Prevalence of Massive Ischemic Stroke in the Single Regionalvascular Center

Nikitin, A V; Asratyan, S A; Smirnov, D. S.

doi:10.18821/1560-9545-2017-22-1-33-36

Cited by 2 publications

(1 citation statement)

References 10 publications

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“…При этом статистические данные и результаты исследований свидетельствуют о неуклонном, ежегодном росте количества больных инсультом. Также отмечается тенденция к "омоложению" инсульта с увеличением его распространенности среди людей трудоспособного возраста и увеличением числа лиц в популяции с факторами риска (ФР) инсульта [1][2][3].…”

Section: Introductionunclassified

Prediction of Probability of the Long Term Fatal Outcome of Stroke by the Data of Territory and Populational Registry

Клочихина

Стаховская

Полунина

2018

Cardiovasc Ther Prev

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Aim. To develop a prediction model of individual probability of long term (within first 28 days from the onset) outcome of stroke.Material and methods. By the method of territory-populational registry, in 2009-2016 in 16 regions of Russia, an analysis performed, of significant predictors of fatal stroke outcome. Overall, 50902 strokes registered in persons older 25 y. In 1553 there were no data on long term mortality. By the results of revealed significant predictors of the fatal outcome of stroke by LOTUS method, a tree-branching was done for development of probability of long term fatal outcome during the first 28 days from disease presentation.Results. The significant predictors were acquired, of the fatal outcome of stroke, and graded by odds ratio. Based on the definition of significant predictors of fatal outcome, first time a prediction model developed of probability of long term stroke fatal outcome taken heterogeneity and multifactorial nature of the disease. Clinical guidelines proposed.Conclusion. The developed prediction model of individual probability of long term stroke fatal outcome shows high level of sensitivity and specificity. Application of such model and of proposed clinical guidelines at various stages of patients management will facilitate diagnostical search, management strategy selection and improvement of prevention.

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Section: Introductionunclassified

Prediction of Probability of the Long Term Fatal Outcome of Stroke by the Data of Territory and Populational Registry

Клочихина

Стаховская

Полунина

2018

Cardiovasc Ther Prev

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Carotid Artery Stenting in Cervical Dissection

Pokalenko

Dultsev

Кулеш

et al. 2019

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A description of two cases of ischemic stroke with a progressive course on background of dissection of internal carotid artery (ICA) in young women is presented. In the fi rst observation patient developed headache, severe rightsided hemiparesis and sensorimotor aphasia. In digital subtraction angiography dissection subocclusion of left ICA was visualized, after that thrombectomy, intra-arterial thrombolysis and stenting were sequentially performed with achievement complete recanalization, accompanied by regress of paresis. In the second observation, mild leftsided hemiparesis developed, which grew after 4 days, hemianopsia and dysarthria appeared. Based on the results of emergency digital subtraction angiography, a dissection subocclusion of the right ICA was visualized. Using of tandem stenting, complete recanalization was achieved, accompanied by an increase in strength in the limbs and vision improvement. The literature review about the effi cacy and safety of stenting in dissection is presented.

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Prevalence of Massive Ischemic Stroke in the Single Regionalvascular Center

Cited by 2 publications

References 10 publications

Prediction of Probability of the Long Term Fatal Outcome of Stroke by the Data of Territory and Populational Registry

Prediction of Probability of the Long Term Fatal Outcome of Stroke by the Data of Territory and Populational Registry

Carotid Artery Stenting in Cervical Dissection

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