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Author Guillaume Turc

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MT-DRAGON score for outcome prediction in acute ischemic stroke treated by mechanical thrombectomy within 8 hours.

Wagih Ben Hassen, Nicolas Raynaud, Nicolas Bricout, Gregoire Boulouis, Laurence Legrand, Marc Ferrigno, Apolline Kazemi, Martin Bretzner, Sebastien Soize, Wassim Farhat, Pierre Seners, Guillaume Turc, Mathieu Zuber, Catherine Oppenheim, Charlotte Cordonnier, Olivier Naggara, Hilde Henon,

OBJECTIVES:The MRI-DRAGON score includes clinical and MRI parameters and demonstrates a high specificity in predicting 3 month outcome in patients with acute ischemic stroke (AIS) treated with intravenous tissue plasminogen activator (IV tPA). The aim of this study was to adapt this score to mechanical thrombectomy (MT) in a large multicenter ... Read more >>

J Neurointerv Surg (Journal of neurointerventional surgery)
[2019, :]

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First-Line Use of Contact Aspiration or Stent Retriever Thrombectomy for Large Vessel Occlusion Stroke.

Guillaume Turc, Anthony S Kim,

Stroke (Stroke)
[2019, :STROKEAHA119025753]

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Intravenous thrombolysis prior to mechanical thrombectomy in large vessel occlusions.

Aristeidis H Katsanos, Konark Malhotra, Nitin Goyal, Adam Arthur, Peter D Schellinger, Martin Köhrmann, Christos Krogias, Guillaume Turc, Georgios Magoufis, Didier Leys, Niaz Ahmed, Pooja Khatri, Mayank Goyal, Andrei V Alexandrov, Georgios Tsivgoulis,

OBJECTIVE:The substantial clinical improvement in acute ischemic stroke (AIS) patients treated with mechanical thrombectomy (MT), combined with the poor response of proximal intracranial occlusions to intravenous thrombolysis (IVT), led to questions regarding the utility of bridging therapy (BT; IVT followed by MT) compared to direct mechanical thrombectomy (dMT) for AIS ... Read more >>

Ann. Neurol. (Annals of neurology)
[2019, 86(3):395-406]

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European Stroke Organisation (ESO)- European Society for Minimally Invasive Neurological Therapy (ESMINT) guidelines on mechanical thrombectomy in acute ischemic stroke.

Guillaume Turc, Pervinder Bhogal, Urs Fischer, Pooja Khatri, Kyriakos Lobotesis, Mikaël Mazighi, Peter D Schellinger, Danilo Toni, Joost de Vries, Philip White, Jens Fiehler,

BACKGROUND:Mechanical thrombectomy (MT) has become the cornerstone of acute ischemic stroke management in patients with large vessel occlusion (LVO). The aim of this guideline document is to assist physicians in their clinical decisions with regard to MT. METHODS:These guidelines were developed based on the standard operating procedure of the European ... Read more >>

J Neurointerv Surg (Journal of neurointerventional surgery)
[2019, 11(6):535-538]

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Benefit from revascularization after thrombectomy according to FLAIR vascular hyperintensities-DWI mismatch.

Laurence Legrand, Guillaume Turc, Myriam Edjlali, Marine Beaumont, Vincent Gautheron, Wagih Ben Hassen, Sylvain Charron, Denis Trystram, Grégoire Boulouis, Romain Bourcier, Joseph Benzakoun, Olivier Naggara, Frédéric Clarençon, Serge Bracard, Catherine Oppenheim, ,

OBJECTIVES:We tested whether FLAIR vascular hyperintensities (FVH)-DWI mismatch could identify candidates for thrombectomy most likely to benefit from revascularization. METHODS:We retrospectively reviewed 100 patients with proximal MCA occlusion from 18 stroke centers randomized in the IV-thrombolysis plus mechanical thrombectomy arm of the THRACE trial (2010-2015). We tested the associations between ... Read more >>

Eur Radiol (European radiology)
[2019, :]

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Better Collaterals Are Independently Associated With Post-Thrombolysis Recanalization Before Thrombectomy.

