Thrombectomy Within Eight Hours of Stroke Onset Reduces Post-Stroke Disability
October 6, 2015
Clinical question: Does thrombectomy, in conjunction with medical therapy, improve functional independence in patients with an acute proximal anterior stroke? Background: Revascularization of proximal anterior strokes with alteplase alone occurs less than 50% of the time.
CHADS2 Variant Calculates Stroke Risk in Heart Failure Patients
September 18, 2015
NEW YORK - A variant of the CHADS2 score that's used to estimate ischemic stroke risk in patients with atrial fibrillation (AF) is also modestly accurate in heart failure patients, even in those without AF, researchers say. The variant, CHA2DS2-VASc, calculates stroke risk based on 10 possible point
Coating on Endovascular Devices Could Cause Stroke or Death
September 16, 2015
NEW YORK - Coating on endovascular devices is associated with embolization and microvascular occlusion leading to purpura or livedo racemosa, according to a new report. Dr.
Few U.S. Stroke Patients Get Clot-Busting Treatment
July 2, 2015
(Reuters Health) - Not all U.S. stroke patients eligible for thrombolytic therapy actually receive it - and the odds of getting this therapy may depend on where they live, a large study finds. Dr.
Stroke Centers More Common Where Laws Encourage Them
June 26, 2015
State laws have played a big part in boosting the number of hospitals where specialized stroke care is available, a new study shows. During the study, the increase in the number of hospitals certified as primary stroke centers was more than twice as high in states with stroke legislation as in st
Endovascular Treatment for Acute Ischemic Stroke Decreases Mortality
May 4, 2015
Clinical question: Does endovascular treatment improve outcomes for patients with acute ischemic stroke? Bottom line: For patients with acute ischemic stroke and imaging that suggests a proximal artery occlusion with evidence of good collateral circulation, the use of rapid endovascular treatment
What Is the Appropriate Medical and Interventional Treatment for Hyperacute Ischemic Stroke?
April 3, 2015
[caption id="attachment_8692" align="alignright" width="300"] (click for larger image)Figure 1: A: Noncontrast head CT, normal B: CT angiogram maximum intensity projection, showing occluded right middle cerebral artery C: CT perfusion, blood volume images, showing small core infarct D: CT perfusion,
Peri-Operative Atrial Fibrillation, Long-Term Risk of Ischemic Stroke
January 7, 2015
Clinical question: Is there an association between peri-operative AF and long-term risk of ischemic stroke in patients undergoing any type of surgery? Background: Peri-operative AF is usually viewed as a transient response to physiological stress, and the long-term risk of stroke after peri-opera
Inpatient Strokes Average 4.5 Hours From Recognition to Computed Tomography
December 2, 2014
Time, in hours, from recognition of stroke symptoms to computed tomography for hospitalized patients, compared with 1.3 hours for stroke patients brought to the ED, according to a study recently presented at the Canadian Stroke Congress. The report estimates 17% of strokes occur among inpatients,
New-Onset Perioperative Atrial Fibrillation Associated With Increased Risk of Ischemic Stroke
November 10, 2014
Clinical question For patients undergoing any inpatient surgery, is the presence of new-onset perioperative atrial fibrillation associated with a greater long-term risk of ischemic stroke? Bottom line Perioperative atrial fibrillation (AF) is associated with an increased risk of ischemic stroke