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Author Guillaume Turc

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Mechanical Thrombectomy for Acute Ischemic Stroke Amid the COVID-19 Outbreak: Decreased Activity, and Increased Care Delays.

Basile Kerleroux, Thibaut Fabacher, Nicolas Bricout, Martin Moïse, Benoit Testud, Sivadji Vingadassalom, Héloïse Ifergan, Kévin Janot, Arturo Consoli, Wagih Ben Hassen, Eimad Shotar, Julien Ognard, Guillaume Charbonnier, Vincent L'Allinec, Alexis Guédon, Federico Bolognini, Gaultier Marnat, Géraud Forestier, Aymeric Rouchaud, Raoul Pop, Nicolas Raynaud, François Zhu, Jonathan Cortese, Vanessa Chalumeau, Jérome Berge, Simon Escalard, Grégoire Boulouis, ,

BACKGROUND AND PURPOSE:The efficiency of prehospital care chain response and the adequacy of hospital resources are challenged amid the coronavirus disease 2019 (COVID-19) outbreak, with suspected consequences for patients with ischemic stroke eligible for mechanical thrombectomy (MT). METHODS:We conducted a prospective national-level data collection of patients treated with MT, ranging ... Read more >>

Stroke (Stroke)
[2020, :STROKEAHA120030373]

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Atrial Septal Aneurysm, Shunt Size, and Recurrent Stroke Risk in Patients With Patent Foramen Ovale.

Guillaume Turc, Jong-Young Lee, Eric Brochet, Jong S Kim, Jae-Kwan Song, Jean-Louis Mas, ,

BACKGROUND:In patients with patent foramen ovale (PFO)-associated stroke, the presence of large shunt or atrial septal aneurysm (ASA) has been suggested to convey a high risk of stroke recurrence. OBJECTIVES:The purpose of this study was to assess the respective influence of PFO size and ASA status on stroke recurrence under ... Read more >>

J. Am. Coll. Cardiol. (Journal of the American College of Cardiology)
[2020, 75(18):2312-2320]

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Bridging Therapy or IV Thrombolysis in Minor Stroke with Large Vessel Occlusion.

Pierre Seners, Claire Perrin, Bertrand Lapergue, Hilde Henon, Séverine Debiais, Denis Sablot, Isabelle Girard Buttaz, Ruben Tamazyan, Cécile Preterre, Nadia Laksiri, Gioia Mione, Caroline Arquizan, Ludovic Lucas, Jean-Claude Baron, Guillaume Turc, ,

OBJECTIVE:Whether bridging therapy (intravenous thrombolysis [IVT] followed by endovascular treatment) is superior to IVT alone in minor stroke with large vessel occlusion (LVO) is unknown. METHODS:Multicentric retrospective observational study including, in intention-to-treat, consecutive IVT-treated minor strokes (National Institutes of Health Stroke Scale [NIHSS] ≤ 5) with LVO, with or without additional ... Read more >>

Ann. Neurol. (Annals of neurology)
[2020, :]

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Quantitative Signal Intensity in Fluid-Attenuated Inversion Recovery and Treatment Effect in the WAKE-UP Trial.

Bastian Cheng, Florent Boutitie, Alina Nickel, Anke Wouters, Tae-Hee Cho, Martin Ebinger, Matthias Endres, Jochen B Fiebach, Jens Fiehler, Ivana Galinovic, Josep Puig, Vincent Thijs, Robin Lemmens, Keith W Muir, Norbert Nighoghossian, Salvador Pedraza, Claus Z Simonsen, Christian Gerloff, Götz Thomalla, ,

Background and Purpose- Relative signal intensity of acute ischemic stroke lesions in fluid-attenuated inversion recovery (fluid-attenuated inversion recovery relative signal intensity [FLAIR-rSI]) magnetic resonance imaging is associated with time elapsed since stroke onset with higher intensities signifying longer time intervals. In the randomized controlled WAKE-UP trial (Efficacy and Safety of ... Read more >>

Stroke (Stroke)
[2020, 51(1):209-215]

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Mortality Risk in Acute Ischemic Stroke Patients With Large Vessel Occlusion Treated With Mechanical Thrombectomy.

