Timing of Carotid Revascularization Procedures After Ischemic Stroke.

Abstract:

BACKGROUND AND PURPOSE:In 2006, the American Heart Association recommended that carotid revascularization generally occurs within 2 weeks of stroke based on data from 2 trials of carotid endarterectomy (CEA). We aimed to determine whether the time between stroke and CEA or carotid artery stenting (CAS) has decreased and whether the proportion of procedures occurring within 14 days has increased. METHODS:Using validated International Classification of Diseases, Ninth Revision, Clinical Modification codes and administrative claims data from nonfederal hospitals in CA, FL, and NY, we identified patients with ischemic stroke who underwent CEA or CAS within 90 days of an ischemic stroke from 2005 to 2013. Our outcomes were the number of days between stroke and CEA/CAS and the proportion of patients undergoing CEA/CAS within the recommended 14-day period. We assessed temporal trends using nonparametric correlation, the χ2 test for trend, and logistic regression. RESULTS:We identified 16 298 patients with ischemic stroke who underwent CEA/CAS within 90 days. The time from stroke to CEA/CAS decreased from 25 days (interquartile range, 5-48 days) in 2005 to 6 days (interquartile range, 3-17 days) in 2013 (P<0.001). The proportion of patients who underwent CEA/CAS within 14 days of stroke increased from 40% (95% confidence interval, 37%-43%) in 2005 to 73% (95% confidence interval, 71%-76%) in 2013 (P<0.001). These temporal trends remained significant after adjustment for patient demographics and comorbidities. CONCLUSIONS:Since 2005, revascularization for symptomatic carotid disease has been occurring progressively sooner after ischemic stroke.

journal_name

Stroke

journal_title

Stroke

authors

Reznik M,Kamel H,Gialdini G,Pandya A,Navi BB,Gupta A

doi

10.1161/STROKEAHA.116.015766

subject

Has Abstract

pub_date

2017-01-01 00:00:00

pages

225-228

issue

1

eissn

0039-2499

issn

1524-4628

pii

STROKEAHA.116.015766

journal_volume

48

pub_type

杂志文章

相关文献

STROKE文献大全
  • Neuropathologic and Cognitive Correlates of Enlarged Perivascular Spaces in a Community-Based Cohort of Older Adults.

    abstract:BACKGROUND AND PURPOSE:Enlarged perivascular spaces (EPVS) have been associated with aging, increased stroke risk, decreased cognitive function, and vascular dementia. However, the relationship of EPVS with age-related neuropathologies is not well understood. Therefore, the purpose of this study was to assess the neuro...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.120.029388

    authors: Javierre-Petit C,Schneider JA,Kapasi A,Makkinejad N,Tamhane AA,Leurgans SE,Mehta RI,Barnes LL,Bennett DA,Arfanakis K

    更新日期:2020-09-01 00:00:00

  • Variations in case fatality and dependency from stroke in western and central Europe. The European BIOMED Study of Stroke Care Group.

    abstract:BACKGROUND AND PURPOSE:There are significant variations in mortality rates from stroke in Europe. A European Union BIOMED Concerted Action was established to assess and determine the reasons for the variations in case fatality and disability after stroke. METHODS:Hospital-based stroke registers were established in 12 ...

    journal_title:Stroke

    pub_type: 杂志文章,多中心研究

    doi:10.1161/01.str.30.2.350

    authors: Wolfe CD,Tilling K,Beech R,Rudd AG

    更新日期:1999-02-01 00:00:00

  • Clomethiazole Acute Stroke Study in ischemic stroke (CLASS-I): final results.

    abstract:BACKGROUND AND PURPOSE:A previous trial (the Clomethiazole Acute Stroke Study) generated the hypothesis that clomethiazole is effective in patients with a major ischemic stroke (total anterior circulation syndrome), and this was tested in the present study. METHODS:A total of 1198 patients with major ischemic stroke a...

    journal_title:Stroke

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1161/hs0102.101478

    authors: Lyden P,Shuaib A,Ng K,Levin K,Atkinson RP,Rajput A,Wechsler L,Ashwood T,Claesson L,Odergren T,Salazar-Grueso E,CLASS-I\/H\/T Investigators.

