Bridging intravenous-intra-arterial rescue strategy increases recanalization and the likelihood of a good outcome in nonresponder intravenous tissue plasminogen activator-treated patients: a case-control studyMarta Rubiera
Stroke Unit, Neurology Department, Hospital Vall d Hebron, Ps Vall d Hebron, 119 29, 08035 Barcelona, Spain
Stroke 42:993-7. 2011
..Our aim was to compare IV and IV-IA thrombolysis using a case-control approach...
Is it time to reassess the SITS-MOST criteria for thrombolysis?: A comparison of patients with and without SITS-MOST exclusion criteriaMarta Rubiera
Neurology Department, Hospital Universitari Vall d Hebron, Universidad Autonoma de Barcelona, Spain
Stroke 40:2568-71. 2009
..We aimed to assess safety/efficacy of thrombolysis in patients with SITS-MOST exclusion criteria...
Do bubble characteristics affect recanalization in stroke patients treated with microbubble-enhanced sonothrombolysis?Marta Rubiera
Department of Neurology, Universitat Autonoma de Barcelona, Hospital Vall d Hebron, Barcelona, Spain
Ultrasound Med Biol 34:1573-7. 2008
..However, RE rates, clinical course and long-term outcome are comparable when administering galactose-based air-filled MB (Levovist) or sulphur hexafluoride-filled MB (Sonovue)...
Diagnostic criteria and yield of real-time transcranial Doppler monitoring of intra-arterial reperfusion proceduresMarta Rubiera
Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL, USA
Stroke 41:695-9. 2010
..We implemented continuous transcranial Doppler (TCD) monitoring during these procedures to detect any potentially harmful flow changes. Here, we report diagnostic criteria and yield of TCD monitoring...
Sonothrombolysis in the management of acute ischemic strokeMarta Rubiera
Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, Alabama, USA
Am J Cardiovasc Drugs 10:5-10. 2010
..Operator-independent devices, different MB-related techniques, and other ultrasound parameters for improving and spreading sonothrombolysis are being tested...
[Reversible segmental cerebral vasoconstriction: the value of duplex transcranial Doppler in its diagnosis and follow up]M Rubiera del Fueyo
Hospital General Universitari Vall d Hebron, Barcelona, Espana
Rev Neurol 38:530-3. 2004
..Diagnosis and follow up of reversible segmental cerebral vasoconstriction is performed using cerebral arteriography, but no previous evaluation has been conducted of the role that duplex transcranial Doppler can play in this syndrome...
Microbubble administration accelerates clot lysis during continuous 2-MHz ultrasound monitoring in stroke patients treated with intravenous tissue plasminogen activatorCarlos A Molina
Department of Neurology, Universitat Autonoma de Barcelona, Hospital Vall d Hebron, Barcelona, Spain
Stroke 37:425-9. 2006
....
Endogenous activated protein C predicts hemorrhagic transformation and mortality after tissue plasminogen activator treatment in stroke patientsMaite Mendioroz
Neurovascular Research Laboratory, Neurovascular Unit, Neurology Department, Internal Medicine Department, Vall d Hebron Hospital, Universitat Autonoma de Barcelona, Barcelona, Spain
Cerebrovasc Dis 28:143-50. 2009
..Therefore, we sought to investigate the role of endogenous APC in human ischemic stroke...
Accuracy of serial National Institutes of Health Stroke Scale scores to identify artery status in acute ischemic strokeRobert Mikulik
Department of Neurology, University of Texas Health Science Center at Houston, USA
Circulation 115:2660-5. 2007
..We sought to determine the accuracy of serial National Institutes of Health Stroke Scale (NIHSS) scores to detect complete early recanalization of the middle cerebral artery...
Thrombolysis in anterior versus posterior circulation strokes: timing of recanalization, ischemic tolerance, and other differencesJorge Pagola
Unitat Neurovascular Vall d Hebron, Servei de Neurologia, Hospital Universitari Vall d Hebron, Departament de Medicina, Universitat Autonoma de Barcelona, Barcelona, Spain
J Neuroimaging 21:108-12. 2011
..2; P=.043). Our data do not support the theory of increased ischemic tolerance in posterior circulation. Despite longer time-to-treatment, BAO were more resistant to hemorrhagic transformations...