Aristeidis H Katsanos, Konark Malhotra, Nitin Goyal, Lina Palaiodimou, Peter D Schellinger, Valeria Caso, Charlotte Cordonnier, Guillaume Turc, Georgios Magoufis, Adam Arthur, Andrei V Alexandrov, Georgios Tsivgoulis,

Background Recent randomized controlled clinical trials have provided solid evidence that mechanical thrombectomy (MT) coupled with best medical therapy (BMT) improve functional outcomes of acute ischemic stroke patients with large vessel occlusion compared with BMT alone. However, they provided inconclusive evidence on the benefit of MT on mortality. Methods and ... Read more >>

J Am Heart Assoc (Journal of the American Heart Association)
[2019, 8(21):e014425]

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White matter hyperintensity burden in patients with ischemic stroke treated with thrombectomy.

Grégoire Boulouis, Nicolas Bricout, Wagih Benhassen, Marc Ferrigno, Guillaume Turc, Martin Bretzner, Joseph Benzakoun, Pierre Seners, Thomas Personnic, Laurence Legrand, Denis Trystram, Christine Rodriguez-Regent, Andreas Charidimou, Natalia S Rost, Serge Bracard, Charlotte Cordonnier, Catherine Oppenheim, Olivier Naggara, Hilde Henon,

INTRODUCTION:To determine the influence of white matter hyperintensity (WMH) burden on functional outcome, rate of symptomatic intracerebral hemorrhage (sICH), and procedural success in patients with acute ischemic stroke (AIS) treated by mechanical thrombectomy (MT) with current stentriever/aspiration devices. METHODS:Patients with AIS due to large vessel occlusion (LVO) from the Thrombectomie ... Read more >>

Neurology (Neurology)
[2019, 93(16):e1498-e1506]

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Consensus statements and recommendations from the ESO-Karolinska Stroke Update Conference, Stockholm 11-13 November 2018.

Niaz Ahmed, Heinrich Audebert, Guillaume Turc, Charlotte Cordonnier, Hanne Christensen, Simona Sacco, Else Charlotte Sandset, George Ntaios, Andreas Charidimou, Danilo Toni, Christian Pristipino, Martin Köhrmann, Joji B Kuramatsu, Götz Thomalla, Robert Mikulik, Gary A Ford, Joan Martí-Fàbregas, Urs Fischer, Magnus Thoren, Erik Lundström, Gabriel Je Rinkel, H Bart van der Worp, Marius Matusevicius, Georgios Tsivgoulis, Haralampos Milionis, Marta Rubiera, Robert Hart, Tiago Moreira, Maria Lantz, Christina Sjöstrand, Grethe Andersen, Peter Schellinger, Konstantinos Kostulas, Katharina Stibrant Sunnerhagen, Boris Keselman, Eleni Korompoki, Jan Purrucker, Pooja Khatri, William Whiteley, Eivind Berge, Michael Mazya, Diederik Wj Dippel, Satu Mustanoja, Mads Rasmussen, Åsa Kuntze Söderqvist, Irene Escudero-Martínez, Thorsten Steiner,

The purpose of the European Stroke Organisation-Karolinska Stroke Update Conference is to provide updates on recent stroke therapy research and to give an opportunity for the participants to discuss how these results may be implemented into clinical routine. The meeting started 22 years ago as Karolinska Stroke Update, but since ... Read more >>

Eur Stroke J (European stroke journal)
[2019, 4(4):307-317]

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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)
[2020, 12(3):246-251]

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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, 50(9):2634-2636]

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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]

Cited: 1 time

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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)
[2020, 40(3):667-677]

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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, 29(10):5567-5576]

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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, :]

Cited: 2 times

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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: 3 times

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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: 5 times

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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]

Cited: 1 time

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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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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: 2 times

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