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Device use trends in neuroendovascular procedures in the United States from 2015 to 2020
CONCLUSION: Our study demonstrates an increase in the use of flow-diverting stents, nondiverting stents, carotid stents, and reperfusion devices for acute ischemic stroke intervention between 2015 and 2020. Coil use for aneurysmal treatment has declined.PMID:37642975 | DOI:10.1177/15910199231196329
Source: Interventional Neuroradiology - August 29, 2023 Category: Radiology Authors: Arjun Rohit Adapa Fazeel M Siddiqui Aditya S Pandey Source Type: research

Effect of Radiographic Contrast Media Shortage on Stroke Evaluation in the United States ADULT BRAIN
CONCLUSIONS: Our analysis reported changes in the use of CTA and CTP in patients with acute ischemic stroke during the contrast media shortage. Further research needs to identify effective strategies to reduce the reliance on contrast media–based studies such as CTA and CTP without compromising patient outcomes.
Source: American Journal of Neuroradiology - August 9, 2023 Category: Radiology Authors: Qureshi, A. I., Grintal, A., DeGaetano, A. C., Goren, M., Lodhi, A., Golan, D., Hassan, A. E. Tags: ADULT BRAIN Source Type: research

Drivers of Ischemic Stroke Hospital Cost Trends Among Older Adults in the United States
The increased use of neuroimaging and innovations in ischemic stroke (IS) treatment have improved outcomes, but the impact on median hospital costs is not well understood.
Source: Journal of the American College of Radiology : JACR - November 7, 2022 Category: Radiology Authors: Eric W. Christensen, Casey E. Pelzl, Jennifer Hemingway, Jason J. Wang, Maria X. Sanmartin, Jason J. Naidich, Elizabeth Y. Rula, Pina C. Sanelli Tags: Original Article Source Type: research

Safety and efficacy of the surpass streamline for intracranial aneurysms (SESSIA): A multi-center US experience pooled analysis
CONCLUSION: This is the largest cohort study using a 72-96 wire flow diverter. The Surpass Streamline demonstrated a favorable safety and efficacy profile, making it a valuable option for treating not only large but also wide-necked small and medium-sized intracranial aneurysms.PMID:35934939 | DOI:10.1177/15910199221118148
Source: Interventional Neuroradiology - August 8, 2022 Category: Radiology Authors: Juan Vivanco-Suarez Alan Mendez-Ruiz Mudassir Farooqui Kimon Bekelis Justin A Singer Kainaat Javed David J Altschul Johanna T Fifi Stavros Matsoukas Jared Cooper Fawaz Al-Mufti Bradley Gross Brian Jankowitz Peter T Kan Muhammad Hafeez Emanuele Orru Andres Source Type: research

Abstract No. 565 Trends in utilization of endotracheal anesthesia for mechanical thrombectomy in acute ischemic stroke in the United States
The literature on uniform baseline parameters and procedural details of general anesthesia in mechanical thrombectomy (MT) is scarce. Given the increasing volume of thrombectomies for acute ischemic stroke (AIS), understanding the effects of endotracheal anesthesia with intubation (ETI) on outcomes is time-critical and imperative. Here, we used a national database to compare the trends in utilization and outcomes of ETI vs non-ETI anesthesia in MT for AIS.
Source: Journal of Vascular and Interventional Radiology : JVIR - June 1, 2022 Category: Radiology Authors: W. Wahood, H. Hallak, T. Mushannen, A. Alexander, W. Brinjikji Source Type: research

Updated Trends, Disparities, and Clinical Impact of Neuroimaging Utilization in Ischemic Stroke in the Medicare Population: 2012 to 2019
The purpose of this study was to update trends, investigate sociodemographic disparities, and evaluate the impact on mortality of stroke neuroimaging across the United States from 2012 to  2019.
Source: Journal of the American College of Radiology : JACR - April 25, 2022 Category: Radiology Authors: Jason J. Wang, Casey E. Pelzl, Artem Boltyenkov, Jeffrey M. Katz, Jennifer Hemingway, Eric W. Christensen, Elizabeth Rula, Pina C. Sanelli Tags: Original Article Source Type: research