CD40-1C>T polymorphism (rs1883832) is associated with brain vessel reocclusion after fibrinolysis in ischemic strokeAlberto del Rio-Espinola
Neurovascular Research Laboratory, Institut de Recerca, Hospital Vall d Hebron, Pg Vall d Hebron 119 129, 08035, Barcelona, Spain
Pharmacogenomics 11:763-72. 2010
..To find genetic predictors of reocclusion after successful fibrinolytic therapy during the acute phase of ischemic stroke...
Reperfusion and outcomes in Penumbra vs. systemic tissue plasminogen activator clinical trialsAndrei V Alexandrov
Comprehensive Stroke Center, University of Alabama Hospital, Birmingham, AL 35249 3280, USA
Int J Stroke 6:118-22. 2011
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Predictors of early arterial reocclusion after tissue plasminogen activator-induced recanalization in acute ischemic strokeMarta Rubiera
Department of Neurology, Hospital Vall d'Hebron, Universitat Autonoma de Barcelona, Spain
Stroke 36:1452-6. 2005
..3; 95% CI, 3.2 to 54) remained as independent predictors of RO. CONCLUSIONS: Stroke severity and ipsilateral severe carotid artery disease independently predict RO after tPA-induced MCA RE...
Tandem internal carotid artery/middle cerebral artery occlusion: an independent predictor of poor outcome after systemic thrombolysisMarta Rubiera
Brain Hemodynamics Lab, Stroke Unit, Department of Neurology, Hospital Vall d'Hebron, Passeig Vall d'Hebron 119-129, 08035 Barcelona, Spain
Stroke 37:2301-5. 2006
..However, its impact varies depending on the location of MCA clot. Therefore, emergent carotid ultrasound plus TCD examinations may improve the selection of patients for more aggressive reperfusion strategies...
Hyperglycemia during ischemia rapidly accelerates brain damage in stroke patients treated with tPAMarc Ribo
Unitat Neurovascular, Servei de Neurologia, Hospital Vall d Hebron, Universitat Autonoma de Barcelona, Barcelona, Spain
J Cereb Blood Flow Metab 27:1616-22. 2007
..07). In a regression model the only independent predictor of DWg was HG during OT (OR: 10.83; 95% CI: 1.96 to 59.83; P=0.006). Hyperglycemia, especially during OT, has a powerful deleterious effect after stroke accelerating brain damage...
Lower concentrations of thrombin-antithrombin complex (TAT) correlate to higher recanalisation rates among ischaemic stroke patients treated with t-PAIsrael Fernandez-Cadenas
Neurovascular Research Laboratory, Neurovascular Unit Neurology Service, Departamento de Medicina, Vall d Hebron Hospital, Universitat Autonoma de Barcelona, Barcelona, Spain
Thromb Haemost 102:759-64. 2009
..Low levels of TAT are not associated with an increase in haemorrhagic complications after t-PA, indicating that the combination of thrombin blockers and t-PA could be a safe and effective treatment for ischaemic stroke in the future...
Serum low-density lipoprotein cholesterol level predicts hematoma growth and clinical outcome after acute intracerebral hemorrhageDavid Rodriguez-Luna
Unitat Neurovascular, Hospital Universitari Vall d Hebron, Departament de Medicina, Universitat Autonoma de Barcelona, Ps Vall d Hebron, 119 129 08035, Barcelona, Spain
Stroke 42:2447-52. 2011
..Nevertheless, their link with hematoma growth (HG) is unknown. Therefore, we aimed to investigate the relationship between LDL-C levels, HG, and clinical outcome in patients with acute ICH...
