Medical groups urge endovascular training for stroke
Multiple interventional radiology societies have committed to providing necessary...Read more on AuntMinnie.comRelated Reading: SIR touts interventional radiology on Capitol Hill Medical societies endorse changes to stroke guidelines JVIR presents awards for best papers at SIR 2018 SIR inducts 34 new fellows at annual meeting SIR: Better tactics needed to avert respiratory failure
To determine the clinical outcome of patients undergoing emergent large vessel thrombectomy within 6 hours and ASPECTS>6 but with large core infarct volumes on pre-procedural CT perfusion imaging (CBF70cc). Mechanical thrombectomy (MT) has been shown to be efficacious for treatment of emergent large vessel occlusion (ELVO) for acute ischemic stroke. The 2018 American Heart Association Guidelines for Management of Acute Ischemic Stroke recommend MT for patients with anterior circulation ELVO with ASPECTS ≥6 and groin puncture within 6 hours of symptom onset.
To facilitate process improvement and outcomes tracking, our large, integrated healthcare system created an extensive database within REDCap which interfaces with Power BI (Microsoft). Monitored metrics include pre-hospital, Code Stroke process, advanced imaging, treatment, and outcome data fields. Data are entered via manual abstraction, but automated daily updates of the data visualization and analytics, we enable reviewing of individual case data and aggregate standardized reports within Power BI.
We describe a novel technique using a flexible 6French/088 distal guide sheath (DGS), defined as advancement into the petrocavernous internal carotid artery (ICA), to limit antegrade flow without a BGC and reduce the distance/tortuosity for clot extraction.
A pulmonary arteriovenous malformation (PAVM) is an anomalous connection between a pulmonary artery and a pulmonary vein that lacks a capillary bed. The most common symptoms of PAVM are dyspnea, exercise intolerance, migraine, stroke or transient ischemic attack, and lung hemorrhage. The treatment of choice is transcatheter embolization with the most common embolic devices being coils (multiple manufacturers) or Amplatzer plugs (AVP) (St. Jude Medical, Plymouth, MN) to occlude the malformation. The newest embolic device for PAVM occlusion is the microvascular plug (MVP) (Micro Vascular Plug System, Medtronic, Minneapolis, MN).
Acute cardioembolic stroke (ACS) was characterized by embolus occlusion and non-arteriosclerotic cerebral arterial wall. It is necessary to investigate arterial injury caused by stent retriever and whether mono antiplatelet therapy strategy was effective to prevent re-occlusion in ACS patients received mechanical thrombectomy recanalization.
TransCarotid Artery Revascularization (TCAR) utilizing the ENROUTE neuroprotection system (NPS) is a novel approach towards carotid artery stenting (CAS). This minimally invasive approach utilizes intra-procedure high-rate flow reversal NPS and is designed for CAS in patients who are deemed too “high-risk” for carotid artery endarterectomy (CEA). The system has shown superior stroke and death outcomes when compared to prior registry results from both CEA and trans-femoral CAS. The purpose of this study is to review of both short and long-term outcomes in patients who underwent TCAR.
The FAST-ED is a verified pre-hospital screening tool for patients suspected of having an emergent large vessel occlusion (ELVO). It allows for early triaging of patients to comprehensive stroke centers for emergent comprehensive stroke treatment. We set out to study the effect of this pre-hospital triaging tool at a single center comprehensive stroke center.
The letter by Lou et al. is based on a misinterpretation of our paper.
We read with great interest the paper by Leonard et al.  online published in IJC in Dec 12, 2018. They included 57 articles (19 CT versus 38 non-CT) with a total of 13,731 patients in the pooled analysis, and tried to identify the potential influential clinical factors of stroke occurrence following minimally invasive mitral valve surgery (MIMVS). Finally, 10 clinical factors (age, female gender, CAD, hypertension, non-CT screening, etc.) have been found to be with significant importance for the incidence of stroke using univariate mete-regression analyses.
Former Wisconsin Gov. Scott Walker says he ’s excited about his first gig as a talk radio host and promises “exciting guests” when he fills in for Mark Belling Feb. 25 and 26 on WISN-AM (1130). It’s a coincidence that Walker will cover the 3 p.m. to 6 p.m. Belling shift on the Milwaukee conservative talk station while Belling is on medical leave recovering from a stroke, said station program director Jerry Bott. Bott said he invited Walker to be a guest host during Belling’s planned cruise…