Pierre Seners, Pauline Roca, Laurence Legrand, Guillaume Turc, Jean-Philippe Cottier, Tae-Hee Cho, Caroline Arquizan, Serge Bracard, Canan Ozsancak, Wagih Ben Hassen, Olivier Naggara, Stéphanie Lion, Séverine Debiais, Yves Berthezene, Vincent Costalat, Sébastien Richard, Christophe Magni, Jean-Louis Mas, Jean-Claude Baron, Catherine Oppenheim,

Background and Purpose- In acute stroke patients with large vessel occlusion, the goal of intravenous thrombolysis (IVT) is to achieve early recanalization (ER). Apart from occlusion site and thrombus length, predictors of early post-IVT recanalization are poorly known. Better collaterals might also facilitate ER, for instance, by improving delivery of ... Read more >>

Stroke (Stroke)
[2019, 50(4):867-872]

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Relationships between brain perfusion and early recanalization after intravenous thrombolysis for acute stroke with large vessel occlusion.

Pierre Seners, Guillaume Turc, Stéphanie Lion, Jean-Philippe Cottier, Tae-Hee Cho, Caroline Arquizan, Serge Bracard, Canan Ozsancak, Laurence Legrand, Olivier Naggara, Séverine Debiais, Yves Berthezene, Vincent Costalat, Sébastien Richard, Christophe Magni, Norbert Nighoghossian, Ana-Paula Narata, Cyril Dargazanli, Benjamin Gory, Jean-Louis Mas, Catherine Oppenheim, Jean-Claude Baron,

In large vessel occlusion (LVO) stroke, it is unclear whether severity of ischemia is involved in early post-thrombolysis recanalization over and above thrombus site and length. Here we assessed the relationships between perfusion parameters and early recanalization following intravenous thrombolysis administration in LVO patients. From a multicenter registry, we identified ... Read more >>

J. Cereb. Blood Flow Metab. (Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism)
[2019, :271678X19836288]

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European Stroke Organisation (ESO) - European Society for Minimally Invasive Neurological Therapy (ESMINT) Guidelines on Mechanical Thrombectomy in Acute Ischemic Stroke.

Guillaume Turc, Pervinder Bhogal, Urs Fischer, Pooja Khatri, Kyriakos Lobotesis, Mikaël Mazighi, Peter D Schellinger, Danilo Toni, Joost de Vries, Philip White, Jens Fiehler,

BACKGROUND:Mechanical thrombectomy (MT) has become the cornerstone of acute ischemic stroke management in patients with large vessel occlusion (LVO). OBJECTIVE:To assist physicians in their clinical decisions with regard toMT. METHODS:These guidelines were developed based on the standard operating procedure of the European Stroke Organisation and followed the Grading of Recommendations, ... Read more >>

J Neurointerv Surg (Journal of neurointerventional surgery)
[2019, :]

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Thrombus Length Predicts Lack of Post-Thrombolysis Early Recanalization in Minor Stroke With Large Vessel Occlusion.

Pierre Seners, Julie Delepierre, Guillaume Turc, Hilde Henon, Michel Piotin, Caroline Arquizan, Tae-Hee Cho, Bertrand Lapergue, Jean-Philippe Cottier, Sébastien Richard, Laurence Legrand, Nicolas Bricout, Mikaël Mazighi, Cyril Dargazanli, Norbert Nighoghossian, Arturo Consoli, Séverine Debiais, Serge Bracard, Olivier Naggara, Xavier Leclerc, Michael Obadia, Vincent Costalat, Yves Berthezène, Marie Tisserand, Ana-Paula Narata, Benjamin Gory, Jean-Louis Mas, Catherine Oppenheim, Jean-Claude Baron, ,

Background and Purpose- Whether bridging therapy, that is, intravenous thrombolysis [IVT] followed by mechanical thrombectomy, is beneficial as compared with IVT alone in minor stroke (National Institutes of Health Stroke Scale ≤5) with large vessel occlusion is unknown and should be tested in randomized trials. To help select the most ... Read more >>

Stroke (Stroke)
[2019, 50(3):761-764]

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European Stroke Organisation (ESO) - European Society for Minimally Invasive Neurological Therapy (ESMINT) Guidelines on Mechanical Thrombectomy in Acute Ischaemic StrokeEndorsed by Stroke Alliance for Europe (SAFE).

