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Cervical carotid occlusion in acute ischemic stroke: Should we give tPA?
CONCLUSION: Emergent revascularization with acute cICA stenting carries advantages, but its safety is precluded by tPA administration. We suggest a trial which randomizes patients with cICA occlusions to receiving either tPA or dual antiplatelet therapy before surgical intervention, aiming to ultimately improved outcomes in these patients.PMID:35509556 | PMC:PMC9063023 | DOI:10.25259/SNI_176_2022
Source: Surgical Neurology International - May 5, 2022 Category: Neurosurgery Authors: Theresa A Elder Leonard H Verhey Haritha Schultz Eleanor S Smith Joseph G Adel Source Type: research

EP63 The TAPAS study: thrombectomy aspiration post-market study in acute stroke
ConclusionThe Q Catheter showed good deliverability and revascularization rates in this real-world setting with no safety concerns.ReferenceLong TD, Kallmes DF, Hanel R, Shigematsu T, Halaszyn AM, Wolter J, Berenstein A. Novel aspiration catheter design for acute stroke thrombectomy. J Neurointerv Surg 2019 Feb;11(2):190–195.DisclosureConsultant MIVI Neuroscience, Inc.
Source: Journal of NeuroInterventional Surgery - August 24, 2021 Category: Neurosurgery Authors: Ballenilla Marco, F., Espinosa, M., Zamarro, J., Masso, J., Garmendia, E., Pumar, J., Larrea, J., Mosqueira, A. Tags: Treatment Source Type: research

O-019 Increasing inner diameter leads to faster thrombectomy with aspiration in acute ischemic stroke
ConclusionThis multicenter, consecutive real-world experience demonstrates that M1 thrombectomy with a larger distal ID catheter is associated with faster time to recanalization and higher rate of TICI 2C or better recanalization on first pass, but also with a higher rate of hemorrhage on follow up imaging.Disclosures J. Vargas: 2; C; Cerenovus. 4; C; Truvic. S. Majidi: None. G. Cortez: None. A. Aghaebrahmin: None. E. Sauvageau: None. R. Hanel: 1; C; Microvention, Stryker. 2; C; Stryker, Medtronic, Cerenovus, Balt, Q’APel. 4; C; Rist. 6; C; MiVI. H. Hawk: None. S. Nimjee: None. A. Zakeri: None. M. Mokin: 2; C; Medtro...
Source: Journal of NeuroInterventional Surgery - July 26, 2021 Category: Neurosurgery Authors: Vargas, J., Majidi, S., Cortez, G., Aghaebrahmin, A., Sauvageau, E., Hanel, R., Hawk, H., Nimjee, S., Zakeri, A., Mokin, M., Chen, C., Kellogg, R., Turk, A., Deleacy, R., Siddiqui, A., Oselkin, M., Marlin, E., TUrner, R., Chaudry, I., Milburn, J. Tags: Oral abstracts Source Type: research

P-007 Safety and efficacy of endovascular thrombectomy for distal vessel occlusion (DLV): single center experience
ConclusionThis single center, consecutive real-world experience demonstrates that thrombectomy in DVO stroke patients is safe and leads to high rate of successful recanalization. Further studies are warranted to evaluate the efficacy of thrombectomy in DVO in comparison to best medical management.Disclosures S. Majidi: None. S. Matsoukas: None. R. De Leacy: None. T. Oxley: None. H. Shoirah: None. T. Shigematsu: None. C. Kellner: None. J. Fifi: None. J. Mocco: None.
Source: Journal of NeuroInterventional Surgery - July 26, 2021 Category: Neurosurgery Authors: Majidi, S., Matsoukas, S., De Leacy, R., Oxley, T., Shoirah, H., Shigematsu, T., Kellner, C., Fifi, J., Mocco, J. Tags: Oral poster abstracts Source Type: research

P-009 An angled tip is associated with improved technical outcomes when using 0.064-0.074 aspiration catheters: analysis from a multicenter retrospective cohort
ConclusionThis multicenter, consecutive real-world experience demonstrates that M1 thrombectomy with an angled tip aspiration catheter is associated with higher rates of TICI 2C or better reperfusion, equal rates of TICI 2B or better reperfusion, and faster time to successful reperfusion.Disclosures J. Vargas: None. S. Majidi: None. H. Hawk: None. S. Nimjee: None. A. Zakeri: None. M. Mokin: None. R. Kellogg: None. G. Cortez: None. A. Aghaebrahim: None. E. Sauvageau: None. R. Hanel: None. R. De Leacy: None. A. Siddiqui: None. A. Turk: None. M. Oselkin: None. E. Marlin: None. R. Turner: None. I. Chaudry: None. J. Milburn: None.
Source: Journal of NeuroInterventional Surgery - July 26, 2021 Category: Neurosurgery Authors: Vargas, J., Majidi, S., Hawk, H., Nimjee, S., Zakeri, A., Mokin, M., Kellogg, R., Cortez, G., Aghaebrahim, A., Sauvageau, E., Hanel, R., De Leacy, R., Siddiqui, A., Turk, A., Oselkin, M., Marlin, E., Turner, R., Chaudry, I., Milburn, J. Tags: Oral poster abstracts Source Type: research

