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ESTUDIOS


30 julio 2015

STROKE. Risk Factors of Ischemic Stroke and Subsequent Outcome in Patients Receiving Hemodialysis

Mark D. Findlay, Peter C. Thomson, Rachael L. Fulton, Marit D. Solbu, Alan G. Jardine, Rajan K. Patel, Kathryn K. Stevens, Colin C. Geddes, Jesse Dawson and Patrick B. Mark

Background and Purpose: End-stage renal disease (ESRD) requiring hemodialysis carries up to a 10-fold greater risk of stroke than normal renal function. Knowledge on risk factors and management strategies derived from the general population may not be applicable to those with ESRD. We studied a large ESRD population to identify risk factors and outcomes for stroke.

30 julio 2015

STROKE. Recurrent Stroke. The Value of the CHA2DS2VASc Score and the Essen Stroke Risk Score in a Nationwide Stroke Cohort

Søren Due Andersen, Anders Gorst-Rasmussen, Gregory Y.H. Lip, Flemming W. Bach and Torben Bjerregaard Larsen

Background and Purpose: The CHA2DS2VASc score and the Essen Stroke Risk Score are respectively used for risk stratification in patients with atrial fibrillation and in patients with cerebrovascular incidents. We aimed to test the ability of the 2 scores to predict stroke recurrence, death, and cardiovascular events (stroke, transient ischemic attack, myocardial infarction, or arterial thromboembolism) in a nationwide Danish cohort study, among patients with incident ischemic stroke and no atrial fibrillation.

04 agosto 2015

STROKE. Rate of Contrast Extravasation on Computed Tomographic Angiography Predicts Hematoma Expansion and Mortality in Primary Intracerebral Hemorrhage

H. Bart Brouwers, Thomas W.K. Battey, Hayley H. Musial, Viesha A. Ciura, Guido J. Falcone, Alison M. Ayres, Anastasia Vashkevich, Kristin Schwab, Anand Viswanathan, Christopher D. Anderson, Steven M. Greenberg, Stuart R. Pomerantz, Claudia J. Ortiz, Joshua N. Goldstein, R. Gilberto Gonzalez, Jonathan Rosand and Javier M. Romero

Background and Purpose: In primary intracerebral hemorrhage, the presence of contrast extravasation after computed tomographic angiography (CTA), termed the spot sign, predicts hematoma expansion and mortality. Because the biological underpinnings of the spot sign are not fully understood, we investigated whether the rate of contrast extravasation, which may reflect the rate of bleeding, predicts expansion and mortality beyond the simple presence of the spot sign.

23 julio 2015

STROKE. Residual Risk of Stroke and Death in Anticoagulated Patients According to the Type of Atrial Fibrillation. AMADEUS Trial

Keitaro Senoo, Gregory Y.H. Lip, Deirdre A. Lane, Harry R. Büller and Dipak Kotecha

Background and Purpose: Atrial fibrillation (AF) and heart failure frequently coexist and are associated with increased morbidity and mortality. We investigated the prognosis of anticoagulated patients with permanent AF and nonpermanent AF according to preexisting heart failure in the AMADEUS (Evaluating the Use of SR34006 Compared to Warfarin or Acenocoumarol in Patients With Atrial Fibrillation) trial.

06 agosto 2015

STROKE. Cavernous Sinus Thrombosis in Children. Imaging Characteristics and Clinical Outcomes

Craig A. Press, Aaron Lindsay, Nicholas V. Stence, Laura Z. Fenton, Timothy J. Bernard and David M. Mirsky

Background and Purpose: Cavernous sinus thrombosis (CST) is a rare life-threatening cerebrovascular disease known to cause carotid artery narrowing (CAN) and arterial ischemic stroke. The imaging features of CST and related complications have been reported in adults, but rarely in children.

30 julio 2015

STROKE. Minimally Invasive Microsurgery for Cerebral Aneurysms

Johnny Ho Yin Wong, Rachel Tymianski, Ivan Radovanovic and Michael Tymianski

Intracranial aneurysms arise in ≈2% of the population, and their rupture causes 3% of all strokes.1 Their treatment requires safely achieving complete aneurysm occlusion while preserving blood flow in the parent, branching, and perforating vessels. For decades, this task was achieved using classic open approaches, such as the pterional craniotomy (PTC) described by Yasargil and Fox in 1975, which afforded safe and effective exposure of the Circle of Willis through the Sylvian fissure with minimal retraction on the frontal and temporal lobes.2 Supported by the introduction of the operating microscope, this approach gained popularity for treating tumors and aneurysms of the anterior circulation and the basilar tip.

