scholarly journals Hyperattenuated Intracerebral Lesions after Mechanical Recanalization in Acute Stroke

2013 ◽  
Vol 35 (2) ◽  
pp. 345-351 ◽  
Author(s):  
N. Lummel ◽  
G. Schulte-Altedorneburg ◽  
C. Bernau ◽  
T. Pfefferkorn ◽  
M. Patzig ◽  
...  
Keyword(s):  
Acute Stroke ◽  
Mechanical Recanalization

Clinical Outcome after Mechanical Recanalization as Mono- or Adjunctive Therapy in Acute Stroke: Importance of Time to Recanalization

2011 ◽  
Vol 32 (3) ◽  
pp. 211-218 ◽  
Author(s):  
Jos S. Becktepe ◽  
Se-Jong You ◽  
Joachim Berkefeld ◽  
Tobias Neumann-Haefelin ◽  
Oliver C. Singer
Keyword(s):  
Clinical Outcome ◽  
Acute Stroke ◽  
Adjunctive Therapy ◽  
Mechanical Recanalization

Mechanical recanalization therapies for acute stroke: Advances and uncertainties

2011 ◽  
Vol 59 (3) ◽  
pp. 373
Author(s):  
Velandai Srikanth ◽  
Shaloo Singhal ◽  
ThanhG Phan
Keyword(s):  
Acute Stroke ◽  
Mechanical Recanalization

Periprocedural aspects in mechanical recanalization for acute stroke: data from the ENDOSTROKE registry

2013 ◽  
Vol 55 (9) ◽  
pp. 1143-1151 ◽  
Author(s):  
Oliver C. Singer ◽  
◽  
Hans-Peter Haring ◽  
Johannes Trenkler ◽  
Christian H. Nolte ◽  
...  
Keyword(s):  
Acute Stroke ◽  
Mechanical Recanalization

scholarly journals Mechanical recanalization in acute stroke treatment

2012 ◽  
Vol 1 (1-12) ◽  
pp. 54-58 ◽  
Author(s):  
Pasquale Mordasini ◽  
Gerhard Schroth ◽  
Jan Gralla
Keyword(s):  
Acute Stroke ◽  
Stroke Treatment ◽  
Mechanical Recanalization ◽  
Acute Stroke Treatment

Abstract TP13: CT Perfusion-Guided Patient Selection for Acute Stroke Intervention Reduces In-Hospital Mortality

Stroke ◽  
2013 ◽  
Vol 44 (suppl_1) ◽  
Author(s):  
Nohra Chalouhi ◽  
George Ghobrial ◽  
Stavropoula Tjoumakaris ◽  
Aaron S Dumont ◽  
L Fernando Gonzalez ◽  
...  
Keyword(s):  
Hospital Mortality ◽  
Acute Stroke ◽  
Patient Selection ◽  
Ct Perfusion ◽  
Multivariable Analysis ◽  
Group Versus ◽  
Multivariable Logistic Regression Analysis ◽  
Time Interval ◽  
Mechanical Recanalization ◽  
Perfusion Studies

Background and Purpose: Perfusion studies are increasingly used to triage acute stroke patients for endovascular recanalization therapies. However, the potential benefit of such an approach remains unproven. We compared the safety and efficacy of computed-tomography-perfusion-(CTP)-guided to time-guided mechanical recanalization in acute ischemic stroke (AIS) patients. Methods: A comparative analysis was conducted on 132 patients, 94 undergoing CTP-guided and 38 undergoing time-guided (maximum 8 hours from symptom onset) mechanical recanalization at our institution. The rates of recanalization, intracranial hemorrhage (ICH), in-hospital mortality, and overall clinical outcomes were compared. A multivariable logistic regression analysis was carried out to determine predictors of in-hospital mortality. Results: The two groups were comparable with respect to baseline characteristics with the exception of longer mean time interval from stroke onset to endovascular intervention in the CTP group (7.2 vs. 4.3 hours, p=0.006). The rate of partial-to-complete recanalization did not differ between the CTP and the non-CTP group (78.7% vs. 81.6%, respectively, p=0.71). Symptomatic and overall ICH occurred respectively in 8.5% and 18.1% in the CTP group versus 15.8% and 31.6% in the non-CTP group (p=0.06). The overall in-hospital mortality rate was significantly lower in the CTP group (15.9% vs. 36.8%, p=0.040). Likewise, mean modified Rankin Scale at discharge was 3.8 in the CTP group versus 4.4 in the non-CTP group (p=0.042). In multivariable analysis, CTP-based patient selection was an independent negative predictor of in-hospital mortality (OR= 3.2; 95% CI, 1.2-8.2; p=0.01). Conclusions: CTP-based patient selection was associated with lower ICH and mortality rates, with better overall patient outcomes. Our results suggest a significant benefit with CTP-guided patient selection and support the implementation of CTP-based protocols for triage of AIS patients for recanalization therapies.

A numerical framework to investigate hemodynamics during endovascular mechanical recanalization in acute stroke

2015 ◽  
Vol 32 (4) ◽  
pp. e02748 ◽  
Author(s):  
Michael Neidlin ◽  
Martin Büsen ◽  
Carolin Brockmann ◽  
Martin Wiesmann ◽  
Simon J. Sonntag ◽  
...  
Keyword(s):  
Acute Stroke ◽  
Mechanical Recanalization

The role of nursing in the rehabilitation of acute stroke patients: Toward a unified theoretical perspective

Pflege ◽  
1999 ◽  
Vol 12 (1) ◽  
pp. 21-27
Author(s):  
Marit Kirkevold
Keyword(s):  
Acute Stroke ◽  
Theoretical Perspective ◽  
Stroke Patients ◽  
Role Of Nursing ◽  
Rolle Der Pflegenden

Eine Übersicht der bestehenden Literatur weist auf Unsicherheiten bezüglich der spezifischen Rolle der Pflegenden in der Rehabilitation von Hirnschlagpatientinnen und -patienten hin. Es existieren zwei unterschiedliche Begrifflichkeiten für die Rolle der Pflegenden, keine davon bezieht sich auf spezifische Rehabilitationsziele oder Patientenergebnisse. Ein anfänglicher theoretischer Beitrag der Rolle der Pflege in der Genesung vom Hirnschlag wird als Struktur unterbreitet, um die therapeutischen Aspekte der Pflege im Koordinieren, Erhalten und Üben zu vereinen. Bestehende Literatur untermauert diesen Beitrag. Weitere Forschung ist jedoch notwendig, um den spezifischen Inhalt und Fokus der Pflege in der Genesung bei Hirnschlag zu entwickeln.

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