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Abbott AL, Paraskevas KI, Kakkos SK, Golledge J, Eckstein HH, Diaz-Sandoval LJ, Cao L, Fu Q, Wijeratne T, Leung TW, Montero-Baker M, Lee BC, Pircher S, Bosch M, Dennekamp M, Ringleb P. Systematic Review of Guidelines for the Management of Asymptomatic and Symptomatic Carotid Stenosis. Stroke 2015; 46:3288-301. [PMID: 26451020 DOI: 10.1161/strokeaha.115.003390] [Citation(s) in RCA: 188] [Impact Index Per Article: 20.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2015] [Accepted: 08/31/2015] [Indexed: 12/12/2022]
Abstract
BACKGROUND AND PURPOSE We systematically compared and appraised contemporary guidelines on management of asymptomatic and symptomatic carotid artery stenosis. METHODS We systematically searched for guideline recommendations on carotid endarterectomy (CEA) or carotid angioplasty/stenting (CAS) published in any language between January 1, 2008, and January 28, 2015. Only the latest guideline per writing group was selected. Each guideline was analyzed independently by 2 to 6 authors to determine clinical scenarios covered, recommendations given, and scientific evidence used. RESULTS Thirty-four eligible guidelines were identified from 23 different regions/countries in 6 languages. Of 28 guidelines with asymptomatic carotid artery stenosis procedural recommendations, 24 (86%) endorsed CEA (recommended it should or may be provided) for ≈50% to 99% average-surgical-risk asymptomatic carotid artery stenosis, 17 (61%) endorsed CAS, 8 (29%) opposed CAS, and 1 (4%) endorsed medical treatment alone. For asymptomatic carotid artery stenosis patients considered high-CEA-risk because of comorbidities, vascular anatomy, or undefined reasons, CAS was endorsed in 13 guidelines (46%). Thirty-one of 33 guidelines (94%) with symptomatic carotid artery stenosis procedural recommendations endorsed CEA for patients with ≈50% to 99% average-CEA-risk symptomatic carotid artery stenosis, 19 (58%) endorsed CAS and 9 (27%) opposed CAS. For high-CEA-risk symptomatic carotid artery stenosis because of comorbidities, vascular anatomy, or undefined reasons, CAS was endorsed in 27 guidelines (82%). Guideline procedural recommendations were based only on results of trials in which patients were randomized 12 to 34 years ago, rarely reflected medical treatment improvements and often understated potential CAS hazards. Qualifying terminology summarizing recommendations or evidence lacked standardization, impeding guideline interpretation, and comparison. CONCLUSIONS This systematic review has identified many opportunities to modernize and otherwise improve carotid stenosis management guidelines.
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Affiliation(s)
- Anne L Abbott
- From the Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine (A.L.A, M.D.), Department of Surgery, Central Clinical School (M.B.), Monash University, Melbourne, Victoria, Australia; Neurology Department, The Alfred Hospital, Prahran, Victoria, Australia (A.L.A.); Department of Cardiovascular Sciences, St. George'sVascular Institute, St George's Hospital, London, United Kingdom (K.I.P.); Department of Vascular Surgery, University of Patras, Patras, Greece (S.K.K.); Queensland Research Centre for Peripheral Vascular Disease, College of Medicine and Dentistry, James Cook University, Townsville, Queensland, Australia (J.G.); Department of Vascular and Endovascular Surgery, The Townsville Hospital, Townsville, Queensland, Australia (J.G.); Department for Vascular and Endovascular Surgery, Klinikum Rechts der Isar, Technical University Munich, Munich, Germany (H.-H.E.); Department of Medicine, Michigan State University, Metro Health Hospital, Grand Rapids, MI (L.J.D.-S.); Cardiology Department, Xiamen Cardiovascular Hospital, Xiamen, Fujian, China (L.C.); Center for Cardiology Intervention Treatment, Department of Cardiology, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, China (Q.F.); Stroke Unit, Department of Neurology, Western Hospital, University of Melbourne, Footscray, Melbourne, Victoria, Australia (T.W.); Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, China (T.W.L.); Department of Vascular Surgery, University of Arizona and Pima Vascular Group, Tucson (M.M.-B.); Department of Neurology, Hallym Neurological Institute, Hallym University, Sacred Heart Hospital, Seoul, South Korea (B.-C.L.); Centre for Health and Social Research, Faculty of Health Sciences, Australian Catholic University, Melbourne, Victoria, Australia (S.P.); and Department of Neurology, University Hospital Heidelberg, Heidelberg, Germany (P.R.).
