Research Topics
| H L LutsepSummaryAffiliation: Oregon Health and Science University Country: USA Publications
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Detail Information
Publications
MATCH results: implications for the internistHelmi L Lutsep
Oregon Stroke Center and Department of Neurology, Oregon Health and Science University, Portland, Ore 97239 3098, USA
Am J Med 119:526.e1-7. 2006..Given these findings, clopidogrel + aspirin cannot be recommended at this time for the secondary prevention of stroke in patients who have had a previous ischemic stroke or TIA...
Effects of sex on mechanical embolectomy outcomeHelmi L Lutsep
Department of Neurology, Oregon Health and Science University, Portland, Oregon, USA
J Stroke Cerebrovasc Dis 21:240-2. 2012..Our data suggest that the sex differences seen in thrombolytic trials might be due to factors other than immediate postprocedural large vessel opening...
Plasma total homocysteine levels in stroke patients screened for the vitamin intervention for stroke prevention clinical trial in the era of folate fortificationHelmi L Lutsep
Oregon Stroke Center, OHSU, Portland, OR 97239, USA
Neuroepidemiology 26:45-51. 2006..06 overall, 0.0003 in the oldest age group). US levels were 0.39 micromol/l (95% CI: -0.08, 0.85) lower than in Canada. Neither fasting nor time since stroke affected the results...
Thrombolytic and newer mechanical device treatment for acute ischemic strokeHelmi L Lutsep
Oregon Stroke Center and Associate Professor, Oregon Health and Science University, Department of Neurology, 3181 SW Sam Jackson Park Road, CR 131 Portland, OR 97239 3098, USA
Expert Rev Neurother 6:1099-105. 2006..This article reviews the study findings that are likely to contribute to current treatment decisions...
New developments in secondary stroke prevention: impact of the European/Australasian Stroke Prevention in Reversible Ischemia Trial (ESPRIT) on clinical managementHelmi L Lutsep
Department of Neurology, Oregon Health and Science University, Oregon Stroke Center, Portland, OR 97239, USA
J Stroke Cerebrovasc Dis 16:263-7. 2007....
Repinotan, A 5-HT1A agonist, in the treatment of acute ischemic strokeHelmi L Lutsep
Oregon Stroke Center, Oregon Health and Science University, Portland, OR 97239, USA
Curr Drug Targets CNS Neurol Disord 4:119-20. 2005..Early clinical trials showed that the drug was safe, and displayed primarily serotonergic side effects such as nausea and vomiting. A phase IIb trial in moderate to moderately severe strokes completed enrollment in June 2004...
Mechanical endovascular recanalization therapiesHelmi L Lutsep
Oregon Health and Science University and Oregon Stroke Center, Portland, OR 97239 3098, USA
Curr Opin Neurol 21:70-5. 2008..The review compares recent trials using mechanical endovascular therapies with and without adjuvants to treat acute stroke...
Current status of hemorrhagic stroke and acute nonthrombolytic ischemic stroke treatmentHelmi L Lutsep
Oregon Stroke Center, Oregon Health and Science University, 3181 SW Sam Jackson Park Rd, CR 131, Portland, OR 97239, USA
Stroke 35:2746-7. 2004
The era of the device in ischemic strokeHelmi L Lutsep
Oregon Stroke Center, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, CR 131, Portland, OR 97201, USA
Curr Neurol Neurosci Rep 4:263-5. 2004
Vertebrobasilar revascularization rates and outcomes in the MERCI and multi-MERCI trialsHelmi L Lutsep
Oregon Stroke Center, Oregon Health and Science University, Portland, Oregon 97239, USA
J Stroke Cerebrovasc Dis 17:55-7. 2008..This study determined outcomes of patients with vertebrobasilar occlusion treated with mechanical embolus removal in cerebral ischemia (MERCI) retriever mechanical thrombectomy...
Symptomatic intracranial stenosis: best medical treatment vs. intracranial stentingHelmi L Lutsep
Oregon Health and Science University and Oregon Stroke Center, Portland, Oregon 97239 3098, USA
Curr Opin Neurol 22:69-74. 2009..The high risk of stroke and death in patients with symptomatic intracranial stenosis despite medical therapy has spurred interest in endovascular treatment approaches...
