Disposition to home or acute rehabilitation is associated with a favorable clinical outcome in the SENTIS trial.

Abstract:

OBJECTIVE:To explore the impact of stroke severity and discharge disposition on 90-day outcomes in US patients enrolled in the SENTIS trial. METHODS:SENTIS is a previously published prospective randomized controlled trial. We analyzed the demographic information, National Institutes of Health Stroke Scores (NIHSS) on day 4, discharge disposition and 90-day modified Rankin Score (mRS). Univariate models were constructed to determine the impact of discharge disposition on 90-day outcomes as well as the association of the day 4 NIHSS with outcomes. RESULTS:A total of 292 patients with a mean age of 65 ± 14 years were analyzed. Discharge disposition was distributed as follows: 153 (52.1%) to an inpatient rehabilitation facility (IRF), 111 (38.0%) to home and 28 (9.6%) to a skilled nursing facility (SNF). Only 2 out of 28 patients (7.1%) discharged to a SNF achieved a 90-day mRS ≤ 2 compared with 60/153 (39.2%) in the IRF group (OR 8.39 (95% CI 1.92 to 36.64), p = 0.0047). This association persisted after adjusting for age and admission NIHSS. Only 3 of 50 patients (6%) with a NIHSS of ≥ 14 at day 4 achieved a mRS 0-2 at day 90. CONCLUSIONS:This analysis shows that discharge to an IRF is associated with better neurological outcomes than discharge to a SNF. Additionally, patients with a NIHSS of ≥ 14 at day 4 are unlikely to achieve independent function.

journal_name

J Neurointerv Surg

authors

Belagaje SR,Zander K,Thackeray L,Gupta R

doi

10.1136/neurintsurg-2014-011132

subject

Has Abstract

pub_date

2015-05-01 00:00:00

pages

322-5

issue

5

eissn

1759-8478

issn

1759-8486

pii

neurintsurg-2014-011132

journal_volume

7

pub_type

杂志文章
  • The association between carotid intraplaque hemorrhage and outcomes of carotid stenting: a systematic review and meta-analysis.

    abstract:BACKGROUND AND PURPOSE:The purpose of this systematic review and meta-analysis was to determine whether carotid stenting patients with intraplaque hemorrhage (IPH) identified on preoperative MRI were more likely to suffer perioperative ischemic complications compared with patients without IPH. METHODS:We conducted a c...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章,meta分析,评审

    doi:10.1136/neurintsurg-2016-012593

    authors: Brinjikji W,Lehman VT,Huston J 3rd,Murad MH,Lanzino G,Cloft HJ,Kallmes DF

    更新日期:2017-09-01 00:00:00

  • Risk of distal embolization with stent retriever thrombectomy and ADAPT.

    abstract:BACKGROUND:There is a discrepancy in clinical outcomes and the achieved recanalization rates with stent retrievers in the endovascular treatment of ischemic stroke. It is our hypothesis that procedural release of embolic particulate may be one contributor to poor outcomes and is a modifiable risk. The goal of this stud...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2014-011491

    authors: Chueh JY,Puri AS,Wakhloo AK,Gounis MJ

    更新日期:2016-02-01 00:00:00

  • Ultrasound for the evaluation of stenosis after flow diversion.

    abstract:BACKGROUND AND PURPOSE:Flow diversion is a relatively new strategy used to treat complex cerebral aneurysms. The optimal method for radiographic follow-up of patients treated with flow diverters has not been established. The rate and clinical implications of in-stent stenosis for these devices is unclear. We evaluate t...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2017-013049

    authors: McDougall CM,Khan K,Saqqur M,Jack A,Rempel J,Derksen C,Xi Y,Chow M

    更新日期:2018-03-01 00:00:00

  • Carotid stenting and intracranial thrombectomy for treatment of acute stroke due to tandem occlusions with aggressive antiplatelet therapy may be associated with a high incidence of intracranial hemorrhage.

