Stroke

Cardiovascular departments are playing a role in stroke interventions at numerous health systems, working as part of the stroke care team with neurologists, radiology and the emergency department. Stroke first has be be classified as ischemic or hemorrhagic. These have very different care pathways. Ischemic strokes are increasingly being treated with neurological-interventional therapy that includes catheter based mechanical thrombectomy to remove the clot. This is a more aggressive treatment compared to traditional IV administration of tissue plasminogen activator (tPA) thrombolytic therapy to dissolve the clot. Subarachnoid hemorrhage (SAH) and  intracerebral hemorrhage (ICH) brain bleeds can also be treated in some cases stent flow diverters and embolization coils. 

Image of the Royal Philips Azurion neuro biplane system

Philips announces new Azurion update focused on improving care for stroke patients

According to Philips, this latest update makes the Azurion image-guided therapy platform more efficient than ever.

Using the Sentinel cerebral protection device during valve-in-valve TAVR is associated with significant clinical improvements.

Cerebral protection devices during valve-in-valve TAVR: Cleveland Clinic cardiologists identify key benefits

Cerebral protection devices, designed to limit the risk of stroke during transcatheter aortic valve replacement, may be especially helpful when patients undergo valve-in-valve TAVR.

artificial intelligence robot evaluates healthcare data

FDA clears advanced AI model for detecting, quantifying bleeding strokes

The new algorithm from Viz.ai is capable of identifying, labeling and quantifying brain bleeds in noncontrast CT images.

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AI, blood thinners and patient positioning: Exploring late-breaking science at the International Stroke Conference

ISC 2024 in Phoenix has already featured several eye-opening late-breaking presentations. One study, for example, found that positioning a stroke patient's head differently before surgery can significantly decrease the risk of neurological complications. 

Medtronic shared new STROKE AF data on the Reveal Linq ICM

Medtronic ICM a cost-effective approach for reducing the risk of ischemic stroke

Remote monitoring with the Reveal Linq insertable cardiac monitor can improve outcomes without breaking the bank, according to new data being presented at the International Stroke Conference in Phoenix.

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Plant-based diets lower risk of heart attack and stroke—going 100% vegan not necessary to see benefits

The study’s authors emphasized that a person can still occasionally eat meat, fish or dairy products and still see substantial benefits—the key is to keep such foods to a minimum.

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An updated look at combining LAAO with ablation, TAVR or other interventional heart procedures

Performing two procedures at once does not appear to make a significant impact on patient safety, though it may lead to a few new risks sure to interest heart teams. 

ICE-guided Watchman procedures linked to safety concerns—is TEE better for LAAO or will things improve?

TEE and ICE are each associated with certain advantages and disadvantages, researchers explained. The new analysis included data from nearly 40,000 patients.

Around the web

Ron Blankstein, MD, professor of radiology, Harvard Medical School, explains the use of artificial intelligence to detect heart disease in non-cardiac CT exams.

Eleven medical societies have signed on to a consensus statement aimed at standardizing imaging for suspected cardiovascular infections.