    更新日期:2002-01-01 00:00:00

  • Glucose Modifies the Effect of Endovascular Thrombectomy in Patients With Acute Stroke.

    abstract::Background and Purpose- Hyperglycemia is a negative prognostic factor after acute ischemic stroke but is not known whether glucose is associated with the effects of endovascular thrombectomy (EVT) in patients with large-vessel stroke. In a pooled-data meta-analysis, we analyzed whether serum glucose is a treatment mod...

    journal_title:Stroke

    pub_type: 杂志文章,meta分析

    doi:10.1161/STROKEAHA.118.023769

    authors: Chamorro Á,Brown S,Amaro S,Hill MD,Muir KW,Dippel DWJ,van Zwam W,Butcher K,Ford GA,den Hertog HM,Mitchell PJ,Demchuk AM,Majoie CBLM,Bracard S,Sibon I,Jadhav AP,Lara-Rodriguez B,van der Lugt A,Osei E,Renú A,Richard

    更新日期:2019-03-01 00:00:00

  • Changes in stroke mortality rates for 1950 to 1997: a great slowdown of decline trend in Japan.

    abstract:BACKGROUND AND PURPOSE:Stroke is the second leading cause of death in Japan. We sought to examine changes in stroke mortality rates by age, sex, and birth cohorts from 1950 to 1997. METHODS:The numbers of deaths from stroke and the population by age and sex in subjects aged 55 to 79 years between 1950 and 1997 were ob...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.32.8.1745

    authors: Liu L,Ikeda K,Yamori Y

    更新日期:2001-08-01 00:00:00

  • Cognitive behavioral psychotherapy for depression following stroke: a randomized controlled trial.

    abstract:BACKGROUND AND PURPOSE:There is inconclusive evidence of the effectiveness of psychological interventions for depression after stroke. We report the results from a randomized controlled trial of cognitive behavioral therapy (CBT). METHODS:Stroke patients admitted to hospital were invited to complete mood questionnaire...

    journal_title:Stroke

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.str.0000044167.44670.55

    authors: Lincoln NB,Flannaghan T

    更新日期:2003-01-01 00:00:00

  • Lamotrigine protects hippocampal CA1 neurons from ischemic damage after cardiac arrest.

    abstract:BACKGROUND AND PURPOSE:Lamotrigine (LTG) is an anticonvulsant drug whose mechanism of action may involve the inhibition of glutamate release by blocking voltage-dependent sodium channels. Glutamate neurotoxicity may contribute to cerebral ischemic damage after recovery from cardiac arrest. Thus, LTG may prevent the bra...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.28.11.2230

    authors: Crumrine RC,Bergstrand K,Cooper AT,Faison WL,Cooper BR

    更新日期:1997-11-01 00:00:00

  • Dural arteriovenous shunts: a new classification of craniospinal epidural venous anatomical bases and clinical correlations.

    abstract:BACKGROUND AND PURPOSE:The craniospinal epidural spaces can be categorized into 3 different compartments related to their specific drainage role of the bone and central nervous system, the ventral epidural, dorsal epidural, and lateral epidural groups. We propose this new classification system for dural arteriovenous s...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.108.516757

    authors: Geibprasert S,Pereira V,Krings T,Jiarakongmun P,Toulgoat F,Pongpech S,Lasjaunias P

    更新日期:2008-10-01 00:00:00

  • Analysis of endoglin expression in normal brain tissue and in cerebral arteriovenous malformations.

    abstract:BACKGROUND AND PURPOSE:A high incidence of arteriovenous malformations (AVMs) is associated with hereditary hemorrhagic telangiectasia type 1. Endoglin, the gene mutated in this disorder, is expressed at reduced levels on blood vessels of these patients. Since endoglin is a component of the transforming growth factor-b...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.31.11.2653

    authors: Matsubara S,Bourdeau A,terBrugge KG,Wallace C,Letarte M

    更新日期:2000-11-01 00:00:00

  • Brain pHi, cerebral blood flow, and NADH fluorescence during severe incomplete global ischemia in rabbits.

