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Vascular & Endovascular

 - Brain Imaging

A prospective cohort study found stroke survivors who were at least 45 years old had persistent declines in long-term cognitive functioning over a median follow-up period of more than six years. None of the participants had cognitive impairment at baseline.

 - child

In 40 percent of the cases when an emergency department (ED) physician at a pediatric hospital activated a stroke alert, the child ended up having a stroke, transient ischemic attack (TIA) or another neurological emergency, according to an analysis at one medical center. 

 - black woman

Outpatient care for atrial fibrillation differs based on race and gender, according to an analysis of Medicare patients who were diagnosed with atrial fibrillation in 2010 and 2011. Females were less likely than males to visit an electrophysiology specialist, receive an oral anticoagulant prescription or undergo catheter ablation.

 - Big Risk

Women who are exposed to trauma or have posttraumatic stress disorder (PTSD) may have an increased risk for cardiovascular disease, according to a 20-year observational analysis of female nurses in the U.S.

 - Stroke, endovascular. neuroimaging, neuro

The American Heart Association (AHA) and the American Stroke Association (ASA) added the use of stent retrieval devices for treating some patients with acute ischemic stroke in updated guidelines published online June 29. The gold standard remains intravenous tissue plasminogen activator (tPA) for breaking up clots.

 

More Stories

Watchman device, warfarin have similar rates of all-cause stroke in AF patients

A meta-analysis of two randomized trials and two registries found the Watchman device was associated with significant improvements in hemorrhagic stroke, cardiovascular death and nonprocedural bleeding compared with warfarin in patients with nonvalvular atrial fibrillation. However, patients who received warfarin had fewer ischemic strokes, and the rates of all-cause stroke or systemic embolism were similar between the groups.

Lowering blood pressure after ischemic stroke does not affect the risk of death

A meta-analysis of 13 randomized controlled trials found lowering blood pressure in patients with early ischemic stroke did not affect the risk of death or dependency. There was also no difference in the risks of recurrent vascular events, recurrent stroke and serious adverse events.

Home-based walking regimen helps patients with PAD

People with peripheral artery disease (PAD) who adhered to unsupervised, home-based walking exercise had improved functioning and mobility up to a year after beginning the regimen.

Bridge therapy during warfarin interruption leads to high bleeding risk

A retrospective cohort study found that patients with venous thromboembolism who received bridge therapy had a 17-fold increase in the risk of bleeding during warfarin therapy interruption for invasive procedures compared with those who did not receive bridge therapy.

Adults reporting depression more likely to experience strokes

An analysis of U.S. adults older than 50 found that people with high depressive symptoms during consecutive interviews during a two-year period were twice as likely to have a stroke compared with those who had no or few depressive symptoms.

Wide variation in outcomes following CAS procedures at U.S. hospitals

An analysis of a national registry found there were wide variations in care for patients undergoing carotid artery stenting (CAS) at U.S. hospitals. Based on the researchers’ model, outcomes varied fourfold among hospitals and odds of experiencing a stroke or dying varied by 50 percent for two randomly selected hospitals treating the same patient.

HRS. 15: Patients underestimate risk of stroke with atrial fibrillation

BOSTON—Patients with atrial fibrillation underestimated the risk of stroke but wanted to work with their physicians and caregivers to better manage their disease, according to a survey released on May 13 from the Heart Rhythm Society and the National Stroke Association.

Hospital size and type affect mortality following OAR and EVAR

Factors in hospitals such as their size and type affect mortality after patients undergo open abdominal aortic aneurysm repair (OAR) or endovascular abdominal aortic aneurysm repair (EVAR), according to a database analysis.

Dual antiplatelet therapy with clopidogrel and aspirin reduces stroke risk

After a year, patients with a minor stroke or high-risk transient ischemic attack who received dual antiplatelet therapy with clopidogrel and aspirin had significantly fewer subsequent strokes than patients that took only aspirin. The rates of moderate or severe hemorrhage were similar in the groups.

Surprises with stroke

It has been a week of head scratchers for stroke, particularly in the in-hospital setting.

Comprehensive stroke centers may be effective at lowering all-cause mortality

Patients with hemorrhagic stroke were significantly more likely to be alive 90 days after the episode if they were admitted to comprehensive stroke centers instead of primary stroke or nonstroke centers, according to an administrative database analysis.

Filters offer no added benefit for recurrent pulmonary embolism

Anticoagulation won and retrievable inferior vena cava filters lost in a randomized clinical trial that assessed their benefit and risk in patients at a high risk of a recurrence of pulmonary embolism. Improvements in the former may have leveled the playing field.

AF is associated with increased risk for non-STEMI

After a median follow-up of more than 20 years, researchers found an increased risk of non-ST elevation myocardial infarction (non-STEMI) in patients with atrial fibrillation even when adjusting for cardiovascular and other risk factors. However, there was no association between atrial fibrillation and STEMI.

Solitaire stent retriever reduces disability after stroke

Patients with acute ischemic stroke had a reduction in the severity of disability and an increase in functional independence after they received mechanical thrombectomy with the Solitaire stent retriever, according to a multicenter, prospective, randomized trial.

Similar efficacy for embolic protection devices in carotid artery stenting

For patients undergoing elective carotid artery stenting, in-hospital and 30-day stroke and death rates were similar if they received proximal embolic protection devices or distal filter embolic protection devices, according to a study that compared the efficacy of the devices.

FDA clears way for more versatile atherectomy device

The FDA issued clearance for the 4 Fr 1.25 Solid Diamondback 360 Peripheral Orbital Atherectomy System to treat patients with peripheral artery disease.

ED visits for ischemic stroke or TIA decrease 35% over decade

From 2001 to 2011, the rate of emergency department visits for ischemic stroke or transient ischemic attack (TIA) among adults decreased 35 percent, while the percentage of visits that resulted in admission or transfer to a hospital increased 10 percent.

Few nursing home patients benefit from lower limb revascularization

Research puts the value of lower extremity revascularization in nursing home residents with peripheral artery disease in doubt. Overall, 82 percent of these patients at the one-year mark were nonambulatory or had died.

CMS measures to start adjusting for stroke severity in 2016

Upcoming coding will allow the Centers for Medicare & Medicaid Services (CMS) to adjust for stroke severity in quality measures, the American Stroke Association’s council reported in its spring update. It was one of several highlights that the council described as sea changes.

Stuck in time: Stroke centers make little headway in swift care

The needle for door-to-needle times for thrombolytic therapy in stroke patients hasn’t dropped much over a decade, according to a study published online March 31 in Stroke.