Download or read book Acute Stroke Management in the Era of Thrombectomy written by Edgar A. Samaniego and published by Springer. This book was released on 2019-06-22 with total page 226 pages. Available in PDF, EPUB and Kindle. Book excerpt: ​This book contains a compilation of the revolution of mechanical thrombectomy (MT) in the treatment of strokes. The initial chapters summarize information about the best medical management of acute ischemic stroke, imaging modalities and patient selection for MT. The book then focuses on the nuances of MT, providing detailed information about the best approaches for anesthesia during MT, access, intra-arterial thrombolysis, recent devices and catheters and technical pitfalls of MT. A specific chapter is dedicated to MT in the venous system. This is followed by a chapter about the most common complications of MT and post-procedural care of these patients. The last chapter covers different aspects of acute stroke care and MT in the developing world. The authors of this book comprise of a multidisciplinary group of world experts in the field and were encouraged to include teaching cases to deliver a book with a practical approach. Acute Stroke Management in the Era of Thrombectomy is intended for all healthcare providers who care for patients with stroke; with special emphasis for the proceduralists who are interested in technical tips to improve outcomes and minimize complications.

Download or read book Acute Stroke Management in the Era of Thrombectomy written by Edgar A. Samaniego and published by . This book was released on 2019 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This book contains a compilation of the revolution of mechanical thrombectomy (MT) in the treatment of strokes. The initial chapters summarize information about the best medical management of acute ischemic stroke, imaging modalities and patient selection for MT. The book then focuses on the nuances of MT, providing detailed information about the best approaches for anesthesia during MT, access, intra-arterial thrombolysis, recent devices and catheters and technical pitfalls of MT. A specific chapter is dedicated to MT in the venous system. This is followed by a chapter about the most common complications of MT and post-procedural care of these patients. The last chapter covers different aspects of acute stroke care and MT in the developing world. The authors of this book comprise of a multidisciplinary group of world experts in the field and were encouraged to include teaching cases to deliver a book with a practical approach. Acute Stroke Management in the Era of Thrombectomy is intended for all healthcare providers who care for patients with stroke; with special emphasis for the proceduralists who are interested in technical tips to improve outcomes and minimize complications.

Download or read book 12 Strokes written by Ferdinand K. Hui and published by Springer Nature. This book was released on 2021-01-11 with total page 334 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive, case-based resource provides the state-of-the-art knowledge that can help readers improve access and optimize delivery of stroke thrombectomy. Improving access to stroke is of particular importance because patients often misinterpret their symptoms or cannot speak for themselves if they have aphasia. More importantly, access needs to be organized because stroke therapies are all extremely time-sensitive. Scalable, choreographed protocols are necessary for emergency medical systems to ‘capture’ stroke patients and automatically transport and triage to time-sensitive treatments. Many of the chapters in the first section on Fundamentals and Systems provide valuable insight in improving access to stroke care. Replete with illustrative case studies and emphasizing that treatment approaches to stroke should not be comprised of a one-size-fits-all approach, this illuminating title provides the complete thought, detail, insight and organization that will help readers meet the needs of stroke patients with large vessel occlusions. 12 Strokes: A Case-based Guide to Acute Ischemic Stroke Management examines the primary technical principles that underlie the current thrombectomy approaches. Instead of continuing the conceptual dichotomy of stent vs. aspiration, many of the chapters look at underlying principles and then discuss ways in which the currently available devices and approaches can best exploit them. The variety, creativity and detail in many of these chapters will help the reader develop a deeper understanding that might assist their ability to successfully take care of their next patient that ‘doesn’t follow the textbook.’ In addition, the anatomic and pathophysiologic classification of the core Twelve Chapters will help readers organize their thinking and approach. This knowledge, particularly because it is organized based on common, challenging syndromes, will arm the reader to quickly recognize patterns and deftly adapt their management approaches to the needs of the patient. An invaluable contribution to the clinical literature, 12 Strokes: A Case-based Guide to Acute Ischemic Stroke Management will be of great interest to not only neurosurgeons and neurologists but other specialists, primary care providers, and trainees as well.

