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| door to device time stroke endovascular therapy: Diagnostic and Therapeutic Neuroradiology João Xavier, Cristiana Vasconcelos, Cristina Ramos, 2018-01-02 This book presents a wide-ranging series of illustrative clinical cases that cover the main pathologies and areas of interest in diagnostic and therapeutic neuroradiology. The aim is to enable the reader to learn important lessons from real cases that exemplify the caseload and capabilities of a large, modern neuroradiology department. The cases are presented in a quiz format. For each one, the first page documents clinical and imaging findings, followed by questions concerning these findings, differential diagnosis, and other aspects. On the second page, the answers are provided, with concise explanation and discussion. Attention is also drawn to the relevant available literature. Most of the cases derive from the Department of Neuroradiology at the University Hospital Center of Porto (Portugal), which is staffed by a large multidisciplinary team providing cutting-edge services. In addition, some cases from other centers have been included to ensure wider representation of experience. The book will be of particular value for residents and fellows in neuroradiology, radiology, neurology, and neurosurgery. |
| door to device time stroke endovascular therapy: The Stroke Book Michel T. Torbey, Magdy H. Selim, 2013-07-18 An essential companion for busy professionals seeking to navigate stroke-related clinical situations successfully and make quick informed treatment decisions. |
| door to device time stroke endovascular therapy: Telestroke: the Use of Telemedicine in Stroke Care Thierry Moulin, Heinrich J. Audebert, 2009 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. |
| door to device time stroke endovascular therapy: Neuroprotective Therapy for Stroke and Ischemic Disease Paul A. Lapchak, John H. Zhang, 2017-01-12 A critical and comprehensive look at current state-of-the-art scientific and translational research being conducted internationally, in academia and industry, to address new ways to provide effective treatment to victims of ischemic and hemorrhagic stroke and other ischemic diseases. Currently stroke can be successfully treated through the administration of a thrombolytic, but the therapeutic window is short and many patients are not able to receive treatment. Only about 30% of patients are cured by available treatments. In 5 sections, the proposed volume will explore historical and novel neuroprotection mechanisms and targets, new and combination therapies, as well as clinical trial design for some of the recent bench-side research. |
| door to device time stroke endovascular therapy: Diagnostic and Interventional Neuroradiology Klaus Sartor, 2002-06-19 The proven standard in the field! Neuroradiology is evolving at a pace far quicker than any other specialty. It's important for specialists to have detailed knowledge of the newest advances, including state-of-the-art imaging techniques. In this abundantly illustrated text, you'll find the latest information on diseases, imaging principles, differential diagnosis, treatment strategies, and much more! This book is designed to help you easily apply theoretical concepts to your daily practice. It offers a clear and concise review of the most important neuroradiologic approaches to a variety of disorders. Key points are highlighted throughout the text, providing rapid access to the information you need. Residents and experienced practitioners alike will benefit from the wealth of information this book provides. Key benefits: Up-to-the-minute analysis on the newest imaging techniques Detailed review of the use of MRI to measure brain maturation Extensively illustrated to enhance understanding of difficult concepts Most important information is boxed and shaded for emphasis--ideal for board preparation An indispensable aid in clinical settings, NEURORADIOLOGY is an excellent guide to image interpretation as well as a valuable reference for residents preparing for the boards. |
| door to device time stroke endovascular therapy: Acute Ischemic Stroke R. Gilberto González, Joshua A. Hirsch, Michael H. Lev, Pamela W. Schaefer, Lee H. Schwamm, 2010-10-05 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. |
| door to device time stroke endovascular therapy: Textbook of Stroke Medicine Michael Brainin, Wolf-Dieter Heiss, Susanne Tabernig, 2014-09-11 Fully revised throughout, the new edition of this concise textbook is aimed at doctors preparing to specialize in stroke care. |
| door to device time stroke endovascular therapy: Interventional Neuroradiology , 2020-12-01 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 |
| door to device time stroke endovascular therapy: Handbook of Cerebrovascular Disease and Neurointerventional Technique Mark R. Harrigan, John P. Deveikis, 2012-10-03 Fully revised and updated, the Handbook serves as a practical guide to endovascular methods and as a concise reference for neurovascular anatomy and published data about cerebrovascular disease from a neurointerventionalist’s perspective. Divided into three parts, the book covers: Fundamentals of neurovascular anatomy and basic angiographic techniques; Interventional Techniques and endovascular methods, along with useful device information and tips and tricks for daily practice; Specific Disease States, with essential clinical information about commonly encountered conditions. New features in the 2nd Edition include: Global Gems that illuminate aspects of the field outside the United States; Angio-anatomic and angio-pathologic image correlates; Newly released clinical study results influencing neurointerventional practice; Information on emerging technologies in this rapidly advancing field. The Handbook is a vital resource for all clinicians involved in neurointerventional practice, including radiologists, neurosurgeons, neurologists, cardiologists, and vascular surgeons. |
