F. Mont’alverne
A5001747851- Acute Ischemic Stroke Management
- Intracranial Aneurysms: Treatment and Complications
- Cerebrovascular and Carotid Artery Diseases
- Stroke Rehabilitation and Recovery
- Vascular Malformations Diagnosis and Treatment
- Traumatic Brain Injury and Neurovascular Disturbances
- COVID-19 and healthcare impacts
- Long-Term Effects of COVID-19
- Venous Thromboembolism Diagnosis and Management
- Spinal Fractures and Fixation Techniques
- Aortic aneurysm repair treatments
- Spine and Intervertebral Disc Pathology
- Vascular Malformations and Hemangiomas
- Neurosurgical Procedures and Complications
- Moyamoya disease diagnosis and treatment
- Peripheral Artery Disease Management
- Cardiac, Anesthesia and Surgical Outcomes
- Medical Imaging and Analysis
- Intracerebral and Subarachnoid Hemorrhage Research
- Renal and Vascular Pathologies
- Soft tissue tumor case studies
- Kawasaki Disease and Coronary Complications
- Climate Change and Health Impacts
- Meningioma and schwannoma management
- Scoliosis diagnosis and treatment
Hospital Geral de Fortaleza
2017-2024
Neurology, Inc
2019-2023
Santa Casa de Misericórdia de Marília
2023
Hospital de Clínicas de Porto Alegre
2021
Boston University
2021
Grady Memorial Hospital
2021
Boston Medical Center
2021
Universidade Federal do Rio Grande do Sul
2021
Universidad del Desarrollo
2021
Universidade de Fortaleza
2021
The effectiveness of endovascular therapy in patients with stroke caused by basilar-artery occlusion has not been well studied.We randomly assigned within 6 hours after the estimated time onset a due to occlusion, 1:1 ratio, receive or standard medical care. primary outcome was favorable functional outcome, defined as score 0 3 on modified Rankin scale (range, 6, indicating no disability, moderate and death) at 90 days. safety outcomes were symptomatic intracranial hemorrhage days initiation...
Randomized trials involving patients with stroke have established that outcomes are improved the use of thrombectomy for large-vessel occlusion. These were performed in high-resource countries and had limited effects on medical practice low- middle-income countries.
The COVID-19 pandemic led to profound changes in the organization of health care systems worldwide.We sought measure global impact on volumes for mechanical thrombectomy, stroke, and intracranial hemorrhage hospitalizations over a three-month period at height (1 March-31 May 2020) compared with two control periods (immediately preceding one year prior).Retrospective, observational, international study, across 6 continents, 40 countries, 187 comprehensive stroke centers. diagnoses were...
Background Identification of large vessel occlusion (LVO) is critical to the management acute ischemic stroke and prerequisite endovascular therapy in recent trials. Increasing volumes data complexity compel development fast, reliable, automated tools for LVO detection facilitate imaging triage. Purpose To investigate performance an anterior circulation platform a mixed sample individuals with without at cerebrovascular CT angiography (CTA). Materials Methods In this retrospective analysis,...
During the COVID-19 pandemic, decreased volumes of stroke admissions and mechanical thrombectomy were reported. The study's objective was to examine whether subarachnoid haemorrhage (SAH) hospitalisations ruptured aneurysm coiling interventions demonstrated similar declines.We conducted a cross-sectional, retrospective, observational study across 6 continents, 37 countries 140 comprehensive centres. Patients with diagnosis SAH, aneurysmal identified by prospective databases or International...
Introduction: Stroke is one of the leading causes death in Latin America, a region with countless gaps to be addressed decrease its burden. In 2018, at first American Ministerial Meeting, stroke physician and healthcare manager representatives from 13 countries signed Declaration Gramado priorities improve region, commitment implement all evidence-based strategies for care. The second meeting March 2020 reviewed achievements 2 years discussed new objectives. This paper will review 2-year...