04 agosto 2015

STROKE. Low-Versus Standard-Dose Alteplase for Ischemic Strokes Within 4.5 Hours. A Comparative Effectiveness and Safety Study

Beom Joon Kim, Moon-Ku Han, Tai Hwan Park, Sang-Soon Park, Kyung Bok Lee, Byung-Chul Lee, Kyung-Ho Yu, Mi Sun Oh, Jae Kwan Cha, Dae-Hyun Kim, Jun Lee, Soo Joo Lee, Youngchai Ko, Jong-Moo Park, Kyusik Kang, Yong-Jin Cho, Keun-Sik Hong, Joon-Tae Kim, Jay Chol Choi, Dong-Eog Kim, Dong-Ick Shin, Wook-Joo Kim, Juneyoung Lee, Ji Sung Lee, Byung-Woo Yoon, Philip B. Gorelick and Hee-Joon Bae

Background and Purpose: The low-dose (0.6 mg/kg) alteplase strategy to treat acute ischemic stroke patients became widespread in East Asian countries, without rigorous testing against standard-dose (0.9 mg/kg) alteplase treatment. Our aim was to investigate the comparative effectiveness and safety of the low-dose versus standard-dose intravenous alteplase strategy.

01 agosto 2015

JACC: CARDIOVASCULAR INTERVENTIONS. Stroke With Valve Tissue Embolization During Transcatheter Aortic Valve Replacement Treated With Endovascular Intervention

Amornpol Anuwatworn, MD; Amol Raizada, MD; Shawn Kelly, MD; Tomasz Stys, MD; Orvar Jonsson, MD; Adam Stys, MD

A 78-year-old man presented with progressive dyspnea on exertion and syncope. His relevant history included coronary bypass surgery twice. Severe aortic stenosis with left ventricular ejection fraction of 65% was evident on echocardiography. Coronary angiogram showed patent left internal mammary artery and saphenous vein grafts with severe 3-vessel disease.

01 septiembre 2016

DIAGNOSTIC AND INTERVENTIONAL RADIOLOGY. Implication of cerebral circulation time in intracranial stenosis measured by digital subtraction angiography on cerebral blood flow estimation measured by arterial spin labeling

Kay Jann 1 , Martinus Hauf 2 , Frauke Kellner-Weldon 2 , Marwan El-Koussy 2 , Claus Kiefer 2 , Andrea Federspiel 1 , Gerhard Schroth 2

PURPOSE: Arterial spin labeling (ASL) magnetic resonance imaging to assess cerebral blood flow (CBF) is of increasing interest in basic research and in diagnostic applications, since ASL provides similar information to positron emission tomography about perfusion in vascular territories. However, in patients with steno-occlusive arterial disease (SOAD), CBF as measured by ASL might be underestimated due to delayed bolus arrival, and thus increased spin relaxation. We aimed to estimate the extent to which bolus arrival time (BAT) was delayed in patients with SOAD and whether this resulted in underestimation of CBF.

01 agosto 2015

RSNA: Radiology. Predictors of Recurrent Stroke in Patients with Ischemic Stroke: Comparison Study between Transesophageal Echocardiography and Cardiac CT

Kyeho Lee, MD1 Jin Hur, MD, PhD Sae Rom Hong, MD Young Joo Suh, MD Dong Jin Im, MD Yun Jung Kim, MD Yoo Jin Hong, MD, PhD Hye-Jeong Lee, MD, PhD Young Jin Kim, MD, PhD Hye Sun Lee, MD, PhD Geu-Ru Hong, MD, PhD Byoung Wook Choi, MD, PhD

It is important to predict the prognosis of patients with stroke by evaluating risk factors and determining treatment. Recurrent stroke is a major cause of mortality and morbidity in patients with stroke. It is known that recurrent stroke is frequent in patients with ischemic stroke (1,2). The origins of ischemic stroke are variable, and cardiogenic strokes represent 20%–30% of ischemic strokes (3).

01 septiembre 2016

NEUROSURGERY. Imaging of Degenerative and Infectious Conditions of the Spine

Shah, Lubdha M. MD; Ross, Jeffrey S. MD

Abstract: Imaging is important in the evaluation of patients with degenerative disease and infectious processes. There are numerous conditions that can manifest as low back pain (LBP) or neck pain in a patient, and in many cases, the cause may be multifactorial. Clinical history and physical examination are key components in the evaluation of such patients; however, physical examination has variable sensitivity and specificity.

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