| door to device time stroke endovascular therapy: Handbook of Neuroemergency Clinical Trials Brett E. Skolnick, Wayne M. Alves, 2017-11-13 Handbook of Neuroemergency Clinical Trials, Second Edition, focuses on the practice of clinical trials in acute neuroscience populations, or what have been called neuroemergencies. Neuroemergencies are complex, life-threatening diseases and disorders, often with devastating consequences, including death or disability. The overall costs are staggering in terms of annual incidence and costs associated with treatment and survival, yet despite their significance as public health issues, there are few drugs and devices available for definitive treatment. The book focuses on novel therapies and the unique challenges their intended targets pose for the design and analysis of clinical trials. This volume provides neurologists, neuroscientists, and drug developers with a more complete understanding of the scientific and medical issues of relevance in designing and initiating clinical development plans for novel drugs intended for acute neuroscience populations. The editors provide the best understanding of the pitfalls associated with acute CNS drug development and the best information on how to approach and solve issues that have plagued drug development. - Presents a comprehensive overview on clinical trials and drug development challenges in acute neuroscience populations - Provides neurologists, neuroscientists and drug developers with a complete understanding of scientific and medical issues related to designing clinical trials - Edited by leaders in the field who have designed and managed over 50 neuroemergency clinical trials |
| door to device time stroke endovascular therapy: Vessel Health and Preservation: The Right Approach for Vascular Access Nancy L. Moureau, 2019-06-10 This Open access book offers updated and revised information on vessel health and preservation (VHP), a model concept first published in poster form in 2008 and in JVA in 2012, which has received a great deal of attention, especially in the US, UK and Australia. The book presents a model and a new way of thinking applied to vascular access and administration of intravenous treatment, and shows how establishing and maintaining a route of access to the bloodstream is essential for patients in acute care today. Until now, little thought has been given to an intentional process to guide selection, insertion and management of vascular access devices (VADs) and by default actions are based on crisis management when a quickly selected VAD fails. The book details how VHP establishes a framework or pathway model for each step of the patient experience, intentionally guiding, improving and eliminating risk when possible. The evidence points to the fact that reducing fragmentation, establishing a pathway, and teaching the process to all stakeholders reduces complications with intravenous therapy, improves efficiency and diminishes cost. As such this book appeals to bedside nurses, physicians and other health professionals. |
| door to device time stroke endovascular therapy: Intracranial Atherosclerosis Jong S. Kim, Louis R. Caplan, K. S. Lawrence Wong, 2009-01-26 Intracranial atherosclerosis is the dominant cause of stroke inover 70% of the world’s population. Globalization is leadingto an increasingly heterogeneous society everywhere. Advances inimaging techinology allow this previously inaccessible pathology tobe clinically studied. Edited by internationally renowned clinicians, IntracranialAtherosclerosis is the first book to examine intracranialcauses of stroke. Clinical practice is allied with basic science toguide all those with an interest in stroke on the diagnosis andmanagement of intracranial atherosclerosis. |
| door to device time stroke endovascular therapy: 12 Strokes Ferdinand K. Hui, Alejandro M. Spiotta, Michael J. Alexander, Ricardo A. Hanel, Blaise William Baxter, 2021-01-11 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. |
| door to device time stroke endovascular therapy: Brain Repair After Stroke Steven C. Cramer, Randolph J. Nudo, 2010-10-28 Increasing evidence identifies the possibility of restoring function to the damaged brain via exogenous therapies. One major target for these advances is stroke, where most patients can be left with significant disability. Treatments have the potential to improve the victim's quality of life significantly and reduce the time and expense of rehabilitation. Brain Repair After Stroke reviews the biology of spontaneous brain repair after stroke in animal models and in humans. Detailed chapters cover the many forms of therapy being explored to promote brain repair and consider clinical trial issues in this context. This book provides a summary of the neurobiology of innate and treatment-induced repair mechanisms after hypoxia and reviews the state of the art for human therapeutics in relation to promoting behavioral recovery after stroke. Essential reading for stroke physicians, neurologists, rehabilitation physicians and neuropsychologists. |
| door to device time stroke endovascular therapy: Management of Cerebrovascular Disorders Alejandro M. Spiotta, Raymond D. Turner, M. Imran Chaudry, Aquilla S. Turk, 2019-03-06 This important title brings together a distinguished panel of thought-leaders, known for their insights into the development and application of minimally-invasive surgical and endovascular techniques, to provide a comprehensive and discerning compendium of our most current knowledge and state-of-the-art procedures in the management of cerebral vascular diseases. Written in a style that is accessible to students and experienced practitioners alike, the book covers all the important recent advances that have reshaped the field in dramatic ways. Emphasizing how surgical and endovascular techniques are complementary, the volume includes illuminating chapters on the nexus of endovascular and conventional “open” cerebrovascular surgery, including patient assessment and practice in a hybrid operating environment, utilizing the best methods to achieve optimal outcomes. A major addition to the clinical literature, Management of Cerebrovascular Disorders: A Comprehensive, Multidisciplinary Approach will be of significant interest to neurosurgeons, neurologists, neuroradiologists, neurointensivists, students, residents, fellows, and specialized attending physicians. |