<h3>BACKGROUND AND PURPOSE:</h3> Intracranial hemorrhage (ICH) is an important event that diagnosed on head NCCT. Increased NCCT utilization in busy hospitals may limit timely identification of ICH. RAPID ICH automated hybrid 2D–3D convolutional neural network application designed to detect allow for expedited diagnosis. We determined the accuracy detection and volumetric quantification <h3>MATERIALS METHODS:</h3> scans were evaluated by Consensus 3 neuroradiology experts was used as...
ABSTRACT These guidelines are the result of a joint effort from writing groups Brazilian Stroke Society, Scientific Department Cerebrovascular Diseases Academy Neurology, Network and Society Diagnostic Therapeutic Neuroradiology. Members these participated in web-based discussion forums with predefined themes, followed by videoconference meetings which controversies position statements were discussed, leading to consensus. This focuses on implications recent clinical trials endovascular...
Background The RESILIENT trial demonstrated the clinical benefit of mechanical thrombectomy in patients presenting acute ischemic stroke secondary to anterior circulation large vessel occlusion Brazil. Aims This economic evaluation aims assess cost-utility from a public healthcare perspective. Methods A analysis was applied compare plus standard medical care (n = 78) vs. alone 73), subset sample (151 221 patients). Real-world direct costs were considered, and utilities imputed according...
Introduction Stroke is a leading cause of adult death and disability. Although acute ischemic stroke (AIS) in pregnancy rare, it has devastating consequences on the life mother fetus. Pregnancy was an exclusion criterion endovascular thrombectomy (EVT) trials so there are no evidence-based treatment recommendations this subgroup. The objective study to evaluate safety feasibility mechanical large vessel occlusion (LVO) pregnancy. Methods Patients with AIS due LVO treated EVT during between...
Background While mechanical thrombectomy (MT) is the standard of care for large vessel occlusion strokes, optimal management tandem occlusions (TO) remains uncertain. We aimed to determine current practice patterns among stroke physicians involved in treatment TO during MT. Methods distributed an online survey neurovascular practitioners (stroke neurologists, neurointerventionalists, neurosurgeons, and radiologists), members professional societies. After 2 months site was closed data were...
The optimal anesthetic management for endovascular therapy (EVT) in patients with posterior circulation stroke remains unclear. Our objective was to investigate the impact of early intubation enrolled BASICS trial (Basilar Artery International Cooperation Study).
Abstract We report a case of cerebral fat embolism which occurred in 33‐year‐old man after diaphyseal femoral fracture without cranial traumatism. The initial examination showed an incomplete picture coma with tetrapyramidal syndrome and cutaneomucous purpura. There was no respiratory damage. present magnetic resonance spectroscopy analysis the lesions observed phase embolism, as well follow‐up, has strengthened clinical imaging features for diagnosis. Ann Neurol 2005;57:434–439
Noncontrast CT (NCCT) is used to evaluate for intracerebral hemorrhage (ICH) and ischemia in acute ischemic stroke (AIS). Large vessel occlusions (LVOs) are a major cause of AIS, but challenging detect on NCCT.
Background RESILIENT is a prospective, multicenter, randomized phase III trial to test the safety, efficacy, and cost-effectiveness of mechanical thrombectomy as compared medical treatment alone in patients treated under less than ideal conditions typically found public healthcare system developing country. Methods Subjects must fulfill following main inclusion criteria: symptom onset ≤8 h, age ≥18 years, baseline NIHSS ≥8, evidence intracranial ICA or proximal MCA (M1 segment) occlusion,...
Introduction: Although the 2019 severe acute respiratory syndrome coronavirus 2 infection (SARS-CoV-2, COVID-19) pandemic poses new challenges to healthcare system provide support for thousands of patients, there is special concern about common medical emergencies, such as stroke, that will continue occur and require adequate treatment. The allocation both material human resources fight cannot overshadow care a time-sensitive emergency with an inefficient treatment further increase mortality...