic cerebral hypoperfusion.
Stroke, Volume 56, Issue Suppl_1 , Page ATP368-ATP368, February 1, 2025. Thrombectomy, where occluded arteries are cannulated for mechanical clot removal, can restore blood flow and improve survival, but still leaves 1/3 of patients functionally dependent, largely due to secondary ischemia-reperfusion injury.
But it was interpreted as no acute ischemia and the patient was referred to cardiology as Non-STEMI. Cardiology: delayed cath = Non-STEMI Heres the interventional cardiology note describing the ECGs, management and outcome: He has had transitory peak T-waves, ST-segment elevation, and biphasic T-waves during recurrences of pain.
Stroke, Volume 56, Issue Suppl_1 , Page AWMP20-AWMP20, February 1, 2025. Background:Neuronal circuitry remodeling which compromises excitatory and inhibitory neurons is critical to improve neurological outcome after stroke.
Stroke, Volume 56, Issue Suppl_1 , Page ATP233-ATP233, February 1, 2025. had ischemia progression (ASPECTS decay of 2 or more), and 16.1% 1.00) for imaging stability, ischemia progression, and vessel recanalization, respectively. hours from initial neuroimaging. of patients had stable imaging, 14.5% had vessel recanalization.
Stroke, Volume 56, Issue Suppl_1 , Page AWP359-AWP359, February 1, 2025. Background:Mechanical thrombectomy has been associated with improved outcomes in patients with acute ischemic stroke. However, not all patients with successful reperfusion experience good functional outcomes.
Stroke, Volume 56, Issue Suppl_1 , Page AWP398-AWP398, February 1, 2025. Background:White matter or axonal injury is a key predictor of long-term functional outcome following ischemic stroke in humans. However, this type of injury is significantly understudied in animal stroke research.
Stroke, Volume 56, Issue Suppl_1 , Page ATP247-ATP247, February 1, 2025. Due to the rarity of iatrogenic CeAD, existing literature on management and outcomes is limited. Most cases are managed medically without significant clinical complications or long-term negative outcomes.
Stroke, Volume 56, Issue Suppl_1 , Page A162-A162, February 1, 2025. Background:Preceding respiratory tract infections (RTIs) caused by bacteria or viruses are associated with worse stroke outcomes, likely due to an exaggerated inflammatory immune response, endothelial dysfunction, platelet activation, and coagulopathy. In contrast,S.
Stroke, Volume 56, Issue Suppl_1 , Page AWP220-AWP220, February 1, 2025. We excluded trials that used TXA for longer than 3 days which causes delayed vasospasm, increasing the risk of cerebral ischemia. The primary outcomes were HE, 24-hour hemorrhagic volume change, 90-day mortality and poor functional outcome.
Stroke, Volume 56, Issue Suppl_1 , Page AWMP7-AWMP7, February 1, 2025. Background and objectives:Remote ischemic conditioning during cerebral ischemia ( PerRIC ) represents a new protection paradigm. The primary outcome was a modified Rankin Scale ( mRS ) score <=2 at 90 days.
Stroke, Volume 56, Issue Suppl_1 , Page AWP213-AWP213, February 1, 2025. Intracerebral Hemorrhagic (ICH) stroke is the second most common type of stroke and its aftermath is often more severe than ischemia. In order to improve post ICH outcome, immediate therapeutic interventions should be administered.
Stroke, Volume 56, Issue Suppl_1 , Page AWP402-AWP402, February 1, 2025. In experimental models, normotensive Sprague-Dawley (SD) and Spontaneously Hypertensive Rats (SHR) show different susceptibilities and outcomes to ischemic stroke. Middle Cerebral Artery Occlusion was used to induce focal ischemia/reperfusion injury (I/R).
Stroke, Volume 56, Issue Suppl_1 , Page AWP242-AWP242, February 1, 2025. We analyzed patient characteristics, clinical outcomes, and the presence of lesions on postprocedural diffusion-weighted imaging (DWI lesions).Results:A Typically, the right radial artery is used in neurointerventions. years, 83.7%, and 53.5%
Stroke, Volume 56, Issue Suppl_1 , Page AWMP9-AWMP9, February 1, 2025. Background:Remote ischemic conditioning (RIC) with transient cycles of limb ischemia and reperfusion is a safe and promising neuroprotective therapy in acute ischemic stroke (AIS).