| door to device time stroke endovascular therapy: Encyclopedia of Epidemiologic Methods Mitchell H. Gail, Jacques Benichou, 2000-11-02 Featuring articles from the prestigious Encyclopedia of Biostatistics, many of which have been revised and updated to include recent developments, the Encyclopedia of Epidemiologic Methods also includes newly commissioned articles reflecting the latest thinking in Cancer Registries Birth Defect Registries Meta Analysis of Epidemiologic Studies Epidemiology Overview Sample Size Sex Ratio at Birth Software Design and Analysis Featuring contributions from leading experts in academia, government and industry, the Encyclopedia of Epidemiologic Methods has been designed to complement existing texts on the subject by providing further extensive, up-to-date coverage of specialised topics and by introducing the reader to the research literature. Offering a wealth of information in a single resource, the Encyclopedia of Epidemiologic Methods Offers an excellent introduction to a vast array of specialised topics Includes in-depth coverage of the statistical underpinnings of contemporary epidemiologic methods Provides concise definitions and introductions to numerous concepts found in the current literature Uses extensive cross-references, helping to facilitate further research, and enabling the reader to locate definitions and related concepts In addition to featuring extensive articles in the areas of descriptive and analytic epidemiology, the Encyclopedia also provides the reader with articles on case-control design and offers substantial coverage of allied statistical methods. |
| door to device time stroke endovascular therapy: Clinical Pathways in Stroke Rehabilitation Thomas Platz, 2021-01-14 This open access book focuses on practical clinical problems that are frequently encountered in stroke rehabilitation. Consequences of diseases, e.g. impairments and activity limitations, are addressed in rehabilitation with the overall goal to reduce disability and promote participation. Based on the available best external evidence, clinical pathways are described for stroke rehabilitation bridging the gap between clinical evidence and clinical decision-making. The clinical pathways answer the questions which rehabilitation treatment options are beneficial to overcome specific impairment constellations and activity limitations and are well acceptable to stroke survivors, as well as when and in which settings to provide rehabilitation over the course of recovery post stroke. Each chapter starts with a description of the clinical problem encountered. This is followed by a systematic, but concise review of the evidence (RCTs, systematic reviews and meta-analyses) that is relevant for clinical decision-making, and comments on assessment, therapy (training, technology, medication), and the use of technical aids as appropriate. Based on these summaries, clinical algorithms / pathways are provided and the main clinical-decision situations are portrayed. The book is invaluable for all neurorehabilitation team members, clinicians, nurses, and therapists in neurology, physical medicine and rehabilitation, and related fields. It is a World Federation for NeuroRehabilitation (WFNR) educational initiative, bridging the gap between the rapidly expanding clinical research in stroke rehabilitation and clinical practice across societies and continents. It can be used for both clinical decision-making for individuals and as well as clinical background knowledge for stroke rehabilitation service development initiatives. |
| door to device time stroke endovascular therapy: Access to Health Care in America Institute of Medicine, Committee on Monitoring Access to Personal Health Care Services, 1993-02-01 Americans are accustomed to anecdotal evidence of the health care crisis. Yet, personal or local stories do not provide a comprehensive nationwide picture of our access to health care. Now, this book offers the long-awaited health equivalent of national economic indicators. This useful volume defines a set of national objectives and identifies indicatorsâ€measures of utilization and outcomeâ€that can sense when and where problems occur in accessing specific health care services. Using the indicators, the committee presents significant conclusions about the situation today, examining the relationships between access to care and factors such as income, race, ethnic origin, and location. The committee offers recommendations to federal, state, and local agencies for improving data collection and monitoring. This highly readable and well-organized volume will be essential for policymakers, public health officials, insurance companies, hospitals, physicians and nurses, and interested individuals. |
| door to device time stroke endovascular therapy: Stroke Prevention and Treatment Jeffrey L. Saver, Graeme J. Hankey, 2020-12-10 Stroke is the second leading cause of death and a leading cause of disability worldwide. This invaluable reference provides clinicians caring for stroke patients with ready access to the optimal evidence for best practice in stroke prevention, acute stroke treatment, and stroke recovery. Now an edited volume, the editors and authors, many of whom are members of the Cochrane Stroke Review Group, describe all available medical, endovascular, and surgical treatments; the rationale for using them; and the strength of the evidence for their safety and effectiveness. New chapters cover key, rapidly advancing therapeutic topics, including prehospital stroke care and regionalized stroke systems, endovascular reperfusion therapy, and electrical and magnetic brain stimulation to enhance recovery. This is an essential resource for clinicians translating into practice the many dramatic advances that have been made in the treatment and prevention of stroke, and suggesting the most appropriate interventions. |
