Endovascular treatment of cerebrovascular diseases and intracranial neoplasms

Qureshi, Adnan I.

doi:10.1016/s0140-6736(04)15697-3

Cited by 128 publications

(85 citation statements)

References 109 publications

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“…Some authors have suggested that patients with a dense middle cerebral artery sign did better with intra-arterial thrombolysis than with intravenous thrombolysis, but there are no direct comparisons in clinical trials to prove this. 103,105,106 Combined therapy with intravenous thrombolysis and then intra-arterial thrombolysis is used occasionally. The Interventional Management of Stroke study is evaluating the combination of intravenous/intra-arterial administration of low-dose intravenous (0.6 mg/kg) rtPA followed by 22 mg of intra-arterial rtPA therapy.…”

Section: Summers Et Al Nursing Care Of the Acute Ischemic Stroke Patimentioning

confidence: 99%

Comprehensive Overview of Nursing and Interdisciplinary Care of the Acute Ischemic Stroke Patient

Summers¹,

Leonard²,

Wentworth³

et al. 2009

Stroke

211

207

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Section: Summers Et Al Nursing Care Of the Acute Ischemic Stroke Patimentioning

confidence: 99%

Comprehensive Overview of Nursing and Interdisciplinary Care of the Acute Ischemic Stroke Patient

Summers¹,

Leonard²,

Wentworth³

et al. 2009

Stroke

211

207

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“…The intra-arterial approach to reperfusion therapy in acute stroke is an alternative to intravenous thrombolysis that may provide some advantages, such as increased concentration of the thrombolytic agent at the site of occlusion, a higher recanalization rate, and the potential for use in patients with contraindications to intravenous chemical thrombolysis 27 . On the other hand, clinical benefits may be offset by the greater time required to begin the intra-arterial procedure.…”

Section: Protocol For Intra-arterial Thrombolysismentioning

confidence: 99%

Guidelines for acute ischemic stroke treatment: part II: stroke treatment

Martins¹,

Freitas²,

Pontes-Neto³

et al. 2012

Arq. Neuro-Psiquiatr.

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“…20,21 The Qureshi Grading Scale has 6 grades with Grade 0 denoting no occlusion and Grade 5 representing complete occlusion of either the internal carotid artery or the basilar artery. Recanalization was defined by a reduction in Ն1 grade from baseline in the Qureshi Grading Scale consistent with previous studies.…”

Section: Angiographic Recanalizationmentioning

confidence: 99%

A Comparison of Computed Tomography Perfusion-Guided and Time-Guided Endovascular Treatments for Patients With Acute Ischemic Stroke

Hassan

Zacharatos

Rodríguez

et al. 2010

Stroke

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Background and Purpose-The role of CT perfusion (CT-P) imaging for the selection of patients with acute ischemic stroke who may benefit from endovascular treatment is not defined. The objective of this study was to determine whether CT-P-guided endovascular treatment improves clinical outcomes compared with standard endovascular treatment based on the time interval between symptom onset and presentation and noncontrast cranial CT imaging. Methods-A retrospective study was performed comparing the clinical characteristics, complications, and clinical outcomes of patients with acute ischemic stroke who were treated using endovascular modalities based on either CT-P imaging (CT-P-guided) or time interval between symptom onset and presentation and absence of intracerebral hemorrhage or extensive ischemic changes on noncontrast cranial CT scan (time-guided). Results-The rates of partial and complete recanalization were similar between the CT-P-and time-guided treatment groups (nϭ61 [88%] versus nϭ103 [81%]; Pϭ0.52) regardless of whether they received intravenous recombinant tissue plasminogen activator before endovascular treatment. Comparing the CT-P-guided with the time-guided patients, favorable discharge outcome (modified Rankin Scale 0 to 2) was observed in 23 (32%) versus 41 (33%) of the patients, respectively (Pϭ0.9). In-hospital mortality was observed in 15 (21%) of CT-P-and 29 (23%) of time-guided patients (Pϭ0.74). Conclusion-CT-P-guided endovascular treatment did not increase the rate of short-term favorable outcomes among patients with acute ischemic stroke. Prospective studies are required to validate the CT-P criteria and protocols currently in use before incorporating CT-P as a routine modality for patient selection for endovascular treatment. (Stroke. 2010; 41:1673-1678.)

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Endovascular treatment of cerebrovascular diseases and intracranial neoplasms

Cited by 128 publications

References 109 publications

Comprehensive Overview of Nursing and Interdisciplinary Care of the Acute Ischemic Stroke Patient

Comprehensive Overview of Nursing and Interdisciplinary Care of the Acute Ischemic Stroke Patient

Guidelines for acute ischemic stroke treatment: part II: stroke treatment

A Comparison of Computed Tomography Perfusion-Guided and Time-Guided Endovascular Treatments for Patients With Acute Ischemic Stroke

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