Stroke, Volume 56, Issue Suppl_1 , Page ATP163-ATP163, February 1, 2025. Modified Treatment in Cerebral Ischemia (mTICI) score was used to determine reperfusion status, with mTICI > 2b considered successful. female) met inclusion criteria. No radiologic features were associated with successful reperfusion (Table 2).Conclusion:Multiphase
Stroke, Volume 56, Issue Suppl_1 , Page ADP31-ADP31, February 1, 2025. The primary outcome was the presence of perfusion scotoma defined as ICuV 10mL. Introduction:CT perfusion maps (CTP) can estimate the ischemic core in acute ischemic stroke based on distinctive cerebral blood flow (CBF) thresholds.
Stroke, Volume 56, Issue Suppl_1 , Page A34-A34, February 1, 2025. Tau PET demonstrated the highest uptake of 18F-THK-5351 at ischemia core. Tract-specific WM reductions correlated with infarct volume and functional outcomes 3 month poststroke. Introduction:Neuroinflammation plays a major role in post-stroke neuronal injury.
Stroke, Volume 56, Issue Suppl_1 , Page ATMP119-ATMP119, February 1, 2025. MicroRNAs (miRNAs) play critical roles in the pathologies of cerebral ischemia and dementia. Background:Vascular cognitive impairment (VCI) is the second most frequent subtype of dementia following Alzheimer's disease.
Stroke, Volume 56, Issue Suppl_1 , Page ATP153-ATP153, February 1, 2025. Background:According to the 2023 guidelines for the management of patients with aneurysmal subarachnoid hemorrhages (SAH), early treatment of ruptured aneurysms reduces the risk of repeated bleeds and facilitates treatment of delayed cerebral ischemia.
Stroke, Volume 56, Issue Suppl_1 , Page AWP26-AWP26, February 1, 2025. The factors that may affect neuropsychological outcomes after aSAH are not well characterized. Clinical variables, modified Rankin score (mRS) at discharge, hemorrhage volume, and the occurrence of vasospasm or new ischemia during hospitalization were collected.
Stroke, Volume 56, Issue Suppl_1 , Page AWP357-AWP357, February 1, 2025. Introduction:The rapid recanalization of occluded vessels and the restoration of cerebral blood flow (CBF) are critical for the outcome of stroke. Reperfusion CBF did not predict tissue and behavioral outcomes.
September 2024 Approvals Flurpiridaz F 18 Approval Date: September 27, 2024 Indication: A radioactive positron emission tomography (PET) tracer for imaging myocardial ischemia and infarction in adults with suspected or known coronary artery disease. To explore FDA approvals from January to July 2024, click here.
tim.hodson Mon, 01/13/2025 - 16:24 A new studyreports persistent disparities in outcomes for people with peripheral artery disease (PAD) and its more severe form, chronic limb-threatening ischemia (CLTI) in the United States. Among 73,237 patients who underwent major lower extremity amputation, 55.1%
This case highlights how T-waves are very important in the assessment of ischemia and dynamic changes in acute coronary syndrome. I have often seen colleagues worry about T-wave inversions as a sign of ongoing ischemia. Here is evidence for this: Opiates are associated with worse outcomes in Myocardial Infarction. Am Heart J.
There is low voltage in the precordium which always makes reading ischemia harder. In ACS, chest pain is the warning sign of ongoing ischemia. Smith : As Willy says, and as we've said many times before, morphine will resolve pain without resolving ischemia. ECG 1 What do you think? To me, this ECG is not diagnostic.
In this situation, even after the ischemia is relieved and myocardial blood flow is restored myocardial contractile function remains impaired for a variable period of time (usually days to a few weeks). This ECG and patient outcome is a reminder of why it is so important to recognize this ECG pattern. References: Kloner, R.
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