| door to device time stroke endovascular therapy: Coronary Microvascular Obstruction in Acute Myocardial Infarction Giampaolo Niccoli, Ingo Eitel, 2018-07-07 Coronary Microvascular Obstruction in Acute Myocardial Infarction: From Mechanisms to Treatment provides a comprehensive understanding of the phenomenon of coronary microvascular obstruction (CMVO) that is the main limitation of reperfusion therapies in ST-elevation myocardial infarction. It provides in-depth coverage of the phenomenon of CMVO which heavily affects prognosis by increasing the risk of death and heart failure at follow-up. A first of its kind reference dedicated solely to this topic, it is appropriate for a wide audience, from researchers, to those who aid in the management, prevention and treatment of CMVO. - Provides in-depth coverage of coronary microvascular obstruction (CMVO), spanning research, management, prevention and treatment - Includes the most up-to-date information on CMVO as presented from top experts around the word - Provides access to a companion website with extra material, including tables, additional references and instructional videos - Gives extensive coverage on how to measure CMVO, including in-depth indexes that can be used to detect and quantify the phenomenon |
| door to device time stroke endovascular therapy: Introduction to Vascular Neurosurgery Justin R. Mascitelli, Mandy J. Binning, 2022-01-12 This book aims to cover the majority of neurovascular diseases and management. The first section reviews neurovascular anatomy, the basics of angiography, and the basics of craniotomies for neurovascular diseases. Next, an entire section is devoted to intracranial aneurysms, covering the natural history, subarachnoid hemorrhage, endovascular management, microsurgical management, and vasospasm. Following this, a number of chapters are devoted to stroke including natural history, mechanical thrombectomy, intracranial stenosis, Moyamoya disease, bypass surgery, vertebrobasilar insufficiency, intracerebral hemorrhage, sinus thrombosis, and the surgical and endovascular management of extracranial carotid disease. Next, the text covers vascular malformations including arteriovenous malformation, arteriovenous fistulas, carotid cavernous fistulas, vein of Galen malformations, spinal malformations, and cavernous malformations. Finally, the book discusses a few miscellaneous topics including more recent advances in neurovascular care such as venous sinus stenting for idiopathic intracranial hypertension and middle meningeal artery embolization for subdural hematoma. Written by experts in the field, Introduction to Vascular Neurosurgery provides a comprehensive summary of neurovascular disease and management. The book can be used as a daily reference and serves as a trusted resource for medical students, residents, fellows, and young attendings. |
| door to device time stroke endovascular therapy: Tele-oncology Giovanna Gatti, Gabriella Pravettoni, Fabio Capello, 2015-06-09 This book explains how telemedicine can offer solutions capable of improving the care and survival rates of cancer patients and can also help patients to live a normal life in spite of their condition. Different fields of application – community, hospital and home based – are examined, and detailed attention is paid to the use of tele-oncology in rural/extreme rural settings and in developing countries. The impact of new technologies and the opportunities afforded by the social web are both discussed. The concluding chapters consider eLearning in relation to cancer care and assess the scope for education to improve prevention. No medical condition can shatter people’s lives as cancer does today and the need to develop strategies to reduce the disease burden and improve quality of life is paramount. Readers will find this new volume in Springer’s TELe Health series to be a rich source of information on the important contribution that can be made by telemedicine in achieving these goals. |
| door to device time stroke endovascular therapy: Clinical Fluid Therapy in the Perioperative Setting Robert G. Hahn, 2016-05-26 The world's most renowned researchers in fluid management explain what you should know when providing infusion fluids to surgical patients. |
| door to device time stroke endovascular therapy: Ischemic Stroke Giuseppe D’Aliberti, Marco Longoni, Cristina Motto, Valentina Oppo, Valentina Perini, Luca Valvassori, Simone Vidale, 2016-12-02 This book provides detailed practical guidance on the management of acute ischemic stroke in the clinical settings encountered in daily practice. Real-life cases are used to depict a wide range of clinical scenarios and to highlight significant aspects of management of ischemic stroke. In addition, diagnostic and therapeutic protocols are presented and helpful decision-making algorithms are provided that are specific to the different professionals involved in delivery of acute stroke care and to differing types of hospital facility. The coverage is completed by the inclusion of up-to-date scientific background information relevant to diagnosis and therapy. Throughout, the approach adopted is both practical and multidisciplinary. The book will be of value for all practitioners involved in the provision of acute stroke care, and also for medical students. |
| door to device time stroke endovascular therapy: An Introduction to Clinical Emergency Medicine S. V. Mahadevan, Gus M. Garmel, 2012-04-10 Fully-updated edition of this award-winning textbook, arranged by presenting complaints with full-color images throughout. For students, residents, and emergency physicians. |
