Acute Stroke Management In The Era Of Thrombectomy

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Acute Stroke Management In The Era Of Thrombectomy

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Author : Edgar A. Samaniego
language : en
Publisher: Springer
Release Date : 2019-06-22

Acute Stroke Management In The Era Of Thrombectomy written by Edgar A. Samaniego and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-06-22 with Medical categories.

​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.

Acute Stroke Management In The Era Of Thrombectomy

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Author : Edgar A. Samaniego
language : en
Publisher:
Release Date : 2019

Acute Stroke Management In The Era Of Thrombectomy written by Edgar A. Samaniego and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019 with Cerebrovascular disease categories.

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.

12 Strokes

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Author : Ferdinand K. Hui
language : en
Publisher: Springer Nature
Release Date : 2021-01-11

12 Strokes written by Ferdinand K. Hui and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021-01-11 with Medical categories.

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.

Stroke Revisited Diagnosis And Treatment Of Ischemic Stroke

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Author : Seung-Hoon Lee
language : en
Publisher: Springer
Release Date : 2017-08-30

Stroke Revisited Diagnosis And Treatment Of Ischemic Stroke written by Seung-Hoon Lee and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-08-30 with Medical categories.

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.

Acute Stroke Management In The First 24 Hours

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Author : Maxim Mokin
language : en
Publisher: Oxford University Press
Release Date : 2018

Acute Stroke Management In The First 24 Hours written by Maxim Mokin and has been published by Oxford University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018 with Medical categories.

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. Practical clinical studies in each chapter engage readers in the discussion of common diagnostic pitfalls and work challenges. Chapters also include detailed figures and management algorithms, making this book an easy-to-use reference guide ideal for first responders and clinicians working in emergency medicine, neurology, neurosurgery, and critical care.

Acute Ischemic Stroke

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Author : R. Gilberto González
language : en
Publisher: Springer Science & Business Media
Release Date : 2010-10-05

Acute Ischemic Stroke written by R. Gilberto González and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010-10-05 with Medical categories.

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.

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

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Author : Julian Bu00f6sel
language : en
Publisher:
Release Date : 2017

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 has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017 with categories.

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.

Ischemic Stroke Management

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Author : Alejandro M. Spiotta
language : en
Publisher: Thieme
Release Date : 2019-12-06

Ischemic Stroke Management written by Alejandro M. Spiotta and has been published by Thieme this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-12-06 with Medical categories.

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.

Acute Ischemic Stroke

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Author : Jaechan Park
language : en
Publisher: Springer
Release Date : 2017-03-23

Acute Ischemic Stroke written by Jaechan Park and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-03-23 with Medical categories.

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.

Acute Stroke Nursing

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Author : Jane Williams
language : en
Publisher: John Wiley & Sons
Release Date : 2013-05-07

Acute Stroke Nursing written by Jane Williams and has been published by John Wiley & Sons this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-05-07 with Medical categories.

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