Article
Clinical Neurology
Marian Douarinou, Benjamin Gory, Arturo Consoli, Bertrand Lapergue, Maeva Kyheng, Julien Labreuche, Mohammad Anadani, Raphael Blanc, Gaultier Marnat, Romain Bourcier, Igor Sibon, Francois Eugene, Stephane Vannier, Gerard Audibert, Gioia Mione, Sebastien Richard
Summary: This study of patients with anterior circulation large vessel occlusion demonstrated a similar rate of favorable outcome following successful reperfusion with different therapeutic strategies. However, bridging therapy compared with mechanical thrombectomy alone is significantly associated with excellent clinical outcomes and lower mortality.
Article
Medicine, General & Internal
Hyung Jun Kim, Moo-Seok Park, Joonsang Yoo, Young Dae Kim, Hyungjong Park, Byung Moon Kim, Oh Young Bang, Hyeon Chang Kim, Euna Han, Dong Joon Kim, JoonNyung Heo, Jin Kyo Choi, Kyung-Yul Lee, Hye Sun Lee, Dong Hoon Shin, Hye-Yeon Choi, Sung-Il Sohn, Jeong-Ho Hong, Jong Yun Lee, Jang-Hyun Baek, Gyu Sik Kim, Woo-Keun Seo, Jong-Won Chung, Seo Hyun Kim, Sang Won Han, Joong Hyun Park, Jinkwon Kim, Yo Han Jung, Han-Jin Cho, Seong Hwan Ahn, Sung Ik Lee, Kwon-Duk Seo, Yoonkyung Chang, Tae-Jin Song, Hyo Suk Nam
Summary: The study found that CHADS(2), CHA(2)DS(2)-VASc, ATRIA, and Essen scores are associated with unsuccessful recanalization after endovascular thrombectomy, with CHADS(2) score showing the highest predictive value.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Clinical Neurology
Laurens Winkelmeier, Tobias D. Faizy, Gabriel Broocks, Lukas Meyer, Christian Heitkamp, Caspar Brekenfeld, Christian Thaler, Paul Steffen, Maximilian Schell, Milani Deb-Chatterji, Uta Hanning, Helge Kniep, Mate E. Maros, Goetz Thomalla, Jens Fiehler, Fabian Alexander Flottmann
Summary: The clinical benefit of endovascular therapy in patients with large ischemic stroke is associated with the number of recanalization attempts. At least 2 recanalization attempts improve the likelihood of favorable functional outcomes, while more than 2 attempts should be carefully assessed.
Article
Medicine, General & Internal
Hyung Jun Kim, Moo-Seok Park, Joonsang Yoo, Young Dae Kim, Hyungjong Park, Byung Moon Kim, Oh Young Bang, Hyeon Chang Kim, Euna Han, Dong Joon Kim, JoonNyung Heo, Jin Kyo Choi, Kyung-Yul Lee, Hye Sun Lee, Dong Hoon Shin, Hye-Yeon Choi, Sung-Il Sohn, Jeong-Ho Hong, Jong Yun Lee, Jang-Hyun Baek, Gyu Sik Kim, Woo-Keun Seo, Jong-Won Chung, Seo Hyun Kim, Sang Won Han, Joong Hyun Park, Jinkwon Kim, Yo Han Jung, Han-Jin Cho, Seong Hwan Ahn, Sung Ik Lee, Kwon-Duk Seo, Yoonkyung Chang, Hyo Suk Nam, Tae-Jin Song
Summary: This study aimed to investigate the association between unfavorable outcomes and stroke risk scores in patients who received endovascular thrombectomy (EVT). The results showed that all scores were significantly higher in patients with unfavorable outcomes than in those with favorable outcomes. Multivariable logistic regression analysis indicated that CHADS(2) and the ATRIA score were positively correlated with unfavorable outcomes.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Clinical Neurology
Laurens Winkelmeier, Christian Heitkamp, Tobias D. Faizy, Gabriel Broocks, Helge Kniep, Lukas Meyer, Maxim Bester, Caspar Brekenfeld, Maximilian Schell, Uta Hanning, Goetz Thomalla, Jens Fiehler, Fabian Flottmann
Summary: This study investigates the association between the number of recanalization attempts and functional outcomes in M2 occlusions compared to large vessel occlusions. The study finds that successful reperfusion within three attempts is associated with functional independence, while success at the fourth attempt or more is not.
INTERNATIONAL JOURNAL OF STROKE
(2023)
Article
Health Care Sciences & Services
Sofie A. Simonsen, Anders S. West, Adam Heiberg, Frauke Wolfram, Poul J. Jennum, Helle K. Iversen
Summary: This study aimed to assess the presence of small and large vessel disease markers across TOAST groups in ischemic stroke patients. Results showed that carotid stenosis and atrial fibrillation were associated with their respective TOAST groups, while there was no association between SVD score and small vessel occlusion TOAST group.
JOURNAL OF PERSONALIZED MEDICINE
(2022)
Article
Medicine, General & Internal
Kaito Abe, Fumiya Hasegawa, Ryota Nakajima, Hidetoshi Fukui, Moto Shimada, Takahiro Miyazaki, Hiroshi Doi, Goro Endo, Kaori Kanbara, Yasuyuki Mochida, Jun Okuda, Nobuya Maeda, Akira Isoshima, Koichi Tamura, Tomoaki Ishigami
Summary: Comparing the severity of stroke between patients with patent foramen ovale (PFO)-related stroke and atrial fibrillation (AF)-related stroke revealed that PFO-related stroke patients had less severe strokes compared to AF-related stroke patients.
