Brazilian guidelines for endovascular treatment of patients with acute ischemic stroke

Pontes-Neto, Octávio Marques; Cougo, Pedro; Martins, Sheila Cristina Ouriques; Abud, Daniel Giansante; Nogueira, Raul G; Miranda, Munique; Castro-Afonso, Luís Henrique de; Rebello, Letícia C; Caldas, José Guilherme Mendes Pereira; Bazan, Rodrigo; Bezerra, Daniel C.; Rezende, Marco Túlio Salles; Freitas, Gabriel R. de; Longo, Alexandre Luiz; Magalhães, Pedro; Carvalho, João José Freitas de; Mont’alverne, F.; Lima, Fabrício Oliveira; Andrade, Gustavo H.V.; Massaro, Ayrton Roberto; Oliveira‐Filho, Jamary; Gagliardi, Rubens José; Silva, Gisele Sampaio

doi:10.1590/0004-282x20160174

Cited by 20 publications

(9 citation statements)

References 35 publications

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“…The patients were selected for endovascular treatment according to our institution’s acute stroke protocol for recanalization strategies [11]. Of 223 patients who underwent endovascular treatment for acute stroke due to large vessel occlusions, we excluded 44 patients (20%) with vertebrobasilar occlusions, 132 patients (59%) with distal carotid or M1 occlusions, and 38 patients (17%) with carotid tandem occlusions.…”

Section: Methodsmentioning

confidence: 99%

Endovascular Reperfusion for Acute Isolated Cervical Carotid Occlusions: The Concept of “Hemodynamic Thrombectomy”

et al. 2018

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Background/Aims: Endovascular treatment improves the outcomes of patients presenting with acute large vessel occlusions. Isolated proximal carotid occlusions presenting with hemodynamic ischemic stroke may probably also benefit from endovascular treatment. We aimed to assess the clinical and radiological data findings on patients who underwent endovascular treatment for acute ischemic stroke related to an isolated cervical carotid artery occlusion. Methods: Of a consecutive series of 223 patients who were admitted with acute ischemic stroke and were treated by thrombectomy, we included 9 patients with isolated cervical internal carotid occlusions. Results: The mean baseline National Institutes of Health Stroke Scale (NIHSS) score was 11.8. Complete carotid recanalization was achieved in 5 of the 9 patients (55.5%). In 2 patients, vertebral angioplasty was performed to improve the collateral flow. All patients had a modified Thrombolysis in Cerebral Infarction (mTICI) score of 3 at the end of the procedures. A good neurological outcome, defined as a modified Rankin Scale score ≤2 at the 3-month follow-up, was observed in 6 patients (66.7%). No symptomatic intracranial hemorrhages or deaths occurred during the 3 months of follow-up. Conclusions: The endovascular recanalization of isolated cervical carotid occlusions presenting with acute ischemic stroke symptoms is feasible. Because isolated cervical carotid occlusions are associated with hemodynamic ischemic symptoms, if carotid recanalization cannot be achieved, stenting other cervical arteries’ stenoses, with a focus on intracranial flow improvement, appears to be a reasonable strategy. Large controlled studies are necessary to assess the safety and efficacy of recanalization of acute isolated cervical carotid occlusions.

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Section: Methodsmentioning

confidence: 99%

Endovascular Reperfusion for Acute Isolated Cervical Carotid Occlusions: The Concept of “Hemodynamic Thrombectomy”

et al. 2018

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“…Some examples include hypertension [7], atherosclerosis [8], diabetes [9], large artery occlusion [10], hypercholesterolemia [11], administration of alteplase [12], Tissue plasminogen activator [13], cigarette smoking [14], influence of Statin drug [15], air pollution [16,17], and socio-economic issue like poverty [18]. Several epidemiological studies like Framingham Heart [5], Task Force for stroke prevention [19], Stroke Buckle [20], CHS [21], Stroke Belt [22], Jackson Heart [23], EUROSTROKE [11], ARIC [8], REGARDS [24], NHANES [25], INTERSTROKE [26], Qstroke score [27], GBD [16], ACC/AHA [28], FSRS [29], ENCHANTED [12,30], STROKOG [31], Stroke care system in Asia [32], Brazilian guidelines [33], and many more revealed the correlation between community, life-style, socio-economic and traditional risk factors. Some studies relied on single to multiple survey reports, while others reported data with or without periodic follow-ups.…”

Section: Ivyspring International Publishermentioning

confidence: 99%

Revealing Stroke Analysis Markers for Studying Heterogeneous Disease State of Stroke

Rajendran¹,

Rao²,

Rajendran³

2019

J. Biomed

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Early diagnosis of Stroke is challenging due to a lack of dependable diagnostic tests. Currently, the mainstay in early detection is by monitoring health an individual through traditional risk factors such as hypertension. Seeking new determinants, relevant to millennial life style, is therefore warranted. This study reveals new Stroke Analysis Markers (SAM) including Phosphodiesterase-4D involved in cardioembolic stroke. In addition to traditional factors, new millennial risk factors such as molecular and cellular determinants were studied based on 68 years of stroke research data from 1951 to 2019. The rs152312 SNP from stroke patients of deCODE was queried in eNSEMBL, BLAST and other databases to study PDE4D isoforms. In addition, the role of infection, immune cells, inflammation, gut microbial dysbiosis, the prevalence pattern of stroke in geographically different populations were analyzed. This study identified five new millennial risk factors as potentially helpful Stroke Analysis Markers for stroke by conjoining them as a single set of five parasol factors. They include genomic, microbiologic, immunologic, socio-epigenetic factors including two contig and alternative splicing markers along with their prevalence patterns among various populations. Taking appropriate preventive management by monitoring these new risk factors in high-risk individuals during annual checkup could help physicians to make an informed decision. Though significant challenges remain to be solved further large-scale studies on parasol factors will certainly unlock the secrets of early prediction of stroke.

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“…So far, a total of eight consensus and guidelines have been produced and published in the journal Arquivos de Neuro-Psiquiatria [1][2][3][4][5][6][7][8] :…”

Section: Consensus and Guidelines Of The Sbdcvmentioning

confidence: 99%

The Brazilian Society of Cerebrovascular Diseases – history

Gagliardi

Raffin

Noujaim

et al. 2019

Arq. Neuro-Psiquiatr.

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Brazilian guidelines for endovascular treatment of patients with acute ischemic stroke

Cited by 20 publications

References 35 publications

Endovascular Reperfusion for Acute Isolated Cervical Carotid Occlusions: The Concept of “Hemodynamic Thrombectomy”

Endovascular Reperfusion for Acute Isolated Cervical Carotid Occlusions: The Concept of “Hemodynamic Thrombectomy”

Revealing Stroke Analysis Markers for Studying Heterogeneous Disease State of Stroke

The Brazilian Society of Cerebrovascular Diseases – history

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