Guillaume Turc, Pervinder Bhogal, Urs Fischer, Pooja Khatri, Kyriakos Lobotesis, Mikaël Mazighi, Peter D Schellinger, Danilo Toni, Joost de Vries, Philip White, Jens Fiehler,

Mechanical thrombectomy (MT) has become the cornerstone of acute ischaemic stroke management in patients with large vessel occlusion (LVO). The aim of this guideline document is to assist physicians in their clinical decisions with regard to MT. These Guidelines were developed based on the standard operating procedure of the European ... Read more >>

Eur Stroke J (European stroke journal)
[2019, 4(1):6-12]

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Predictors of new remote cerebral microbleeds after IV thrombolysis for ischemic stroke.

Tim Bastian Braemswig, Kersten Villringer, Guillaume Turc, Hebun Erdur, Jochen B Fiebach, Heinrich J Audebert, Matthias Endres, Christian H Nolte, Jan F Scheitz,

OBJECTIVE:To assess the frequency, associated factors, and underlying vasculopathy of new remote cerebral microbleeds (CMB), as well as the risk of concomitant hemorrhagic complications related to new CMBs, after IV thrombolysis (IVT) in acute stroke patients. METHODS:We conducted an observational study using data from our local thrombolysis registry. We included ... Read more >>

Neurology (Neurology)
[2019, 92(7):e630-e638]

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Stroke Associated With Recent Mycoplasma Pneumoniae Infection: A Systematic Review of Clinical Features and Presumed Pathophysiological Mechanisms.

Nicolas Mélé, Guillaume Turc,

Introduction: An association between Mycoplasma pneumoniae (MP) infection and stroke has been described, especially in children. However, current knowledge on this rare potential cause of stroke is scant. The purpose of this systematic review of all published cases was to help better understand the relationships between recent MP infection and ... Read more >>

Front Neurol (Frontiers in neurology)
[2018, 9:1109]

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Recanalization before Thrombectomy in Tenecteplase vs. Alteplase-Treated Drip-and-Ship Patients.

Pierre Seners, Jildaz Caroff, Nicolas Chausson, Guillaume Turc, Christian Denier, Michel Piotin, Manvel Aghasaryan, Cosmin Alecu, Olivier Chassin, Bertrand Lapergue, Olivier Naggara, Marc Ferrigno, Caroline Arquizan, Tae-Hee Cho, Ana-Paula Narata, Sébastien Richard, Nicolas Bricout, Mikaël Mazighi, Vincent Costalat, Benjamin Gory, Séverine Debiais, Arturo Consoli, Serge Bracard, Catherine Oppenheim, Jean-Louis Mas, Didier Smadja, Laurent Spelle, Jean-Claude Baron,

J Stroke (Journal of stroke)
[2019, 21(1):105-107]

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Post-Thrombolysis Recanalization in Stroke Referrals for Thrombectomy: Incidence, Predictors, and Prediction Scores.

Pierre Seners, Guillaume Turc, Olivier Naggara, Hilde Henon, Michel Piotin, Caroline Arquizan, Tae-Hee Cho, Ana-Paula Narata, Bertrand Lapergue, Sébastien Richard, Laurence Legrand, Nicolas Bricout, Raphaël Blanc, Cyril Dargazanli, Benjamin Gory, Séverine Debiais, Marie Tisserand, Serge Bracard, Xavier Leclerc, Michael Obadia, Vincent Costalat, Lise-Prune Berner, Jean-Philippe Cottier, Arturo Consoli, Xavier Ducrocq, Jean-Louis Mas, Catherine Oppenheim, Jean-Claude Baron, ,

Background and Purpose—Whether all acute stroke patients with large vessel occlusion need to undergo intravenous thrombolysis before mechanical thrombectomy (MT) is debated as (1) the incidence of post-thrombolysis early recanalization (ER) is still unclear; (2) thrombolysis may be harmful in patients unlikely to recanalize; and, conversely, (3) transfer for MT may be unnecessary ... Read more >>

Stroke (Stroke)
[2018, 49(12):2975–2982]

Cited: 1 time

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Penumbral imaging and functional outcome in patients with anterior circulation ischaemic stroke treated with endovascular thrombectomy versus medical therapy: a meta-analysis of individual patient-level data.

