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Brain angioplasty in awake patients may reduce complications

Performing intracranial angioplasty on an awake patient allows patients to report unusual symptoms, which lets physicians immediately alter their work to minimize the risk of major complications, according to a preliminary study. In the study, the procedure ? called intracranial (within the skull) angioplasty ? was safely performed on 10 patients who were given local anesthesia with mild sedation, rather than the general anesthesia that is traditionally administered. Local anesthesia is injected near the access area to block pain impulses; general anesthesia induces a complete loss of consciousness.

Combination hormone therapy raises women's stroke risk

Combined hormone replacement therapy (HRT) increased the risk of stroke for postmenopausal women of all ages, whether or not they had hypertension. Researchers reported these findings, which are based on women studied in the Women’s Health Initiative, today at the American Stroke Association’s 28th International Stroke Conference. Information on subgroup analysis by age, race, hypertension status and baseline risk were not detailed when this major hormone study was halted last summer. “Estrogen plus progestin increased the risk of stroke in older and younger postmenopausal women, in those with and without high blood pressure and in those with no prior history of cardiovascular disease (CVD). Our finding is that this is absolutely not a strategy for primary prevention of cardiovascular disease.”

Ginseng may improve memory in stroke dementia patients

A small study showed that a ginseng compound improved memory scores of people suffering from stroke-induced dementia, Chinese researchers reported today at the American Stroke Association’s 28th International Stroke Conference. The American Stroke Association is a division of the American Heart Association. Researchers caution that larger clinical trials are needed to establish the efficacy and safety of the compound. Memory loss, or dementia, may occur after stroke and is a growing problem in China, says lead researcher Jinzhou Tian, M.D., a professor in the Department of Care of the Elderly at Beijing University of Chinese Medicine, Dongzhimen Hospital in Beijing, China.

Baby and coated aspirin may not reduce risk of stroke

The majority of patients who take baby or coated aspirin to prevent strokes are not getting the blood-thinning results they may need to help avoid these health threats, according to preliminary research presented today at the American Stroke Association’s 28th International Stroke Conference. The American Stroke Association is a division of the American Heart Association. “While research has established that aspirin reduces the risk of stroke in patients with cerebrovascular disease, the optimal dose and formulation still remains somewhat unclear,” according to Mark Alberts, M.D., the study’s lead author and director of the Stroke Program at Northwestern Memorial Hospital. “This study is significant in that it points researchers in the right direction ? showing how we can maximize the effectiveness of aspirin.”