| | - Kosmas I Paraskevas
- From the Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine (A.L.A, M.D.), Department of Surgery, Central Clinical School (M.B.), Monash University, Melbourne, Victoria, Australia; Neurology Department, The Alfred Hospital, Prahran, Victoria, Australia (A.L.A.); Department of Cardiovascular Sciences, St. George'sVascular Institute, St George's Hospital, London, United Kingdom (K.I.P.); Department of Vascular Surgery, University of Patras, Patras, Greece (S.K.K.); Queensland Research Centre for Peripheral Vascular Disease, College of Medicine and Dentistry, James Cook University, Townsville, Queensland, Australia (J.G.); Department of Vascular and Endovascular Surgery, The Townsville Hospital, Townsville, Queensland, Australia (J.G.); Department for Vascular and Endovascular Surgery, Klinikum Rechts der Isar, Technical University Munich, Munich, Germany (H.-H.E.); Department of Medicine, Michigan State University, Metro Health Hospital, Grand Rapids, MI (L.J.D.-S.); Cardiology Department, Xiamen Cardiovascular Hospital, Xiamen, Fujian, China (L.C.); Center for Cardiology Intervention Treatment, Department of Cardiology, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, China (Q.F.); Stroke Unit, Department of Neurology, Western Hospital, University of Melbourne, Footscray, Melbourne, Victoria, Australia (T.W.); Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, China (T.W.L.); Department of Vascular Surgery, University of Arizona and Pima Vascular Group, Tucson (M.M.-B.); Department of Neurology, Hallym Neurological Institute, Hallym University, Sacred Heart Hospital, Seoul, South Korea (B.-C.L.); Centre for Health and Social Research, Faculty of Health Sciences, Australian Catholic University, Melbourne, Victoria, Australia (S.P.); and Department of Neurology, University Hospital Heidelberg, Heidelberg, Germany (P.R.)
| | - Stavros K Kakkos
- From the Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine (A.L.A, M.D.), Department of Surgery, Central Clinical School (M.B.), Monash University, Melbourne, Victoria, Australia; Neurology Department, The Alfred Hospital, Prahran, Victoria, Australia (A.L.A.); Department of Cardiovascular Sciences, St. George'sVascular Institute, St George's Hospital, London, United Kingdom (K.I.P.); Department of Vascular Surgery, University of Patras, Patras, Greece (S.K.K.); Queensland Research Centre for Peripheral Vascular Disease, College of Medicine and Dentistry, James Cook University, Townsville, Queensland, Australia (J.G.); Department of Vascular and Endovascular Surgery, The Townsville Hospital, Townsville, Queensland, Australia (J.G.); Department for Vascular and Endovascular Surgery, Klinikum Rechts der Isar, Technical University Munich, Munich, Germany (H.-H.E.); Department of Medicine, Michigan State University, Metro Health Hospital, Grand Rapids, MI (L.J.D.-S.); Cardiology Department, Xiamen Cardiovascular Hospital, Xiamen, Fujian, China (L.C.); Center for Cardiology Intervention Treatment, Department of Cardiology, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, China (Q.F.); Stroke Unit, Department of Neurology, Western Hospital, University of Melbourne, Footscray, Melbourne, Victoria, Australia (T.W.); Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, China (T.W.L.); Department of Vascular Surgery, University of Arizona and Pima Vascular Group, Tucson (M.M.-B.); Department of Neurology, Hallym Neurological Institute, Hallym University, Sacred Heart Hospital, Seoul, South Korea (B.-C.L.); Centre for Health and Social Research, Faculty of Health Sciences, Australian Catholic University, Melbourne, Victoria, Australia (S.P.); and Department of Neurology, University Hospital Heidelberg, Heidelberg, Germany (P.R.)
| | - Jonathan Golledge
- From the Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine (A.L.A, M.D.), Department of Surgery, Central Clinical School (M.B.), Monash University, Melbourne, Victoria, Australia; Neurology Department, The Alfred Hospital, Prahran, Victoria, Australia (A.L.A.); Department of Cardiovascular Sciences, St. George'sVascular Institute, St George's Hospital, London, United Kingdom (K.I.P.); Department of Vascular Surgery, University of Patras, Patras, Greece (S.K.K.); Queensland Research Centre for Peripheral Vascular Disease, College of Medicine and Dentistry, James Cook University, Townsville, Queensland, Australia (J.G.); Department of Vascular and Endovascular Surgery, The Townsville Hospital, Townsville, Queensland, Australia (J.G.); Department for Vascular and Endovascular Surgery, Klinikum Rechts der Isar, Technical University Munich, Munich, Germany (H.-H.E.); Department of Medicine, Michigan State University, Metro Health Hospital, Grand Rapids, MI (L.J.D.-S.); Cardiology Department, Xiamen Cardiovascular Hospital, Xiamen, Fujian, China (L.C.); Center for Cardiology Intervention Treatment, Department of Cardiology, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, China (Q.F.); Stroke Unit, Department of Neurology, Western Hospital, University of Melbourne, Footscray, Melbourne, Victoria, Australia (T.W.); Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, China (T.W.L.); Department of Vascular Surgery, University of Arizona and Pima Vascular Group, Tucson (M.M.-B.); Department of Neurology, Hallym Neurological Institute, Hallym University, Sacred Heart Hospital, Seoul, South Korea (B.-C.L.); Centre for Health and Social Research, Faculty of Health Sciences, Australian Catholic University, Melbourne, Victoria, Australia (S.P.); and Department of Neurology, University Hospital Heidelberg, Heidelberg, Germany (P.R.)