Temporal profile of recanalization after intravenous tissue plasminogen activator: selecting patients for rescue reperfusion techniquesMarc Ribo
Unitat Neurovascular Hospital Vall d Hebron, Barcelona, Spain
Stroke 37:1000-4. 2006
..Intravenous thrombolysis in stroke achieves arterial recanalization in approximately 50% of cases. Determining temporal profile of recanalization may address patient selection and potential benefits of further rescue reperfusion techniques...
Validity of HAT score for predicting symptomatic intracranial hemorrhage in acute stroke patients with proximal occlusions: data from randomized trials of sonothrombolysisGeorgios Tsivgoulis
Comprehensive Stroke Center, University of Alabama at Birmingham Hospital, Birmingham, AL, USA
Cerebrovasc Dis 31:471-6. 2011
..We aimed to externally validate and evaluate the predictive ability of the HAT score in patients with proximal arterial occlusions (PAO) enrolled into randomized clinical trials of sonothrombolysis...
Speed of tPA-induced clot lysis predicts DWI lesion evolution in acute strokeRaquel Delgado Mederos
Department of Neurology, Hospital Universitari Vall d Hebron, Universitat Autonoma de Barcelona, Barcelona, Spain
Stroke 38:955-60. 2007
..We sought to evaluate the impact of the speed of recanalization on the evolution of diffusion- weighted imaging (DWI) lesions and outcome in stroke patients treated with tissue-type plasminogen activator (tPA)...
End-diastolic velocity increase predicts recanalization and neurological improvement in patients with ischemic stroke with proximal arterial occlusions receiving reperfusion therapiesAndrei V Alexandrov
Comprehensive Stroke Center, University of Alabama at Birmingham Hospital, Birmingham, Alabama, USA
Stroke 41:948-52. 2010
..We sought to investigate which flow velocity parameter was associated with complete recanalization/reperfusion and neurological improvement in patients receiving reperfusion therapies...
Intra-arterial administration of microbubbles and continuous 2-MHz ultrasound insonation to enhance intra-arterial thrombolysisMarc Ribo
Unitat Neurovascular, Servei de Neurologia, Hospital Vall d Hebron, Universitat Autonoma de Barcelona, Barcelona, Spain
J Neuroimaging 20:224-7. 2010
..We sought to evaluate safety and efficacy on middle cerebral artery (MCA) recanalization of local MB administration during intra-arterial (IA) thrombolysis and continuous transcranial Doppler (TCD) monitoring...
Timing of recanalization after microbubble-enhanced intravenous thrombolysis in basilar artery occlusionJorge Pagola
Unitat Neurovascular Vall d Hebron, Hospital Universitari Vall d Hebron, Departament de Medicina, Universitat Autonoma de Barcelona, Barcelona, Spain
Stroke 38:2931-4. 2007
..We aimed to determine the timing of recanalization in basilar artery occlusion treated with systemic thrombolysis, microbubbles, and continuous transcranial Doppler monitoring...
Stroke patients with cardiac atrial septal abnormalities: differential infarct patterns on DWIEstevo Santamarina
Neurovascular Unit, Department of Neurology, Hospital Vall d Hebron, Barcelona, Spain
J Neuroimaging 16:334-40. 2006
..Stroke mechanism in patent foramen ovale (PFO) and/or atrioseptal aneurysm (ASA) remains unclear. We aimed to study the stroke pattern on diffusion weighted imaging (DWI), in cryptogenetic stroke according to septal abnormalities...
Geographic differences in acute stroke care in Catalunya: impact of a regional interhospital networkMarc Ribo
Unitat Neurovascular, Servei de Neurologia, Hospital Vall d Hebron, Universitat Autonoma de Barcelona, Barcelona, Espana
Cerebrovasc Dis 26:284-8. 2008
..Limited resources prevent specialized care in community hospitals (CH) challenging geographical equity. We studied the impact of a regional interhospital network based on urgent transfer from 4 CH to a referral stroke center (RSC)...
Prior statin use may be associated with improved stroke outcome after tissue plasminogen activatorJose Alvarez Sabin
Neurovascular Research Laboratory, Neurovascular Unit, Neurology Department, Hospital Universitario Vall d Hebron, Barcelona, Spain
Stroke 38:1076-8. 2007
..The purpose of this study was to evaluate whether patients who receive tissue plasminogen activator have better outcome when statins were taken before stroke...