| door to device time stroke endovascular therapy: Artificial Intelligence in Medicine Niklas Lidströmer, Hutan Ashrafian, 2022-03-17 This book provides a structured and analytical guide to the use of artificial intelligence in medicine. Covering all areas within medicine, the chapters give a systemic review of the history, scientific foundations, present advances, potential trends, and future challenges of artificial intelligence within a healthcare setting. Artificial Intelligence in Medicine aims to give readers the required knowledge to apply artificial intelligence to clinical practice. The book is relevant to medical students, specialist doctors, and researchers whose work will be affected by artificial intelligence. |
| door to device time stroke endovascular therapy: Deep Vein Thrombosis and Pulmonary Embolism Edwin J. R. van Beek, Harry R. Büller, Matthijs Oudkerk, 2009-03-12 Dedicated to dealing with a challenging disease, previously thought to be incurable, but with the advent of new drugs, now amenable to management and a much improved prognosis for patients. - Latest publication in a fast-moving area of keen clinical interest - Authored by leading international authorities - Builds on success of a respected first edition - Incorporates new data on latest imaging technologies and therapies - Covers both the science and clinical aspects, including presentation, surgical intervention and drug therapy - Includes coverage of both Pulmonary Embolism and Deep Vein Thrombosis |
| door to device time stroke endovascular therapy: Stroke Therapy Marc Fisher, 2001 This new edition keeps you up to date with the exciting new developments in treating cerebrovascular disorders. Comprehensive and practical, it surveys methods for accurate stroke diagnosis necessary for you to make appropriate therapeutic decisions. |
| door to device time stroke endovascular therapy: Stroke Units Peter Langhorne, Martin Dennis, 2008-04-15 Based on a major systematic review from international centres this concise text discusses the benefits of managing stroke patients in specialised units compared to management outside the hospital. It provides invaluable information in the most effective management for this chronically disabled sector |
| door to device time stroke endovascular therapy: Mechanisms of Vascular Disease Robert Fitridge, M. M. Thompson, 2011 New updated edition first published with Cambridge University Press. This new edition includes 29 chapters on topics as diverse as pathophysiology of atherosclerosis, vascular haemodynamics, haemostasis, thrombophilia and post-amputation pain syndromes. |
| door to device time stroke endovascular therapy: Heart Transplantation Antonio Loforte, Andrea Montalto, Cristiano Amarelli, 2018 Introductory Chapter: Dedicated Initial Giants Breaking the Barriers to Successful Cardiac Transplantation Therapy. |
| door to device time stroke endovascular therapy: Clinical Guidelines for Stroke Management 2010 National Stroke Foundation (Australia), 2010 The Clinical Guidelines have been developed to provide a series of evidence-based recommendations related to stroke. Development of the guidelines has been undertaken by a multidisciplinary Expert Working Group (EWG) using methodology consistent with National Health and Medical Research Council (NHMRC) standards.--Publisher's homepage. |
| door to device time stroke endovascular therapy: Radiologic and Imaging Nursing American Nurses Association, 2013 Radiologic and imaging nursing is the specialty practice concerned with the assessment, care planning, and direct care of individuals before, during, and after diagnostic and therapeutic imaging procedures. As well, radiologic and imaging nurses advocate for those individuals and their families, and are often the voice of those unable to speak for themselves. Accordingly, these RNs are concerned with the safety of both such individuals and the staff who provide such services. This publication is a guide to the essentials of this specialty, a framework for its practice. ANA and the Association for Radiologic and Imaging Nursing have collaborated to produce a foundational resource for contemporary radiologic and imaging nursing practice. Written by nurse experts aided by the review and other input from other nurses, Radiologic and Imaging Nursing: Scope and Standards of Practice is a comprehensive, up-to-date delineation of the competent level of nursing practice and professional performance common to and expected from radiologic and imaging registered nurses whatever their practice levels or setting. It reflects the current thinking, practice, and research in radiologic and imaging nursing. The publication's scope of practice addresses what is expected of all radiologic and imaging registered nurses, specifying the who, what, where, when, why and how of radiologic and imaging nursing practice. The detailed discussion of that scope of practice provides the context needed to understand and use the standards. The 16 standards are those by which all radiologic and Imaging RNs are held accountable for their practice. Each standard is measurable by a set of specific competencies that serve as evidence of minimal compliance with that standard. This foundational volume reflects the diverse activities of radiologic and imaging nurses and serves them in their clinical practice, education, and research. While primarily for specialty practitioners and the educators, students, and others directly involved in nursing care, research, advocacy; and certification, this book can also inform other healthcare providers, researchers, and scholars as well as employers, insurers, lawyers, regulators, policy makers, and stakeholders. Since the late 1990s, ANA has partnered with other nursing organizations to establish a format process for recognition of specially areas of nursing practice. This includes the criteria for approving the specialty itself and the scope statement, and an acknowledgment by ANA of the