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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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.
Stroke In The Older Person
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Author : Sunil K. Munshi
language : en
Publisher: Oxford University Press, USA
Release Date : 2020-01-16
Stroke In The Older Person written by Sunil K. Munshi and has been published by Oxford University Press, USA this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-01-16 with Medical categories.
Stroke is a condition that predominantly affects older people, often leading to death, disability and dependency as well as occupancy of hospital and nursing-home beds. Older stroke patients are similar in many ways to their younger counterparts, but at the same time exhibit several key differences. Their outcome and care are complicated by delayed diagnosis, polypharmacy, difficult rehabilitation, ageism, false assumptions of poor outcome, multiple co-morbidity, social issues including implications for independent living, ethical dilemmas, and many others. The proportion of older people is increasing every day and with it the burden of disease and disability. The implications this has for health services are immense, especially for long-term conditions. Despite this there is limited literature available to clinicians on stroke with a particular focus on this age group. Traversing the whole stroke pathway, Stroke in the Older Person brings together key discussions on every aspect of the disease as it affects the older person, including its general aspects and those very specific to the older populations. All chapters are written by highly experienced clinicians that offer up-to-date evidence-based information as well as practical tips to promote excellent, empathetic care to older patients. Over 30 chapters, this resource addresses the epidemiology, aetio-pathogenesis, clinical presentation, diagnostic work-up (including imaging), primary and secondary prevention, and rehabilitation of older people. There is a special focus on intracerebral haemorrhage, carotid re-vascularisation, transient ischaemic attack, cognitive impairment, research, ethical and moral dilemmas including DNAR, advanced directives and end-of-life care.
Diseases Of The Brain Head And Neck Spine 2020 2023
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Author : Juerg Hodler
language : en
Publisher: Springer Nature
Release Date : 2020-02-14
Diseases Of The Brain Head And Neck Spine 2020 2023 written by Juerg Hodler and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-02-14 with Medical categories.
This open access book offers an essential overview of brain, head and neck, and spine imaging. Over the last few years, there have been considerable advances in this area, driven by both clinical and technological developments. Written by leading international experts and teachers, the chapters are disease-oriented and cover all relevant imaging modalities, with a focus on magnetic resonance imaging and computed tomography. The book also includes a synopsis of pediatric imaging. IDKD books are rewritten (not merely updated) every four years, which means they offer a comprehensive review of the state-of-the-art in imaging. The book is clearly structured and features learning objectives, abstracts, subheadings, tables and take-home points, supported by design elements to help readers navigate the text. It will particularly appeal to general radiologists, radiology residents, and interventional radiologists who want to update their diagnostic expertise, as well as clinicians from other specialties who are interested in imaging for their patient care.
Interventional Neuroradiology
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Author :
language : en
Publisher: Elsevier
Release Date : 2020-12-01
Interventional Neuroradiology written by and has been published by Elsevier this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-12-01 with Medical categories.
Interventional Neuroradiology, Volume 179, provides a basic outline of the field of interventional neuroradiology that is accessible to fellows, residents, clinicians and researchers in various disciplines, from diagnostic and interventional radiology to vascular neurology, general and vascular neurosurgery, and vascular biology. This volume offers a timely update to experienced clinical practitioners in a logical, easy-to-follow format. Content includes neurovascular anatomy, vascular biology, neurovascular physiology, vascular imaging, as well as sections on the diagnosis and therapeutic treatment of neurovascular disease. Explores the general scope of current clinical interventional neuroradiology, both for endovascular and percutaneous image-guided diagnosis and interventions in a variety of pathologies Defines basic physiological principles (e.g., cerebral perfusion pressure, intracranial pressure, vasospasm, tissue osmolality) with reference to those most essential to the management of neurovascular diseases Discusses pathophysiology and the unique challenges of pediatric cerebrovascular diseases, as well as endovascular and surgical therapies
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.
The Stroke Book
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Author : Michel T. Torbey
language : en
Publisher: Cambridge University Press
Release Date : 2013-07-18
The Stroke Book written by Michel T. Torbey and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-07-18 with Medical categories.
An essential companion for busy professionals seeking to navigate stroke-related clinical situations successfully and make quick informed treatment decisions.
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.
Telestroke The Use Of Telemedicine In Stroke Care
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Author : Thierry Moulin
language : en
Publisher:
Release Date : 2009
Telestroke The Use Of Telemedicine In Stroke Care written by Thierry Moulin and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2009 with categories.
This issue is a dedicated supplement published in addition to the regular issues of 'Cerebrovascular Diseases' focussing on one specific topic. 'Cerebrovascular Diseases' is a well-respected, international peer-reviewed journal in Neurology. Supplement issues are included in the subscription.
Simulation In Acute Neurology
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Author : Sara E. Hocker
language : en
Publisher: Elsevier Health Sciences
Release Date : 2018-11-13
Simulation In Acute Neurology written by Sara E. Hocker and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-11-13 with Medical categories.
Simulation in Acute Neurology is a reference on the execution of a simulation-based educational program in the management of acute neurologic emergencies. Simulation in Acute Neurology has practical value because it contains detailed descriptions of our simulation scenarios. The foundation of this book is our experience with neurosimulation―and it has been a very good one Part I provides an overview of the principles of simulation in medicine and examines the many unique opportunities simulation provides as an educational tool. Barriers to simulating neurologic emergencies are also discussed. Simulation allows a physician-in-training to be observed directly as he or she evaluates and manages acute neurologic disease. Part II is the core of the book. Fifteen acute neurologic emergencies, including complex neuroethical quandaries, are presented in detail, step by step, decision by decision, error after error. Each chapter in this section starts with an explanation of the essence of the discussed neuroemergency (THE PROBLEM BEFORE US), followed by a description of the scenario itself (THE PRESENTING CLINICAL PROBLEM), how scenarios can be adjusted to different types of learners (ADAPTING THE SCENARIO), and ends with a discussion of topics for feedback, which are generally focused around errors and pitfalls (DEBRIEFING). To show the flow of scenarios, we created two additional main headings: (THE IDEAL LEARNER) and (THE NOT-SO IDEAL LEARNER).
Artificial Intelligence In Medical Imaging
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Author : Erik R. Ranschaert
language : en
Publisher: Springer
Release Date : 2019-01-29
Artificial Intelligence In Medical Imaging written by Erik R. Ranschaert and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-01-29 with Medical categories.
This book provides a thorough overview of the ongoing evolution in the application of artificial intelligence (AI) within healthcare and radiology, enabling readers to gain a deeper insight into the technological background of AI and the impacts of new and emerging technologies on medical imaging. After an introduction on game changers in radiology, such as deep learning technology, the technological evolution of AI in computing science and medical image computing is described, with explanation of basic principles and the types and subtypes of AI. Subsequent sections address the use of imaging biomarkers, the development and validation of AI applications, and various aspects and issues relating to the growing role of big data in radiology. Diverse real-life clinical applications of AI are then outlined for different body parts, demonstrating their ability to add value to daily radiology practices. The concluding section focuses on the impact of AI on radiology and the implications for radiologists, for example with respect to training. Written by radiologists and IT professionals, the book will be of high value for radiologists, medical/clinical physicists, IT specialists, and imaging informatics professionals.