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Zeenat Qureshi Stroke Institute[Affilia... Publications | LitMetric

281 results match your criteria: "Zeenat Qureshi Stroke Institute[Affiliation]"

Background: Bronchopulmonary dysplasia (BPD) poses a challenge in neonatal care. Previous literature recommended a hypothetical role for patent ductus arteriosus (PDA) in the development of BPD. This study explores the possible link between PDA and BPD, aiming to illuminate demographic and clinical factors influencing BPD development within the context of PDA.

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Edaravone's Safety Profile in Acute Ischemic Stroke.

Brain Behav

December 2024

Department of Neurology, Zeenat Qureshi Stroke Institute, Jose R. Reyes Memorial Medical Center, Manila, Philippines.

Background: We aimed to evaluate the safety of intravenous edaravone for the treatment of acute ischemic stroke among Filipino patients. The study, categorized as Phase IV, spans from December 2022 to November 2023. The primary objective is to document side effects and serious adverse events during the 14-day edaravone infusion period.

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Background: Ophthalmic artery (OphA) aneurysms, occurring at the junction of the internal carotid artery and the OphA orifice, present significant treatment challenges due to their location and complex anatomy. This systematic review and meta-analysis aimed to evaluate endovascular therapy and microsurgery in managing OphA aneurysms.

Methods: Adhering to Cochrane Handbook guidelines, a comprehensive search was conducted in ClinicalTrials.

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Article Synopsis
  • * Researchers used a combination of enteral cilostazol and intravenous high-dose albumin to treat three aSAH patients, leading to a notable improvement in their condition.
  • * Post-treatment evaluations showed significant resolution of perfusion issues, vasospasm, and neurological deficits, suggesting that this combination therapy may be effective for severe cases resistant to standard treatments.
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Article Synopsis
  • The study investigates how the number of mechanical thrombectomy (MT) procedures performed annually at hospitals affects patient outcomes for acute ischemic stroke in the U.S. from 2016 to 2020.
  • It found that as MT procedural volume increases, patients had lower rates of being discharged home/self-cared and higher odds of in-hospital mortality and post-treatment intracranial hemorrhage (ICH).
  • The results suggest a paradox where higher procedural volume at hospitals correlates with worse outcomes, likely due to treating more severe cases at these high-volume centers.
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Objective: To evaluate the role of endovascular thrombectomy (EVT) in patients presenting with acute ischemic stroke (AIS) due to large vessel occlusion in the very late window (>24 hours).

Methods: A systematic review was conducted according to PRISMA guidelines using PubMed, CINAHL, Scopus, and Google Scholar databases till 2024. Quality assessment was performed using the Newcastle-Ottawa Scale (NOS).

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Article Synopsis
  • Intracranial atherosclerotic disease (ICAD) is a major cause of strokes, and while endovascular treatments like the Resolute Onyx Zotarolimus-Eluting Stent (RO-ZES) are promising, results can be mixed.
  • A study analyzed data from seven stroke centers, comparing outcomes of 104 patients treated with RO-ZES to those from a previous trial (SAMMPRIS) using percutaneous angioplasty and stenting (S-PTAS).
  • The results indicated that the one-year rate of stroke, intracranial hemorrhage (ICH), or death was significantly lower in the RO-ZES group (11.5%) versus the S-PTAS group (28.1
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Article Synopsis
  • Cerebral infarction is a major concern for patients with aneurysmal subarachnoid hemorrhage (SAH), affecting over half of these patients as observed in a study of national data from 2016 to 2021.* -
  • There has been a significant increase in the occurrence of cerebral infarction among patients with SAH over the study period, impacting outcomes such as lower chances of routine discharge and worse overall outcomes, although in-hospital mortality rates remained unchanged.* -
  • Patients who developed cerebral infarction experienced longer hospital stays and higher hospitalization costs compared to those without cerebral infarction, indicating a substantial economic impact on healthcare resources.*
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Effect of post thrombolytic intracerebral hemorrhage volume on 90-day outcomes in acute ischemic stroke patients.