| | - Hans-Henning Eckstein
- From the Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine (A.L.A, M.D.), Department of Surgery, Central Clinical School (M.B.), Monash University, Melbourne, Victoria, Australia; Neurology Department, The Alfred Hospital, Prahran, Victoria, Australia (A.L.A.); Department of Cardiovascular Sciences, St. George'sVascular Institute, St George's Hospital, London, United Kingdom (K.I.P.); Department of Vascular Surgery, University of Patras, Patras, Greece (S.K.K.); Queensland Research Centre for Peripheral Vascular Disease, College of Medicine and Dentistry, James Cook University, Townsville, Queensland, Australia (J.G.); Department of Vascular and Endovascular Surgery, The Townsville Hospital, Townsville, Queensland, Australia (J.G.); Department for Vascular and Endovascular Surgery, Klinikum Rechts der Isar, Technical University Munich, Munich, Germany (H.-H.E.); Department of Medicine, Michigan State University, Metro Health Hospital, Grand Rapids, MI (L.J.D.-S.); Cardiology Department, Xiamen Cardiovascular Hospital, Xiamen, Fujian, China (L.C.); Center for Cardiology Intervention Treatment, Department of Cardiology, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, China (Q.F.); Stroke Unit, Department of Neurology, Western Hospital, University of Melbourne, Footscray, Melbourne, Victoria, Australia (T.W.); Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, China (T.W.L.); Department of Vascular Surgery, University of Arizona and Pima Vascular Group, Tucson (M.M.-B.); Department of Neurology, Hallym Neurological Institute, Hallym University, Sacred Heart Hospital, Seoul, South Korea (B.-C.L.); Centre for Health and Social Research, Faculty of Health Sciences, Australian Catholic University, Melbourne, Victoria, Australia (S.P.); and Department of Neurology, University Hospital Heidelberg, Heidelberg, Germany (P.R.)
| | - Larry J Diaz-Sandoval
- From the Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine (A.L.A, M.D.), Department of Surgery, Central Clinical School (M.B.), Monash University, Melbourne, Victoria, Australia; Neurology Department, The Alfred Hospital, Prahran, Victoria, Australia (A.L.A.); Department of Cardiovascular Sciences, St. George'sVascular Institute, St George's Hospital, London, United Kingdom (K.I.P.); Department of Vascular Surgery, University of Patras, Patras, Greece (S.K.K.); Queensland Research Centre for Peripheral Vascular Disease, College of Medicine and Dentistry, James Cook University, Townsville, Queensland, Australia (J.G.); Department of Vascular and Endovascular Surgery, The Townsville Hospital, Townsville, Queensland, Australia (J.G.); Department for Vascular and Endovascular Surgery, Klinikum Rechts der Isar, Technical University Munich, Munich, Germany (H.-H.E.); Department of Medicine, Michigan State University, Metro Health Hospital, Grand Rapids, MI (L.J.D.-S.); Cardiology Department, Xiamen Cardiovascular Hospital, Xiamen, Fujian, China (L.C.); Center for Cardiology Intervention Treatment, Department of Cardiology, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, China (Q.F.); Stroke Unit, Department of Neurology, Western Hospital, University of Melbourne, Footscray, Melbourne, Victoria, Australia (T.W.); Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, China (T.W.L.); Department of Vascular Surgery, University of Arizona and Pima Vascular Group, Tucson (M.M.-B.); Department of Neurology, Hallym Neurological Institute, Hallym University, Sacred Heart Hospital, Seoul, South Korea (B.-C.L.); Centre for Health and Social Research, Faculty of Health Sciences, Australian Catholic University, Melbourne, Victoria, Australia (S.P.); and Department of Neurology, University Hospital Heidelberg, Heidelberg, Germany (P.R.)