Impact of admission hyperglycemia on stroke outcome after thrombolysis: risk stratification in relation to time to reperfusionJose Alvarez-Sabin
Neurovascular Unit, Deparment of Neurology, Hospital Universitari Vall d Hebron, Universitat Autonoma de Barcelona, Passeig Vall d Hebron 119 129, 08035 Barcelona, Spain
Stroke 35:2493-8. 2004
..We evaluated the impact of admission hyperglycemia (HG) on stroke outcome in relation to the timing of reperfusion in patients treated with tissue plasminogen activator (tPA)...
Safety and efficacy of ultrasound-enhanced thrombolysis: a comprehensive review and meta-analysis of randomized and nonrandomized studiesGeorgios Tsivgoulis
Comprehensive Stroke Center, Department of Neurology, University of Alabama at Birmingham Hospital, Birmingham, Ala 35294 3280, USA
Stroke 41:280-7. 2010
..We performed a meta-analysis to evaluate the safety and efficacy of ultrasound-enhanced thrombolysis compared to the current standard of care (intravenous tPA)...
Differential pattern of tissue plasminogen activator-induced proximal middle cerebral artery recanalization among stroke subtypesCarlos A Molina
Neurovascular Unit, Department of Neurology, Hospital Vall d Hebron, Passeig Vall d Hebron 119 129, 08035 Barcelona, Spain
Stroke 35:486-90. 2004
..We aimed to evaluate the timing, speed, and degree of tissue plasminogen activator (tPA)-induced recanalization in patients with proximal middle cerebral artery (MCA) occlusion of different stroke subtypes...
Progression of symptomatic intracranial large artery atherosclerosis is associated with a proinflammatory state and impaired fibrinolysisJuan F Arenillas
Neurovascular Unit, Vall d Hebron Universitary Hospital, Barcelona, Spain
Stroke 39:1456-63. 2008
..Our objective was to prospectively study the relationship between circulating levels of inflammatory markers and fibrinolysis inhibitors, and the risk of progression of symptomatic ILA...
Predictors of tissue-type plasminogen activator nonresponders according to location of vessel occlusionNuno Mendonça
Department of Neurology, University Hospital of Coimbra, Coimbra, Portugal
Stroke 43:417-21. 2012
..Therefore, we aim to investigate predictors of failing intravenous tissue-type plasminogen activator therapy according to occluded vessel and location of the clot...
Extending the time window for endovascular procedures according to collateral pial circulationMarc Ribo
Unitat Neurovascular Servei de Neurologia, Hospital Vall d Hebron Passeig Vall d Hebron 119 129, Barcelona 08035, Spain
Stroke 42:3465-9. 2011
..Good collateral pial circulation (CPC) predicts a favorable outcome in patients undergoing intra-arterial procedures. We aimed to determine if CPC status may be used to decide about pursuing recanalization efforts...
Transcranial ultrasound in clinical sonothrombolysis (TUCSON) trialCarlos A Molina
Neurovascular Unit, Department of Neurology, Hospital Vall d Hebron, Barcelona, Spain
Ann Neurol 66:28-38. 2009
..We report a randomized multicenter phase II trial of microS dose escalation with systemic thrombolysis...
Plasma VAP-1/SSAO activity predicts intracranial hemorrhages and adverse neurological outcome after tissue plasminogen activator treatment in strokeMar Hernandez-Guillamon
Neurovascular Research Laboratory, Institut de Recerca, Hospital Vall d Hebron, Universitat Autonoma de Barcelona, Barcelona, Spain
Stroke 41:1528-35. 2010
..We aimed to study plasma VAP-1/SSAO activity in relation to the risk for intracranial bleeding complications in patients with stroke treated with tissue plasminogen activator (tPA), the greatest safety concern with this treatment...