Bruce C V Campbell, Charles B L M Majoie, Gregory W Albers, Bijoy K Menon, Nawaf Yassi, Gagan Sharma, Wim H van Zwam, Robert J van Oostenbrugge, Andrew M Demchuk, Francis Guillemin, Philip White, Antoni Dávalos, Aad van der Lugt, Kenneth S Butcher, Aboubaker Cherifi, Henk A Marquering, Geoffrey Cloud, Juan M Macho Fernández, Jeremy Madigan, Catherine Oppenheim, Geoffrey A Donnan, Yvo B W E M Roos, Jai Shankar, Hester Lingsma, Alain Bonafé, Hélène Raoult, María Hernández-Pérez, Aditya Bharatha, Reza Jahan, Olav Jansen, Sébastien Richard, Elad I Levy, Olvert A Berkhemer, Marc Soudant, Lucia Aja, Stephen M Davis, Timo Krings, Marie Tisserand, Luis San Román, Alejandro Tomasello, Debbie Beumer, Scott Brown, David S Liebeskind, Serge Bracard, Keith W Muir, Diederik W J Dippel, Mayank Goyal, Jeffrey L Saver, Tudor G Jovin, Michael D Hill, Peter J Mitchell, ,

BACKGROUND:CT perfusion (CTP) and diffusion or perfusion MRI might assist patient selection for endovascular thrombectomy. We aimed to establish whether imaging assessments of irreversibly injured ischaemic core and potentially salvageable penumbra volumes were associated with functional outcome and whether they interacted with the treatment effect of endovascular thrombectomy on functional ... Read more >>

Lancet Neurol (The Lancet. Neurology)
[2019, 18(1):46-55]

Cited: 1 time

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Design and Methodology of a Pilot Randomized Controlled Trial of Transcranial Direct Current Stimulation in Acute Middle Cerebral Artery Stroke (STICA).

Estelle Pruvost-Robieux, David Calvet, Wagih Ben Hassen, Guillaume Turc, Angela Marchi, Nicolas Mélé, Pierre Seners, Catherine Oppenheim, Jean-Claude Baron, Jean-Louis Mas, Martine Gavaret,

Background: Stroke is a major cause of death and disability worldwide. The related burden is expected to further increase due to aging populations, calling for more efficient treatment. Ischemic stroke results from a focal reduction in cerebral blood flow due to the sudden occlusion of a brain artery. Ischemic brain ... Read more >>

Front Neurol (Frontiers in neurology)
[2018, 9:816]

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Prognostic Significance of Pulse Pressure Variability During Mechanical Thrombectomy in Acute Ischemic Stroke Patients.

Benjamin Maïer, Guillaume Turc, Guillaume Taylor, Raphaël Blanc, Michael Obadia, Stanislas Smajda, Jean-Philippe Desilles, Hocine Redjem, Gabriele Ciccio, William Boisseau, Candice Sabben, Malek Ben Machaa, Mylene Hamdani, Morgan Leguen, Etienne Gayat, Jacques Blacher, Bertrand Lapergue, Michel Piotin, Mikael Mazighi, ,

Background Studies on the role of blood pressure ( BP ) variability specifically during mechanical thrombectomy ( MT ) are sparse and limited. Moreover, pulse pressure ( PP ) has not been considered as a potent hemodynamic parameter to describe BP variability during MT . We assessed the impact of ... Read more >>

J Am Heart Assoc (Journal of the American Heart Association)
[2018, 7(18):e009378]

Cited: 1 time

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Imaging features and safety and efficacy of endovascular stroke treatment: a meta-analysis of individual patient-level data.

Luis San Román, Bijoy K Menon, Jordi Blasco, María Hernández-Pérez, Antoni Dávalos, Charles B L M Majoie, Bruce C V Campbell, Francis Guillemin, Hester Lingsma, René Anxionnat, Jonathan Epstein, Jeffrey L Saver, Henk Marquering, John H Wong, Demetrius Lopes, Gernot Reimann, Hubert Desal, Diederik W J Dippel, Shelagh Coutts, Richard du Mesnil de Rochemont, Dileep Yavagal, Jean Christophe Ferre, Yvo B W E M Roos, David S Liebeskind, Robert Lenthall, Carlos Molina, Fahad S Al Ajlan, Vivek Reddy, Dar Dowlatshahi, Nader-Antoine Sourour, Catherine Oppenheim, Alim P Mitha, Stephen M Davis, Christian Weimar, Robert J van Oostenbrugge, Erik Cobo, Timothy J Kleinig, Geoffrey A Donnan, Aad van der Lugt, Andrew M Demchuk, Olvert A Berkhemer, Anna M M Boers, Gary A Ford, Keith W Muir, B Scott Brown, Tudor Jovin, Wim H van Zwam, Peter J Mitchell, Michael D Hill, Phil White, Serge Bracard, Mayank Goyal, ,