| | - Longxing Cao
- From the Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine (A.L.A, M.D.), Department of Surgery, Central Clinical School (M.B.), Monash University, Melbourne, Victoria, Australia; Neurology Department, The Alfred Hospital, Prahran, Victoria, Australia (A.L.A.); Department of Cardiovascular Sciences, St. George'sVascular Institute, St George's Hospital, London, United Kingdom (K.I.P.); Department of Vascular Surgery, University of Patras, Patras, Greece (S.K.K.); Queensland Research Centre for Peripheral Vascular Disease, College of Medicine and Dentistry, James Cook University, Townsville, Queensland, Australia (J.G.); Department of Vascular and Endovascular Surgery, The Townsville Hospital, Townsville, Queensland, Australia (J.G.); Department for Vascular and Endovascular Surgery, Klinikum Rechts der Isar, Technical University Munich, Munich, Germany (H.-H.E.); Department of Medicine, Michigan State University, Metro Health Hospital, Grand Rapids, MI (L.J.D.-S.); Cardiology Department, Xiamen Cardiovascular Hospital, Xiamen, Fujian, China (L.C.); Center for Cardiology Intervention Treatment, Department of Cardiology, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, China (Q.F.); Stroke Unit, Department of Neurology, Western Hospital, University of Melbourne, Footscray, Melbourne, Victoria, Australia (T.W.); Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, China (T.W.L.); Department of Vascular Surgery, University of Arizona and Pima Vascular Group, Tucson (M.M.-B.); Department of Neurology, Hallym Neurological Institute, Hallym University, Sacred Heart Hospital, Seoul, South Korea (B.-C.L.); Centre for Health and Social Research, Faculty of Health Sciences, Australian Catholic University, Melbourne, Victoria, Australia (S.P.); and Department of Neurology, University Hospital Heidelberg, Heidelberg, Germany (P.R.)
| | - Qiang Fu
- From the Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine (A.L.A, M.D.), Department of Surgery, Central Clinical School (M.B.), Monash University, Melbourne, Victoria, Australia; Neurology Department, The Alfred Hospital, Prahran, Victoria, Australia (A.L.A.); Department of Cardiovascular Sciences, St. George'sVascular Institute, St George's Hospital, London, United Kingdom (K.I.P.); Department of Vascular Surgery, University of Patras, Patras, Greece (S.K.K.); Queensland Research Centre for Peripheral Vascular Disease, College of Medicine and Dentistry, James Cook University, Townsville, Queensland, Australia (J.G.); Department of Vascular and Endovascular Surgery, The Townsville Hospital, Townsville, Queensland, Australia (J.G.); Department for Vascular and Endovascular Surgery, Klinikum Rechts der Isar, Technical University Munich, Munich, Germany (H.-H.E.); Department of Medicine, Michigan State University, Metro Health Hospital, Grand Rapids, MI (L.J.D.-S.); Cardiology Department, Xiamen Cardiovascular Hospital, Xiamen, Fujian, China (L.C.); Center for Cardiology Intervention Treatment, Department of Cardiology, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, China (Q.F.); Stroke Unit, Department of Neurology, Western Hospital, University of Melbourne, Footscray, Melbourne, Victoria, Australia (T.W.); Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, China (T.W.L.); Department of Vascular Surgery, University of Arizona and Pima Vascular Group, Tucson (M.M.-B.); Department of Neurology, Hallym Neurological Institute, Hallym University, Sacred Heart Hospital, Seoul, South Korea (B.-C.L.); Centre for Health and Social Research, Faculty of Health Sciences, Australian Catholic University, Melbourne, Victoria, Australia (S.P.); and Department of Neurology, University Hospital Heidelberg, Heidelberg, Germany (P.R.)
| | - Tissa Wijeratne
- From the Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine (A.L.A, M.D.), Department of Surgery, Central Clinical School (M.B.), Monash University, Melbourne, Victoria, Australia; Neurology Department, The Alfred Hospital, Prahran, Victoria, Australia (A.L.A.); Department of Cardiovascular Sciences, St. George'sVascular Institute, St George's Hospital, London, United Kingdom (K.I.P.); Department of Vascular Surgery, University of Patras, Patras, Greece (S.K.K.); Queensland Research Centre for Peripheral Vascular Disease, College of Medicine and Dentistry, James Cook University, Townsville, Queensland, Australia (J.G.); Department of Vascular and Endovascular Surgery, The Townsville Hospital, Townsville, Queensland, Australia (J.G.); Department for Vascular and Endovascular Surgery, Klinikum Rechts der Isar, Technical University Munich, Munich, Germany (H.-H.E.); Department of Medicine, Michigan State University, Metro Health Hospital, Grand Rapids, MI (L.J.D.-S.); Cardiology Department, Xiamen Cardiovascular Hospital, Xiamen, Fujian, China (L.C.); Center for Cardiology Intervention Treatment, Department of Cardiology, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, China (Q.F.); Stroke Unit, Department of Neurology, Western Hospital, University of Melbourne, Footscray, Melbourne, Victoria, Australia (T.W.); Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, China (T.W.L.); Department of Vascular Surgery, University of Arizona and Pima Vascular Group, Tucson (M.M.-B.); Department of Neurology, Hallym Neurological Institute, Hallym University, Sacred Heart Hospital, Seoul, South Korea (B.-C.L.); Centre for Health and Social Research, Faculty of Health Sciences, Australian Catholic University, Melbourne, Victoria, Australia (S.P.); and Department of Neurology, University Hospital Heidelberg, Heidelberg, Germany (P.R.)
