September 2021 Stroke Highlights

HomeStrokeVol. 52, No. 9September 2021 Stroke Highlights Free AccessIn BriefPDF/EPUBAboutView PDFView EPUBSections ToolsAdd to favoritesDownload citationsTrack citationsPermissions ShareShare onFacebookTwitterLinked InMendeleyReddit Jump toFree BriefPDF/EPUBSeptember José Rafael Romero RomeroJosé https://orcid.org/0000-0002-1101-2950 Search for more papers by this author Originally published23 Aug 2021https://doi.org/10.1161/STROKEAHA.121.036674Stroke. 2021;52:2735is related toDetection of Atrial Fibrillation After Central Retinal Artery OcclusionLack Reperfusion Rather Than Number Passes Defines Futility in Thrombectomy: A Matched Case-Control StudyResidual Inflammatory Risk Predicts Poor Prognosis Acute Ischemic or Transient Attack PatientsResidual PatientsLi and colleagues studied the relation low-density cholesterol hs-CRP (high-sensitive C-reactive protein) levels risk recurrent ischemic stroke, cardiovascular events (all myocardial infarction, vascular death), death. The study was a multicenter conducted China, including 11 261 patients with acute stroke transient attack. Patients were grouped into 4 groups: elevated baseline levels, at target but high level, normal hs-CRP, hs-CRP. In cox regression analyses adjusted confounders, those elevation both had higher stroke. associations mainly large artery cardioembolic mechanisms. same groups likely have modified Rankin Scale scores ≥2 1 year. Similar observed composite not on presentation 3 months follow-up, associated disability, events. This suggests role inflammation potential patient subgroups that could be included randomized clinical trials evaluating as treatment reduce risk. See p 2827.Lack StudyMohammaden et al evaluated association number passes undergoing mechanical thrombectomy (2 4–5 versus ≥6 passes), successful reperfusion, functional outcome, mortality. Successful reperfusion considered Thrombolysis Cerebral Infarction 2b-3 scores. Favorable outcome defined score 0 2 90 days. Matching cases controls done using Euclidean distances, from group unsuccessful regardless passes. matched case-control analysis within groups, groups. turn, favorable outcomes multivariable-adjusted analyses. Rates hemorrhage numerically than Limitations its retrospective design small sample. Further prospective studies are needed clarify risk/benefit balance during vessel occlusion. 2757.Detection OcclusionA proportion central retinal occlusion (CRAO) do ipsilateral carotid disease account event. Mac Grory retrospective, observational cohort data an administrative dataset ≈30.8 million 62 health systems United States, cross-referenced Medtronic CareLink registry, which contains records 2.7 implantable cardiac monitoring devices. new diagnosis atrial fibrillation (AF) without CRAO. Analyses comparisons (10:1 ratio based 8 characteristics) estimated cumulative incidence AF detection years follows: 33.4% 49.6% post-CRAO, 33.6% 43.2% after 22.3% 31.9% controls. CRAO rate (HR, 1.64 [95% CI, 1.17–2.31]) similar compared 1.01 0.75–1.36]). 30 days 15.1% initiation monitoring, 4.0% Most short paroxysmal (75.6%). nearly 3-fold has limitations inherent used supports use unclear cause. 2773. Previous Back top Next FiguresReferencesRelatedDetailsRelated articlesDetection OcclusionBrian Grory, al. Stroke. 2021;52:2773-2781Lack StudyMahmoud H. Mohammaden, 2021;52:2757-2763Residual PatientsJiejie Li, 2021;52:2827-2836 September 2021Vol Issue 9 Advertisement Article InformationMetrics © American Heart Association, Inc.https://doi.org/10.1161/STROKEAHA.121.036674 publishedAugust 23, PDF download