American Heart Association/American Stroke Associationâ€™s I
The 2015 AHA/ASA International Stroke Conference will emphasize â€œbasic, clinical and translational sciences as they evolve toward a more complete understanding of stroke pathophysiology with the overall goal of developing more effective prevention and treatment. Stroke systems of care, quality and outcomes are also key parts of the conference.â€
The Society of NeuroInterventional Surgery plans to issue new guidelines for treatment of ischemic stroke, its president-elect said. Donald Frei, MD, a Denver-based neurosurgeon, said that based on the overwhelmingly positive results of 3 studies, intravascular thrombectomy is the best treatment for many patients with major ischemic strokes.
In the MR CLEAN trials, physicians were to decide whether patients should be immobilized with general anesthesia or given local anesthesia. Presenting another look-back at MR CLEAN trial data at the American Heart Association/American Stroke Association International Stroke Conference in Nashville, Tenn. on Feb. 13, Olvert Berkhemer, MD and colleagues said their center's strong preference is for local anesthesia.
Patients who have strokes during their sleep pose a treatment conundrum. Since it is hard to assess when the stroke happened, physicians may not know whether to administer clot-busting tPA. The drug is thought to have a therapeutic window of 3 hours. A Texas study suggests tPA is safe for these patients even if the 3-hr window has closed.
It may be common sense that parents of children who have a stroke are likely to be upset and worried, but a new study from Boston Children's Hospital shows that parental stress often rises to the level of post-traumatic stress disorder (PTSD). The implication for clinicians is that these parents need treatment too-and that their PTSD anxiety may cause them to avoid having more to do with the medical profession, which could have a negative impact on kids' care.
It's too soon to say whether Vitamin D is a player or just a bystander in the assault on the brain during a stroke, but low levels of the supplement are associated with greater tissue damage in stroke patients, a University of Massachusetts Medical School team found. Reporting at the American Heart Association/American Stroke Association International Stroke Conference in Nashville, Tenn., Nils Henninger, MD said low vitamin D level predicts more severe strokes and poorer health afterwards.
Surviving a stroke but driving a month afterwards could mean a higher chance of causing a motor vehicle accident, two small Canadian studies have found. In research presented at the American Heart Association/American Stroke Association's International Stroke Conference in Nashville, Tenn, two graduate students reported on serious driving errors patients made post-stroke. They were tested on driving simulators.
Quickly removing clots inside the arteries of patients who have suffered ischemic strokes works far better than simply trying to dissolve the obstructions with drugs like tissue plasminogen activator (tPA) a 22-center study of 316 such patients found. The trial was called ESCAPE, which stands for Endovascular treatment for Small Core and Anterior circulation Proximal occlusion with Emphasis on minimizing CT to recanalization time
Interventional neurology is having a good run at the American Heart Association/American Stroke Association's International Stroke Conference. In addition to the favorable results of the trial known as ESCAPE, in which adding clot removal (endovascular thrombectomy) to clot dissolving therapy showed dramatic outcomes, a related study called EXTEND-IA also showed benefits for stroke patients. A third study known as SWIFT PRIME reached similar conclusions.