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Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
Ischemic Stroke l: Introduction01:15

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Ischemic stroke is an acute cerebrovascular condition in which blood flow to a brain region is suddenly interrupted, leading to tissue infarction. Neurons depend on continuous oxygen and glucose supply, so even brief reductions in perfusion cause energy failure, ionic imbalance, and irreversible injury. Ischemic strokes are classified into thrombotic and embolic types based on their underlying mechanisms.Thrombotic MechanismsThrombotic stroke develops when a clot forms within a cerebral artery.
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Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
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Updated: Jun 25, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
09:21

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Published on: January 18, 2018

Acute stroke intervention by interventional cardiologists.

James T DeVries1, Christopher J White, Tyrone J Collins

  • 1Department of Cardiovascular Diseases, The Ochsner Heart and Vascular Institute, Ochsner Clinic Foundation, New Orleans, Louisiana 70121, USA.

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
|February 7, 2009
PubMed
Summary
This summary is machine-generated.

Catheter-based therapy (CBT) is a safe and effective treatment for acute ischemic stroke in patients ineligible for intravenous thrombolysis. This study shows successful recanalization and improved outcomes with CBT in this patient population.

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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
09:52

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

Area of Science:

  • Neurology
  • Interventional Cardiology
  • Vascular Medicine

Background:

  • Acute ischemic stroke is a prevalent condition often undertreated.
  • Catheter-based therapy (CBT) presents a viable treatment option for select patients unsuitable for intravenous thrombolysis.

Purpose of the Study:

  • To evaluate the technical success and clinical outcomes of CBT for acute ischemic stroke.
  • To assess CBT in patients who do not qualify for intravenous thrombolysis.

Main Methods:

  • Retrospective review of consecutive stroke patients undergoing CBT.
  • Data collection included demographics, NIHSS, procedural details, and in-hospital/90-day outcomes.
  • Interventional cardiologists provided CBT with stroke neurologist support.

Main Results:

  • Successful recanalization was achieved in 88% of 26 CBT-treated patients.
  • In-hospital adverse events occurred in 15%, with intracerebral hemorrhage in 12%.
  • National Institutes of Health Stroke Scale scores improved significantly (16.5 to 9.9; P < 0.001), with 50% achieving a modified Rankin score ≤2.

Conclusions:

  • CBT is a safe and effective treatment for acute stroke patients ineligible for intravenous thrombolysis.
  • Qualified interventional cardiologists and stroke neurologists can successfully administer CBT.