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radiological imaging acute ischaemia stroke

James Wareham, Sebastian Luppe, Adam Youssef, Robert Crossley, Alex Mortimer
Background The relationship between bridging thrombolysis and femoral access site complications after mechanical thrombectomy remains contested. Use of a closure device could minimise bleeding complications. This study aimed to elucidate the rate of access site complications in a cohort of patients treated using an 8F groin sheath with subsequent closure using the Angio-Seal to assess safety and the impact of bridging thrombolysis on access site complication rate. Methods All patients with large vessel occlusive stroke treated between 2014 and 2017 with thrombectomy with or without bridging thrombolysis were reviewed...
January 1, 2018: Interventional Neuroradiology
M L Gargan, H K Kok, J Kearney, R Collins, T Coughlan, D O'Neill, D Ryan, W Torreggiani, O Doody
The aim of the study was to determine the added value of stroke protocol MRI following negative initial CT brain in the acute stroke setting. A retrospective study was performed over a 6 month period in a tertiary referral stroke centre. Patients were selected from the stroke and radiology databases. Inclusion criteria: clinical stroke syndrome, negative initial CT with subsequent MRI study with diffusion weighted sequences. Ninety two patients were reviewed and 73 (M:F of 39:34, mean age 62.1 ± 14.0 years) met the inclusion criteria...
November 2015: Irish Medical Journal
Anant Piyush Patel, Bashar Issa Ibrahim, Frances Dockery
Acute cerebrovascular events including ischaemic stroke and subarachnoid haemorrhage are known to be associated with left ventricular dysfunction and significant electrocardiographic abnormalities that can mimic cardiac ischaemia. The authors present a case in which an intracerebral haemorrhage was diagnosed during the treatment of pneumonia in a 62-year-old woman, with repolarisation abnormalities on the ECG acting as the key diagnostic clue in the absence of clinical or radiological evidence of ventricular dysfunction...
July 5, 2013: BMJ Case Reports
J L Saver, R Jahan, E I Levy, T G Jovin, B Baxter, R Nogueira, W Clark, R Budzik, O O Zaidat
RATIONALE: Self-expanding stent retrievers are a promising new device class designed for rapid flow restoration in acute cerebral ischaemia. The SOLITAIRE™ Flow Restoration device (SOLITAIRE) has shown high rates of recanalization in preclinical models and in uncontrolled clinical series. AIMS: (1) To demonstrate non-inferiority of SOLITAIRE compared with a legally marketed device, the MERCI Retrieval System®; (2) To demonstrate safety, feasibility, and efficacy of SOLITAIRE in subjects requiring mechanical thrombectomy diagnosed with acute ischaemic stroke...
July 2014: International Journal of Stroke: Official Journal of the International Stroke Society
Maria Khan, Asif Rasheed, Saman Hashmi, Moazzam Zaidi, Muhammad Murtaza, Saba Akhtar, Lajpat Bansari, Nabi Shah, Maria Samuel, Sadaf Raza, Umer Rais Khan, Bilal Ahmed, Bilawal Ahmed, Naveeduddin Ahmed, Jamal Ara, Tasnim Ahsan, S M Munir, Shoukat Ali, Khalid Mehmood, Karim Ullah Makki, Muhammad Masroor Ahmed, Niaz Sheikh, Abdul Rauf Memon, Philippe M Frossard, Ayeesha Kamran Kamal
BACKGROUND: There are no descriptions of stroke mechanisms from intracranial atherosclerotic disease in native South Asian Pakistanis. METHODS: Men and women aged ≥ 18 years with acute stroke presenting to four tertiary care hospitals in Karachi, Pakistan were screened using magnetic resonance angiography/transcranial Doppler scans. Trial of ORG 10172 in Acute Stroke Treatment criteria were applied to identify strokes from intracranial atherosclerotic disease...
October 2013: International Journal of Stroke: Official Journal of the International Stroke Society
K Man, A M M Kareem, N A Ahmad Alias, I L Shuaib, J Tharakan, J M Abdullah, A Prasad, A M Hussin, N N Naing
INTRODUCTION: Computed tomography (CT) perfusion is a new method to diagnose ischaemic stroke especially in developing countries. It identifies the area and is useful to predict the size of final infarction. The aim of this study was to assess cerebral ischaemia with CT perfusion (CTP) among patients with acute ischaemic stroke in Hospital Universiti Sains Malaysia, a tertiary referral centre in a rural setting. METHODS: 42 consecutive unenhanced CT and CTP examinations of the brain in adult patients were evaluated prospectively...
March 2006: Singapore Medical Journal
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