Julie Shawver

One-Year Outcomes After Endovascular Treatment for Large Acute Ischemic Stroke

Osama O. Zaidat, Sami Al Kasab, Sunil A. Sheth, Ansaar Rai et autres

This randomized clinical trial examines 1-year safety and efficacy outcomes in patients who underwent intra-arterial thrombectomy or medical management following an acute ischemic stroke with large-core infarcts.

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Endovascular thrombectomy for patients with large-core ischaemic stroke presenting up to 24 h after onset (ATLAS): a systematic review and individual patient data meta-analysis with central imaging adjudication

Amrou Sarraj, Götz Thomalla, Shinichi Yoshimura, Xiaochuan Huo et autres

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Abstract 179: Impact of Seasonal Variation on Mechanical Thrombectomy Outcomes in Ischemic Stroke

Masoud Barzegar, Anna Mierzwa, Khaled M. Gharaibeh, Ali Arif Naqvi et autres

Introduction/Purpose Mechanical thrombectomy (MT) is the standard treatment for acute ischemic stroke due to large vessel occlusion, yet outcomes remain variable and may be influenced by environmental and seasonal factors. Prior studies have shown higher stroke incidence and mortality in colder months, …

Stroke Community Education: A novel approach

Julie Shawver

It is well known that up to 80% of strokes are preventable with appropriate control of modifiable cerebrovascular risk factors, yet stroke remains a leading cause of death and disability globally. The financial burden of stroke is staggering, often leaving patients without …

Thrombectomy for Stroke With Large Infarct on Noncontrast CT

Rhonda R. White, Kerry Gembreska, Varun Chaubal, Mohammad Almajali et autres

Importance: Recent large infarct thrombectomy trials used heterogeneous imaging modalities and time windows for patient selection. Noncontrast computed tomographic (CT) scan is the most common stroke imaging approach. It remains uncertain whether thrombectomy is effective for patients with large infarcts identified using …

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Predictors of outcome and symptomatic intracranial hemorrhage in acute basilar artery occlusions: Analysis of the PC-SEARCH thrombectomy registry

Adam T. Mierzwa, Ashley Nelson, Sami Al Kasab, Santiago Ortega‐Gutiérrez et autres

Abstract Introduction: Recent randomized controlled trials demonstrated superiority of mechanical thrombectomy compared to medical therapy in acute basilar artery occlusions, however, little data is available to guide clinicians in functional prognosis and risk stratification. Patients and Methods: Data from the retrospectively established …

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Expansion of Telestroke Coverage in Community Hospitals: Unifying Stroke Care and Reducing Transfer Rate

Hisham S. Alhajala, Melinda Hendricks‐Jones, Julie Shawver, Abdelaziz Amllay et autres

OBJECTIVE: Telestroke (TS) service has been shown to improve stroke diagnosis timing and accuracy, facilitate treatment decisions, and decrease interfacility transfers. Expanding TS service to inpatient units at the community hospital provides an opportunity to follow up on stroke patients and optimize …

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DIMR Score: A Tool for Determining the Destination of LVO Patients After Thrombolysis

Rahul R. Rao, Aizaz Ali, Zeinab Zoghi, Julie Shawver et autres

Abstract Background Stroke patients with large vessel occlusion (LVO) benefit from thrombolysis (tPA) and mechanical thrombectomy (MT). We aim to characterize triaging patterns in these patients, specifically those who go to perfusion-based imaging first or direct to angio in the drip-and-ship model. …

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Abstract 118: Expanded Tele-stroke Coverage In Community Hospitals Improves Care For Stroke Patients And Reduces Transfers

Hisham Alhajala, Melinda Hendricks‐Jones, Pratiti Ghosh-Dastidar, Julie Shawver et autres

Background: Minor ischemic strokes and transient ischemic attacks account for more than a third of ER stroke admissions (21% and 15%, respectively). Most small community hospitals lack adequate coverage by stroke service necessitating transfer of stroke patients to comprehensive stroke centers. Methods: …

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Abstract WP145: Posterior Circulation ASPECTS As A Predictor Of Clinical Outcomes In Basilar Artery Occlusion Requiring Mechanical Thrombectomy.

Adam T. Mierzwa, Hisham Salahuddin, Mouhammad A. Jumaa, Syed Zeeshan Raza Zaidi et autres

Introduction: Acute basilar artery (BA) occlusion represents a catastrophic form of acute ischemic stroke. Mechanical thrombectomy (MT) for this disease is frequently performed, despite the lack of level I evidence. In this study, we aim to identify predictors of good outcome in …

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Performance of the RACE Prehospital Triage Score During Working and Nonworking Hours

Hisham Salahuddin, Alicia C. Castonguay, Emi Hitomi, Syed Zaidi et autres

Background Prehospital triage scores aim to identify large vessel occlusions (LVOs) in the field; however, their real‐world performance and accuracy across a 24‐hour period remains unknown. In this study, we compare the positive predictive value of the prehospital Rapid Arterial occlusion Evaluation …

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P-036 Sensitivity of the RACW score in the detection of large vessel occlusions during working and non-working hours

Emi Hitomi, Mouhammad A. Jumaa, Syed Zaidi, Julie Shawver et autres

Introduction Multiple studies have shown that faster treatment times for ischemic strokes result in improved clinical outcomes. Pre-hospital triage scores aim to identify large vessel occlusions in the field and allow earlier activation of stroke teams in the hospital. Objective To compare …

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