Temporal profile and prognostic value of Lp-PLA2 mass and activity in the acute stroke settingPilar Delgado
Neurovascular Research Laboratory and Department of Neurology, Universitat Autonoma de Barcelona, Institut de Recerca, Hospital Vall d Hebron, Barcelona, Spain
Atherosclerosis 220:532-6. 2012
..Lp-PLA2 is a novel biomarker in cardiovascular diseases due to its ability to predict first-ever and recurrent stroke. Little information is known regarding its influence on early outcome after stroke...
KCNK17 genetic variants in ischemic strokeSophie Domingues-Montanari
Neurovascular Research Laboratory and Neurovascular Unit, Neurology and Medicine Departments Universitat Autònoma de Barcelona, Vall d Hebron Hospital, Passeig Vall d Hebron 119 129, Barcelona, Spain
Atherosclerosis 208:203-9. 2010
..In order to identify susceptibility variants, we analyzed single nucleotide polymorphisms (SNPs) that had been previously linked to stroke in a genome-wide association study...
Transcranial Doppler monitoring of transcervical carotid stenting with flow reversal protection: a novel carotid revascularization techniqueMarc Ribo
Unitat Neurovascular, Servei de Neurologia, Hospital Vall d Hebron, Universitat Autonoma de Barcelona, Spain
Stroke 37:2846-9. 2006
..We aim to study, with transcranial Doppler (TCD), cerebral flow changes and microemboli detection during transcervical stenting...
Prevalence and risk factors associated with reversed Robin Hood syndrome in acute ischemic strokeAndrei V Alexandrov
Comprehensive Stroke Center Neurology, The University of Alabama at Birmingham, RWUH M226, 619 19th Street South, Birmingham, AL 35249 3280, USA
Stroke 40:2738-42. 2009
..We describe a hemodynamic steal and associated neurological deterioration, the reversed Robin Hood syndrome (RRHS). We aimed to investigate the frequency and factors associated with RRHS...
Acute hyperglycemia state is associated with lower tPA-induced recanalization rates in stroke patientsMarc Ribo
Unitat Neurovascular Hospital, Vall d Hebron, Barcelona 08035, Spain
Stroke 36:1705-9. 2005
..We aimed to study the effect of acute/chronic HG on tissue-type plasminogen activator (tPA)-induced recanalization...
Diagnosis and quantification of patent foramen ovale. Which is the reference technique? Simultaneous study with transcranial Doppler, transthoracic and transesophageal echocardiographyTeresa Gonzalez-Alujas
Laboratorio de Ecocardiografía, Servicio de Cardiologia, Hospital General Universitari Vall d Hebron, Barcelona, Espana
Rev Esp Cardiol 64:133-9. 2011
..The purpose of this study was to compare the accuracy of transthoracic echocardiography (TTE), TEE and transcranial Doppler (TCD) in the diagnosis and quantification of patent foramen ovale...
Arterial reocclusion and persistent distal occlusion after thrombus aspirationLiMin Zhao
Comprehensive Stroke Center University of Alabama Hospital, Birmingham, AL 35249, USA
J Neuroimaging 22:92-4. 2012
..Early reocclusion of intracranial arteries can lead to poor clinical outcome. We report reocclusion detection after endovascular clot aspiration, followed by administration of GPIIb-IIIa antagonist under continuous ultrasound monitoring...
[Functional outcome after one year follow-up in cryptogenetic brain infarction and patent foramen ovale]Esteban Santamarina
Servicio de Neurologia, Hospital Vall d Hebron, Barcelona, Spain
Med Clin (Barc) 124:561-5. 2005
..We evaluated the clinical situation in stroke patients with PFO and describe the factors predictive of a better outcome after a year...
Use of neuroimaging in acute stroke trialsAndrei V Alexandrov
Comprehensive Stroke Center, University of Alabama Hospital, M226 RWUH 619 19th Street South, Birmingham, AL 35249, USA
Expert Rev Neurother 9:885-95. 2009
..This article summarizes the neuroimaging techniques available currently and describes the new developments in acute stroke treatment trials...