A5021022648- Acute Ischemic Stroke Management
- Cerebrovascular and Carotid Artery Diseases
- Intracerebral and Subarachnoid Hemorrhage Research
- Venous Thromboembolism Diagnosis and Management
- Stroke Rehabilitation and Recovery
- Traumatic Brain Injury and Neurovascular Disturbances
- Neurological Complications and Syndromes
- Intracranial Aneurysms: Treatment and Complications
- Atrial Fibrillation Management and Outcomes
- Cardiac Imaging and Diagnostics
- Neurosurgical Procedures and Complications
- Long-Term Effects of COVID-19
- Peripheral Artery Disease Management
- Healthcare Systems and Practices
- Cardiac tumors and thrombi
- COVID-19 Clinical Research Studies
- Cardiovascular and Diving-Related Complications
- Cardiovascular Health and Disease Prevention
- Moyamoya disease diagnosis and treatment
- Cardiac, Anesthesia and Surgical Outcomes
- Cerebral Venous Sinus Thrombosis
- Antiplatelet Therapy and Cardiovascular Diseases
- Infective Endocarditis Diagnosis and Management
- Brain Metastases and Treatment
- Liver Disease Diagnosis and Treatment
Weill Cornell Medicine
2016-2025
Cornell University
2016-2025
Memorial Sloan Kettering Cancer Center
2015-2025
MIND Research Institute
2016-2025
Presbyterian Hospital
2013-2024
Arcadia
2024
University of Minnesota
2024
New York Proton Center
2024
University of Lausanne
2023
University of Milan
2023
<h3>Importance</h3> It is uncertain whether coronavirus disease 2019 (COVID-19) associated with a higher risk of ischemic stroke than would be expected from viral respiratory infection. <h3>Objective</h3> To compare the rate between patients COVID-19 and influenza, illness previously stroke. <h3>Design, Setting, Participants</h3> This retrospective cohort study was conducted at 2 academic hospitals in New York City, York, included adult emergency department visits or hospitalizations March...
The postpartum state is associated with a substantially increased risk of thrombosis. It uncertain to what extent this heightened persists beyond the conventionally defined 6-week period.Using claims data on all discharges from nonfederal emergency departments and acute care hospitals in California, we identified women who were hospitalized for labor delivery between January 1, 2005, June 30, 2010. We used validated diagnosis codes identify composite primary outcome ischemic stroke,...
Objective A study was undertaken to examine the association between incident cancer and subsequent risk of stroke. Methods Using Surveillance, Epidemiology, End Results–Medicare linked database, we identified patients with a new primary diagnosis breast, colorectal, lung, pancreatic, or prostate from 2001 through 2007. These were individually matched by age, sex, race, registry, medical comorbidities group Medicare enrollees without cancer, each pair followed 2009. Validated codes used...
Mobile stroke units (MSUs) are ambulances with staff and a computed tomographic scanner that may enable faster treatment tissue plasminogen activator (t-PA) than standard management by emergency medical services (EMS). Whether how much MSUs alter outcomes has not been extensively studied.In an observational, prospective, multicenter, alternating-week trial, we assessed from MSU or EMS within 4.5 hours after onset of acute symptoms. The primary outcome was the score on utility-weighted...
One in six ischaemic stroke patients has an embolic of undetermined source (ESUS), defined as a with unclear aetiology despite recommended diagnostic evaluation. The overall cardiovascular risk ESUS is high and it important to optimize strategies prevent recurrent other events. aim clinicians when confronted patient not only but also any medical condition identify the actual cause amongst list potential differential diagnoses, order secondary prevention. However, specifically ESUS, this may...
To determine the cumulative rate and characteristics of recurrent thromboembolic events after acute ischemic stroke in patients with cancer.We retrospectively identified consecutive adult active systemic cancer diagnosed at a tertiary-care center from 2005 through 2009. Two neurologists independently reviewed all electronic records to ascertain composite outcome stroke, myocardial infarction, embolism, TIA, or venous thromboembolism. Kaplan-Meier statistics were used rates. In exploratory...