| | - Thomas W Leung
- From the Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine (A.L.A, M.D.), Department of Surgery, Central Clinical School (M.B.), Monash University, Melbourne, Victoria, Australia; Neurology Department, The Alfred Hospital, Prahran, Victoria, Australia (A.L.A.); Department of Cardiovascular Sciences, St. George'sVascular Institute, St George's Hospital, London, United Kingdom (K.I.P.); Department of Vascular Surgery, University of Patras, Patras, Greece (S.K.K.); Queensland Research Centre for Peripheral Vascular Disease, College of Medicine and Dentistry, James Cook University, Townsville, Queensland, Australia (J.G.); Department of Vascular and Endovascular Surgery, The Townsville Hospital, Townsville, Queensland, Australia (J.G.); Department for Vascular and Endovascular Surgery, Klinikum Rechts der Isar, Technical University Munich, Munich, Germany (H.-H.E.); Department of Medicine, Michigan State University, Metro Health Hospital, Grand Rapids, MI (L.J.D.-S.); Cardiology Department, Xiamen Cardiovascular Hospital, Xiamen, Fujian, China (L.C.); Center for Cardiology Intervention Treatment, Department of Cardiology, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, China (Q.F.); Stroke Unit, Department of Neurology, Western Hospital, University of Melbourne, Footscray, Melbourne, Victoria, Australia (T.W.); Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, China (T.W.L.); Department of Vascular Surgery, University of Arizona and Pima Vascular Group, Tucson (M.M.-B.); Department of Neurology, Hallym Neurological Institute, Hallym University, Sacred Heart Hospital, Seoul, South Korea (B.-C.L.); Centre for Health and Social Research, Faculty of Health Sciences, Australian Catholic University, Melbourne, Victoria, Australia (S.P.); and Department of Neurology, University Hospital Heidelberg, Heidelberg, Germany (P.R.)
| | - Miguel Montero-Baker
- From the Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine (A.L.A, M.D.), Department of Surgery, Central Clinical School (M.B.), Monash University, Melbourne, Victoria, Australia; Neurology Department, The Alfred Hospital, Prahran, Victoria, Australia (A.L.A.); Department of Cardiovascular Sciences, St. George'sVascular Institute, St George's Hospital, London, United Kingdom (K.I.P.); Department of Vascular Surgery, University of Patras, Patras, Greece (S.K.K.); Queensland Research Centre for Peripheral Vascular Disease, College of Medicine and Dentistry, James Cook University, Townsville, Queensland, Australia (J.G.); Department of Vascular and Endovascular Surgery, The Townsville Hospital, Townsville, Queensland, Australia (J.G.); Department for Vascular and Endovascular Surgery, Klinikum Rechts der Isar, Technical University Munich, Munich, Germany (H.-H.E.); Department of Medicine, Michigan State University, Metro Health Hospital, Grand Rapids, MI (L.J.D.-S.); Cardiology Department, Xiamen Cardiovascular Hospital, Xiamen, Fujian, China (L.C.); Center for Cardiology Intervention Treatment, Department of Cardiology, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, China (Q.F.); Stroke Unit, Department of Neurology, Western Hospital, University of Melbourne, Footscray, Melbourne, Victoria, Australia (T.W.); Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, China (T.W.L.); Department of Vascular Surgery, University of Arizona and Pima Vascular Group, Tucson (M.M.-B.); Department of Neurology, Hallym Neurological Institute, Hallym University, Sacred Heart Hospital, Seoul, South Korea (B.-C.L.); Centre for Health and Social Research, Faculty of Health Sciences, Australian Catholic University, Melbourne, Victoria, Australia (S.P.); and Department of Neurology, University Hospital Heidelberg, Heidelberg, Germany (P.R.)
