scholarly journals One-Year Outcomes After Minor Stroke or High-Risk Transient Ischemic Attack

Stroke ◽  
2017 ◽  
Vol 48 (11) ◽  
pp. 2991-2998 ◽  
Author(s):  
Hong-Kyun Park ◽  
Beom Joon Kim ◽  
Moon-Ku Han ◽  
Jong-Moo Park ◽  
Kyusik Kang ◽  
...  
Keyword(s):  
High Risk ◽  
Transient Ischemic Attack ◽  
Minor Stroke ◽  
One Year ◽  
Ischemic Attack

scholarly journals Postoperative ischemic events in patients undergoing carotid artery stenting using algorithmic selection for embolic protection

2019 ◽  
Vol 32 (4) ◽  
pp. 294-302 ◽  
Author(s):  
Yasuhiro Kawabata ◽  
Norio Nakajima ◽  
Hidenori Miyake ◽  
Shunichi Fukuda ◽  
Tetsuya Tsukahara
Keyword(s):  
High Risk ◽  
Carotid Artery ◽  
Carotid Endarterectomy ◽  
Transient Ischemic Attack ◽  
Carotid Artery Stenting ◽  
Minor Stroke ◽  
High Risk Patients ◽  
Embolic Protection ◽  
Risk Patients ◽  
Ischemic Attack

Purpose Carotid artery stenting (CAS) is a valuable alternative to carotid endarterectomy, especially in high-risk patients. However, the reported incidences of perioperative stroke and death remain higher than for carotid endarterectomy, even when using embolic protection devices (EPDs) during CAS. Our purpose was to evaluate 30-day major adverse events after CAS when selecting the most appropriate EPD. Methods We reviewed the clinical outcomes of 61 patients with 64 lesions who underwent CAS with EPDs. Patients who underwent CAS associated with thrombectomy and who had a preoperative modified Rankin scale score >3 were excluded from the analysis. The EPD was selected based on symptoms, carotid wall magnetic resonance imaging and lesion length, and we analyzed combined 30-day complication rates (transient ischemic attack, minor stroke, major stroke or death). Results Forty-nine patients were men and 12 were women. The median age was 72 years (range: 59–89 years) and 44 lesions were asymptomatic. A filter-type EPD was selected in 23 procedures, distal-balloon protection in 14 procedures and proximal-occlusive protection in 27 procedures. Two patients (3.1%) experienced a transient ischemic attack and one patient (1.6%) had a minor stroke within 30 days of the procedure. No patients experienced procedure-related morbidities (modified Rankin score >2) or death. Conclusions The perioperative stoke rate was low when we selected a proximal-occlusive-type EPD in high-risk patients with vulnerable carotid artery disease. Our algorithm for EPD selection was an effective tool in the perioperative management of carotid artery stenosis.

scholarly journals One-Year Risk of Stroke After Transient Ischemic Attack or Minor Stroke in Hunter New England, Australia (INSIST Study)

2021 ◽  
Vol 12 ◽  
Author(s):  
Shinya Tomari ◽  
Christopher R. Levi ◽  
Elizabeth Holliday ◽  
Daniel Lasserson ◽  
Jose M. Valderas ◽  
...  
Keyword(s):  
New England ◽  
Transient Ischemic Attack ◽  
Systems Of Care ◽  
Minor Stroke ◽  
Stroke Recurrence ◽  
Carotid Revascularization ◽  
Index Event ◽  
Kaplan Meier ◽  
One Year ◽  
Ischemic Attack

Background: One-year risk of stroke in transient ischemic attack and minor stroke (TIAMS) managed in secondary care settings has been reported as 5–8%. However, evidence for the outcomes of TIAMS in community care settings is limited.Methods: The INternational comparison of Systems of care and patient outcomes In minor Stroke and TIA (INSIST) study was a prospective inception cohort community-based study of patients of 16 general practices in the Hunter–Manning region (New South Wales, Australia). Possible-TIAMS patients were recruited from 2012 to 2016 and followed-up for 12 months post-index event. Adjudication as TIAMS or TIAMS-mimics was by an expert panel. We established 7-days, 90-days, and 1-year risk of stroke, TIA, myocardial infarction (MI), coronary or carotid revascularization procedure and death; and medications use at 24 h post-index event.Results: Of 613 participants (mean age; 70 ± 12 years), 298 (49%) were adjudicated as TIAMS. TIAMS-group participants had ischemic strokes at 7-days, 90-days, and 1-year, at Kaplan-Meier (KM) rates of 1% (95% confidence interval; 0.3, 3.1), 2.1% (0.9, 4.6), and 3.2% (1.7, 6.1), respectively, compared to 0.3, 0.3, and 0.6% of TIAMS-mimic-group participants. At one year, TIAMS-group-participants had twenty-five TIA events (KM rate: 8.8%), two MI events (0.6%), four coronary revascularizations (1.5%), eleven carotid revascularizations (3.9%), and three deaths (1.1%), compared to 1.6, 0.6, 1.0, 0.3, and 0.6% of TIAMS-mimic-group participants. Of 167 TIAMS-group participants who commenced or received enhanced therapies, 95 (57%) were treated within 24 h post-index event. For TIAMS-group participants who commenced or received enhanced therapies, time from symptom onset to treatment was median 9.5 h [IQR 1.8–89.9].Conclusion: One-year risk of stroke in TIAMS participants was lower than reported in previous studies. Early implementation of antiplatelet/anticoagulant therapies may have contributed to the low stroke recurrence.

scholarly journals Periodic Limb Movements and White Matter Hyperintensities in First-Ever Minor Stroke or High-Risk Transient Ischemic Attack

SLEEP ◽  
2016 ◽  
Vol 40 (3) ◽  
Author(s):  
Mark I. Boulos ◽  
Brian J. Murray ◽  
Ryan T. Muir ◽  
Fuqiang Gao ◽  
Gregory M. Szilagyi ◽  
...  
Keyword(s):  
White Matter ◽  
High Risk ◽  
Transient Ischemic Attack ◽  
White Matter Hyperintensities ◽  
Minor Stroke ◽  
Periodic Limb Movements ◽  
Limb Movements ◽  
Ischemic Attack

scholarly journals Perfusion MR Predicts Outcome in High-Risk Transient Ischemic Attack/Minor Stroke

Stroke ◽  
2013 ◽  
Vol 44 (9) ◽  
pp. 2486-2492 ◽  
Author(s):  
Negar Asdaghi ◽  
Michael D. Hill ◽  
Jonathan I. Coulter ◽  
Kenneth S. Butcher ◽  
Jayesh Modi ◽  
...  
Keyword(s):  
High Risk ◽  
Transient Ischemic Attack ◽  
Minor Stroke ◽  
Perfusion Mr ◽  
Ischemic Attack

scholarly journals One-Year Risk of Stroke after Transient Ischemic Attack or Minor Stroke

2016 ◽  
Vol 374 (16) ◽  
pp. 1533-1542 ◽  
Author(s):  
Pierre Amarenco ◽  
Philippa C. Lavallée ◽  
Julien Labreuche ◽  
Gregory W. Albers ◽  
Natan M. Bornstein ◽  
...  
Keyword(s):  
Transient Ischemic Attack ◽  
Minor Stroke ◽  
One Year ◽  
Ischemic Attack
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