JOURNAL OF CLINICAL MEDICINE
(2021)
Review
Biochemistry & Molecular Biology
Giuseppe Miceli, Maria Grazia Basso, Giuliana Rizzo, Chiara Pintus, Elena Cocciola, Andrea Roberta Pennacchio, Antonino Tuttolomondo
Summary: The correct recognition of ischemic stroke etiology is crucial for effective treatment and prevention of recurrence. However, identifying the cause is often challenging, relying on clinical features and diagnostic exams. AI models can enhance sensitivity in identifying main causes of ischemic stroke, such as carotid stenosis, atrial fibrillation, and small vessel disease. This review aims to provide overall knowledge on the most effective AI models in the differential diagnosis of ischemic stroke according to the TOAST classification. Our results show that AI is a useful tool for subtyping acute stroke patients and clarifying the etiology of undetermined ischemic stroke, particularly identifying cardioembolic sources.
Article
Hematology
Wengen Zhu, Yalin Cao, Min Ye, Huiling Huang, Yuzhong Wu, Jianyong Ma, Yugang Dong, Xiao Liu, Chen Liu, Gregory Y. H. Lip
Summary: This study demonstrates that the Essen Stroke Risk Score (ESRS) has moderate discriminatory ability for predicting stroke as well as other adverse outcomes including myocardial infarction, hospitalization, and death in HFpEF patients. ESRS may have better calibration performance than other stroke scoring tools in HFpEF at high risk for stroke.
THROMBOSIS AND HAEMOSTASIS
(2023)
Article
Clinical Neurology
Hyuk-Je Lee, Taewon Kim, Jaseong Koo, Young-Do Kim, Seunghee Na, Yun Ho Choi, In-Uk Song, Sung-Woo Chung
Summary: This study aimed to evaluate the clinical outcomes associated with multiple chronic lacunes (MCL) according to stroke etiology. The results showed that the presence of MCL was associated with early neurological deterioration (END) and long-term poor functional outcome, but only in patients with large artery atherosclerosis (LAA).
NEUROLOGICAL SCIENCES
(2023)
Article
Clinical Neurology
Marco Ghiani, Sabrina Mueller, Ulf Maywald, Thomas Wilke
Summary: This study investigated the weekend effect and its costs for patients with cerebral infarction in Germany, adjusting for patient characteristics and proxies of stroke severity. The findings showed that patients admitted on weekends had higher mortality rates, higher risks of subsequent stroke hospitalization and rehabilitation stays, resulting in higher stroke-related hospitalization and rehabilitation costs per patient year.
INTERNATIONAL JOURNAL OF STROKE
(2022)
Article
Clinical Neurology
Sihang Zheng, Mohammad Showkat Hossain, Hongliang Wu, Jianfei Nao
Summary: This study reveals that plasma PAPP-A level is associated with ACI. The plasma PAPP-A level in ACI patients is significantly higher than that in the control group. Smoking history, leukocyte count, cystatin C, homocysteine, and plasma PAPP-A levels are independently correlated with ACI. There is a significant difference in plasma PAPP-A levels between patients with different disease severities. The plasma PAPP-A level is higher in the arteriolar occlusion-type group compared to the atherosclerotic-type group.
FRONTIERS IN NEUROLOGY
(2023)
Article
Medicine, General & Internal
Inwu Yu, Tae-Jin Song, Bum Joon Kim, Sung Hyuk Heo, Jin-Man Jung, Kyung-Mi Oh, Chi Kyung Kim, Sungwook Yu, Kwang Yeol Park, Jeong-Min Kim, Jong-Ho Park, Jay Chol Choi, Man-Seok Park, Joon-Tae Kim, Yang-Ha Hwang, Jong-Won Chung, Oh Young Bang, Geong-Moon Kim, Yong-Jae Kim, Seonwoo Kim, Sook Young Woo, Hyun Cho, Woo-Keun Seo
Summary: The performance of scoring systems for risk stratification in patients with atrial fibrillation (AF) was not well validated in patients with stroke. Among stroke patients with AF, CHADS(2), CHA(2)DS(2)-VASc, ATRIA, and Essen stroke risk scores were not associated with recurrent ischemic stroke and any stroke, but were correlated with death and major adverse cerebrovascular and cardiovascular events (MACEs), particularly in the group treated with oral anticoagulants (OACs). A new risk stratification scheme specific to secondary stroke prevention in the AF population is needed.
Article
Neurosciences
Zheng Ping, Huiyu She, Li Min, Qingke Bai, Qiuyun Lu, Chen Xu
Summary: In this study, machine learning models were used to predict long-term neurological outcomes in patients with ischemic stroke after intravenous thrombolysis. The results showed that patients with higher modified Rankin scores at 3 months had increased systolic pressure, blood glucose, cholesterol, and 7-day NIHSS scores. The random forest model performed relatively better, and similar results were obtained in the external validation dataset. The explainable AI model also identified the risk factors.
FRONTIERS IN NEUROSCIENCE
(2023)
Article
Clinical Neurology
Jonathan Dallas, Kristie Q. Liu, Talia A. Wenger, Michelle Lin, Li Ding, Frank J. Attenello, William J. Mack
Summary: This study identified a relationship between COVID-19 diagnosis and worse outcomes for each metric assessed, including mechanical thrombectomy rates, in-hospital mortality, and discharge disposition. Several factors might underly this, ranging from systemic/multisystem inflammation and worsened disease severity to logistical barriers to treatment caused by COVID-19.
CLINICAL NEUROLOGY AND NEUROSURGERY
(2023)