Impact of Onset-to-Reperfusion Time on Stroke Mortality

Circulation: May 14, 2013 Background—Onset-to-reperfusion time has been reported to be associated with clinical prognosis. However, its impact on mortality remained to be assessed. Using a collaborative pooled analysis, we examined whether early mortality after successful endovascular treatment is time dependent. Methods and Results—In a collaborative pooled analysis of 7 endovascular databases, we assessed the impact […]

Comparison of Final Infarct Volumes in Patients Who Received Endovascular Therapy or Intravenous Thrombolysis for Acute Intracranial Large-Vessel Occlusions

JAMA Neurology: May 13, 2013 Importance  Studies comparing the efficacy of intra-arterial therapy (IAT) and medical therapy in reducing final infarct volume (FIV) in intracranial large-vessel occlusions (ILVOs) are lacking. Objectives  To assess whether patients with ILVOs who received IAT have smaller FIVs than patients who received either intravenous tissue plasminogen activator therapy (IVT) or no reperfusion therapy […]

Central Poststroke Pain: Current Diagnosis and Treatment

Metapress: April 23, 2013 Abstract Central post-stroke pain syndrome (CPSP) is a debilitating sequel that can follow thalamic sensory stroke. Less well recognized, CPSP follows lateral medullary stroke and parietal cortical stroke and may develop anywhere along the spinothalamic or trigemino-thalamic pathways. Patients describe sharp, stabbing, or burning pain and experience hyperpathia and especially allodynia. […]

The history and future of telestroke

Nature Reviews Neurology: May 7, 2013 This Review focuses on the application of telemedicine to the care of patients with acute stroke (telestroke), from the prehospital setting through hospitalization. Telestroke has grown remarkably in the past decade and has entered mainstream care for patients with acute stroke. Telestroke enables such patients to be remotely evaluated, […]

Onyx embolization of infectious intracranial aneurysms

J NeuroIntervent Surgery: May 4, 2013 Abstract Background Infectious intracranial aneurysms (IIAs) are rare and potentially devastating. First-line management involves intravenous antibiotics, with surgical or endovascular management reserved for cases of failed medical treatment or aneurysmal rupture. Endovascular therapy has become the primary approach for treating these small, distally located aneurysms. Liquid embolic agents are well […]

Mechanical thrombectomy with the Solitaire device in acute basilar artery occlusion

J NeuroIntervent Surgery: May 4, 2013 Abstract Aims To evaluate the efficacy and safety of mechanical thrombectomy with the Solitaire FR device in revascularization of patients with acute basilar artery occlusion (ABAO) and to identify the predictive factors for clinical outcome. Methods This prospective single-center study included 31 patients with acute ischemic stroke attributable to ABAO treated […]

Targeted use of heparin, heparinoids, or low-molecular-weight heparin to improve outcome after acute ischaemic stroke: an individual patient data meta-analysis of randomised controlled trials

Lancet Neurology: May 2 2013 Background Many international guidelines on the prevention of venous thromboembolism recommend targeting heparin treatment at patients with stroke who have a high risk of venous thrombotic events or a low risk of haemorrhagic events. We sought to identify reliable methods to target anticoagulant treatment and so improve the chance of […]

The New Oral Anticoagulants in Clinical Practice

Mayo Clinic Proceedings: May 1, 2013 Abstract Vitamin K antagonists were the only class of oral anticoagulants available to clinicians for decades. However, with the US Food and Drug Administration approval of new oral anticoagulants, such as dabigatran, rivaroxaban, and apixaban, clinicians now have a broader choice.  Read more

Comparison of Short-term Outcomes of Thrombolysis for In-Hospital Stroke and Out-of-Hospital Stroke in United States

STROKEAHA: April 30, 2013 Background and Purpose—In-hospital stroke (IHS) differs from out-of-hospital stroke (OHS) in risk factors and outcomes. We compared IHS and OHS treated with thrombolysis from a large national cohort in a cross-sectional study to further clarify these differences. Methods—The Nationwide Inpatient Sample for the years 2005–2010 was searched for adult acute ischemic stroke […]

FDA approves Kcentra for the urgent reversal of anticoagulation in adults with major bleeding

FDA: April 29, 2013 The U.S. Food and Drug Administration today approved Kcentra (Prothrombin Complex Concentrate, Human) for the urgent reversal of vitamin K antagonist (VKA) anticoagulation in adults with acute major bleeding. Plasma is the only other product approved for this use in the United States. Patients receiving chronic anticoagulation therapy with warfarin and other […]

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