Hemorrhagic and Ischemic Stroke : Medical, Imaging, Surgical, and Interventional Approaches / by: Bendok, Bernard R., Batjer, H. Hunt.

Format:

Book

Author/Creator:

Abi-Aad, Karl., Author.

Abuelem, Tarek., Author.

Açiş, Onur., Author.

Agnoletto, Guilherme J., Author.

El Ahmadieh, Tarek., Author.

Albuquerque, Felipe C., Author.

Amenta, Peter S., Author.

Amoss, James., Author.

Aoun, Salah G., Author.

Arthur, Adam S., Author.

Awad, Issam A., Author.

Ban, Vin Shen., Author.

Barrow, Daniel L., Author.

Bebawy, John F., Author.

Biller, José, Author.

Binning, Mandy J., Author.

Blech, Benzion., Author.

Bonney, Phillip A., Author.

Brasiliense, Leonardo B.C., Author.

Carlin, Rachel E., Author.

Carrión-Penagos, Julián., Author.

Chong, Brian W., Author.

Christel, Lynda M., Author.

Church, Ephraim W., Author.

Connolly Jr, E. Sander., Author.

Connor, Michelle., Author.

Dalfino, John C., Author.

Demaerschalk, Bart M., Author.

Dumitrascu, Oana M., Author.

Entezami, Pouya., Author.

Felbaum, Daniel., Author.

Freeman, W. David, Author.

Garcia, Jose Omar., Author.

Goyal, Nitin, Author.

Granja, Manuel F., Author.

Hanel, Ricardo A., Author.

Heiferman, Daniel M., Author.

Hemphill III, J. Claude., Author.

Hess, Ryan., Author.

Howard, Brian M., Author.

Hudson, Miles., Author.

Ingall, Timothy J., Author.

Inoa, Violiza., Author.

Jabbour, Pascal M., Author.

Jacob, Sneha., Author.

Johnson, Mark D., Author.

Kalen, Brian., Author.

Kicielinski, Kimberly P., Author.

Koester, Stefan W., Author.

Koht, Antoun, Author.

Kondziolka, Douglas, Author.

Krishna, Chandan., Author.

Kronenburg, Annick., Author.

Kumar, Gyanendra., Author.

Langer, David, Author.

Levy, Elad I., Author.

Mack, William J., Author.

Merrill, Sarah., Author.

Meyer, Fredric B., Author.

Pires, André Monteiro Guimarães Dias, Author.

Montaño, Arturo., Author.

El Naamani, Kareem., Author.

Nossek, Erez., Author.

O’Carroll, Cumara B., Author.

Ogilvy, Christopher S., Author.

Ogunsola, Oludotun., Author.

Ottenhoff, Lauren., Author.

Oushy, Soliman., Author.

Patel, Bhavesh., Author.

Patra, Devi P., Author.

Peacock, Sarah, Author.

Pena, Austin., Author.

Pines, Andrew., Author.

Polster, Sean P., Author.

Rahme, Rudy J., Author.

Rebeiz, Tania., Author.

Riina, Howard., Author.

Rinaldo, Lorenzo., Author.

Sattur, Mithun G., Author.

Sen, Ayan, Author.

Siegel, Jason, Author.

Sim, Justin L., Author.

Simon, Scott D., Author.

Solomon, Robert A., Author.

Spetzler, Robert., Author.

Sweid, Ahmad., Author.

Syal, Arjun., Author.

Tomlinson, Amanda, Author.

Turcotte, Evelyn L., Author.

Turkmani, Ali H., Author.

Vakharia, Kunal., Author.

Vanderhye, Vanesa K., Author.

Veznedaroglu, Erol, Author.

Walia, Parampreet Singh., Author.

Waqas, Muhammad, Author.

Welch, Babu G., Author.

Welz, Matthew E., Author.

White, Jonathan A., Author.

Winter, JoDee., Author.

Zaatar, Muriel T., Author.

Zeeni, Carine., Author.

Contributor:

Bendok, Bernard R., Editor.

Batjer, H. Hunt, Editor.

Language:

English

Subjects (All):

Neurosurgery.

Local Subjects:

Neurosurgery.

Physical Description:

1 online resource (486 pages)

Edition:

2nd ed.

Place of Publication:

New York : Thieme Medical Publishers, Incorporated, 2024.

Summary:

A transdisciplinary approach to the medical, radiologic, interventional, and surgical treatment of stroke In the last decade, advances in interventional, microsurgcial, radiosurgical techniques, medical approaches and imaging technology have dramatically changed the management of ischemic stroke. Perhaps the most important advance has been the increasing collaboration between multispecialty clinicians to deliver team-based stroke care. Hemorrhagic and Ischemic Stroke: Medical, Imaging, Surgical, and Interventional Approaches, Second Edition by renowned neurosurgeons Bernard R. Bendok and H. Hunt Batjer and acclaimed contributors provides a user-friendly, single resource for managing ischemic and hemorrhagic stroke. The second edition has been updated to reflect progress, most notably acute evaluation and triage, advanced imaging, critical care and medical support, and endovascular and surgical interventions. In addition to scientifically supported content, readers will benefit from pragmatic, real-world applications and concise, practical reviews. Organized into four sections and 41 chapters, the text starts with the section Acute Triage, which includes early diagnosis and medical decision-making, advances in medical imaging, innovations in prehospital management of stroke, and the promise of telestroke networks. The second section, Critical Care, covers the importance of astute clinical examination, stabilization, and advanced neuromonitoring techniques. The third section, Open Surgical, Minimally Invasive, and Microsurgical Approaches, reviews recent surgical innovations that have the potential to be lifesaving and enhance quality of life in select patients. The fourth and final section, Neurointerventional Approaches, explores recent innovations in image-guided catheter techniques to deliver new therapies for stroke treatment and prevention. Key Highlights The often difficult yet important adjudication of antithrombotic medication use Insightful discussion of the importance of prehospital systems of care and stroke center certification Insightful discussions of interventional and microsurgical approaches for hemorrhagic and ischemic stroke management Medical illustrations and author-narrated videos provide a visual learning experience Clinical pearls and case presentations enhance learning and retention of knowledge The goal of this book is to increase collaborative stroke management among neuroradiologists, neurologists, neurosurgeons, neuroanesthesiolgists, neurologic critical care physicians, and allied health care professionals to achieve better patient outcomes. This print book includes complimentary access to a digital copy on https: //medone.thieme.com. Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product.

Contents:

Cover

Title

Copyright

Dedication

Contents

Videos

Foreword

Preface

Contributors

Section I Acute Triage

1 Clinical Presentation and Acute Triage of Ischemic Stroke, Intracranial Hemorrhage, and Subarachnoid Hemorrhage

Clinical Case

Introduction

Acute Ischemic Stroke

Prehospital Setting

EMS Assessment and Management

Rapid Screening for Presence of Large Vessel Occlusion

Hospital Setting

Initial Stabilization

Clinical Examination

Determination of Thrombolysis Eligibility

Assessment of the Presence of LVO and Eligibility for Mechanical Thrombectomy

Intracranial Hemorrhage

Presentation

Subarachnoid Hemorrhage

Conclusions

Clinical Case Answers

References

2 Differential Diagnosis of Acute Ischemic and Hemorrhagic&amp

nbsp

Stroke

Differential Diagnosis of Ischemic Strokes: Common Stroke Syndromes

Internal Carotid Artery Syndrome

Large Hemispheric Infarctions

Carotid Artery Dissection/Chronic ICA Occlusion/Hyperperfusion Syndromes

Anterior Cerebral Artery Syndrome

Middle Cerebral Artery Syndrome

Posterior Cerebral Artery Syndrome

Top of the Basilar Artery Syndrome&amp

and Brainstem Syndromes

Lacunar Strokes

Anterior Choroidal Artery Infarction

Behavioral Abnormalities Due to Acute Stroke

Intracerebral Hemorrhage

Hypertensive ICH

Cerebral Amyloid Angiopathy (CAA)

CNS Vascular Malformations

Medication-Induced

Aneurysmal SAH

Nonaneurysmal Perimesencephalic&amp

SAH

Cervicocephalic Arterial Dissection

Hematologic

Conclusion

Suggested Readings.

3 Medical Imaging for Acute Ischemic and Hemorrhagic Stroke

Imaging Modalities: Computed Tomography

Noncontrast Head CT

Computed Tomography Angiography

Computed Tomography Perfusion

Imaging Modalities: Magnetic Resonance Imaging

Diffusion-Weighted

Perfusion-Weighted

Magnetic Resonance Angiography

Summary

Suggested Readings

4 The Promise of Telestroke

Clinical Uses

Telestroke in the Emergency Department Setting

Telestroke in Settings Spanning the Continuum of Stroke Care

Telestroke in Clinical Research

Telestroke in Education

Technological Considerations

Telestroke Quality and Outcome Metrics

Telestroke Network Operational&amp

Considerations

Potential Obstacles

Health Economic Evaluations of Telestroke

Comprehensive Virtual Stroke Centers of the Future

5 Innovations in Prehospital Management of Stroke

Emergency Medical System and Stroke Systems of Care

EMS Notification by the General Population

EMS Role in Stroke Triage

EMS Stroke Assessment: Prehospital&amp

Scales

Triage and Transport to the Target Stroke Center

Concept of the "Golden Hour"

The Mobile Stroke Unit

Mobile Stroke Ambulance: Ground and Air

Prehospital Brain Imaging

Prehospital Laboratory and Pharmacy

Cost-Effectiveness

Prehospital Stroke Management

Telemedicine in Prehospital Stroke Evaluation

Treatment of Acute Ischemic Stroke

Treatment of Hemorrhagic Stroke

Neuroprotection and Clinical Research in Prehospital Setting

Future Directions

Acknowledgements

6 Intravenous Fibrinolysis for Acute Ischemic Stroke.

Clinical Case 1

Fibrinolysis

Fibrinolytic Drugs Studied for the Treatment of Acute Ischemic Stroke

History of Fibrinolysis Treatment&amp

for Acute Cerebral Ischemia

Clinical Case 2

Case Management Issues

Initial Restrictions for Administration&amp

of Intravenous Fibrinolytic Medication

Clinical Case 3

Increasing Utilization of Fibrinolysis&amp

for Treating Acute Ischemic Stroke Patients

Clinical Case 4

Revising Original Indications for the Use of Fibrinolytic Medication

Time from Stroke Onset, or Last Known to be at Usual Baseline

Age and Baseline Stroke Severity

Rapidly Improving Neurological Deficits

Use of Anticoagulation Medication

Mild, Nondisabling, Symptoms at Presentation

Patients without Capacity to Provide Consent to Treatment

Early Ischemic Changes on CT Imaging

Other Conditions Previously Considered by Some to be Too Risky for "