    abstract:BACKGROUND:Acute stroke from tandem extracranial carotid artery and intracranial large vessel occlusion poses challenges for emergency endovascular treatment. Establishing and maintaining patency of the carotid artery and avoiding intracranial hemorrhage are competing concerns. METHODS:Twenty-three consecutive cases o...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2014-011224

    authors: Heck DV,Brown MD

    更新日期:2015-03-01 00:00:00

  • Development of syndrome of inappropriate antidiuretic hormone secretion (SIADH) after Onyx embolisation of a cavernous carotid fistula.

    abstract::Patients with cavernous carotid fistulas (CCFs) can present with pituitary hypoperfusion and hypopituitarism; however, there are no previous reports of pituitary or hormonal abnormalities developing after CCF embolisation in an asymptomatic patient. We describe a patient with no hormonal abnormalities who developed sy...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2015-012104.rep

    authors: Chen T,Kalani MY,Ducruet AF,Albuquerque FC,McDougall CG

    更新日期:2017-01-01 00:00:00

  • Evaluation of time to aneurysm treatment following subarachnoid hemorrhage: comparison of patients treated with clipping versus coiling.

    abstract:INTRODUCTION:Prior studies of aneurysmal subarachnoid hemorrhage (SAH) have shown that treatment at teaching institutions and decreased time to surgery are factors that correlate with improved patient outcome. We aimed to individually evaluate the effect of teaching institution treatment on rates of surgical clipping o...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2014-011642

    authors: Attenello FJ,Reid P,Wen T,Cen S,Kim-Tenser M,Sanossian N,Russin J,Amar A,Giannotta S,Mack WJ,Tenser M

    更新日期:2016-04-01 00:00:00

  • Concomitant coiling reduces metalloproteinase levels in flow diverter-treated aneurysms but anti-inflammatory treatment has no effect.

    abstract:BACKGROUND AND PURPOSE:Flow diverters (FD) can cause rare but devastating delayed aneurysm ruptures in which matrix metalloproteinases (MMPs) have been potentially implicated. Concomitant coiling or anti-inflammatory medications have been proposed to prevent the risk of delayed ruptures. The aim of this study was to ev...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2015-012207

    authors: Thielen E,McClure M,Rouchaud A,Ding YH,Dai D,Schroeder D,Cebral J,Kallmes DF,Kadirvel R

    更新日期:2017-03-01 00:00:00

  • Treatment of recurrent intracranial aneurysms with the Pipeline Embolization Device.

    abstract:BACKGROUND:The treatment of recurrent aneurysms after previous surgery or embolization is challenging. Little is known regarding the use of the Pipeline Embolization Device (PED) for recurrent aneurysms. OBJECTIVE:To analyze the safety and results of PED therapy for recurrent aneurysms. METHODS:Fifteen patients with ...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2012-010612

    authors: Chalouhi N,Chitale R,Starke RM,Jabbour P,Tjoumakaris S,Dumont AS,Rosenwasser RH,Gonzalez LF

    更新日期:2014-01-01 00:00:00

  • Solitaire FR thrombectomy system: immediate results in 56 consecutive acute ischemic stroke patients.

    abstract:BACKGROUND AND PURPOSE:Prompt recanalization of cerebral arteries in patients diagnosed with acute ischemic stroke is known to be associated with a better clinical outcome. The aim of this study was to present our initial experience regarding the efficacy and safety of the Solitaire FR as a revascularization device. M...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/jnis.2010.004051.rep

    authors: Machi P,Costalat V,Lobotesis K,Lima Maldonado I,Vendrell JF,Riquelme C,Bonafé A

    更新日期:2018-07-01 00:00:00

  • A novel approach to the treatment of a direct carotid-cavernous fistula in a patient with Ehlers-Danlos syndrome type IV.

    abstract::We report a case of a direct carotid-cavernous fistula (CCF) in a patient with Ehlers-Danlos syndrome type IV who presented with progressive chemosis and diplopia. To prevent potential lethal arterial wall injury due to the fragility of the arterial vessel wall, the ipsilateral carotid artery and internal jugular vein...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2014-011414.rep

    authors: Nakagawa I,Park HS,Wada T,Takayama K,Nakagawa H,Kichikawa K,Nakase H

    更新日期:2016-01-01 00:00:00

  • Reporting standards for endovascular repair of saccular intracranial cerebral aneurysms.