    abstract:BACKGROUND AND PURPOSE:The aim of this experiment was to study the serial changes in brain intracellular pH, cerebral blood flow, and the oxidation/reduction level of intramitochondrial nicotinamide adenine dinucleotide fluorescence across the cortical surface during severe incomplete global ischemia. METHODS:Reduced ...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.24.3.435

    authors: Tomlinson FH,Anderson RE,Meyer FB

    更新日期:1993-03-01 00:00:00

  • General and abdominal adiposity and risk of stroke in Chinese women.

    abstract:BACKGROUND AND PURPOSE:Although both general and abdominal adiposity are well-established risk factors for coronary heart disease, their associations with stroke are less well characterized, particularly in generally lean Asian populations. METHODS:We evaluated associations of body mass index (BMI), waist-hip ratio (W...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.108.539692

    authors: Zhang X,Shu XO,Gao YT,Yang G,Li H,Zheng W

    更新日期:2009-04-01 00:00:00

  • Cystatin C. Icelandic-like mutation in an animal model of cerebrovascular beta-amyloidosis.

    abstract:BACKGROUND AND PURPOSE:Cerebral amyloid angiopathy (CAA) occurs as a sporadic disorder in aged humans, as a frequent component of Alzheimer's disease, or in hereditary cerebral hemorrhage with amyloidosis (HCHWA). The primary histological locus of cerebral amyloid deposition varies in aged humans and in different speci...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.27.11.2080

    authors: Wei LH,Walker LC,Levy E

    更新日期:1996-11-01 00:00:00

  • Magnetic resonance and clinical cerebrovascular disease. An update.

    abstract::MRI is becoming the imaging modality of choice in patients with ischemic cerebrovascular disease although CT is still the test of choice to exclude acute hemorrhagic stroke. We have briefly reviewed characteristic features of ischemic and hemorrhagic cerebrovascular disease as well as vascular anomalies as seen on MRI...

    journal_title:Stroke

    pub_type: 杂志文章,评审

    doi:10.1161/01.str.20.9.1279

    authors: Ramadan NM,Deveshwar R,Levine SR

    更新日期:1989-09-01 00:00:00

  • Functional changes in human pial arteries (300 to 900 micrometer ID) within 48 hours of aneurysmal subarachnoid hemorrhage.

    abstract:BACKGROUND AND PURPOSE:Animal studies of cerebral arteries 2 to 3 days after experimental subarachnoid hemorrhage (SAH) provide evidence of arterial change such as hyperresponsiveness to contractile agonists. There is evidence that small arteries, as well as those large enough to be seen on angiography, may be involved...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.29.12.2575

    authors: Bevan JA,Bevan RD,Walters CL,Wellman T

    更新日期:1998-12-01 00:00:00

  • Infarct volume is a major determiner of post-stroke immune cell function and susceptibility to infection.

    abstract:BACKGROUND AND PURPOSE:Acute ischemic stroke in humans is associated with profound alterations in the immune system. Hallmarks of this stroke-induced immunodepression syndrome are: lymphocytopenia, impairment of T helper cell and monocyte function. We studied which stroke-specific factors predict these immunologic alte...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.109.557967

    authors: Hug A,Dalpke A,Wieczorek N,Giese T,Lorenz A,Auffarth G,Liesz A,Veltkamp R

    更新日期:2009-10-01 00:00:00

  • Complication rates and center enrollment volume in the carotid revascularization endarterectomy versus stenting trial.

    abstract:BACKGROUND AND PURPOSE:Evidence indicates that center volume of cases affects outcomes for both carotid endarterectomy and stenting. We evaluated the effect of enrollment volume by site on complication rates in the Carotid Revascularization Endarterectomy Versus Stenting Trial (CREST). METHODS:The primary composite en...

    journal_title:Stroke

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1161/STROKEAHA.114.006228

    authors: Gonzales NR,Demaerschalk BM,Voeks JH,Tom M,Howard G,Sheffet AJ,Garcia L,Clair DG,Barr J,Orlow S,Brott TG,CREST Investigators.