J Stroke Cerebrovasc Dis

November 2024

Zeenat Qureshi Stroke Institute and Department of Neurology, University of Missouri, Columbia, MO, USA. Electronic address:

Background And Purpose: Post thrombolytic intracerebral hemorrhage (ICH) is associated with higher rate of death or disability in acute ischemic stroke patients. We investigated the relationship between post thrombolytic ICH volume and change in volume and death or disability at 90 days in acute ischemic stroke patients.

Methods: We analyzed 110 patents recruited in the Safety Evaluation of 3K3A-APC in Ischemic Stroke (RHAPSODY) trial who received intravenous tissue plasminogen activator (tPA) followed by mechanical thrombectomy (if indicated) and 3K3A-APC or placebo.

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Endovascular vs Medical Management of Acute Basilar Artery Occlusion: A Secondary Analysis of a Randomized Clinical Trial.

JAMA Neurol

October 2024

Department of Neurology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, China.

Importance: In several randomized clinical trials, endovascular thrombectomy led to better functional outcomes than conventional treatment at 90 days poststroke in patients with acute basilar artery occlusion. However, the long-term clinical outcomes of these patients have not been well delineated.

Objective: To evaluate 1-year clinical outcomes in patients with acute basilar artery occlusion following endovascular thrombectomy vs control.

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Basilar artery occlusion management: An international survey of gender influence on management.

Interv Neuroradiol

August 2024

Department of Stroke Medicine, Imperial College Healthcare NHS Trust, Charing Cross Hospital, London, UK.

Background: The superiority of endovascular thrombectomy (EVT) over medical management was not established in two early basilar artery occlusion (BAO) randomized controlled trials. Despite this, many clinicians recommended EVT for acute BAO under certain circumstances. This paper aims to compare physicians' diagnostic and management strategies of BAO according to gender.

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Background: This study aimed to evaluate the burden and impact of cardiac and cerebrovascular disease (CCD) on hospital inpatients with type 1 diabetes mellitus (T1DM).

Methods: This is a retrospective nationwide cohort study of people with T1DM with or without CCD in the US National Inpatient Sample between 2016 and 2019. The in-hospital mortality rates, length of stay (LoS), and healthcare costs were determined.

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Background: Clinical practice recommendations guide healthcare decisions. This study aims to evaluate the strength and quality of evidence supporting the American Heart Association (AHA)/American Stroke Association (ASA) guidelines for aneurysmal subarachnoid hemorrhage (aSAH) and spontaneous intracerebral hemorrhage (ICH).

Methods: We reviewed the current AHA/ASA guidelines for aSAH and spontaneous ICH and compared with previous guidelines.

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Background: The influence of different viral infections in patients with myocarditis is unknown. Myocarditis is an inflammatory disease of heart muscle that is commonly caused by viruses. The impact of different viral infections in patients with myocarditis is unknown.

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Article Synopsis
  • The RoPE score is a tool used to find a heart condition called patent foramen ovale (PFO) in people who have had a stroke without a clear cause.
  • A study looked at over 3 million hospital admissions for strokes, finding that 3% of those patients had PFOs, and those with PFOs were generally younger.
  • The RoPE score helps predict PFOs, but it's not super accurate; a score of 4 or higher can suggest a PFO, but it misses some cases while identifying others.
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Article Synopsis
  • The study reviews predictors of delayed cerebral infarction (DCI) and early cerebral infarction (ECI) in patients with aneurysmal subarachnoid hemorrhage (aSAH) through a systematic literature analysis.
  • It analyzed 12 cohort studies with 4527 patients, finding that higher severity scores, elevated Fisher scores, female sex, and vasospasm significantly increase the risk of DCI, while factors like pre-existing hypertension and aneurysm location did not show consistent predictive value.
  • Conversely, for ECI, no significant predictors were identified related to sex, pre-existing hypertension, severity, or aneurysm location, highlighting areas for further research in understanding ECI risk.
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The mortality rate of acute intracerebral hemorrhage (ICH) can reach up to 40%. Although the radiomics of ICH have been linked to hematoma expansion and outcomes, no research to date has explored their correlation with mortality. In this study, we determined the admission non-contrast head CT radiomic correlates of survival in supratentorial ICH, using the Antihypertensive Treatment of Acute Cerebral Hemorrhage II (ATACH-II) trial dataset.