Recent clinical trials of antiplatelet therapy in secondary stroke prevention: expectations and results for application in primary care settingsHelmi L Lutsep
Department of Neurology, Oregon Stroke Center, Oregon Health and Science University, Portland, Oregon 97239, USA
Am J Med 122:S21-31. 2009..This review provides primary care physicians with timely evidence- and guideline-based recommendations on prevention of secondary stroke...
Repinotan BayerHelmi L Lutsep
The University of Arizona, Department of Neurology, Tucson 85750, USA
Curr Opin Investig Drugs 3:924-7. 2002..Bayer predicts peak sales of Euro450 million [397137]...
Current status of neuroprotective agents in the treatment of acute ischemic strokeH L Lutsep
Oregon Stroke Center, Oregon Health Sciences University, 3181 SW Sam Jackson Park Road, CR 131, Portland, OR 97201, USA
Curr Neurol Neurosci Rep 1:13-8. 2001..Ongoing clinical trials with novel agents are trying to enroll a more homogeneous population of stroke patients in an effort to demonstrate treatment benefit...
An update of neuroprotectants in clinical development for acute strokeH Lutsep
Oregon Stroke Center, OHSU, Portland 97201, USA
Curr Opin Investig Drugs 2:1732-6. 2001..In addition, ongoing trials and early trials using novel mechanisms of action, such as hypothermia and antioxidants, are discussed...
Update on selecting and adjusting antiplatelet therapy for prevention of noncardiogenic, recurrent ischemic strokeHelmi Lutsep
Department of Neurology, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, CR 131, Portland, OR 97239 3098, USA
Expert Rev Cardiovasc Ther 9:1295-303. 2011..The clinical implications of these issues will be discussed with respect to the secondary prevention of stroke...
Does reversal of ischemia on diffusion-weighted imaging reflect higher apparent diffusion coefficient values?H L Lutsep
Oregon Stroke Center, Oregon Health Sciences University, 3181 SW Sam Jackson Park Road, CR 131, Portland, OR 97201, USA
J Neuroimaging 11:313-6. 2001..43 x 10(-3) mm2/s in the 6 regions that reversed and 7.31 x 10(-3) mm2/s in the 6 regions that persisted (P < .036). With thrombolytic treatment, large ischemic lesions on DWI may reverse, and these areas display higher mean ADCs...
Association of intracranial stenosis with cortical symptoms or signsH L Lutsep
Oregon Stroke Center, Oregon Health Sciences University, Portland 97201, USA
Neurology 55:716-8. 2000..Fifteen percent (5/33) of patients with cortical symptoms or signs had symptomatic intracranial stenosis of 50% or more by MR angiography or angiography, compared with 0% (0/15) of those without such findings (p < 0.005)...
Medical treatment strategies: intravenous thrombolysis, neuronal protection, and anti-reperfusion injury agentsW M Clark
Department of Neurology, Oregon Stroke Center, Oregon Health Sciences University, Portland, Oregon 97201, USA
Neuroimaging Clin N Am 9:465-73. 1999..The current status of other potential stroke therapies are also reviewed, including neuroprotective trials and agents designed to limit reperfusion injury...
Endovascular mechanical thrombectomy for the treatment of acute ischemic stroke due to arterial dissectionJ D Fields
Interventional Neuroradiology, Oregon Health and Science University, Portland, OR 07239 3098, USA
Interv Neuroradiol 18:74-9. 2012..These results suggest that mechanical thrombectomy in patients with acute stroke resulting from arterial dissection is feasible, safe, and may be associated with favorable functional outcomes...
Safety and efficacy of mechanical embolectomy in acute ischemic stroke: results of the MERCI trialWade S Smith
Department of Neurology, University of California, 505 Parnassus Avenue, San Francisco, CA 94143 0114, USA
Stroke 36:1432-8. 2005..An alternative strategy for opening intracranial vessels during stroke is mechanical embolectomy, especially for patients ineligible for intravenous tPA...
Drug eluting stents for symptomatic intracranial and vertebral artery stenosisJ D Fields
Interventional Neuroradiology, Department of Neurology Oregon Health and Science University, Portland, USA
Interv Neuroradiol 17:241-7. 2011....
Indications and applications of arterial stents for stroke prevention in atherosclerotic intracranial stenosisJeremy D Fields
Department of Neurology, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, CR 127, Portland, OR 97239, USA
Curr Cardiol Rep 12:20-8. 2010....