Download or read book Acute Ischemic Stroke written by R. Gilberto González and published by Springer Science & Business Media. This book was released on 2010-10-05 with total page 299 pages. Available in PDF, EPUB and Kindle. Book excerpt: This updated second edition of Acute Ischemic Stroke: Imaging and Intervention provides a comprehensive account of the state of the art in the diagnosis and treatment of acute ischemic stroke. The basic format of the first edition has been retained, with sections on fundamentals such as pathophysiology and causes, imaging techniques and interventions. However, each chapter has been revised to reflect the important recent progress in advanced neuroimaging and the use of interventional tools. In addition, a new chapter is included on the classification instruments for ischemic stroke and their use in predicting outcomes and therapeutic triage. All of the authors are internationally recognized experts and members of the interdisciplinary stroke team at the Massachusetts General Hospital and Harvard Medical School. The text is supported by numerous informative illustrations, and ease of reference is ensured through the inclusion of suitable tables. This book will serve as a unique source of up-to-date information for neurologists, emergency physicians, radiologists and other health care providers who care for the patient with acute ischemic stroke.

Download or read book Acute Stroke Management in the First 24 Hours written by Maxim Mokin and published by Oxford University Press. This book was released on 2018 with total page 297 pages. Available in PDF, EPUB and Kindle. Book excerpt: Acute Stroke Management in the First 24 hours bridges the clinical application gap by offering a practice-based approach to treating ischemic and hemorrhagic stroke. The comprehensive text, written by international experts in the field of stroke care, covers all aspects of stroke care, including review of stroke systems, clinic features, neuroimaging diagnostic characteristics, and pre-hospital care and challenges. This book is an easy-to-use reference guide ideal for first responders and clinicians working in emergency medicine, neurology, neurosurgery, and critical care.

Download or read book Stroke Revisited Diagnosis and Treatment of Ischemic Stroke written by Seung-Hoon Lee and published by Springer. This book was released on 2017-08-30 with total page 377 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book presents state of the art knowledge on stroke management in a unique organizational style. Ischemic stroke is extensively covered, with inclusion of overviews that dynamically describe all relevant diagnostic and therapeutic processes in a time sequence mirroring real practice. The individual components of management and key issues are fully discussed with the aid of complementary illustrations that facilitate understanding of practical aspects and enable the reader to retrieve fundamental information quickly. In addition, the book considers the various causes of stroke and provides detailed guidance on means of secondary prevention. The recent demonstration of the substantial benefit of intra-arterial thrombectomy using stentrievers in patients with acute ischemic stroke represents a great moment in the history of stroke management. As we embark on a new era, there is an urgent need to review and evaluate current modalities for stroke diagnosis and treatment. In tackling this task, this book will be invaluable for physicians, angiographic interventionists, surgeons, and students seeking to acquire up-to-date knowledge on stroke.

Download or read book Acute Stroke Nursing written by Jane Williams and published by John Wiley & Sons. This book was released on 2013-05-07 with total page 367 pages. Available in PDF, EPUB and Kindle. Book excerpt: Stroke is a medical emergency that requires immediate medical attention. With active and efficient nursing management in the initial hours after stroke onset and throughout subsequent care, effective recovery and rehabilitation is increased. Acute Stroke Nursing provides an evidence-based, practical text facilitating the provision of optimal stroke care during the primary prevention, acute and continuing care phases. This timely and comprehensive text is structured to follow the acute stroke pathway experienced by patients. It explores the causes, symptoms and effects of stroke, and provides guidance on issues such as nutrition, continence, positioning, mobility and carer support. The text also considers rehabilitation, discharge planning, palliative care and the role of the nurse within the multi-professional team. Acute Stroke Nursing is the definitive reference on acute stroke for all nurses and healthcare professionals wishing to extend their knowledge of stroke nursing. Evidence-based and practical in style, with case studies and practice examples throughout Edited and authored by recognised stroke nursing experts, clinicians and leaders in the field of nursing practice, research and education The first text to explore stroke management from UK and international perspectives, and with a nursing focus

Download or read book Ischemic Stroke Management written by Alejandro M. Spiotta and published by Thieme. This book was released on 2019-12-06 with total page 345 pages. Available in PDF, EPUB and Kindle. Book excerpt: A complete guide to improving stroke treatment and patient outcomes from international experts! Of the more than 795,000 estimated strokes that occur annually in the U.S., 87% are ischemic due to blockages, while the remaining 13% are hemorrhagic associated with spontaneous bleeding in the brain. Ischemic Stroke Management: Medical, Interventional and Surgical Management by esteemed neurosurgeons Alejandro Spiotta, Roberto Crosa, and an impressive group of international contributors details evidence-based medical, interventional, and neurosurgical treatment of ischemic stroke. Twelve chapters cover complete management of ischemic stroke, from symptom manifestation to interventions in the ER, OR, and NICU. The first chapters cover stroke epidemiology, intravenous thrombolysis in stroke, and the crucial role stroke centers play in ensuring timely treatment of this devastating disease. Subsequent chapters discuss diagnostic imaging techniques in acute ischemic stroke, neurosurgical interventions for hemorrhagic and ischemic stroke, and neuroanesthesia considerations. Key Features With contributions from South America to Europe, North America to Asia, authors share diverse experiences treating stroke patients, delivering a unique international perspective Endovascular neurosurgery ischemic stroke approaches and discussion of scientific evidence Mechanical thrombectomy utilizing Catch, Trevo, and Solitaire stent retrievers and the evolution of direct clot aspiration approaches Special topics include neurocritical care of acute ischemic stroke, pediatric stroke, and emerging state-of-the-art techniques Truly global viewpoints encompassed in this unique book make it a must-read for trainee and veteran neurosurgeons and interventional neuroradiologists across the world. This resource is also an essential bookshelf addition for medical centers worldwide that treat stroke patients.