| | - Byung-Chul Lee
- From the Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine (A.L.A, M.D.), Department of Surgery, Central Clinical School (M.B.), Monash University, Melbourne, Victoria, Australia; Neurology Department, The Alfred Hospital, Prahran, Victoria, Australia (A.L.A.); Department of Cardiovascular Sciences, St. George'sVascular Institute, St George's Hospital, London, United Kingdom (K.I.P.); Department of Vascular Surgery, University of Patras, Patras, Greece (S.K.K.); Queensland Research Centre for Peripheral Vascular Disease, College of Medicine and Dentistry, James Cook University, Townsville, Queensland, Australia (J.G.); Department of Vascular and Endovascular Surgery, The Townsville Hospital, Townsville, Queensland, Australia (J.G.); Department for Vascular and Endovascular Surgery, Klinikum Rechts der Isar, Technical University Munich, Munich, Germany (H.-H.E.); Department of Medicine, Michigan State University, Metro Health Hospital, Grand Rapids, MI (L.J.D.-S.); Cardiology Department, Xiamen Cardiovascular Hospital, Xiamen, Fujian, China (L.C.); Center for Cardiology Intervention Treatment, Department of Cardiology, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, China (Q.F.); Stroke Unit, Department of Neurology, Western Hospital, University of Melbourne, Footscray, Melbourne, Victoria, Australia (T.W.); Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, China (T.W.L.); Department of Vascular Surgery, University of Arizona and Pima Vascular Group, Tucson (M.M.-B.); Department of Neurology, Hallym Neurological Institute, Hallym University, Sacred Heart Hospital, Seoul, South Korea (B.-C.L.); Centre for Health and Social Research, Faculty of Health Sciences, Australian Catholic University, Melbourne, Victoria, Australia (S.P.); and Department of Neurology, University Hospital Heidelberg, Heidelberg, Germany (P.R.)
| | - Sabine Pircher
- From the Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine (A.L.A, M.D.), Department of Surgery, Central Clinical School (M.B.), Monash University, Melbourne, Victoria, Australia; Neurology Department, The Alfred Hospital, Prahran, Victoria, Australia (A.L.A.); Department of Cardiovascular Sciences, St. George'sVascular Institute, St George's Hospital, London, United Kingdom (K.I.P.); Department of Vascular Surgery, University of Patras, Patras, Greece (S.K.K.); Queensland Research Centre for Peripheral Vascular Disease, College of Medicine and Dentistry, James Cook University, Townsville, Queensland, Australia (J.G.); Department of Vascular and Endovascular Surgery, The Townsville Hospital, Townsville, Queensland, Australia (J.G.); Department for Vascular and Endovascular Surgery, Klinikum Rechts der Isar, Technical University Munich, Munich, Germany (H.-H.E.); Department of Medicine, Michigan State University, Metro Health Hospital, Grand Rapids, MI (L.J.D.-S.); Cardiology Department, Xiamen Cardiovascular Hospital, Xiamen, Fujian, China (L.C.); Center for Cardiology Intervention Treatment, Department of Cardiology, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, China (Q.F.); Stroke Unit, Department of Neurology, Western Hospital, University of Melbourne, Footscray, Melbourne, Victoria, Australia (T.W.); Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, China (T.W.L.); Department of Vascular Surgery, University of Arizona and Pima Vascular Group, Tucson (M.M.-B.); Department of Neurology, Hallym Neurological Institute, Hallym University, Sacred Heart Hospital, Seoul, South Korea (B.-C.L.); Centre for Health and Social Research, Faculty of Health Sciences, Australian Catholic University, Melbourne, Victoria, Australia (S.P.); and Department of Neurology, University Hospital Heidelberg, Heidelberg, Germany (P.R.)
| | - Marije Bosch
- From the Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine (A.L.A, M.D.), Department of Surgery, Central Clinical School (M.B.), Monash University, Melbourne, Victoria, Australia; Neurology Department, The Alfred Hospital, Prahran, Victoria, Australia (A.L.A.); Department of Cardiovascular Sciences, St. George'sVascular Institute, St George's Hospital, London, United Kingdom (K.I.P.); Department of Vascular Surgery, University of Patras, Patras, Greece (S.K.K.); Queensland Research Centre for Peripheral Vascular Disease, College of Medicine and Dentistry, James Cook University, Townsville, Queensland, Australia (J.G.); Department of Vascular and Endovascular Surgery, The Townsville Hospital, Townsville, Queensland, Australia (J.G.); Department for Vascular and Endovascular Surgery, Klinikum Rechts der Isar, Technical University Munich, Munich, Germany (H.-H.E.); Department of Medicine, Michigan State University, Metro Health Hospital, Grand Rapids, MI (L.J.D.-S.); Cardiology Department, Xiamen Cardiovascular Hospital, Xiamen, Fujian, China (L.C.); Center for Cardiology Intervention Treatment, Department of Cardiology, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, China (Q.F.); Stroke Unit, Department of Neurology, Western Hospital, University of Melbourne, Footscray, Melbourne, Victoria, Australia (T.W.); Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, China (T.W.L.); Department of Vascular Surgery, University of Arizona and Pima Vascular Group, Tucson (M.M.-B.); Department of Neurology, Hallym Neurological Institute, Hallym University, Sacred Heart Hospital, Seoul, South Korea (B.-C.L.); Centre for Health and Social Research, Faculty of Health Sciences, Australian Catholic University, Melbourne, Victoria, Australia (S.P.); and Department of Neurology, University Hospital Heidelberg, Heidelberg, Germany (P.R.)