standards of practice for that specialty. Because of the significant changes in the evolving nursing and healthcare environments, ANA's approval of specialty nursing scope statements and its acknowledgment of specialty standards of practice remain valid for five years, starting from the publication date of the documents. The standards in this publication are based on language from ANA's Nursing: Scope and Standards of Practice, Second Edition, a helpful supplement to this specialty text, which in turn is of optimal use with two complementary ANA texts: Nursing's Social Policy Statement: The Essence of the Profession and Guide to the Code of Ethics for Nurses: Interpretation and Application. These three books are also available as a set, ANA's Foundation of Nursing 2010 Package, to guide nursing practice, thinking, and decision-making. The set is proving useful as a professional reference, classroom textbook, in-service training guide, and credentialing exam resource. For more on these publications, go to www.Nursesbooks.org. Book jacket. |
| door to device time stroke endovascular therapy: Posterior Circulation Disease Louis Caplan, 1996-08-13 Posterior Circulation Disease is an authoritative, comprehensive, scholarly reference on vertebrobasilar disease. The book presents detailed descriptions of the anatomy and clinical correlations of the different stroke syndromes. The book begins with introductory chapters on anatomy and pathology, including a chapter devoted to evaluation. Later chapters discussing hemorrhage, aneurysm, and occlusion are divided according to location. Diagnosis, treatment and the general principles of imaging are also included to reflect the changing technology, (MRI, MRA) and transcranial Doppler. Posterior disease , (syncope and dizziness) is also fully discussed. The text emphasizes the clinical aspects of the disease and its management and includes discussions on the most advanced technology such as ultrasound, CT, angiography, PET and MRI. |
| door to device time stroke endovascular therapy: Intracranial Vascular Malformations and Aneurysms Michael Forsting, Isabel Wanke, 2010-10-07 This book describes the pathoanatomical, pathophysiological, and imaging features of vascular malformations and aneurysms of the brain and the modern, minimally invasive endovascular methods and techniques employed in their treatment. All chapters in the second revised edition of this book have been thoroughly updated. Readers will find this clearly organized book is richly illustrated with numerous informative CT, MR and DSA images, including high-end 7-Tesla MR images. |
| door to device time stroke endovascular therapy: IschemiRs: MicroRNAs in Ischemic Stroke Rajanikant G. K., Pierre Gressens, Sreekala S. Nampoothiri, Gokul Surendran, Cindy Bokobza, 2021-06-03 There has been an enormous increase in information relating to microRNA (miRNA) and its strategic role in numerous diseases. This book reviews the emerging role of microRNAs in cerebral ischemia, providing comprehensive details of the links between this small RNA molecule and ischemic stroke, the more prevalent of the two main types of stroke. The chapters address questions relating to microRNA’s function in various pathological features of stroke, like oxidative stress, excitotoxicity and cell death, as well as its role as a biomarker and diagnostic agent, and the current therapeutic interventions. Further, the book highlights the latest research on how miRNAs contribute to neuroregeneration following stroke, discussing the myriad computational tools and databases used in miRNA research, and decsribes how how miRNA modulates other cerebrovascular diseases. The book concludes with fresh insights into the effect of long non-coding RNA in cerebral ischemia. |
| door to device time stroke endovascular therapy: Neurologic Emergencies Latha Ganti, Joshua N. Goldstein, 2018-01-22 This book is an unparalleled resource on neurologic emergencies. Most books on neurologic emergencies focus on treatment of a disease after it is diagnosed (such as stroke, subarachnoid hemorrhage, or meningitis). There are but a few books that focus on how to evaluate the patient with a neurologic symptom, before the diagnosis is made. This is the area that frontline providers, including emergency physicians, family physicians, primary care physicians, hospitalists, urgent care physicians, and midlevel providers struggle with. This book is written by clinicians with a clear understanding of the needs of non-neurologists in the front lines of medicine. The editors are board-certified emergency physicians with fellowship training and expertise in neurologic emergencies. Neurologic Emergencies includes these point-of-care-friendly features: Extensive number of algorithms for distinct presenting symptoms Classic neuroimaging findings A concise bullet on what information needs to be conveyed to consultants Reference to relevant national guidelines where applicable Common chapter format to facilitate quick look-up |
| door to device time stroke endovascular therapy: Current Issues and Recent Advances in Pacemaker Therapy Attila Roka, 2012-08-17 Patients with implanted pacemakers or defibrillators are frequently encountered in various healthcare settings. As these devices may be responsible for, or contribute to a variety of clinically significant issues, familiarity with their function and potential complications facilitates patient management. This book reviews several clinically relevant issues and recent advances of pacemaker therapy: implantation, device follow-up and management of complications. Innovations and research on the frontiers of this technology are also discussed as they may have wider utilization in the future. The book should provide useful information for clinicians involved in the management of patients with implanted antiarrhythmia devices and researchers working in the field of cardiac implants. |