Download or read book Cerebral Small Vessel Disease written by Leonardo Pantoni and published by Cambridge University Press. This book was released on 2014-05 with total page 375 pages. Available in PDF, EPUB and Kindle. Book excerpt: Up-to-date discussion of the etiology, diagnosis, treatment, and prevention of this common cause of stroke and cognitive impairment.

Download or read book Acute Ischemic Stroke written by Jaechan Park and published by Springer. This book was released on 2017-03-23 with total page 265 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book approaches the topic of management of acute ischemic stroke in an interdisciplinary manner, explaining how best to utilize the methods currently available for medical, surgical, and endovascular care. After an opening section on basics such as pathophysiology, radiological assessment, and pathology, comprehensive and up-to-date information is provided on each of the available therapies, techniques, and practices. Special attention is paid to recent advances in neurointerventional and neurosurgical procedures, with clear description of important technical details.The book includes plentiful high-quality case illustrations and a wealth of practical information that will prove of value in emergency rooms, angiography suites, operating rooms, and intensive care units. It will aid not only neurologists, neurointerventionists, and neurosurgeons, but also all others who are involved in the management of acute ischemic stroke, from radiologists and emergency physicians to healthcare providers.

Download or read book MECHANICAL THROMBECTOMY IN TREATMENT OF ACUTE ISCHEMIC STROKE INITIAL EXPERIENCE IN BULGARIA written by Lachezar Ivanov and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Brain stroke is a leading cause of severe disabilities and mortality. The attempts for prevention of consequences have led investigators to the development of a vast majority of techniques for the achievement of reperfusion in the super acute phase. Among them mechanical trombectomy stands out as the most effective method, which is beginning to affirm as standard in the international practice. Introduction: The stroke is an important social problem, leading to severe disabilities and mortality. It is the third cause of death in the population of industrial and developing countries. Due to the social importance, in the last decades we are becoming witnesses of breathless increase of interventional procedures for treating strokes. The evolution of the reperfusion era in management of acute vascular incidents has started in 1999 with development of the fibrinolitic therapy. In 2003 attempts for thromb-fragmentation with endovascular ultrasound sonds had been started. In 2005 the application of the first coil-retrievers entered in practice. In 2009 the thromb-aspiration technique marked the first success in endovascular treatment of these conditions. In 2012 thromb-extraction with stent-retrievers had began. Till now 3 generations of these devices has been worked out. Excluding fibrinolisis, thromb-aspiration and thrombectomy, other methods had not been applied in clinical practice and had been abandoned. Aims: Proving efficacy of the method for achievement of long-term reperfusion in treating strokes in acute phase. Publishing statistical data of the initial results in Bulgaria. Comparison with international experience data. Methods: The criteria for using mechanical thrombectomy in acute stroke patients are: 1.tPrestroke condition according to modified Rankin Score (mRs 0-1)2.tOcclusion of internal carotid artery, proximal medial cerebral artery or basilar artery3.tAge > 18 y.4.tNIHSS > 6 p.5.tASPECTS > 6 p.6.tBeginning of procedure till 6 hours after symptomsu2019 appearance!7.tPatients using anticoagulants (depends on INR). 8.tPatients, received IV r-tPA under 4,5 hours, without clinical response or worsening of the symptoms. The endovascular protocol in University Hospital u201cSt. Annau201c includes:1.tSedation or anesthesia2.t8 or 9 fr. Leading balloon catheter3.t5 or 6 fr. Distal access catheter4.tMicrocatheter and guidewire, which passes through the thrombus.5.tSupraselective angiography and subsequent mechanical thromectomy6.tAfter procedure patients stay in Intensive Care Clinic for 24 hours.7.tNext day Cu0422 till 24 hours.8.tDouble antiagregant therapy and statin for at least 3 monthsMaterials: During 2017, around 52 000 cases of stroke were registered in Bulgaria. Reperfusion therapy was done on around 450 patients (0,8%), including around 410 cases with fibrinolisis. From the beginning of February 2017 in our endovascular unit 49 mechanical thrombectomies had been rendered. 