0000000000631158

AUTHOR

Fernando Aparici Robles

0000-0002-1012-9073

showing 4 related works from this author

Second asymptomatic carotid surgery trial (ACST-2): a randomised comparison of carotid artery stenting versus carotid endarterectomy.

2021

Summary Background Among asymptomatic patients with severe carotid artery stenosis but no recent stroke or transient cerebral ischaemia, either carotid artery stenting (CAS) or carotid endarterectomy (CEA) can restore patency and reduce long-term stroke risks. However, from recent national registry data, each option causes about 1% procedural risk of disabling stroke or death. Comparison of their long-term protective effects requires large-scale randomised evidence. Methods ACST-2 is an international multicentre randomised trial of CAS versus CEA among asymptomatic patients with severe stenosis thought to require intervention, interpreted with all other relevant trials. Patients were eligib…

Malemedicine.medical_specialtyTime FactorsTime Factormedicine.medical_treatmentCarotid StenosiMEDLINECarotid endarterectomyRate ratioRisk AssessmentAsymptomaticlaw.inventionRandomized controlled triallawRisk Factorscarotid artery stenting (CAS); carotid endarterectomy (CEA)StentmedicineHumansCarotid StenosisStrokeEndarterectomyAgedEndarterectomy Carotidbusiness.industrycarotid arteryRisk FactorArticlesGeneral Medicinetrialmedicine.diseaseSettore MED/22 - CHIRURGIA VASCOLARESurgeryStrokeStenosisTreatment Outcomecarotid artery stenting (CAS)Settore MED/11 - MALATTIE DELL'APPARATO CARDIOVASCOLAREFemaleStentsHuman medicinemedicine.symptomcarotid endarterectomy (CEA)businessHumanLancet (London, England)
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Drug load and memory during intracarotid amobarbital procedure in epilepsy

2021

Background Anti-seizure medications (ASMs) have been related to poor cognitive function, but their relationship with intracarotid amobarbital procedure (IAP) results remains unclear. Aims of the study To elucidate whether the number and drug load of ASMs are associated with memory scores of the IAP and the neuropsychological assessment. Methods Fifty-nine adult patients with drug-resistant epilepsy (mean age = 36.1, SD = 11.6) underwent bilateral IAP (with drawings and words as memory items) and a neuropsychological assessment to assess the risk of post-surgical memory decline. Total ASM drug load was calculated by summing the daily dose/defined daily dose ratio of every ASM of each patient…

Adultmedicine.medical_specialtyAmobarbitalFunctional Laterality03 medical and health sciencesEpilepsy0302 clinical medicineMemoryInternal medicinemedicineHumans030212 general & internal medicineNeuropsychological assessmentEpilepsymedicine.diagnostic_testbusiness.industryConfoundingNeuropsychologyCognitionGeneral MedicineMiddle Agedmedicine.diseaseDefined daily doseEpilepsy Temporal LobeInjections Intra-ArterialPharmaceutical PreparationsNeurologyCardiologyAmobarbitalWada testNeurology (clinical)business030217 neurology & neurosurgerymedicine.drugActa Neurologica Scandinavica
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pBrain: A novel pipeline for Parkinson related brain structure segmentation

2020

[EN] Parkinson is a very prevalent neurodegenerative disease impacting the life of millions of people worldwide. Although its cause remains unknown, its functional and structural analysis is fundamental to advance in the search of a cure or symptomatic treatment. The automatic segmentation of deep brain structures related to Parkinson's disease could be beneficial for the follow up and treatment planning. Unfortunately, there is not broadly available segmentation software to automatically measure Parkinson related structures. In this paper, we present a novel pipeline to segment three deep brain structures related to Parkinson's disease (substantia nigra, subthalamic nucleus and red nucleus…

AdultMaleComputer scienceCognitive NeurosciencePipeline (computing)NeuroimagingSubstantia nigraImage processinglcsh:Computer applications to medicine. Medical informaticslcsh:RC346-429050105 experimental psychologyNeurologia03 medical and health sciences0302 clinical medicineImage Interpretation Computer-Assisted[INFO.INFO-IM]Computer Science [cs]/Medical ImagingImage Processing Computer-AssistedHumans0501 psychology and cognitive sciencesRadiology Nuclear Medicine and imagingSegmentationlcsh:Neurology. Diseases of the nervous systemAgedStructure (mathematical logic)Artificial neural networkbusiness.industry05 social sciencesBrainReproducibility of ResultsRegular ArticleParkinson DiseasePattern recognitionMiddle AgedMagnetic Resonance ImagingSubthalamic nucleusNeurologyFISICA APLICADAlcsh:R858-859.7Sistema nerviós MalaltiesFemaleNeurology (clinical)Artificial intelligencebusinessError detection and correctionLENGUAJES Y SISTEMAS INFORMATICOS030217 neurology & neurosurgery
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Robust association between vascular habitats and patient prognosis in glioblastoma: An international multicenter study

2019

Background Glioblastoma (GBM) is the most aggressive primary brain tumor, characterized by a heterogeneous and abnormal vascularity. Subtypes of vascular habitats within the tumor and edema can be distinguished: high angiogenic tumor (HAT), low angiogenic tumor (LAT), infiltrated peripheral edema (IPE), and vasogenic peripheral edema (VPE). Purpose To validate the association between hemodynamic markers from vascular habitats and overall survival (OS) in glioblastoma patients, considering the intercenter variability of acquisition protocols. Study Type Multicenter retrospective study. Population In all, 184 glioblastoma patients from seven European centers participating in the NCT03439332 c…

Oncologymedicine.medical_specialtyVascularityContrast MediaPerfusion DSC030218 nuclear medicine & medical imaging03 medical and health sciences0302 clinical medicineInternal medicinemedicineOverall survivalHumansRadiology Nuclear Medicine and imagingOverall survivalRetrospective StudiesBrain Neoplasmsbusiness.industryPrognosismedicine.diseaseMagnetic Resonance ImagingMulticenter studyPeer reviewddc:616.8Multicenter studyglioblastoma multicenter study overall survival perfusion DSC vascularitybusinessGlioblastomaGlioblastoma
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