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19 results on '"Distefano, Marisa"'

5. Effect of the COVID-19 pandemic and the lockdown measures on the local stroke network

Author

Brunetti, Valerio, Broccolini, Aldobrando, Caliandro, Pietro, Di Iorio, Riccardo, Monforte, Mauro, Morosetti, Roberta, Piano, Carla, Pilato, Fabio, Bellavia, Simone, Marotta, Jessica, Scala, Irene, Pedicelli, Alessandro, Pennisi, Mariano Alberto, Caricato, Anselmo, Roberti, Cinzia, Altavista, Maria Concetta, Valenza, Alessandro, Distefano, Marisa, Cecconi, Emanuela, Fanella, Martina, Roncacci, Sabina, Tasillo, Miriam, Calabresi, Paolo, Frisullo, Giovanni, and Marca, Giacomo Della

Published
2021
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9. Reversible Cerebral Vasoconstriction Syndrome: A Severe Neurological Complication in Postpartum Period

Author

Lozupone, Emilio, Distefano, Marisa, Calandrelli, Rosalinda, Marca, Giacomo, Pedicelli, Alessandro, and Pilato, Fabio

Subjects
Puerperal disorders -- Case studies -- Diagnosis -- Care and treatment, Cerebrovascular disorders -- Case studies -- Diagnosis -- Care and treatment, Hematoma, Neurologic examination, Nausea, Neurologic manifestations, Emergency medical services, Hemiplegia, Pregnancy, Tomography, Vasoconstriction, Headache, Health
Abstract

Byline: Emilio. Lozupone, Marisa. Distefano, Rosalinda. Calandrelli, Giacomo. Marca, Alessandro. Pedicelli, Fabio. Pilato A 38-year-old woman 12 days after delivery of her second pregnancy was admitted to emergency room for [...]

Published
2020

11. Aortic dissection in the thrombolysis era: Rare but potentially fatal cause of stroke

Author

Pilato, Fabio, Iodice, Francesco, Distefano, Marisa, Profice, Paolo, Coli, Antonella, and Calandrelli, Rosalinda

Subjects
Surgery -- Health aspects -- Usage, Fibrinolytic agents -- Dosage and administration, Stroke -- Care and treatment -- Health aspects -- Causes of, Health
Abstract

Byline: Fabio. Pilato, Francesco. Iodice, Marisa. Distefano, Paolo. Profice, Antonella. Coli, Rosalinda. Calandrelli Sir, Recombinant tissue plasminogen activator (rt-PA) is an effective treatment for acute ischemic stroke; however, its therapeutic [...]

Published
2017

12. Predicting Factors of Functional Outcome in Patients with Acute Ischemic Stroke Admitted to Neuro-Intensive Care Unit-A Prospective Cohort Study

Author

Pilato, Fabio, Silva, Serena, Valente, Iacopo, Distefano, Marisa, Broccolini, Aldobrando, Brunetti, Valerio, Caliandro, Pietro, Della Marca, Giacomo, Di Iorio, Riccardo, Frisullo, Giovanni, Monforte, Mauro, Morosetti, Roberta, Piano, Carla, Calandrelli, Rosalinda, Capone, Fioravante, Alexandre, Andrea, Pedicelli, Alessandro, Colosimo, Cesare, Caricato, Anselmo, Pilato, Fabio (ORCID:0000-0002-7248-3916), Broccolini, Aldobrando (ORCID:0000-0001-8295-9271), Caliandro, Pietro (ORCID:0000-0002-1190-4879), Marca, Giacomo Della (ORCID:0000-0001-6914-799X), Pedicelli, Alessandro (ORCID:0000-0002-2558-8838), Colosimo, Cesare (ORCID:0000-0003-3800-3648), Caricato, Anselmo (ORCID:0000-0001-5929-120X), Pilato, Fabio, Silva, Serena, Valente, Iacopo, Distefano, Marisa, Broccolini, Aldobrando, Brunetti, Valerio, Caliandro, Pietro, Della Marca, Giacomo, Di Iorio, Riccardo, Frisullo, Giovanni, Monforte, Mauro, Morosetti, Roberta, Piano, Carla, Calandrelli, Rosalinda, Capone, Fioravante, Alexandre, Andrea, Pedicelli, Alessandro, Colosimo, Cesare, Caricato, Anselmo, Pilato, Fabio (ORCID:0000-0002-7248-3916), Broccolini, Aldobrando (ORCID:0000-0001-8295-9271), Caliandro, Pietro (ORCID:0000-0002-1190-4879), Marca, Giacomo Della (ORCID:0000-0001-6914-799X), Pedicelli, Alessandro (ORCID:0000-0002-2558-8838), Colosimo, Cesare (ORCID:0000-0003-3800-3648), and Caricato, Anselmo (ORCID:0000-0001-5929-120X)

Abstract

Although thrombectomy is beneficial for most stroke patients with large vessel occlusion (LVO), it has added new issues in acute management due to intensive care support. In this prospective cohort study, we described the patients admitted to our neuro-intensive care unit (NICU) after thrombectomy in order to assess factors linked to functional outcomes. The outcome was independency assessed for stroke patients consecutively admitted to NICU for an ischemic stroke due to LVO of the anterior cerebral circulation that underwent intra-arterial mechanical thrombectomy (IAMT), either in combination with intravenous thrombolysis (IVT) in eligible patients or alone in patients with contraindications for IVT. Overall, 158 patients were enrolled. IVT (odds ratio (OR), 3.78; 95% confidence interval (CI), 1.20-11.90; p = 0.023) and early naso-gastric tube removal (OR, 3.32; 95% CI, 1.04-10.59 p = 0.042) were associated with good outcomes, whereas a high baseline National Institutes of Health Stroke Scale (NIHSS) score (OR, 0.72 for each point of increase; 95% CI, 0.61-0.85; p < 0.001) was a predictor of poor outcomes at 3 months. Older age (OR, 0.95 for each year of increase; 95% CI, 0.92-0.99; p = 0.020) and hemorrhagic transformation (OR, 0.31; 95% CI, 0.11-0.84; p = 0.022) were predictors of poor outcomes after IAMT, whereas a modified Treatment in Cerebral Infarction (mTICI) score of 2b/3 was a predictor of good outcomes (OR, 7.86; 95% CI, 1.65-37.39; p = 0.010) at 6 months. Our results show that acute stroke patients with LVO who require NICU management soon after IAMT may show specific clinical factors influencing short- and long-term neurologic independency.

Published
2020

13. Predicting Factors of Functional Outcome in Patients with Acute Ischemic Stroke Admitted to Neuro-Intensive Care Unit—A Prospective Cohort Study

Author

Pilato, Fabio, primary, Silva, Serena, additional, Valente, Iacopo, additional, Distefano, Marisa, additional, Broccolini, Aldobrando, additional, Brunetti, Valerio, additional, Caliandro, Pietro, additional, Marca, Giacomo Della, additional, Di Iorio, Riccardo, additional, Frisullo, Giovanni, additional, Monforte, Mauro, additional, Morosetti, Roberta, additional, Piano, Carla, additional, Calandrelli, Rosalinda, additional, Capone, Fioravante, additional, Alexandre, Andrea, additional, Pedicelli, Alessandro, additional, Colosimo, Cesare, additional, and Caricato, Anselmo, additional

Published
2020
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18. A Puzzling Case of Cryptogenic Stroke

Author

Distefano, Marisa, primary, Calandrelli, Rosalinda, additional, Arena, Vincenzo, additional, Pedicelli, Alessandro, additional, Della Marca, Giacomo, additional, and Pilato, Fabio, additional

Published
2019
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