Human Baharvahdat; Payam Sasannejad; Mahmud Mohammadzade Shabestari; Farzad Fazeli
Volume 24, Issue 6 , March and April 2018, , Pages 13-18
Abstract
Background & Objectives: Several studies confirmed that early recanalization of intracranial arteries during ischemic strokes result in better recovery of these patients after three months of treatment. Materials & Methods: Recanalization of cerebral arteries is performed using intravenous tPA ...
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Background & Objectives: Several studies confirmed that early recanalization of intracranial arteries during ischemic strokes result in better recovery of these patients after three months of treatment. Materials & Methods: Recanalization of cerebral arteries is performed using intravenous tPA or mechanical thrombectomy. Results: Intravenous tPA injection within 3 hours of ischemic stroke is associated with better outcome in three months follow-up. Intravenous tPA has less effect on large cerebral arteries, like internal carotid arteries. Recent studies showed that mechanical thrombectomy of large cerebral arteries within 6 hours of stroke onset is associated with better outcome three months after operation. Since 2015, mechanical thrombectomy has been entered in first-line of acute phase of ischemic stroke in several guidelines and countries. Mechanical thrombectomy included several different endovascular techniques, as thrombosuction and stent retrieval for clot removal. Conclusion: Understanding several these different techniques, thier benefits, and their safety could help better selection of suitable method for endovascular treatment of stroke patients.
M MOHAMMADZADEH SHABESTARI; AA DADGAR
Volume 12, Issue 2 , July and August 2005, , Pages 55-59
Abstract
Background and Purpose: Due to the significance of cerebrovascular accidents (CVA) and coronary arterial diseases (CAD) which occur contemporary in a short period and due to lack of reports in this regard, this study was planned to determine the prevalence of CVA in patients suffering from Acute Myocardial ...
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Background and Purpose: Due to the significance of cerebrovascular accidents (CVA) and coronary arterial diseases (CAD) which occur contemporary in a short period and due to lack of reports in this regard, this study was planned to determine the prevalence of CVA in patients suffering from Acute Myocardial Infraction (AMI).
Methods and Materials: This prospective, cross-sectional descriptive study was conducted with convenient sampling. All clinical and Para clinical information of 1000 patients with AMI hospitalized in Imamreza and Ghaem Hospitals of Mashad, Iran, were collected at their bedside using questionnaires.
Results: The prevalence of CVA was 2.2% where 73% were ischemic and 27% were hemorrhagic. 82% were male and the rest female; hemorrhagic CVA was most prevalent in women. They were most commonly found between 61 and 70 years of age. CVA occurred mostly between 4 and 11 O'clock in the morning, when AMI was also of high prevalence. Also Hypertension in Smokers was the greatest risk factor for CVA but no relationship was found to exist between arythmia and CVA. CVA led to death in 18% of the cases and 82% were discharged with residual morbidity.
Conclusion: The results indicated that, like global studies, CV A can be considered as one of the complications of AMI. High prevalence of hypertension is certainly a re-emphasis on controlling the blood pressure for the prevention of CVA and its fundamental influence on health and socioeconomic issues of the community.