scholarly journals Contemporary Management of Carotid Bifurcation Atherosclerosis for Stroke Prevention: Management Options and Patient Selection

2010 ◽  
Author(s):  
J. J. Ricotta ◽  
J. J. Ricotta
Keyword(s):  
Patient Selection ◽  
Stroke Prevention ◽  
Carotid Bifurcation ◽  
Management Options ◽  
Contemporary Management

scholarly journals Patent foramen ovale and cryptogenic stroke: diagnosis and updates in secondary stroke prevention

2018 ◽  
Vol 3 (2) ◽  
pp. 84-91 ◽  
Author(s):  
Kristy Yuan ◽  
Scott Eric Kasner
Keyword(s):  
Patient Selection ◽  
Stroke Prevention ◽  
Patent Foramen Ovale ◽  
Clinical Decision Making ◽  
Cryptogenic Stroke ◽  
Clinical Decision ◽  
Current Evidence ◽  
Secondary Stroke Prevention ◽  
Foramen Ovale ◽  
Pfo Closure

The patent foramen ovale (PFO), given its high prevalence in the general population and especially in patients with cryptogenic stroke, has long generated investigation and debate on its propensity for stroke by paradoxical embolism and its management for stroke prevention. The pendulum has swung for percutaneous PFO closure for secondary stroke prevention in cryptogenic stroke. Based on a review of current evidence, the benefit from PFO closure relies on careful patient selection: those under the age of 60 years with few to no vascular risk factors and embolic-appearing stroke deemed cryptogenic after thorough evaluation. As these data look towards influencing guideline statements and device approvals in the future, patient selection remains the crucial ingredient for clinical decision making and future trials.

Movement disorders

2019 ◽  
pp. 873-884
Author(s):  
Keyoumars Ashkan ◽  
Ismail Ughratdar
Keyword(s):  
Essential Tremor ◽  
Surgical Management ◽  
Medical Therapy ◽  
Patient Selection ◽  
Movement Disorders ◽  
Clinical Aspects ◽  
Functional Neurosurgery ◽  
Management Options ◽  
Technical Ability ◽  
Surgical Aspects

Merely having the technical ability to perform functional neurosurgery is not sufficient. An understanding of key clinical concepts surrounding movement disorders lies at the heart of becoming a competent functional neurosurgeon in order to ensure correct patient selection and perioperative management. This chapter provides a thorough medical overview of the fundamental clinical aspects, including pathophysiology, diagnosis and medical therapy for the commonest movement disorders encountered in neurosurgical practice: Parkinson’s disease, essential tremor, and dystonia. A brief overview of the surgical management options and outcomes from surgery is discussed. Finally, some of the controversies related to the surgical aspects of movement disorders are examined.

scholarly journals Assessment and patient selection process for a pain management programme: a case study in specialty care

2018 ◽  
Vol 13 (2) ◽  
pp. 74-81 ◽  
Author(s):  
Lucie D Knight ◽  
Beth J Guildford ◽  
Aisling Daly-Eichenhardt ◽  
Lance M McCracken
Keyword(s):  
Pain Management ◽  
Patient Selection ◽  
Best Practice ◽  
Selection Process ◽  
Management Programme ◽  
Individual Treatment ◽  
Management Approach ◽  
Management Service ◽  
Management Options ◽  
Exclusion Criteria

Introduction: The present study audited the process of assessing and selecting patients for a pain management programme with the aim of reviewing best practice in the light of the latest British Pain Society guidelines for pain management programmes for adults. The guidelines include defined inclusion/exclusion criteria and it was explored how they are used by clinicians providing a pain management service. Method: The records of 200 consecutive patients who attended a multidisciplinary assessment for a central London specialist Pain Management Service from September 2014 to December 2014 were audited. The proportions of patients who were offered a programme, were discharged or referred for a different service were calculated. Clinic letters were reviewed to collect information on assessment outcomes, recommendations and inclusion/exclusion criteria used. Results: About half the patients (53%) seen for assessment were offered treatment within the service, most frequently the intensive residential programme (30.5%, with an additional 11.6% offered case management first), followed by the five session outpatient programme (8.1%) and a minority was offered individual treatment (2.5%); 44.7% of the patients were discharged following the assessment. The three most frequently used reasons for exclusion were: not ready to engage with the pain management approach (35%), complex psychological or other needs needing to be prioritised (29.5%) and the patient declining a programme (19.3%). Conclusion: Reviewing the use of inclusion/exclusion criteria revealed some challenges regarding patient selection. For example, a sizable proportion of patients were still seeking pain reduction and were not open to a self-management approach when this was the recommended treatment for them. Complex patients might need other treatment approaches before they can be considered for a programme. Having a range of pain management options of varying intensities available seems helpful in meeting individual patient need.

scholarly journals TURPxit or not: contemporary management options for benign prostatic obstruction

2021 ◽  
Author(s):  
Thomas R. W. Herrmann ◽  
Vincent Misrai ◽  
Fernando Gómez Sancha ◽  
Thorsten Bach
Keyword(s):  
Benign Prostatic Obstruction ◽  
Management Options ◽  
Contemporary Management

scholarly journals Left Atrial Appendage Closure for Stroke Prevention

2021 ◽  
pp. 22-24
Author(s):  
Evan Kimber
Keyword(s):  
Patient Selection ◽  
Stroke Prevention ◽  
Left Atrial ◽  
Left Atrial Appendage ◽  
Atrial Appendage ◽  
University Hospital ◽  
Left Atrial Appendage Closure ◽  
National University ◽  
Procedural Planning

IMPLEMENTING an effective patient-selection approach, integrating device choice, procedural planning, and patient follow-up, have proven crucial to the success of left atrial appendage closure (LAAC) therapy for atrial fibrillation (AF). This was the focus of the EuroPCR 2021 ‘Structural Theatre’ session, which compared LAAC and direct oral anticoagulant (DOAC) treatment avenues for stroke prevention. In this session, Patrick Calvert, from Royal Papworth Hospital in Cambridge, UK, gave a presentation on patient selection, alongside Ole De Backer of Copenhagen University Hospital, Denmark, who discussed device selection and planning using CT imagery. Ivan Kuntjoro, from the National University Heart Centre of Singapore, briefly outlined left atria morphology, and Farell Hellig of Sunninghill Hospital, Johannesburg, South Africa, introduced procedural plans in a step-by-step approach while performing a live procedure. The session was concluded by Edgar Tay, UK Royal College of Physicians, who gave his insights on several of these topics and concluded the stream with how to optimise patient follow-up care.

Cornual heterotopic pregnancy: Contemporary management options

2000 ◽  
Vol 182 (5) ◽  
pp. 1264-1270 ◽  
Author(s):  
Antonia Habana ◽  
Anuja Dokras ◽  
Juan L. Giraldo ◽  
Ervin E. Jones
Keyword(s):  
Heterotopic Pregnancy ◽  
Management Options ◽  
Contemporary Management
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