    abstract:BACKGROUND AND PURPOSE:The goal of this article is to provide consensus recommendations for reporting standards, terminology, and written definitions when reporting on the radiological evaluation and endovascular treatment of intracranial, cerebral aneurysms. These criteria can be used to design clinical trials, to pro...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章,实务指引

    doi:10.1136/jnis.2010.002337

    authors: Meyers PM,Schumacher HC,Higashida RT,Derdeyn CP,Nesbit GM,Sacks D,Wechsler LR,Bederson JB,Lavine SD,Rasmussen P,Joint Writing Group of the Technology Assessment Committee, Society of Neurolnterventional Surgery, Society of Interventi

    更新日期:2010-12-01 00:00:00

  • Impact of WASID and Wingspan on the frequency of intracranial angioplasty and stenting at a high volume tertiary care hospital.

    abstract:BACKGROUND AND PURPOSE:The impact of the Warfarin and Aspirin for Symptomatic Intracranial Disease (WASID) data is described in combination with the commercial release of the Wingspan stenting system on the frequency of neurointervention for the treatment of symptomatic intracranial atherosclerotic disease (ICAD) in a ...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/jnis.2009.000497

    authors: Moskowitz SI,Kelly ME,Obuchowski N,Fiorella D

    更新日期:2009-12-01 00:00:00

  • Pre-hospital detection of acute ischemic stroke secondary to emergent large vessel occlusion: lessons learned from electrocardiogram and acute myocardial infarction.

    abstract::Currently, there is no device capable of detecting acute ischemic stroke (AIS) secondary to emergent large vessel occlusion (ELVO) in the pre-hospital setting. The inability to reliably identify patients that would benefit from primary treatment with endovascular thrombectomy remains an important limitation to optimiz...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章,评审

    doi:10.1136/neurintsurg-2017-013428

    authors: Chartrain AG,Kellner CP,Mocco J

    更新日期:2018-06-01 00:00:00

  • The first North American use of the Pipeline Flex flow diverter.

    abstract::Flow diversion for the management of intracranial aneurysms represents a paradigm shift in how aneurysms are managed. The Pipeline embolization device (PED) is, to date, the only flow diverter approved for use in the USA by the Food and Drug Administration. Limitations and complications with new treatment strategies a...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2014-011548.rep

    authors: Duckworth EA,Nickele C,Hoit D,Belayev A,Moran CJ,Arthur AS

    更新日期:2016-02-01 00:00:00

  • Endovascular treatment of intracranial aneurysms with the LVIS device: a systematic review.

    abstract:OBJECTIVE:Despite promising initial results, current knowledge regarding the use of the Low-profile Visualized Intraluminal Support (LVIS) device to treat wide-necked intracranial aneurysms is still limited. Our aim is to evaluate the feasibility, efficacy, and safety of the LVIS device in stent-assisted coiling of int...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章,评审

    doi:10.1136/neurintsurg-2016-012403

    authors: Zhang X,Zhong J,Gao H,Xu F,Bambakidis NC

    更新日期:2017-06-01 00:00:00

  • Stent-assisted coiling of cerebral aneurysms using the Y-stenting technique: a systematic review and meta-analysis.

    abstract:BACKGROUND:Bifurcation aneurysms can be treated with stent-assisted coiling using two stents in a Y-configuration. We aim to investigate the angiographic and clinical outcomes of Y-stent constructs for the treatment of intracranial aneurysms. METHODS:A systematic review of PubMed, Ovid MEDLINE, and Ovid EMBASE databas...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章,meta分析

    doi:10.1136/neurintsurg-2018-014517

    authors: Granja MF,Cortez GM,Aguilar-Salinas P,Agnoletto GJ,Imbarrato G,Jaume A,Aghaebrahim A,Sauvageau E,Hanel RA

    更新日期:2019-07-01 00:00:00

  • Picture-to-puncture time in acute stroke endovascular intervention: are we getting faster?