59% were men. Average age is 67 years (40-86). In 3 cases we had occlusion in basilar artery system (6%), in 17 cases right medial cerebral artery were affected (35%), in 15 left medial cerebral artery (31%), in 14 cases we had stenosis or occlusion of internal carotid artery (28%) incuding 3 patients with tandem stenosis the internal carotid artery and distal occlusions of internal carotid artery and medial cerebral artery. Average NIHSS at presentation was 18p. 8 patients had end-stage chronic co-morbidity (16%). 1 had mitral regurgiation, 1 lymphoma, 1 malignant melanoma, 2 heart failure, 1 peripheral artery disease and 2 chronic obstructive pulmonic disease with cyanotic respiratory insufficiency. 1 40-years old patient had Hb 87 after myoma metrorrhagy. 6 patients had been taking anticogulants, 6 patients had been admitting antiagregants and 1 patient both. Results:Average number of runs has been 2.3. In 41 cases we achieved satisfactory reperfusion (84%). In 15 patients the outcome was lethal (31%). In 3 of them cause of death was decompensated end stage heart failure-average ejection fraction was 24%, 3 died with brain edema, 4 had intracerebral hemorrhage, 2 pneumonia and 3 developed sepsis and septic shock. The average NIHSS at discharge was 6p. 23 patients were discharged with none or mild disability defined as mRS 0-2 (47%). 11 of them had not any neurological deficit (22%). The average patient who underwent mechanical thrombectomy is 67 years old male, medial cerebral artery affected, admitted in coma with NIHSS around 18p., discharged with moderate disability and functional independence 3 months after stroke. Conclusions: Mechanical thrombectomy is effective method for acute stroke treatment. It results better reperfusion of main brain vessels (ICA, MCu0410 u041c1 and BA) comparing to fibrinolytic therapy. Far outcomes are also good. In follow-up we have not registered re-stroke. End results are non-inferior and in some aspects are even better than leading international centers. Epilogue: 1.tEfficacy of mechanical thrombectomy is increasing in time.2.tClinical results in last yearu2019s surveys are promising.3.tKeeping protocol requirements is crucial for getting good results.4.tReducing symptoms onset-reperfusion time is important for getting good results.Although excellent results, significant potential for developing of created algorithm still exists:1.tOptimizing of the health care system.2.tIncreasing of patients and relatives health knowledge. Education of the high risk patients. 3.tFaster reaction of out-hospital services. Adequate triage of hospitalized patients.4.tTelemedicine. 5.tStaff educating and training at all levels. 6.tWidening of indications for mechanical thrombectomy. 7.tDevelopment of devices.

Download or read book WORKFLOWS AND TIMELINES OF MECHANICAL THROMBECTOMY FOR ACUTE ISCHAEMIC STROKE IN A HIGH VOLUME STROKE CENTRE COMPARISON OF REAL LIFE DATA TO TRIAL AND GUIDELINES TARGETS written by Julian Bu00f6sel and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background and Aims:Randomised trials have indicated that mechanical thrombectomy (MT) is a future-guiding treatment modality up to 24 hours after onset of acute ischemic stroke. However to achieve good clinical outcomes, management needs to be well co-ordinated.This study aims to audit workflows and timelines involved with endovascular treatment at the Klinikum Kassel (KK), a German high volume stroke centre, in order to analyse whether standards are in accordance with guidelines and in-house targets.Methods:In this on-going study, patients receiving MT between April 2018 and March 2019 will be evaluated. We analysed the MT scheme timelines, comparing real treatment times with the findings of the HERMES trials and guidelines. Parameters indicative of time-efficiency were the door-to-needle, door-to-groin, onset-to-groin and onset-to-recanalisation times. Further, management times of Mothership (MS) and Drip&Ship (DS) patients will be compared. Results:A total of 92 patients were enrolled between April 2018 and March 2019 . Door-to-needle (M:31min, IQR:23-44min) and door-to-groin (M:78min; IQR:61-94min) times met the guidelines, however KK standards (30 min and 60 min, respectively) were not met in the majority of patients. Onset-to-groin (M:148min; IQR:140-242min) and onset-to-recanalisation (M:218min; IQR:173-274min) times were found to be more time-efficient than HERMES results. MS management resulted in earlier recanalisation compared to DS (Onset-to-recanalisation: MS:194min; DS:289min).Conclusions:Timelines were in accordance with national and international guidelines and more time-efficient than the findings of the HERMES group, nonetheless we would aim for even shorter times in our stroke centre. Further the MS modality proved to be more effective than the DS concept.