Background and Purpose— Statins reduce infarct size in animal models of stroke have been hypothesized to improve clinical outcomes after ischemic stroke. We examined the relationship between statin use before during hospitalization poststroke survival. Methods— analyzed records from 12 689 patients admitted with any 17 hospitals a large integrated healthcare delivery system January 2000 December 2007. used multivariable survival analysis grouped-treatment analysis, an instrumental variable...
It is unknown whether supraventricular arrhythmias other than atrial fibrillation or flutter are associated with stroke.To examine the association between paroxysmal tachycardia (PSVT) and stroke, we performed a retrospective cohort study using administrative claims data from all emergency department encounters hospitalizations at California's nonfederal acute care hospitals in 2009. Our comprised adult patients ≥ 1 visit hospitalization which they were discharged alive without diagnosis of...
A large spectrum of neurologic disease has been reported in patients with coronavirus 2019 (COVID-19) infection. Our aim was to investigate the yield neuroimaging COVID-19 undergoing CT or MR imaging brain and describe associated findings.We performed a retrospective cohort study involving 2054 laboratory-confirmed presenting 2 hospitals New York City between March 4 May 9, 2020, whom 278 (14%) underwent either brain. All images initially received formal interpretation from neuroradiologist...
In this study, models based on quantitative imaging biomarkers of post-stroke structural connectome disruption were used to predict six-month outcomes in various domains. Demographic information and clinical MRIs collected from 40 ischemic stroke subjects (age: 68.1 ± 13.2 years, 17 female, NIHSS: 6.8 5.6). Diffusion-weighted images create lesion masks, which uploaded the Network Modification (NeMo) Tool. The NeMo Tool, using only MRIs, allows estimation at three levels: whole brain,...
Background Magnetic resonance imaging of carotid plaque can aid in stroke risk stratification patients with stenosis. However, the prevalence complicated cryptogenic is uncertain, especially as assessed by techniques routinely included acute magnetic protocols. We whether angiography–defined presence intraplaque high‐intensity signal ( IHIS ), a marker hemorrhage, associated ipsilateral stroke. Methods and Results Cryptogenic evidence unilateral anterior circulation infarction without...
ObjectiveTo report four patients with coronavirus disease 2019 (COVID-19) who developed posterior reversible encephalopathy syndrome (PRES).MethodsPatient data was abstracted from medical records at Weill Cornell Medical Center.ResultsFour SARS-CoV-2 infection and PRES were identified. The patients' ages ranged 64 to 74 years, two women. All admitted the hospital acute respiratory distress requiring intensive care unit admission mechanical ventilation. diagnosed after persistent confusion,...
Objective To determine whether cerebrovascular risk factors are associated with subsequent diagnoses of Parkinson disease, and these associations similar in magnitude to those Alzheimer disease. Methods This was a retrospective cohort study using claims data from 5% random sample Medicare beneficiaries 2008 2015. The exposures were stroke, atrial fibrillation, coronary hyperlipidemia, hypertension, sleep apnea, diabetes mellitus, heart failure, peripheral vascular chronic kidney obstructive...
Background and Purpose- Recent landmark trials provided overwhelming evidence for effectiveness of endovascular stroke therapy (EST). Yet, the impact these on clinical practice EST among lower volume centers remains poorly characterized. Here, we determine population-level patterns in performance US hospitals compare outcomes from higher versus centers. Methods- Using validated diagnosis codes data all discharges Emergency Rooms Florida (2006-2016) National Inpatient Sample (2012-2016)...
Mechanical thrombectomy helps prevent disability in patients with acute ischemic stroke involving occlusion of a large cerebral vessel. Thrombectomy requires procedural expertise and not all hospitals have the staff to perform this intervention. Few population-wide data exist regarding access mechanical thrombectomy.We examined for using discharge from calendar years 2016 2018 nonfederal emergency departments care across 11 US states encompassing 80 million residents. Facilities were...