| | - Martine Dennekamp
- From the Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine (A.L.A, M.D.), Department of Surgery, Central Clinical School (M.B.), Monash University, Melbourne, Victoria, Australia; Neurology Department, The Alfred Hospital, Prahran, Victoria, Australia (A.L.A.); Department of Cardiovascular Sciences, St. George'sVascular Institute, St George's Hospital, London, United Kingdom (K.I.P.); Department of Vascular Surgery, University of Patras, Patras, Greece (S.K.K.); Queensland Research Centre for Peripheral Vascular Disease, College of Medicine and Dentistry, James Cook University, Townsville, Queensland, Australia (J.G.); Department of Vascular and Endovascular Surgery, The Townsville Hospital, Townsville, Queensland, Australia (J.G.); Department for Vascular and Endovascular Surgery, Klinikum Rechts der Isar, Technical University Munich, Munich, Germany (H.-H.E.); Department of Medicine, Michigan State University, Metro Health Hospital, Grand Rapids, MI (L.J.D.-S.); Cardiology Department, Xiamen Cardiovascular Hospital, Xiamen, Fujian, China (L.C.); Center for Cardiology Intervention Treatment, Department of Cardiology, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, China (Q.F.); Stroke Unit, Department of Neurology, Western Hospital, University of Melbourne, Footscray, Melbourne, Victoria, Australia (T.W.); Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, China (T.W.L.); Department of Vascular Surgery, University of Arizona and Pima Vascular Group, Tucson (M.M.-B.); Department of Neurology, Hallym Neurological Institute, Hallym University, Sacred Heart Hospital, Seoul, South Korea (B.-C.L.); Centre for Health and Social Research, Faculty of Health Sciences, Australian Catholic University, Melbourne, Victoria, Australia (S.P.); and Department of Neurology, University Hospital Heidelberg, Heidelberg, Germany (P.R.)
| | - Peter Ringleb
- From the Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine (A.L.A, M.D.), Department of Surgery, Central Clinical School (M.B.), Monash University, Melbourne, Victoria, Australia; Neurology Department, The Alfred Hospital, Prahran, Victoria, Australia (A.L.A.); Department of Cardiovascular Sciences, St. George'sVascular Institute, St George's Hospital, London, United Kingdom (K.I.P.); Department of Vascular Surgery, University of Patras, Patras, Greece (S.K.K.); Queensland Research Centre for Peripheral Vascular Disease, College of Medicine and Dentistry, James Cook University, Townsville, Queensland, Australia (J.G.); Department of Vascular and Endovascular Surgery, The Townsville Hospital, Townsville, Queensland, Australia (J.G.); Department for Vascular and Endovascular Surgery, Klinikum Rechts der Isar, Technical University Munich, Munich, Germany (H.-H.E.); Department of Medicine, Michigan State University, Metro Health Hospital, Grand Rapids, MI (L.J.D.-S.); Cardiology Department, Xiamen Cardiovascular Hospital, Xiamen, Fujian, China (L.C.); Center for Cardiology Intervention Treatment, Department of Cardiology, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, China (Q.F.); Stroke Unit, Department of Neurology, Western Hospital, University of Melbourne, Footscray, Melbourne, Victoria, Australia (T.W.); Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, China (T.W.L.); Department of Vascular Surgery, University of Arizona and Pima Vascular Group, Tucson (M.M.-B.); Department of Neurology, Hallym Neurological Institute, Hallym University, Sacred Heart Hospital, Seoul, South Korea (B.-C.L.); Centre for Health and Social Research, Faculty of Health Sciences, Australian Catholic University, Melbourne, Victoria, Australia (S.P.); and Department of Neurology, University Hospital Heidelberg, Heidelberg, Germany (P.R.)