P-012 Thrombectomy aspiration post-market study in acute stroke: the TAPAS study
ConclusionThe Q Aspiration Catheter is a novel technology that showed comparable deliverability and revascularization rates as other commercially available catheters with no safety concerns. More prospective clinical data is needed to fully assess the Q Aspiration Catheter.AbbreviationsAIS (acute ischemic stroke), MT (mechanical thrombectomy), ASPECTs (Alberta Stroke Program Early CT Score), mTICI (modified TICI score), NIHSS (National Institute of Health Stroke Scale), mRS (modified Rankin Scale), ENT (embolization to a new territory), sICH (symptomatic intracranial hemorrhage)Disclosures F. Ballenilla: 2; C; MIVI Neurosc...
Source: Journal of NeuroInterventional Surgery - July 26, 2021 Category: Neurosurgery Authors: Ballenilla, F., Espinosa, M., Zamarro, J., Masso, J., Garmendia, E., Pumar, J., Larrea, J., Mosqueira, A. Tags: Oral poster abstracts Source Type: research

P-015 The zoom system demonstrates higher first pass effect and faster reperfusion as compared to a consecutive contemporaneous series of aspiration catheters: analysis from a multicenter retrospective cohort
ConclusionThis retrospective, multicenter, consecutive real-world experience suggests that using Zoom 088 or 071 as primary aspiration catheter may demonstrate superior technical outcomes for M1 thrombectomy.Disclosures S. Majidi: None. J. Vargas: 2; C; Cerenovus, Medtronic. 4; C; Truvic. H. Hawk: None. S. Nimjee: None. A. Zakeri: None. M. Mokin: 2; C; Medtronic, Cerenovus. R. Kellogg: None. R. DeLeacy: None. G. Cortez: None. A. Aghaebrahmin: None. E. Sauvageau: None. R. Hanel: 1; C; Microvention, Stryker. 2; C; Medtronic, Microvention, Stryker, Balt, Cerenovus, Q’Apel. A. Siddiqui: 2; C; Imperitive Care, Medtronic, ...
Source: Journal of NeuroInterventional Surgery - July 26, 2021 Category: Neurosurgery Authors: Majidi, S., Vargas, J., Hawk, H., Nimjee, S., Zakeri, A., Mokin, M., Kellogg, R., DeLeacy, R., Cortez, G., Aghaebrahmin, A., Sauvageau, E., Hanel, R., Siddiqui, A., Oselkin, M., Marlin, E., Turk, A., Turner, R., Chaudry, I., Milburn, J. Tags: Oral poster abstracts Source Type: research

E-045 Early neurological improvement is independent predictor of favorable outcome following thrombectomy for basilar artery occlusion
ConclusionENI is an independent predictor of favorable clinical outcome after BAO thrombectomy. Single pass successful recanalization is associated with higher likelihood of ENI.Disclosures S. Majidi: 1; C; SNIS Foundation. S. Matsoukas: None. R. De Leacy: None. T. Oxley: None. H. Shoirah: None. T. Shigematsu: None. C. Kellner: None. J. Mocco: None. J. Fifi: None.
Source: Journal of NeuroInterventional Surgery - July 26, 2021 Category: Neurosurgery Authors: Majidi, S., Matsoukas, S., De Leacy, R., Oxley, T., Shoirah, H., Shigematsu, T., Kellner, C., Mocco, J., Fifi, J. Tags: Electronic poster abstracts Source Type: research

Repeat intravenous r-tPA administration four days after initial thrombolytic therapy for recurrent ischemic stroke: A case report and review of literature
Publication date: March 2021Source: Interdisciplinary Neurosurgery, Volume 23Author(s): Aimen Vanood, Sunitha Santhakumar, Ahmad Said
Source: Interdisciplinary Neurosurgery - October 7, 2020 Category: Neurosurgery Source Type: research

The importance of atrial fibrillation and selected echocardiographic parameters for the effectiveness and safety of thrombolytic therapy in patients with stroke
ConclusionsThe presence of atrial fibrillation worsens the patient's prognosis in terms of the functional status and survival during the acute period of stroke in patients treated with intravenous thrombolysis.Higher NIHSS and CHA2DS2VASc scores and reduced EF in patients with stroke treated with thrombolysis are the predictors of unfavorable short-term prognosis.
Source: Polish Journal of Neurology and Neurosurgery - July 10, 2018 Category: Neurosurgery Source Type: research

Endovascular mechanical thrombectomy for cerebral venous sinus thrombosis: a systematic review
Conclusions EMT is an effective salvage therapy for refractory CVST, with a reasonable safety profile. Chemical thrombolysis, in conjunction with EMT, did not appear to result in additional harm or benefit. Further analysis is warranted to determine predictors of success after EMT for CVST.
Source: Journal of NeuroInterventional Surgery - October 13, 2017 Category: Neurosurgery Authors: Ilyas, A., Chen, C.-J., Raper, D. M., Ding, D., Buell, T., Mastorakos, P., Liu, K. C. Tags: Ischemic stroke Source Type: research

The importance of atrial fibrillation and selected echocardiographic parameters for the effectiveness and safety of thrombolytic therapy in patients with stroke
Publication date: Available online 19 September 2017 Source:Neurologia i Neurochirurgia Polska Author(s): Lasek-Bal Anetta, Kowalewska-Twardela Teresa, Warsz-Wianecka Aldona, Puz Przemysław, Krzan Aleksandra, Cieślik Aleksandra
Source: Polish Journal of Neurology and Neurosurgery - September 20, 2017 Category: Neurosurgery Source Type: research

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