    更新日期:2014-11-01 00:00:00

  • Intracerebral hemorrhage in the very old: future demographic trends of an aging population.

    abstract:BACKGROUND AND PURPOSE:In most European societies and in the United States, the percentage of patients ≥80 years has been rising over the past century. The present study was conducted to observe this demographic change and its impact on patients with intracerebral hemorrhage (ICH). METHODS:We reviewed patients' data w...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.111.644716

    authors: Stein M,Misselwitz B,Hamann GF,Scharbrodt W,Schummer DI,Oertel MF

    更新日期:2012-04-01 00:00:00

  • Nosocomial pneumonia after acute stroke: implications for neurological intensive care medicine.

    abstract:BACKGROUND AND PURPOSE:Pneumonia has been estimated to occur in about one third of patients after acute stroke. Only limited data are available on stroke-associated pneumonia (SAP) in specialized neurological intensive care units (NICUs). METHODS:We enrolled 124 patients with acute stroke who were treated at our unive...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.STR.0000063373.70993.CD

    authors: Hilker R,Poetter C,Findeisen N,Sobesky J,Jacobs A,Neveling M,Heiss WD

    更新日期:2003-04-01 00:00:00

  • Magnitude and role of wall shear stress on cerebral aneurysm: computational fluid dynamic study of 20 middle cerebral artery aneurysms.

    abstract:BACKGROUND AND PURPOSE:Wall shear stress (WSS) is one of the main pathogenic factors in the development of saccular cerebral aneurysms. The magnitude and distribution of the WSS in and around human middle cerebral artery (MCA) aneurysms were analyzed using the method of computed fluid dynamics (CFD). METHODS:Twenty ma...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.STR.0000144648.89172.0f

    authors: Shojima M,Oshima M,Takagi K,Torii R,Hayakawa M,Katada K,Morita A,Kirino T

    更新日期:2004-11-01 00:00:00

  • Vessel Wall Enhancement and Blood-Cerebrospinal Fluid Barrier Disruption After Mechanical Thrombectomy in Acute Ischemic Stroke.

    abstract:BACKGROUND AND PURPOSE:Less than half of acute ischemic stroke patients treated with mechanical thrombectomy obtain permanent clinical benefits. Consequently, there is an urgent need to identify mechanisms implicated in the limited efficacy of early reperfusion. We evaluated the predictors and prognostic significance o...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.116.015648

    authors: Renú A,Laredo C,Lopez-Rueda A,Llull L,Tudela R,San-Roman L,Urra X,Blasco J,Macho J,Oleaga L,Chamorro A,Amaro S

    更新日期:2017-03-01 00:00:00

  • Hemodynamic changes by flow diverters in rabbit aneurysm models: a computational fluid dynamic study based on micro-computed tomography reconstruction.

    abstract:BACKGROUND AND PURPOSE:The effect of flow diverter (FD) on hemodynamic changes observed in aneurysms is inevitably affected by the actual structural configuration of deployed FD. We studied the resultant hemodynamic changes after implantation of FDs using computational fluid dynamic simulations based on micro-computed ...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.113.001202

    authors: Huang Q,Xu J,Cheng J,Wang S,Wang K,Liu JM

    更新日期:2013-07-01 00:00:00

  • Race/ethnicity and location of stroke mortality: implications for population-based studies.

    abstract:BACKGROUND AND PURPOSE:Stroke community surveillance projects often focus on hospital data rates. We hypothesized that not including strokes which occurred in nursing homes or at home would differentially affect race/ethnic stroke rates. METHODS:Texas vital statistics data were studied to compare age-specific (45 to 5...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.30.8.1501

    authors: Wein TH,Smith MA,Morgenstern LB

    更新日期:1999-08-01 00:00:00

  • Postischemic (1 hour) hypothermia significantly reduces ischemic cell damage in rats subjected to 2 hours of middle cerebral artery occlusion.

    abstract:BACKGROUND AND PURPOSE:We investigated the effect of hypothermia induced 1 hour after transient (2-hour) middle cerebral artery occlusion on the extent of ischemic cell damage in the rat. METHODS:Middle cerebral artery occlusion was induced extracranially by insertion of a nylon filament into the right internal caroti...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.24.8.1235

    authors: Zhang RL,Chopp M,Chen H,Garcia JH,Zhang ZG

    更新日期:1993-08-01 00:00:00

  • The effect of ritanserin, a 5-HT2 receptor antagonist, on ischemic cerebral blood flow and infarct volume in rat middle cerebral artery occlusion.

