Intra-Arterial Therapy for Acute Stroke and the Effect of Technological Advances on Recanalization: Findings in a Community Hospital

Goldstein, Jonas H.; Denslow, Sheri; Goldstein, Samuel J.; Marx, William F.; Short, John G.; Taylor, Reid; Schneider, Alexander L.

doi:10.18043/ncm.77.2.79

Cited by 3 publications

(3 citation statements)

References 23 publications

(48 reference statements)

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“…The average patient age at the beginning of treatment was 43.8 years . The mean base line NIHSS score at the admission was 15.6 [10][11][12][13][14][15][16][17][18][19][20].…”

Section: Results:-mentioning

confidence: 99%

“…Use of the Soiltaire FR stent seems to be an effective treatment for symptomatic occlusion of the proximal middle cerebral artery. Indeed, being able to remove the device reduces the risk of secondary stenosis into the stent and eliminates long-term use of anti-platelet, thereby reducing the short, medium and long term risk of bleeding (Goldstein et al, 2016). In addition, the vascular obstruction is most often secondary to a thrombosis of a healthy intra-cerebral vessel by an embolus, so, it does not seem necessary to leave a permanent material within the artery after removal of the clot (Gory et al, 2014).…”

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confidence: 99%

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Mechanical Thrombectomy With Temporary Bypass Using Solitaire Fr Stent for Treatment of Acute Proximal Middle Cerebral Artery Thrombosis

Mustafa¹

2019

IJAR

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We present the efficacy of mechanical thrombectomy with temporary bypass technique in management of proximal middle cerebral artery thrombosis at the acute phase of cerebral ischemia using Soiltaire FR Stent. Material and Methods: It is a retrospective study that include five patients presented with cerebral ischemia at the acute phase and which were eligible for a mechanical thrombectomy. We evaluate the population, the ischemic criteria on initial and post-therapeutic MRI, the technique, and the angiographic and clinical results of mechanical thrombectomy. Results: Angiographically, we noticed a mean progression of the TIMI score from 1 to 2.4, a mean decrease of NIHSS clinical score of 12 points and one localized asymptomatic intraparenchymatous hemorrhage. Conclusion: The mechanical thrombectomy with temporary endovascular bypass technique using the Soiltaire FR stent represents an efficient novel strategy to achieve the recanalization of an occluded proximal middle cerebral artery and an amelioration of the clinical state.

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“…The average patient age at the beginning of treatment was 43.8 years . The mean base line NIHSS score at the admission was 15.6 [10][11][12][13][14][15][16][17][18][19][20].…”

Section: Results:-mentioning

confidence: 99%

mentioning

confidence: 99%

Mechanical Thrombectomy With Temporary Bypass Using Solitaire Fr Stent for Treatment of Acute Proximal Middle Cerebral Artery Thrombosis

Mustafa¹

2019

IJAR

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“…5 Acute management and admission in these facilities is associated with increased guideline recommended care and better outcomes. 6 While in-hospital care and outcomes have improved substantially across the United States and in North Carolina, 7,8 rural populations are significantly less likely to receive optimal acute stroke care. 9,10 Urban-rural and other regional disparities are in part driven by the lack of access to high-quality acute stroke evaluation, treatment, and management.…”

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confidence: 99%

Availability of Hospital Resources and Specialty Services for Stroke Care in North Carolina

Patel

Honvoh

Fernández

et al. 2019

Southern Medical Journal

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Objectives: Effective regionalization of acute stroke care requires assessment and coordination of limited hospital resources. We described the availability of stroke-specific hospital resources (neurology specialty physicians and neuro-intensive care unit [neuro-ICU] bed capacity) for North Carolina overall and by region and population density. We also assessed daily trends in hospital bed availability. Methods: This statewide descriptive study was conducted with data from the State Medical Asset Resource Tracking Tool (SMARTT), a Web-based system used by North Carolina to track available medical resources within the state. The SMARTT system was queried for stroke-specific physician and bed resources at each North Carolina hospital during a 1-year period (June 2015-May 2016), including daily availability of neuro-ICU beds. We compared hospital resources by geographic region and population density (metropolitan, urban, and rural). Results: Data from 108 acute care hospitals located in 75 of 100 counties in North Carolina were included in the analysis. Fifty-seven percent of hospitals had no neurology specialty physicians. Western and eastern North Carolina had the lowest prevalence of these physicians. Most hospitals (88%) had general ICUs, whereas only 17 hospitals (16%) had neuro-ICUs. Neuro-ICUs were concentrated in metropolitan areas and in central North Carolina. On average, there were 276 general ICU and 27 neuro-ICU beds available statewide each day. Daily neuro-ICU bed availability was lowest in eastern and southeastern regions and during the week compared with weekends. Conclusions: In North Carolina, stroke-specific hospital subspecialists and resources are not distributed evenly across the state. Daily bed availability, particularly in neuro-ICUs, is lacking in rural areas and noncentral regions and appears to decrease on weekdays. Regionalization of stroke care needs to consider the geographic distribution and daily variability of hospital resources.

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Rapid Assessment of Acute Ischemic Stroke by Computed Tomography Using Deep Convolutional Neural Networks

Hung

Lin

2021

J Digit Imaging

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Intra-Arterial Therapy for Acute Stroke and the Effect of Technological Advances on Recanalization: Findings in a Community Hospital

Cited by 3 publications

References 23 publications

Mechanical Thrombectomy With Temporary Bypass Using Solitaire Fr Stent for Treatment of Acute Proximal Middle Cerebral Artery Thrombosis

Mechanical Thrombectomy With Temporary Bypass Using Solitaire Fr Stent for Treatment of Acute Proximal Middle Cerebral Artery Thrombosis

Availability of Hospital Resources and Specialty Services for Stroke Care in North Carolina

Rapid Assessment of Acute Ischemic Stroke by Computed Tomography Using Deep Convolutional Neural Networks

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