    abstract:BACKGROUND:In acute stroke management, time efficiency in the continuum of patient management is critical. We aimed to determine if implementation of system improvements at our institution translated to reduced picture-to-puncture (P2P) times over a 6-year period. METHODS:We conducted a single-center retrospective ana...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2014-011177

    authors: van Heerden J,Yan B,Churilov L,Dowling RJ,Mitchell PJ

    更新日期:2015-08-01 00:00:00

  • Quantification of speed-up and accuracy of multi-CPU computational flow dynamics simulations of hemodynamics in a posterior communicating artery aneurysm of complex geometry.

    abstract:BACKGROUND:Towards the translation of computational fluid dynamics (CFD) techniques into the clinical workflow, performance increases achieved with parallel multi-central processing unit (CPU) pulsatile CFD simulations in a patient-derived model of a bilobed posterior communicating artery aneurysm were evaluated while ...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2012-010586

    authors: Karmonik C,Yen C,Gabriel E,Partovi S,Horner M,Zhang YJ,Klucznik RP,Diaz O,Grossman RG

    更新日期:2013-11-01 00:00:00

  • Immediate procedural outcomes in 44 consecutive Pipeline Flex cases: the first North American single-center series.

    abstract:BACKGROUND:Flow diversion is an established technique for treatment of cerebral aneurysms. The Pipeline embolization device (PED) is the only FDA-approved flow diverting stent in the USA. A second-generation device, PED Flex, has recently been released with modifications to the delivery system. Published reports of exp...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2015-011894

    authors: Colby GP,Lin LM,Caplan JM,Jiang B,Huang J,Tamargo RJ,Coon AL

    更新日期:2016-07-01 00:00:00

  • Middle meningeal artery embolization as an adjuvant treatment to surgery for symptomatic chronic subdural hematoma: a pilot study assessing hematoma volume resorption.

    abstract:BACKGROUND:Chronic subdural hematoma (CSDH) is a common condition requiring surgical treatment; however, recurrence occurs in 15% of cases at 1 year. Middle meningeal artery (MMA) embolization has recently emerged as a promising treatment to prevent CSDH recurrence. OBJECTIVE:To investigate the effect of MMA embolizat...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1136/neurintsurg-2019-015421

    authors: Ng S,Derraz I,Boetto J,Dargazanli C,Poulen G,Gascou G,Lefevre PH,Molinari N,Lonjon N,Costalat V

    更新日期:2020-07-01 00:00:00

  • Heterogeneous practice patterns regarding antiplatelet medications for neuroendovascular stenting in the USA: a multicenter survey.

    abstract:BACKGROUND:Adequate dual antiplatelet (AP) therapy is imperative when performing neurovascular stenting procedures. Currently, no consensus for the ideal AP regimen exists. Thus the present study aimed to gain a better understanding of real world practice AP patterns by surveying neurointerventional surgeons. METHODS:...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2013-010954

    authors: Faught RW,Satti SR,Hurst RW,Pukenas BA,Smith MJ

    更新日期:2014-12-01 00:00:00

  • The stent anchor technique for distal access through a large or giant aneurysm.

    abstract::Large and giant aneurysms pose significant challenges to the endovascular techniques of coil embolization or parent vessel reconstruction. Many large aneurysms are wide-necked with bulbous domes and frequently require stent-assisted coiling or flow diversion to reconstruct and preserve flow through the parent artery. ...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2012-010276

    authors: Fargen KM,Velat GJ,Lawson MF,Hoh BL,Mocco J

    更新日期:2013-07-01 00:00:00

  • The bihemispheric posterior interior cerebellar artery: anatomic variations and clinical relevance in 11 cases.

    abstract:PURPOSE:Although the anatomic course of the posterior interior cerebellar artery (PICA) is variable, it is thought to be very rare for the artery to cross midline, with an estimated incidence of 0.1%. Bihemispheric PICA crosses midline and typically serves both PICA territories. METHODS:We present 11 cases of bihemisp...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2012-010527

    authors: Carlson AP,Alaraj A,Dashti R,Aletich VA

    更新日期:2013-11-01 00:00:00

  • Bilateral inferior petrosal sinus sampling with desmopressin.