    abstract:BACKGROUND AND PURPOSE:In a previous study from our laboratory, ritanserin, a specific 5-HT2 serotonin receptor antagonist, reduced ischemic damage in the setting of transient global ischemia. In this study, we examined the effect of ritanserin on ischemic cerebral blood flow, systemic blood pressure, and infarct volum...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.25.2.481

    authors: Takagi K,Ginsberg MD,Globus MY,Busto R,Dietrich WD

    更新日期:1994-02-01 00:00:00

  • Rehabilitation outcome following initial unilateral hemispheric stroke. Life table analysis approach.

    abstract::Life table analysis is a powerful statistical tool that has become the preferred technique for studying both the natural history of and the effect of treatment on disease outcome. We have found only one report using life table analysis to study rehabilitation outcome after stroke. We assessed the recovery of both inde...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.19.11.1354

    authors: Reding MJ,Potes E

    更新日期:1988-11-01 00:00:00

  • Distinguishing between stroke and mimic at the bedside: the brain attack study.

    abstract:BACKGROUND AND PURPOSE:The bedside clinical assessment of the patient with suspected stroke has not been well studied. Improving clinical skills may accelerate patient progress through the emergency department. We aimed to determine the frequency and nature of stroke mimics and to identify the key clinical features tha...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.STR.0000204041.13466.4c

    authors: Hand PJ,Kwan J,Lindley RI,Dennis MS,Wardlaw JM

    更新日期:2006-03-01 00:00:00

  • First-Ever Stroke and Transient Ischemic Attack Incidence and 30-Day Case-Fatality Rates in a Population-Based Study in Argentina.

    abstract:BACKGROUND AND PURPOSE:Epidemiological data about stroke are scarce in low- and middle-income Latin-American countries. We investigated annual incidence of first-ever stroke and transient ischemic attack (TIA) and 30-day case-fatality rates in a population-based setting in Tandil, Argentina. METHODS:We prospectively i...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.116.013637

    authors: Bahit MC,Coppola ML,Riccio PM,Cipriano LE,Roth GA,Lopes RD,Feigin VL,Borrego Guerrero B,De Martino M,Díaz A,Ferrante D,Funaro F,Lavados P,Lewin ML,López DH,Macarrone P,Marciello R,Marino D,Martens C,Martínez P,Odr

    更新日期:2016-06-01 00:00:00

  • Validation of family history in subarachnoid hemorrhage.

    abstract:BACKGROUND AND PURPOSE:In 6% to 9% of patients with subarachnoid hemorrhage (SAH), familial aggregation occurs; truly familial cases carry a worse prognosis than sporadic cases and raise the question of screening. If relatives have died from SAH, the family history is often the only available clue to the diagnosis, but...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/01.str.27.4.630

    authors: Bromberg JE,Rinkel GJ,Algra A,Greebe P,Beldman T,van Gijn J

    更新日期:1996-04-01 00:00:00

  • Preoperative assessment of the carotid bifurcation. Can magnetic resonance angiography and duplex ultrasonography replace contrast arteriography?

    abstract:BACKGROUND AND PURPOSE:Noninvasive studies are used with increasing frequency to assess the carotid bifurcation before endarterectomy. Therefore, assessment of their diagnostic accuracies is essential for appropriate patient management. We prospectively evaluate two noninvasive tests, magnetic resonance angiography (MR...

    journal_title:Stroke

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.str.26.10.1753

    authors: Patel MR,Kuntz KM,Klufas RA,Kim D,Kramer J,Polak JF,Skillman JJ,Whittemore AD,Edelman RR,Kent KC

    更新日期:1995-10-01 00:00:00

  • Proportional Motor Recovery After Stroke: Implications for Trial Design.

    abstract:BACKGROUND AND PURPOSE:Recovery of upper-limb motor impairment after first-ever ischemic stroke is proportional to the degree of initial impairment in patients with a functional corticospinal tract (CST). This study aimed to investigate whether proportional recovery occurs in a more clinically relevant sample including...

    journal_title:Stroke

    pub_type: 杂志文章

    doi:10.1161/STROKEAHA.116.016020

    authors: Stinear CM,Byblow WD,Ackerley SJ,Smith MC,Borges VM,Barber PA

    更新日期:2017-03-01 00:00:00