Download or read book Textbook of Stroke Medicine written by Michael Brainin and published by Cambridge University Press. This book was released on 2014-09-11 with total page 425 pages. Available in PDF, EPUB and Kindle. Book excerpt: Fully revised throughout, the new edition of this concise textbook is aimed at doctors preparing to specialize in stroke care.

Download or read book Ischemic Stroke Management From Symptom Onset to Successful Reperfusion and Beyond written by Peter Sporns and published by Frontiers Media SA. This book was released on 2022-11-16 with total page 487 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Ischemic Stroke Management written by Alejandro Spiotta and published by . This book was released on 2019 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: A complete guide to improving stroke treatment and patient outcomes from international experts! Of the more than 795,000 estimated strokes that occur annually in the U.S., 87% are ischemic due to blockages, while the remaining 13% are hemorrhagic associated with spontaneous bleeding in the brain. Ischemic Stroke Management: Medical, Interventional and Surgical Management by esteemed neurosurgeons Alejandro Spiotta, Roberto Crosa, and an impressive group of international contributors details evidence-based medical, interventional, and neurosurgical treatment of ischemic stroke. Twelve chapters cover complete management of ischemic stroke, from symptom manifestation to interventions in the ER, OR, and NICU. The first chapters cover stroke epidemiology, intravenous thrombolysis in stroke, and the crucial role stroke centers play in ensuring timely treatment of this devastating disease. Subsequent chapters discuss diagnostic imaging techniques in acute ischemic stroke, neurosurgical interventions for hemorrhagic and ischemic stroke, and neuroanesthesia considerations. Key Features With contributions from South America to Europe, North America to Asia, authors share diverse experiences treating stroke patients, delivering a unique international perspective Endovascular neurosurgery ischemic stroke approaches and discussion of scientific evidence Mechanical thrombectomy utilizing Catch, Trevo, and Solitaire stent retrievers and the evolution of direct clot aspiration approaches Special topics include neurocritical care of acute ischemic stroke, pediatric stroke, and emerging state-of-the-art techniques Truly global viewpoints encompassed in this unique book make it a must-read for trainee and veteran neurosurgeons and interventional neuroradiologists across the world. This resource is also an essential bookshelf addition for medical centers worldwide that treat stroke patients. This book includes complimentary access to a digital copy on https://medone.thieme.com.

Download or read book ICU Protocols written by Rajesh Chawla and published by Springer Nature. This book was released on 2019-12-31 with total page 613 pages. Available in PDF, EPUB and Kindle. Book excerpt: The second edition of this highly successful book includes up-to-date notes on the step-wise management of clinical emergencies encountered in everyday intensive care units (ICU). Each thoroughly revised chapter provides concise information for point-of-care treatment, making it a practical guide clinicians can refer to on a daily basis at work or while traveling, or just to expand their knowledge. Volume 1 of ICU Protocols covers topics in pulmonology, cardiology, neurology, gastroenterology, nephrology and infectious diseases. The endocrine and metobolic systems, oncology, trauma, toxicology, envenomation and thermodysregulation, obstetrics, and perioperative care are covered in the second volume of ICU Protocols. This two-volume book is a must-read for intensivists, critical care specialists, junior trainees and residents working in ICUs. It is also relevant as course material for workshops on critical care, and essential for all hospital-based libraries. “This book provides junior trainees with an introduction to the management of problems common to the critical care unit.” David J Dries, Doody’s Book Reviews, March, 2013, for the first edition of ICU Protocols.

Download or read book Ischemic Stroke written by Pratap Sanchetee and published by BoD – Books on Demand. This book was released on 2021-03-24 with total page 132 pages. Available in PDF, EPUB and Kindle. Book excerpt: Stroke continues to be a major public health issue. It is the third leading cause of death and disability across the globe. Its early identification and treatment along with prevention are major issues that confront a treating physician. We have understood the importance of early intervention and of the quote ‘time is brain’. Our endeavor now should be directed to the public at large and paramedics in particular. Although a stroke is a common condition, the availability of neurologists or stroke specialists is quite scarce. Today, management of a suspected case of stroke is done by a specialist team of medical and paramedical personnel. Advances in imaging, newer therapeutic agents, and endovascular management have revolutionized the management. Currently, we are witnessing a new era in the management of strokes and I am hopeful that continued research will get us to a satisfactory solution. This book along with another book from IntechOpen titled ‘Ischemic Stroke of Brain’ aims to improve the understanding of stroke medicine for postgraduate medical students in medicine and neurology who have an interest in stroke care.