Disparities in the Use of Mechanical Thrombectomy Alone Compared with Adjunctive Intravenous Thrombolysis in Acute Ischemic Stroke in the United States INTERVENTIONAL
CONCLUSIONS: Our results indicated that mechanical thrombectomy alone was used more frequently than MT+IV-tPA among patients with acute ischemic stroke. The disparity between those who identify as White and non-White persisted across the years, though it is closing.
Source: American Journal of Neuroradiology - December 13, 2021 Category: Radiology Authors: Wahood, W., Rizvi, A. A., Alexander, Y., Alvi, M. A., Rajjoub, K. R., Cloft, H., Rabinstein, A. A., Brinjikji, W. Tags: INTERVENTIONAL Source Type: research

Causes of Acute Stroke: A Patterned Approach.
This article reviews the imaging patterns of acute strokes, and how the infarct pattern and imaging characteristics can suggest an underlying cause. PMID: 31582037 [PubMed - in process]
Source: Radiologic Clinics of North America - October 5, 2019 Category: Radiology Authors: Knight-Greenfield A, Nario JJQ, Gupta A Tags: Radiol Clin North Am Source Type: research

Causes of Acute Stroke
This article reviews the imaging patterns of acute strokes, and how the infarct pattern and imaging characteristics can suggest an underlying cause.
Source: Radiologic Clinics of North America - October 1, 2019 Category: Radiology Authors: Ashley Knight-Greenfield, Joel Jose Quitlong Nario, Ajay Gupta Source Type: research

The Role of Interventional Radiologists in Acute Ischemic Stroke Interventions: A Joint Position Statement from the Society of Interventional Radiology, the Cardiovascular and Interventional Radiology Society of Europe, and the Interventional Radiology Society of Australasia
Stroke is a major public health issue. Worldwide, the incidence of new strokes is 16.9 million per year (1). In the United States, the incidence of new strokes is 795,000 per year, of which 87% are ischemic (2). Endovascular thrombectomy (EVT) is proven to provide better clinical outcomes in patients with ischemic strokes caused by large-vessel occlusion compared with best medical therapy alone (3 –12). Furthermore, endovascular thrombectomy has proven to be cost-effective (13). The American Heart Association (AHA) and multiple international stroke organizations recommend EVT as standard of care for selected patients (14–18).
Source: Journal of Vascular and Interventional Radiology : JVIR - October 28, 2018 Category: Radiology Authors: David Sacks, Hans van Overhagen, Wim H. van Zwam, Martin G. Radvany, M. Victoria Marx, Robert A. Morgan, John Ioannis Vrazas, Gerard S. Goh Tags: Standards of Practice Source Type: research

Economic and Societal Aspects of Stroke Management
Stroke is a major health burden worldwide with attendant mortality, morbidity, and cost. In 2010, there were approximately 16.9 million strokes and an estimated 33 million stroke survivors worldwide. Also, in the United States, stroke is the third leading cause of death, with ischemic stroke resulting in 8% 30-day mortality (20% for hemorrhagic stroke). The staggering economic cost of the disease is driven largely by disability and long term care. Efforts in stroke healthcare delivery are focusing on performance, efficiency and value to better serve the consumer.
Source: Neuroimaging Clinics - October 13, 2018 Category: Radiology Authors: Govind Mukundan, David J. Seidenwurm Source Type: research

Worldwide Analysis of Radiology Access and Education for Stroke Care: View From Abroad From 14 Countries
The World Health Organization reports that stroke is among the leading causes of death in noncommunicable diseases worldwide despite advances in acute stroke care [1]. Early interventions in cerebrovascular accidents can prevent mortality and minimize debilitating effects of stroke. There have been major recent advancements in stroke care to intervene more quickly and effectively. We are entering a new era of stroke imaging-based treatment for late acute ischemic stroke. Recent neurointerventional trials, such as DAWN and DEFUSE 3, have transformed the way clinicians provide acute stroke care in the United States and provi...
Source: Journal of the American College of Radiology : JACR - September 6, 2018 Category: Radiology Authors: Jesus Uribe, Simon Ammanuel, Bhavya Rehani Tags: A View From Abroad Source Type: research

Wide Variability in Prethrombectomy Workflow Practices in the United States: A Multicenter Survey INTERVENTIONAL
CONCLUSIONS: Prethrombectomy workflows vary widely between experienced centers. Improved awareness of real-world workflows and their variations may help to guide institutions in designing their own protocols of care.
Source: American Journal of Neuroradiology - December 15, 2017 Category: Radiology Authors: Kansagra, A. P., Meyers, G. C., Kruzich, M. S., Cross, D. T., Moran, C. J. Tags: INTERVENTIONAL Source Type: research

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