| door to device time stroke endovascular therapy: Stroke Prevention and Treatment Jeffrey L. Saver, Graeme J. Hankey, 2020-12-10 An evidence-based guide for clinicians caring for stroke patients, with advice for best practice in prevention, treatment and recovery. |
| door to device time stroke endovascular therapy: Ischemic Stroke Management: From Symptom Onset to Successful Reperfusion and Beyond Peter Sporns, Johanna Ospel, Marios Psychogios, 2022-11-16 |
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Components and Trends in Door to Treatment Times for …
• Treatment times for endovascular stroke treatment (endovascular therapy [EVT]) in hospitals participat- ... reperfusion device or time of intra-arterial alteplase or the in-itiation of …
What Is The Door To Device Time Goal Endovascular …
What Is The Door To Device Time Goal Endovascular Therapy The Stroke Book Michel T. Torbey,Magdy H. Selim,2013-07-18 An essential companion for busy professionals seeking to …
What Is The Door To Device Time Goal Endovascular …
What Is The Door To Device Time Goal Endovascular Therapy The Stroke Book Michel T. Torbey,Magdy H. Selim,2013-07-18 An essential companion for busy professionals seeking to …
ACUTE ISCHEMIC Current Treatment Approaches STROKE for …
*2015 AHA/ASA Focused Update of the 2013 Guidelines for the Early Management of Patients with Acute Ischemic Stroke Regarding Endovascular Treatment. Powers WJ, Derdeyn CP, …
A Decade of Improvement in Door‐to‐Puncture Times for …
and clinical significance of prehospital “onset-to-door” time, however, remains unknown. METHODS: We performed a systematic review of time metric data from all published …
performance improvement program, demonstrated to …
reperfusion therapy. • Door to Start of Revascularization (DTR) Times (Graphical Display of Distribution): Histogram of the distribution of times from hospital arrival to first pass …
A Decade of Improvement in Door‐to‐Puncture Times for …
device exemption trials involving endovascular therapy for stroke between 2005 and 2019 (n=26). ... acute ischemic stroke door-to-puncture time large-vessel occlusion mechanical …
Door-in-Door Out Best Practice Strategies - American Heart …
Sep 2, 2021 · developed with a focus on mechanical endovascular reperfusion (MER) eligible cases, but could also be applied to other stroke transfers. 1. Target Door-in-Door-out Times: …
Management of Acute Stroke ( BAT) and Thrombolytic Therapy
Department of Public Affairs Educational Objectives ØTo define the emergency management of the patient presenting with signs and symptoms suggestive of acute stroke. ØTo define roles …
GoToWebinar Housekeeping: Participant View - American …
Aug 16, 2017 · Door to Puncture Time within 90 minutes: 4: Median Door to Start of Revascularization (DTSR) ... (i.e. deployment) of the device is ≤ 120 minutes after hospital …
DNV Layer Measures - American Heart Association
• QM.7-CR.2b: Door to Stroke Team Arrival within 15 minutes • QM.7-CR.2c: Door to CT Results Reported within 45 minutes ... Thrombolytic and Endovascular Therapy Complications • QM.9 …
PROGRAM MEASURES & DEFINITIONS - American Stroke …
• Door To CT <8 hour: Time from triage (ED arrival) to initial imaging work-up for all patients who arrive ≤ 8 hours from time last known well. AHASTR26 • Door-in-door-out time at first hospital …
Am I Coming or Going? Door In Door Out for Acute …
Door In Door Out for Acute Ischemic Stroke KAVIT SHAH, MD VASCULAR NEUROLOGY FELLOW. Outline ... •Endovascular therapy (EVT): up to 24 hours. Time is Brain •As ischemia …
PHASE III - American Heart Association
ischemic stroke patients treated with IV thrombolytics. • Achieve door-to-device times (arrival to first pass of thrombectomy device) in 50% or more of eligible acute ischemic stroke patients …
Management of Acute Stroke (BAT) & Thrombolytic Therapy
Time goals : To be eligible for GWTG Target Stroke Honor Roll Advanced therapy Door to start of device ( door to first Pass) ED patients : < 60 minutes Door to start of device ( door to first …
Endovascular Treatment for Acute Ischemic Stroke - The …
Feb 6, 2013 · The median time from stroke onset to the start of treatment was 3.75 hours for endovascular therapy and 2.75 hours for intravenous t-PA (P<0.001). At 3 months, 55 patients …
Mechanical Endovascular Reperfusion Therapy - American …
Feb 1, 2017 · • This is the date and time of the first pass of a clot retrieval device. If the first pass/deployment time is not documented, select the MM/DD/YYYY format. If both the date …
Endovascular Therapy for Acute Ischemic Stroke: Reducing …
Results: After the protocol change, the percentage of patients with endovascular therapy in acute ischemic stroke increased (14.9 vs. 9.4%, p = 0.03), and DTP was significantly reduced (78 …
ISA consensus statement: Recommendations for the Early …
The MERCI was the first stroke mechanical thrombectomy device approved by the FDA in 2004. The aspiration devices include the Penumbra System (Penumbra Inc.), the QuickCat (DSM ...
Endovascular Therapy for Stroke — It’s about Time
tients with stroke will require endovascular therapy (estimates are 10%), but this small per-centage will drive the reorganization of systems of stroke care. Not every hospital can or …
Impact of Onset-to-Door Time on Endovascular Therapy for …
We sought to examine the effect of the time from stroke on-set to hospital arrival (both as categorical [<6 h vs. ≥6–12 h vs. ≥12–24 h] and continuous variables) on the effectiveness …
30/60/90 National Stroke Targets Action Plan
• National median door in door out time for endovascular clot retrieval <60mins in metro hospitals* ... Acute ischaemic stroke care including endovascular therapy requires an accurate, timely, …
Use of a Stroke Stop - American Stroke Association
Stroke Stop Results Comparison of CY2016 to CY2018 All based on comparison of LFR patients only 2015 (minutes) 2016 (minutes) 2017 (minutes) 2018 (minutes) Door to CT Ordered 11.52 …
What Is The Door To Device Time Goal Endovascular …