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Article Synopsis
  • Endovascular neurosurgery has significantly improved over the past few decades due to advancements in technology and techniques, leading to safer and more effective treatments for various cerebrovascular conditions.
  • Key procedures like the coiling of intracranial aneurysms and mechanical thrombectomy for ischemic stroke have evolved, increasing the range of patients eligible for these interventions.
  • Despite these advancements, challenges remain, such as the risk of complications during procedures and uncertainties about long-term patient outcomes.
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Background: We performed an analysis of a large intensive care unit electronic database to provide preliminary estimates of various blood pressure parameters in patients with acute stroke receiving intravenous (IV) antihypertensive medication and determine the relationship with in-hospital outcomes.

Methods: We identified the relationship between pre-treatment and post-treatment systolic blood pressure (SBP) and heart rate (HR)-related variables and in-hospital mortality and acute kidney injury in patients with acute stroke receiving IV clevidipine, nicardipine, or nitroprusside using data provided in the Medical Information Mart for Intensive Care (MIMIC) IV database.

Results: A total of 1830 patients were treated with IV clevidipine (n = 64), nicardipine (n = 1623), or nitroprusside (n = 143).

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Background: The optimal target post-procedure stenosis after percutaneous angioplasty and stent placement (PTAS) for intracranial stenosis is unknown. We determined the effect of post-procedure stenosis after intracranial PTAS on subsequent clinical events in patients with severe symptomatic intracranial stenosis.

Methods: We categorized the severity of post-procedure stenosis as '<30%', '30-49%', and '≥50%' among 207 patients who underwent PTAS in a multicenter randomized clinical trial.

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Article Synopsis
  • The study aimed to evaluate if achieving and maintaining systolic blood pressure (SBP) between 120-140 mm Hg early on improves patient outcomes in acute intracerebral hemorrhage cases.
  • Researchers analyzed data from 5,761 patients and found that earlier SBP control was linked to better functional outcomes and reduced risk of hematoma expansion.
  • The findings emphasize the importance of quick diagnosis, timely transfer, and immediate treatment for patients experiencing intracerebral hemorrhage, especially those with larger initial hematomas.
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Article Synopsis
  • The study aimed to provide updated data on cerebral venous thrombosis (CVT) incidence and trends in the U.S. from 2016-2020, assess the impact of COVID-19, and identify factors predicting in-hospital mortality.
  • The incidence of CVT rose significantly from 24.34 to 33.63 per million people per year, while the all-cause in-hospital mortality rate remained stable at 4.9%.
  • Predictors of higher in-hospital mortality included factors like increased age, atrial fibrillation, and infection, with no significant differences in CVT cases or outcomes during the first wave of the COVID-19 pandemic compared to the same period in 2019.
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ST-elevation myocardial infarction (STEMI) is a life-threatening emergency that can result in cardiac structural complications without timely revascularization. A retrospective study from the National Inpatient Sample included all patients with a diagnosis of STEMI between 2016 and 2020. Primary outcomes of interest were in-hospital mortality, length of stay (LoS), and healthcare costs for patients with and without structural complications.

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Background: Antiplatelet therapy is pivotal in endovascular treatment for intracranial aneurysms. However, there is a lack of studies comparing ticagrelor to clopidogrel in patients with aneurysms undergoing endovascular therapy. Additionally, the existing literature lacks adequate sample size, significant subgrouping, and follow-up, making our study important to cover these gaps.

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