Mechanical thrombectomy for acute ischemic stroke: final results of the Multi MERCI trialWade S Smith
Department of Neurology, University of California, San Francisco, 505 Parnassus Avenue, San Francisco, CA 94143 0114, USA
Stroke 39:1205-12. 2008..Enhancements in embolectomy device design may improve recanalization rates...
Thrombolysis in young adultsJeffrey C Wagner
Oregon Stroke Center, Oregon Health and Science University, Portland, OR 97239, USA
J Thromb Thrombolysis 20:133-6. 2005..Current data support the use of thrombolytics for all ischemic stroke etiologies, including entities such as cervical artery dissection that are more common in young patients...
Mechanical thrombectomy for the treatment of acute ischemic strokeJeremy D Fields
Neurosciences Critical Care, Department of Neurology, Interventional Neuroradiology, Dotter Interventional Institute, Oregon Health and Science University, OR, USA
Expert Rev Cardiovasc Ther 8:581-92. 2010..Ultimately, the results of ongoing trials are necessary to delineate the patient populations most likely to benefit from this therapy...
Higher degrees of recanalization after mechanical thrombectomy for acute stroke are associated with improved outcome and decreased mortality: pooled analysis of the MERCI and Multi MERCI trialsJ D Fields
Department of Interventional Neuroradiology, Oregon Health and Science University, Portland, OR 97239, USA
AJNR Am J Neuroradiol 32:2170-4. 2011..We hypothesized that greater degrees of recanalization would be associated with a higher likelihood of favorable functional outcomes...
Potential of anticytokine therapies in central nervous system ischaemiaW M Clark
Oregon Stroke Center, Dept of Neurology UHS44, Oregon Health Sciences University, 3181 SW Sam Jackson Park Road, Portland, Oregon 97201, USA
Expert Opin Biol Ther 1:227-37. 2001..Although there are no current clinical 'anti-cytokine' treatment studies for stroke, experimental studies modulating IL-1 and TNF-alpha have shown neuroprotection...
GABA agonist: clomethiazoleAnand Vaishnav
Oregon Stroke Center, Oregon Health Sciences University, Portland 97201, USA
Curr Med Res Opin 18:s5-8. 2002..However, large randomized placebo controlled trials in Europe, Canada and North America did not show the superiority of clomethiazole over placebo that was seen in animal models...
Mapping individual brains to guide restorative therapy after stroke: rationale and pilot studiesSteven C Cramer
University of California, Irvine, Department of Neurology, UCI Medical Center, 101 The City Drive South, Building 53, Room 203, Orange, CA 92868 4280, USA
Neurol Res 25:811-4. 2003..Initial details are presented of a study using this approach to evaluate such a therapy...
Intraarterial suction thrombectomy in acute strokeHelmi L Lutsep
Oregon Stroke Center, Oregon Health Sciences University, Portland 97201, USA
AJNR Am J Neuroradiol 23:783-6. 2002..The median National Institutes of Health Stroke Scale score decreased from 22 (range, 12-23) to 4 (range, 2-22) at 3 months. IA suction thrombectomy may be safe and feasible in patients with acute stroke...
Increased pelvic vein thrombi in cryptogenic stroke: results of the Paradoxical Emboli from Large Veins in Ischemic Stroke (PELVIS) studySteven C Cramer
University of Washington, Seattle, USA
Stroke 35:46-50. 2004..The Paradoxical Emboli From Large Veins in Ischemic Stroke (PELVIS) study hypothesized that patients with cryptogenic stroke have an increased prevalence of pelvic deep venous thrombosis (DVT)...
Mechanical endovascular acute stroke treatment: here to stayHelmi L Lutsep
Expert Rev Med Devices 5:273-4. 2008
Use of functional MRI to guide decisions in a clinical stroke trialSteven C Cramer
University of California, Irvine, Calif, USA
Stroke 36:e50-2. 2005..The anatomical location for the target, hand motor area, varies across subjects, and so was localized with functional MRI (fMRI). This report describes the experience of incorporating standardized fMRI into a multisite stroke trial...
Motor cortex stimulation for the enhancement of recovery from stroke: a prospective, multicenter safety studyJeffrey A Brown
Department of Neurosurgery, Wayne State University, Detroit, Michigan, USA
Neurosurgery 58:464-73. 2006....