5. Accessing What Is The Door To Device Time Goal Endovascular Therapy Free and Paid eBooks What Is The Door To Device Time Goal Endovascular Therapy Public Domain eBooks …
Endovascular Therapy in Acute Ischemic Stroke - AHA/ASA …
≤12 hours after stroke onset, but the median stroke onset to groin puncture time was <4.5 hours in all trials, and time to recanalization was <6 hours. 4. Intravenous r-tPA remains the standard …
Shortening door-to-puncture time and improving patient …
stroke associated with large vessel occlusion ... Records of 98 consecutive ischemic stroke patients who had undergone endovascular therapy (EVT) ... (2020), and post-intervention …
Updated Stroke Clinical Handbook: Endovascular …
Can be transported to arrive at a Designated Stroke Centre within 3.5 hours of a clearly determined time of symptom onset or the time WKHSDWLHQWZDV³ODVW seen in a usual …
Improving Transfer Times for Acute Ischemic Stroke Patients …
time-sensitive stroke treatments and, therefore, increase the likelihood of exclu-sion from endovascular stroke therapy. This study aims to evaluate the impact of the Stroke Rescue …
9 - Clinical Research Update - American Stroke Association
ACHIEVE DOOR-TO-DEVICE TIMES (ARRIVAL TO FIRST PASS WITH THROMBECTOMY ... AND WITHIN 60 MINUTES FOR TRANSFER PATIENTS IN 50 PERCENT OR MORE OF …
Endovascular Therapy for Stroke — It’s about Time
tients with stroke will require endovascular therapy (estimates are 10%), but this small per-centage will drive the reorganization of systems of stroke care. Not every hospital can or …
Journal of Stroke and Cerebrovascular Diseases
Stroke Endovascular therapy Treatment time Emergency medical services Helicopter transport ABSTRACT Background: A major systematic review and meta-analysis assessing trial data …
Stroke Performance Improvement Committee Metric Details …
Percentage of patients with acute ischemic stroke arriving within 24 hours of LKW or symptom discovery who receive mechanical endovascular reperfusion therapy and for whom the first …
Improving Door-to-Needle Times in Acute Ischemic …
Background and Purpose—The benefits of intravenous tissue-type plasminogen activator (tPA) in acute ischemic stroke are time-dependent, and guidelines recommend a door-to-needle time …
GET WITH THE GUIDELINES-STROKE UPDATE - Start With …
Stroke Door to start of revascularization in 120 min ... • Time to Thrombolytic Therapy - 45 min (2015-2017) • Time to Intravenous Thrombolytic Therapy Times (Median) (2010-2017) ... • …
Mechanical Endovascular Reperfusion Therapy - American …
Feb 1, 2017 · • This is the date and time of the first pass of a clot retrieval device. If the first pass/deployment time is not documented, select the MM/DD/YYYY format. If both the date …
Highly Visible Wallâ Timer to Reduce Endovascular …
BACKGROUND: Endovascular therapy for acute ischemic stroke has revolutionized clinical care for patients with stroke and large vessel occlusion, but treatment remains time sensitive. At our …
CANADIAN STROKE BEST PRACTICE RECOMMENDATIONS
The Heart and Stroke Foundation, Canada Acute Stroke Management Canadian Stroke Best Practice Recommendations Evidence Tables Endovascular Therapy 2018 3 Search Strategy …
Stroke Performance Improvement Committee Metric Details …
Ischemic Stroke . AND . Mechanical Endovascular Reperfusion Therapy? = Yes . AND (Arrival Date/Time: MINUS . Date/Time patient last known to be well? < = 24 hours . OR . Arrival …
EMERGENCY MEDICAL SERVICES - American Stroke …
Door-In Door-Out (Dido) Time refers to the time interval between initial ED arrival to ED departure acute stroke patients transferred to a higher-level stroke center for emergent therapy. This …
Stroke Guidelines for Acute Stroke - American Heart …
Stroke Guidelines for Acute Stroke Clinical Presentation of Stroke CINCINNATI PREHOSPITAL STROKE SCALE ... Last Known Well (Onset of symptoms is defined as the last time patient …
ACUTE ISCHEMIC STROKE
*2015 AHA/ASA Focused Update of the 2013 Guidelines for the Early Management of Patients with Acute Ischemic Stroke Regarding Endovascular Treatment. Powers WJ, Derdeyn CP, …
Door-In–Door-Out Time Effect on Clinical Outcome …
A benchmark of 67 minutes in DIDO time is proposed. Shorter door to computed tomography time appears to be an independent factor associated to achieve DIDO time ≤67 minutes. Measures …
Endovascular Therapy for Acute Ischemic Stroke: Reducing …
acute ischemic stroke, door-to-puncture time, endovascular therapy. Introduction. Acute major artery occlusion of the brain leads to perma-nent tissue injury in the absence of early …
Standardized Performance Measures for Primary Stroke Centers
recanalization therapy (i.e., IV alteplase therapy, or IA alteplase therapy, or mechanical endovascular reperfusion therapy) in patients record, OR documented within 12 hours of …
performance improvement program, demonstrated to …
reperfusion therapy. • Door to Start of Revascularization (DTR) Times (Graphical Display of Distribution): Histogram of the distribution of times from hospital arrival to first pass …
StrokeWatch: An Instrument for Objective Standardized Real …
Time Measurement of Door-to-Needle Times in Acute Ischemic Stroke Treatment Hendrik Kr€oger, a Omid Nikoubashman, MD, b Ivaylo Dimitrov,a Ehsan Yousefian Jazi, MD, b Kolja …
Ischemic Stroke Secondary to Large Vessel Occlusion Where …
Endovascular treatment for Acute ischemic stroke in the Netherlands (MR CLEAN) • Sites: 16 centers in Netherlands • Patients: 500 233 randomized to IA thrombectomy 267 randomized to …
Comprehensive Stroke Center Requirements - lern.la.gov
Lytic, in recognition of the new target door-to-needle time of 45min (AHA Target Stroke). b. Timely transfer of appropriate patients for unavailable services, such as endovascular and …
Endovascular Therapy for Acute Ischemic Stroke: …
went endovascular treatment, door-to-image time (DTI), door-to-needle time (DTN), OTR, DTP in endovascularly treated patients, endovascular device used, rate of Throm-bolysis in Cerebral …
