Literature DB >> 27053984

Decision Making and the Limits of Evidence: A Case Study of Acute Stroke in Pregnancy.

Matthew Boyko1, Daniela Iancu2, Howard Lesiuk2, Dar Dowlatshahi3, Michel C F Shamy3.   

Abstract

We report the case of a pregnant woman treated for acute ischemic stroke and review the literature on acute stroke treatment in pregnancy. To our knowledge, this is the first case reporting the successful use of intravenous tissue plasminogen activator and a stent retriever for acute stroke in pregnancy. We then use this case to consider the way medical knowledge is used in therapeutic decision making and argue that decision making necessarily extends beyond the limits of clinical trial evidence.

Entities:  

Keywords:  acute stroke; decision making; evidence; pregnancy; therapy

Year:  2015        PMID： 27053984      PMCID： PMC4802770          DOI： 10.1177/1941874415594120

Source DB:  PubMed          Journal:  Neurohospitalist        ISSN： 1941-8744


  28 in total

1.  Intravenous recombinant tissue plasminogen activator in a pregnant woman with cardioembolic stroke.

Authors:  Kathleen M Wiese; Arun Talkad; Maureen Mathews; David Wang
Journal:  Stroke       Date:  2006-06-22       Impact factor: 7.914

2.  Yes, intravenous thrombolysis should be administered in pregnancy when other clinical and imaging factors are favorable.

Authors:  Andrew M Demchuk
Journal:  Stroke       Date:  2013-02-07       Impact factor: 7.914

3.  Aligning ethics with medical decision-making: the quest for informed patient choice.

Authors:  Benjamin Moulton; Jaime S King
Journal:  J Law Med Ethics       Date:  2010       Impact factor: 1.718

4.  Stent-retriever thrombectomy after intravenous t-PA vs. t-PA alone in stroke.

Authors:  Jeffrey L Saver; Mayank Goyal; Alain Bonafe; Hans-Christoph Diener; Elad I Levy; Vitor M Pereira; Gregory W Albers; Christophe Cognard; David J Cohen; Werner Hacke; Olav Jansen; Tudor G Jovin; Heinrich P Mattle; Raul G Nogueira; Adnan H Siddiqui; Dileep R Yavagal; Blaise W Baxter; Thomas G Devlin; Demetrius K Lopes; Vivek K Reddy; Richard du Mesnil de Rochemont; Oliver C Singer; Reza Jahan
Journal:  N Engl J Med       Date:  2015-04-17       Impact factor: 91.245

5.  Endovascular therapy for ischemic stroke with perfusion-imaging selection.

Authors:  Bruce C V Campbell; Peter J Mitchell; Timothy J Kleinig; Helen M Dewey; Leonid Churilov; Nawaf Yassi; Bernard Yan; Richard J Dowling; Mark W Parsons; Thomas J Oxley; Teddy Y Wu; Mark Brooks; Marion A Simpson; Ferdinand Miteff; Christopher R Levi; Martin Krause; Timothy J Harrington; Kenneth C Faulder; Brendan S Steinfort; Miriam Priglinger; Timothy Ang; Rebecca Scroop; P Alan Barber; Ben McGuinness; Tissa Wijeratne; Thanh G Phan; Winston Chong; Ronil V Chandra; Christopher F Bladin; Monica Badve; Henry Rice; Laetitia de Villiers; Henry Ma; Patricia M Desmond; Geoffrey A Donnan; Stephen M Davis
Journal:  N Engl J Med       Date:  2015-02-11       Impact factor: 91.245

6.  Tissue plasminogen activator for acute ischemic stroke.

Authors: 
Journal:  N Engl J Med       Date:  1995-12-14       Impact factor: 91.245

Review 7.  Cerebrovascular disorders complicating pregnancy.

Authors:  Steven K Feske; Aneesh B Singhal
Journal:  Continuum (Minneap Minn)       Date:  2014-02

8.  A trial of imaging selection and endovascular treatment for ischemic stroke.

Authors:  Chelsea S Kidwell; Reza Jahan; Jeffrey Gornbein; Jeffry R Alger; Val Nenov; Zahra Ajani; Lei Feng; Brett C Meyer; Scott Olson; Lee H Schwamm; Albert J Yoo; Randolph S Marshall; Philip M Meyers; Dileep R Yavagal; Max Wintermark; Judy Guzy; Sidney Starkman; Jeffrey L Saver
Journal:  N Engl J Med       Date:  2013-02-08       Impact factor: 91.245

9.  Endovascular therapy after intravenous t-PA versus t-PA alone for stroke.

Authors:  Joseph P Broderick; Yuko Y Palesch; Andrew M Demchuk; Sharon D Yeatts; Pooja Khatri; Michael D Hill; Edward C Jauch; Tudor G Jovin; Bernard Yan; Frank L Silver; Rüdiger von Kummer; Carlos A Molina; Bart M Demaerschalk; Ronald Budzik; Wayne M Clark; Osama O Zaidat; Tim W Malisch; Mayank Goyal; Wouter J Schonewille; Mikael Mazighi; Stefan T Engelter; Craig Anderson; Judith Spilker; Janice Carrozzella; Karla J Ryckborst; L Scott Janis; Renée H Martin; Lydia D Foster; Thomas A Tomsick
Journal:  N Engl J Med       Date:  2013-02-07       Impact factor: 91.245

10.  Ischemic Stroke during Pregnancy and Puerperium.

Authors:  Elisabetta Del Zotto; Alessia Giossi; Irene Volonghi; Paolo Costa; Alessandro Padovani; Alessandro Pezzini
Journal:  Stroke Res Treat       Date:  2011-01-27
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  3 in total

Review 1.  Ischemic stroke and cerebral venous sinus thrombosis in pregnancy.

Authors:  Hannah J Roeder; Jean Rodriguez Lopez; Eliza C Miller
Journal:  Handb Clin Neurol       Date:  2020

2.  Transatlantic Differences in Management of Carotid Stenosis: BRIDGing the Gap in StrokE Management (BRIDGE) Project.

Authors:  Clotilde Balucani; Vanessa Arnedo; Jeremy Weedon; Didier Leys; Jean-Louis Mas; Martin Brown; James C Grotta; Nicole R Gonzales; Werner Hacke; Thomas Brott; Steven R Levine
Journal:  Neurohospitalist       Date:  2018-01-17

3.  SiPP (Stroke in Pregnancy and Postpartum): A prospective, observational, international, multicentre study on pathophysiological mechanisms, clinical profile, management and outcome of cerebrovascular diseases in pregnant and postpartum women.

Authors:  Svetlana Lorenzano; Christine Kremer; Aleksandra Pavlovic; Dejana R Jovanovic; Else Charlotte Sandset; Hanne Christensen; Cheryl Bushnell; Anita Arsovska; Nikola Sprigg; Christine Roffe; Petra Ijäs; Zuzana Gdovinova; Anne Alexandrov; Marialuisa Zedde; Rossana Tassi; Monica Acciaresi; Maria Lantz; Katharina Sunnerhagen; Marija Zarkov; Kirsi Rantanen; Fabienne Perren; Helle K Iversen; Christina Kruuse; Agnieszka Slowik; Paola Palazzo; Janika Korv; Annette Fromm; Arijana Lovrencic-Huzjan; Eleni Korompoki; Ana Catarina Fonseca; Seana L Gall; Freimuth Brunner; Valeria Caso; Simona Sacco
Journal:  Eur Stroke J       Date:  2019-12-06
  3 in total

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