BACKGROUND:Evidence regarding whether imaging can be used effectively to select patients for endovascular thrombectomy (EVT) is scarce. We aimed to investigate the association between baseline imaging features and safety and efficacy of EVT in acute ischaemic stroke caused by anterior large-vessel occlusion. METHODS:In this meta-analysis of individual patient-level data, the ... Read more >>

Lancet Neurol (The Lancet. Neurology)
[2018, 17(10):895-904]

Cited: 2 times

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Cohort profile: Thrombolysis in Ischemic Stroke Patients (TRISP): a multicentre research collaboration.

Jan F Scheitz, Henrik Gensicke, Sanne M Zinkstok, Sami Curtze, Marcel Arnold, Christian Hametner, Alessandro Pezzini, Guillaume Turc, Andrea Zini, Visnja Padjen, Susanne Wegener, Annika Nordanstig, Lars Kellert, Georg Kägi, Yannick Bejot, Patrik Michel, Didier Leys, Christian H Nolte, Paul J Nederkoorn, Stefan T Engelter, ,

PURPOSE:The ThRombolysis in Ischemic Stroke Patients (TRISP) collaboration aims to address clinically relevant questions about safety and outcomes of intravenous thrombolysis (IVT) and endovascular thrombectomy. The findings can provide observational information on treatment of patients derived from everyday clinical practice. PARTICIPANTS:TRISP is an open, investigator-driven collaborative research initiative of European ... Read more >>

BMJ Open (BMJ open)
[2018, 8(9):e023265]

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Efficacy of Endovascular Therapy in Acute Ischemic Stroke Depends on Age and Clinical Severity.

Raphaël Le Bouc, Frédéric Clarençon, Elena Meseguer, Bertrand Lapergue, Arturo Consoli, Guillaume Turc, Olivier Naggara, Duc Long Duong, Jerome Servan, Peggy Reiner, Marc Antoine Labeyrie, Mathieu Fisselier, Raphaël Blanc, Wassim Farhat, Christine Pires, Mathieu Zuber, Michael Obadia, Mikael Mazighi, Fernando Pico, Jean-Louis Mas, Pierre Amarenco, Yves Samson, ,

BACKGROUND AND PURPOSE:Efficacy of endovascular treatment (EVT) for ischemic stroke because of large vessel occlusion may depend on patients' age and stroke severity; we, therefore, developed a prognosis score based on these variables and examined whether EVT efficacy differs between patients with good, intermediate, or poor prognostic score. METHODS:A total ... Read more >>

Stroke (Stroke)
[2018, 49(7):1686-1694]

Cited: 1 time

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Closure, Anticoagulation, or Antiplatelet Therapy for Cryptogenic Stroke With Patent Foramen Ovale: Systematic Review of Randomized Trials, Sequential Meta-Analysis, and New Insights From the CLOSE Study.

Guillaume Turc, David Calvet, Patrice Guérin, Marjorie Sroussi, Gilles Chatellier, Jean-Louis Mas, ,

BACKGROUND:We conducted a systematic review and meta-analysis of randomized controlled trials (RCTs) comparing patent foramen ovale (PFO) closure, anticoagulation, and antiplatelet therapy to prevent stroke recurrence in patients with PFO-associated cryptogenic stroke. METHODS AND RESULTS:We searched Medline, Cochrane Library, and EMBASE through March 2018. The primary outcome was stroke recurrence. ... Read more >>

J Am Heart Assoc (Journal of the American Heart Association)
[2018, 7(12):]

Cited: 5 times

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Rivaroxaban plasma levels in acute ischemic stroke and intracerebral hemorrhage.