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Kamal N, Hill MD, Blacquiere DPV, Boulanger JM, Boyle K, Buck B, Butcher K, Camden MC, Casaubon LK, Côté R, Demchuk AM, Dowlatshahi D, Dubuc V, Field TS, Ghrooda E, Gioia L, Gladstone DJ, Goyal M, Gubitz GJ, Harris D, Hart RG, Hunter G, Jeerakathil T, Jin A, Khan K, Lang E, Lanthier S, Lindsay MP, Mackey A, Mandzia J, Mehdiratta M, Minuk J, Oczkowski W, Odier C, Penn A, Perry J, Pettersen JA, Phillips SJ, Poppe AY, Saposnik G, Selchen D, Shamy M, Sharma M, Shoamanesh A, Shuaib A, Silver F, Stotts G, Swartz R, Tamayo A, Teitelbaum J, Verreault S, Wein T, Yip S, Coutts SB. Rapid Assessment and Treatment of Transient Ischemic Attacks and Minor Stroke in Canadian Emergency Departments: Time for a Paradigm Shift. Stroke 2015; 46:2987-90. [PMID: 26316346 DOI: 10.1161/strokeaha.115.010454] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2015] [Accepted: 08/03/2015] [Indexed: 11/16/2022]
Affiliation(s)
- Noreen Kamal
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Michael D Hill
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Dylan P V Blacquiere
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Jean-Martin Boulanger
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Karl Boyle
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Brian Buck
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Kenneth Butcher
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Marie-Christine Camden
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Leanne K Casaubon
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Robert Côté
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Andrew M Demchuk
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Dar Dowlatshahi
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Veronique Dubuc
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Thalia S Field
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Esseddeeg Ghrooda
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Laura Gioia
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - David J Gladstone
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Mayank Goyal
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Gordon J Gubitz
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Devin Harris
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Robert G Hart
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Gary Hunter
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Thomas Jeerakathil
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Albert Jin
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Khurshid Khan
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Eddy Lang
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Sylvain Lanthier
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - M Patrice Lindsay
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Ariane Mackey
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Jennifer Mandzia
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Manu Mehdiratta
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Jeffrey Minuk
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Wieslaw Oczkowski
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Céline Odier
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Andrew Penn
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Jeffery Perry
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Jacqueline A Pettersen
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Stephen J Phillips
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Alexandre Y Poppe
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Gustavo Saposnik
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Daniel Selchen
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Michel Shamy
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Mike Sharma
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Ashkan Shoamanesh
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Ashfaq Shuaib
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Frank Silver
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Grant Stotts
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Rick Swartz
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Arturo Tamayo
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Jeanne Teitelbaum
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Steve Verreault
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Theodore Wein
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Samuel Yip
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
| | - Shelagh B Coutts
- From the Departments of Clinical Neurosciences (N.K., M.D.H., A.M.D., S.B.C., M.G.), Emergency Medicine (E.L.), and Radiology (M.G.), Cumming School of Medicine, University of Calgary, Foothills Medical Centre, Calgary, AB; Department of Medicine, Dalhousie University (New Brunswick), Horizon Health Network, Saint John Regional Hospital, Saint John, NB (D.P.V.B.); Department of Neurology, Sherbrooke University, Charles-LeMoyne Hospital, Greenfield Park, QC (J.-M.B.); Department of Medicine (Neurology) (K.B., D.J.G.), University of Toronto, Sunnybrook Health Sciences Centre, Toronto, ON; Division of Neurology, Department of Medicine (B.B., K.B., T.J., K.K., A.S.), University of Alberta, University of Alberta Hospital, Edmonton, AB; Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Centre Hospitalier Affilié Universitaire de Québec, Hôpital de l'Enfant-Jésus, Québec, QC (M.-C.C.); Division of Neurology, TIA and Minor Stroke (TAMS) Unit, Toronto Western Hospital, Toronto, ON (L.K.C.); Department of Neurology, Neurosurgery and Medicine, McGill University, McGill University Health Center Stroke Prevention Clinic, Montréal, QC (R.C.); Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, Ottawa, ON, Canada (D.D.); Neurologue Spécialisée en Maladies Vasculaires Cérébrales, Hôpital du Sacré-Coeur de Montréal, Montréal, QC (V.D.); Division of Neurology, University of British Columbia, Vancouver General Hospital, Vancouver, BC (T.S.F.); Section of Neurology, Department of Internal Medicine, University of Manitoba, Winnipeg, MN (E.G., A.T.); Department of Neuroscience, Faculty of Medicine, Université de Montréal, Neurovascular Programme, CHUM, Montréal, QC (L.G., S.L., C.O., A.Y.P.); Division of Neurology, Department of Medicine, Faculty of Medicine (G.J.G., S.J.P.), Dalhousie University, Nova Scotia Health Authority, Halifax, NS; Department of Emergency Medicine, University of British Columbia, Kelowna General Hospit
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