Clinical Situations where there is Considerable Uncertainty About Administering tPA to an Acute Ischemic Stroke Patient

Utilization of Telemedicine to Increase Use of Fibrinolytic Medication&amp

in the Treatment of Acute Ischemic Stroke

Clinical Case 5

Other Factors Impacting tPA Utilization Rates

Stroke Systems of Care

Teaching Hospitals

Future Strategies to Increase Utilization of Fibrinolysis for the Treatment of Acute Ischemic Stroke

Clinical Case 1 Answers

7 Identifying Patients for Stroke Thrombectomy

Questions

AHA/ASA 2019 Guidelines

Technical Details

Low ASPECTS Trials

Medium and Distal Occlusions

Intracranial Atherosclerotic Disease

Tandem Occlusion

Posterior Circulation Stroke

Basilar Artery Occlusion

Posterior Cerebral Artery Occlusion

Special Situations.

Low National Institutes of Health Stroke Scale Score

Poor Baseline Modified Rankin Scale

Cancer

8 Stroke Center Certification

Stroke Accreditation

Joint Commission Certification Process

Level 2 Acute Stroke Ready Hospital

Primary Stroke Center

Thrombectomy Capable

Comprehensive Stroke Center

Organization 2: Healthcare Facilities Accreditation Program

Organization 3: DNV GL

Section II Critical Care

9 Critical Care Management of Acute Ischemic Stroke

Critical Care after Acute Ischemic Stroke

Airway and Ventilation Management

Blood Pressure Monitoring and Goals

Antiplatelets, Systemic Anticoagulation,&amp

and Statin Therapy Initiation

Point-of

Neuromonitoring Modalities

Common Neurocritical Care Complications

Angioedema after IV tPA

Symptomatic Intracranial Hemorrhage

Malignant Cerebral Edema

Seizures

Other Complications

Suggested Reading

10 New Horizons for Hemorrhagic Stroke Critical Care Management

Clinical Case 1

Etiology/Risk Factors

Medical Management

Clinical Severity Assessment

Emergency Department Management

The Importance of Intensive Medical Therapies

Fever

Hyperglycemia

Hypertension

Deep Veins Thrombosis

Steroids

Anticonvulsants

Cerebral Edema

Hydrocephalus and Intraventricular&amp

Hemorrhage

Anticoagulant-Related

Heparin and

Antiplatelet Agents

Factor Xa Inhibitors

Direct Thrombin Inhibitor

Resuming Anticoagulation Therapy after Intracerebral Hemorrhage

Outcome Predictions and Withdrawal&amp

Clinical Case Answers.

References

11 Critical Care Management of Subarachnoid Hemorrhage and Vasospasm

Grading of Subarachnoid Hemorrhage

Diagnostic Challenges

Common Complications

Blood Pressure

Hydrocephalus

Rebleeding

Hyponatremia

Cardiac Arrhythmias and Cardiomyopathy

Glucose

Deep Vein Thrombosis

Vasospasm and Delayed Cerebral Ischemia

Prevention of Vasospasm

Detection of Vasospasm

Treatment of Vasospasm

12 Management of Anticoagulation and Antiplatelets in Hemorrhagic Stroke: Administration and Reversal

Pharmacology and Reversal of Antiplatelets

Pharmacology and Reversal of Anticoagulants

Challenges of Antiplatelets/Anticoagulants&amp

in SAH and ICH

Clinical Cases

Intracerebral Hemorrhage with a Mechanical Cardiac Valve

Acute Stenting with MCA Infarct

Atrial Fibrillation with Hemorrhagic&amp

Conversion of Infarct

13 Medical Management of Ischemic Stroke and Prevention

General Medical Management

Initial Acute Management

Blood Pressure, Temperature, and Blood Glucose Management

Antiplatelet Treatment

Additional Screening and Prophylaxis

Stroke Mimics

Subsequent Workup and Monitoring

Etiology-Specific Management

Large Artery Atherosclerosis

Cardioembolic

Small Vessel Occlusion

Other Determined Causes of Ischemic Stroke

Cryptogenic

Secondary Prevention

14 Prognostication, Ethics, and Scales

Prognostication in Stroke

Methods of Prognostication

Clinical Grading Scales

Ischemic Stroke.

Intracerebral Hemorrhage.

Notes:

Print version record.

ISBN:

1-68420-381-3

1-63853-634-1