David J Seiffge, Georg Kägi, Patrik Michel, Urs Fischer, Yannick Béjot, Susanne Wegener, Marialuisa Zedde, Guillaume Turc, Charlotte Cordonnier, Peter S Sandor, Gilles Rodier, Andrea Zini, Manuel Cappellari, Sabine Schädelin, Alexandros A Polymeris, David Werring, Sebastian Thilemann, Ilaria Maestrini, Eivind Berge, Christopher Traenka, Jochen Vehoff, Gian Marco De Marchis, Monika Kapauer, Nils Peters, Gaia Sirimarco, Leo H Bonati, Marcel Arnold, Philippe A Lyrer, Emmanuel De Maistre, Andreas Luft, Dimtrios A Tsakiris, Stefan T Engelter, ,

OBJECTIVE:Information about rivaroxaban plasma level (RivLev) may guide treatment decisions in patients with acute ischemic stroke (AIS) and intracerebral hemorrhage (ICH) taking rivaroxaban. METHODS:In a multicenter registry-based study (Novel Oral Anticoagulants in Stroke Patients collaboration; ClinicalTrials.gov: NCT02353585) of patients with stroke while taking rivaroxaban, we compared RivLev in patients with ... Read more >>

Ann. Neurol. (Annals of neurology)
[2018, 83(3):451-459]

Cited: 6 times

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Effect of general anaesthesia on functional outcome in patients with anterior circulation ischaemic stroke having endovascular thrombectomy versus standard care: a meta-analysis of individual patient data.

Bruce C V Campbell, Wim H van Zwam, Mayank Goyal, Bijoy K Menon, Diederik W J Dippel, Andrew M Demchuk, Serge Bracard, Philip White, Antoni Dávalos, Charles B L M Majoie, Aad van der Lugt, Gary A Ford, Natalia Pérez de la Ossa, Michael Kelly, Romain Bourcier, Geoffrey A Donnan, Yvo B W E M Roos, Oh Young Bang, Raul G Nogueira, Thomas G Devlin, Lucie A van den Berg, Frédéric Clarençon, Paul Burns, Jeffrey Carpenter, Olvert A Berkhemer, Dileep R Yavagal, Vitor Mendes Pereira, Xavier Ducrocq, Anand Dixit, Helena Quesada, Jonathan Epstein, Stephen M Davis, Olav Jansen, Marta Rubiera, Xabier Urra, Emilien Micard, Hester F Lingsma, Olivier Naggara, Scott Brown, Francis Guillemin, Keith W Muir, Robert J van Oostenbrugge, Jeffrey L Saver, Tudor G Jovin, Michael D Hill, Peter J Mitchell, ,

BACKGROUND:General anaesthesia (GA) during endovascular thrombectomy has been associated with worse patient outcomes in observational studies compared with patients treated without GA. We assessed functional outcome in ischaemic stroke patients with large vessel anterior circulation occlusion undergoing endovascular thrombectomy under GA, versus thrombectomy not under GA (with or without sedation) ... Read more >>

Lancet Neurol (The Lancet. Neurology)
[2018, 17(1):47-53]

Cited: 15 times

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European Stroke Organisation (ESO) guidelines on glycaemia management in acute stroke.

Blanca Fuentes, George Ntaios, Jukka Putaala, Brenda Thomas, Guillaume Turc, Exuperio Díez-Tejedor, ,

Background:Hyperglycaemia is a frequent complication in acute stroke that has been shown to be independently associated with larger infarct size, haematoma growth, poor clinical outcome and mortality. This Guideline Document presents the European Stroke Organisation (ESO) Guidelines for the management of blood glucose levels in patients with acute ischemic or ... Read more >>

Eur Stroke J (European stroke journal)
[2018, 3(1):5-21]

Cited: 0 times

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Low fetal hemoglobin percentage is associated with silent brain lesions in adults with homozygous sickle cell disease.

David Calvet, Titien Tuilier, Nicolas Mélé, Guillaume Turc, Anoosha Habibi, Nassim Ait Abdallah, Loubna Majhadi, François Hemery, Myriam Edjlali, Frédéric Galacteros, Pablo Bartolucci,

Silent white matter changes (WMCs) on brain imaging are common in individuals with sickle cell disease (SCD) and are associated with cognitive deficits in children. We investigated the factors predictive of WMCs in adults with homozygous SCD and no history of neurological conditions. Patients were recruited from a cohort of ... Read more >>

Blood Adv (Blood advances)
[2017, 1(26):2503-2509]

Cited: 1 time

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