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.

Sunday, November 26, 2023

Utilization of Carotid Web Angioarchitecture for Stroke Risk Assessment

 But you don't give us a protocol for our doctors to use to reduce that stroke risk to zero. As such this is useless.

Utilization of Carotid Web Angioarchitecture for Stroke Risk Assessment

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1
Department of Neurosurgery, NYU Langone Health, New York, New York,USA
2
Department of Radiology, NYU Langone Health, New York, New York, USA
3
Department of Neurology, NYU Langone Health, New York, New York, USA
4
Department of Neurology, The Warren Alpert Medical School of Brown University, Providence, RI, USA

Received 11 November 2023, Accepted 19 November 2023, Available online 24 November 2023.

https://doi.org/10.1016/j.wneu.2023.11.091Get rights and content

Abstract

Objective

To examine the utility of carotid web (CW), carotid bifurcation, and their combined angioarchitectural measurements in assessing stroke risk.

Methods: Anatomical data of the internal carotid artery (ICA), common carotid artery (CCA), and the CW was gathered as part of a retrospective study from symptomatic (stroke) and asymptomatic (non-stroke) patients with CW. We built a model of stroke risk using principal-component analysis, Firth regression trained with 5-fold cross-validation, and heuristic binary cutoffs based on Minimal Description Length principle.

Results

The study included 22 patients with a mean age of 55.9 ± 12.8 years and 72.9% being female. Eleven patients experienced an ischemic stroke. The first two principal components distinguished between stroke patients and non-stroke patients. The model revealed that ICA Pouch-Tip angle (p= 0.036), CCA Pouch-Tip angle (p= 0.036), ICA Web-Pouch angle (p= 0.036), and CCA Web-Pouch angle (p= 0.036) are the most important features associated with stroke risk. Conversely, CCA and ICA anatomy (diameter and angle) were not found to be risk factors.

Conclusions

This pilot study demonstrates that using data from CT angiogram, carotid bifurcation, and CW angioarchitecture may be used to assess stroke risk, allowing physicians to tailor care for each patient according to risk stratification.

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