    abstract::In this technical note, the use of desmopressin to stimulate pituitary adrenocorticotropic hormone secretion in place of the commercially available corticotropin releasing hormone (CRH) in bilateral inferior petrosal sinus sampling is described. Although the use of CRH is the standard of practice, it is currently unav...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2012-010437

    authors: Deipolyi AR,Hirsch JA,Oklu R

    更新日期:2013-09-01 00:00:00

  • Endovascular treatment for ruptured and unruptured vertebral artery dissecting aneurysms: a meta-analysis.

    abstract:BACKGROUND:Different endovascular modalities have been applied to the treatment of vertebral artery dissecting aneurysms, the most commonly used being internal trapping and stent-assisted coiling, although the ideal treatment remains controversial. OBJECTIVE:To perform a meta-analysis to study clinical outcomes of pat...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章,meta分析

    doi:10.1136/neurintsurg-2016-012309

    authors: Guan J,Li G,Kong X,He C,Long J,Qin H,Zhang H,Wang R

    更新日期:2017-06-01 00:00:00

  • Real-world stent retriever thrombectomy for acute ischemic stroke beyond 6 hours of onset: analysis of the NASA and TRACK registries.

    abstract:BACKGROUND:The DEFUSE 3 and DAWN trials have shown the benefit of thrombectomy beyond 6 hours of stroke symptom onset in carefully selected patients. OBJECTIVE:To evaluate the real-world outcomes of stent retriever thrombectomy beyond 6 hours of stroke onset using combined individual patient data from the North Americ...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2018-014272

    authors: Mokin M,Abou-Chebl A,Castonguay AC,Nogueira RG,English JD,Farid H,Gupta R,Martin C,Holloway WE,Haussen DC,Mueller-Kronast N,Zaidat OO,NASA and TRACK investigators.

    更新日期:2019-04-01 00:00:00

  • Per-pass analysis of acute ischemic stroke clots: impact of stroke etiology on extracted clot area and histological composition.

    abstract:BACKGROUND:Initial studies investigating correlations between stroke etiology and clot composition are conflicting and do not account for clot size as determined by area. Radiological studies have shown that cardioembolic strokes are associated with shorter clot lengths and lower clot burden than non-cardioembolic clot...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2020-016966

    authors: Fitzgerald S,Rossi R,Mereuta OM,Jabrah D,Okolo A,Douglas A,Molina Gil S,Pandit A,McCarthy R,Gilvarry M,Dunker D,Nordanstig A,Ceder E,Redfors P,Jood K,Dehlfors N,Magoufis G,Tsivgoulis G,Brinjikji W,Kallmes DF,O'Har

    更新日期:2020-12-09 00:00:00

  • Endovascular treatment of head and neck arteriovenous malformations: long-term angiographic and quality of life results.

    abstract:AIM:To present the long-term angiographic and subjective results of patients with head and neck arteriovenous malformations (HNAVMs) after endovascular treatment. METHODS:We retrospectively analyzed the medical files of 14 patients with HNAVM who were treated between 2000 and 2014. The treatment of choice was a transa...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2016-012570

    authors: Meila D,Grieb D,Greling B,Melber K,Jacobs C,Hechtner M,Schmitz T,Schlunz-Hendann M,Lanfermann H,Brassel F

    更新日期:2017-09-01 00:00:00

  • Reversible cerebral vasoconstriction syndromes presenting with subarachnoid hemorrhage: a case series.

    abstract:BACKGROUND AND PURPOSE:Reversible cerebral vasoconstriction syndromes (RCVS) represent a heterogeneous group of cerebrovascular disease characterized by acute presentations and transient segmental narrowing of the distal intracranial arteries. A series of patients with RCVS were studied to better understand the clinica...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/jnis.2010.004242

    authors: Ansari SA,Rath TJ,Gandhi D

    更新日期:2011-09-01 00:00:00

  • Ophthalmic artery occlusion after Pipeline Embolization Device placement with reconstitution of flow via an endoleak: a report of two cases.

    abstract::The Pipeline Embolization Device (PED) is a flow diverting stent used in the treatment of a wide variety of intracranial aneurysms. The device differs from traditional stents used in stent-assisted coil embolization in that it has a tighter lattice structure with smaller cell sizes designed specifically to disrupt blo...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2016-012782

    authors: Adix ML,Kaminsky IA,Choi IS

    更新日期:2017-07-01 00:00:00