Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Wednesday, October 14, 2020

Use of the ABC/2 method to select patients for thrombectomy after 6 hours of symptom onset

 What the hell is your doctor doing to get you 100% recovered regardless of when you first presented in the hospital?

I don't care that that is a BHAG(Big Hairy Audacious Goal, but leaders tackle such goals. Are you leaders or mice? I already know there are no leaders in our fucking failures of stroke associations.


Use of the ABC/2 method to select patients for thrombectomy after 6 hours of symptom onset

 
William Boisseau, Cyril Dargazanli, Stanislas Smajda, Jean Capron, Michel Piotin, Celina Ducroux, Michel Shamy, Dariush Dowlatshahi, Richard I. Aviv, Robert Fahed
First published October 12, 2020, DOI: https://doi.org/10.1212/WNL.0000000000010999
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Abstract

Objective To determine whether the ABC/2 method could accurately and reliably measure infarct volume and guide thrombectomy decision in acute stroke cases presenting with late or unknown onset.

Methods Four physicians who routinely use MRI for acute stroke imaging, blinded to the RAPID results, measured the Diffusion Weighted Imaging (DWI) infarct volume using the ABC/2 method. Measurements with ABC/2 (the index test) were compared with RAPID (the reference standard) to calculate sensitivity, specificity, and accuracy parameters for various volume cut-points. Thrombectomy decisions based on RAPID and raters' measurements using DAWN trial criteria were compared. Inter-rater and intra-rater agreement was measured using kappa statistics.

Results Accuracy with the ABC/2 method was greater than 80% for each rater and each volume cut-point. Interrater and intra-rater agreement was substantial-to-excellent for each volume cut-point. Treatment decisions with ABC/2 volume estimations showed strong inter-rater and intra-rater agreement, and led to similar thrombectomy decisions compared with RAPID in more than 85% of cases.

Conclusion DWI infarct volume measurement using ABC/2 method shows strong accuracy and reliability and may be an acceptable alternative to RAPID software for the application of DAWN criteria for thrombectomy decision-making.

  • Received March 30, 2020.
  • Accepted in final form August 3, 2020.
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