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E-057 Process Improvement in Door-to-Groin Puncture Times at a Comprehensive Stroke Center Shows a Trend Towards Reduced Mortality at 90 Days
ConclusionOur systematic process improvement initiative significantly reduced door-to-groin puncture times and showed a trend towards reduced mortality at 90 days. A multidisciplinary approach and ensuring hospital system investment are key to an effective process.DisclosuresY. Kayan: 2; C; Medtronic, Penumbra. J. Delgado Almandoz: 2; C; Medtronic, Penumbra. M. Young: None. J. Fease: None. J. Scholz: None. A. Milner: None. T. Hehr: None. M. Mulder: None. P. Roohani: None. R. Tarrel: None.
Source: Journal of NeuroInterventional Surgery - July 28, 2016 Category: Neurosurgery Authors: Kayan, Y., Delgado Almandoz, J., Young, M., Fease, J., Scholz, J., Milner, A., Hehr, T., Mulder, M., Roohani, P., Tarrel, R. Tags: Electronic poster abstracts Source Type: research

E-070 The use of inpatient virtual shared medical appointments for patients with acute cerebrovascular pathologies and their caregivers: a pilot study to improve health literacy, patient self-efficacy and reduce provider burnout
ConclusionsImplementation of a vSMA program at a tertiary care center during a pandemic was feasible. Themes caregivers expressed on the post-survey included better understanding of caring for a stroke patient, and coping with the unpredictability of a patient’s prognosis. The pandemic has precipitated shifts towards telehealth, but our study highlights the importance of avoiding marginalization of the elderly and less technologically inclined populations.Tables to be presented:Abstract E-070 Table 1Inclusion and exclusion criteriaAbstract E-070 Table 2Characteristics of Study ParticipantsAbstract E-070 Table 3Patien...
Source: Journal of NeuroInterventional Surgery - July 23, 2022 Category: Neurosurgery Authors: Mahajan, U., Sharma, N., Maynard, M., Kang, L., Labak, C., Sajatovic, M., Hoffer, A., Shammassian, B., Wright, J., Zhou, X., Wright, C. Tags: SNIS 19th annual meeting electronic poster abstracts Source Type: research

P-014 Improvement in Angiographic Transit Times Post Endovascular Vasospasm Treatment in Patients with Aneurysmal Subarachnoid Haemorrhage
Conclusion The DSA TT correlated with improvements in neurological status in patients with clinical vasospasm. TT might reflect a better way to assess vasospasm severity and response to treatment as compared to vessel diameter. This method may serve as a useful indirect technique for cerebral blood flow assessment in the angiography suite. Abstract P-014 Figure 1Transit time (T-100-10) in major cerebral arteries in patient with severe vasospasm before (A) and after (B) endovascular treatment Abstract P-014 Figure 2ACA and MCA transit time100-10(TT-100-10) values in patients before and after endovascular treatment D...
Source: Journal of NeuroInterventional Surgery - July 26, 2014 Category: Neurosurgery Authors: Ivanov, A., Hsu, C., Linninger, A., Amin-Hanjani, S., Aletich, V., Charbel, F., Alaraj, A. Tags: Oral poster abstracts Source Type: research

Cerebral vasospasm patterns following aneurysmal subarachnoid hemorrhage: an angiographic study comparing coils with clips
Conclusions Patients with aSAH treated by endovascular coiling and surgical clipping demonstrate distinct vasospasm patterns. While both initially exhibit perianeurysmal spasm, patients treated by coiling go on to develop stepwise progression distally over time. This finding may reflect dispersion of blood breakdown products along preserved CSF egress pathways in patients treated by endovascular coiling.
Source: Journal of NeuroInterventional Surgery - October 14, 2015 Category: Neurosurgery Authors: Jones, J., Sayre, J., Chang, R., Tian, J., Szeder, V., Gonzalez, N., Jahan, R., Vinuela, F., Duckwiler, G., Tateshima, S. Tags: Ischemic stroke Source Type: research

Assessment of intracranial aneurysm rupture based on morphology parameters and anatomical locations
Conclusions Size ratio, height–width ratio, aneurysm inclination angle, aneurysm shape, and aneurysm location might be important for discriminating between ruptured and unruptured aneurysms. Further investigation will determine whether these morphological parameters and anatomical locations will be reliable predictors of aneurysm rupture.
Source: Journal of NeuroInterventional Surgery - November 14, 2016 Category: Neurosurgery Authors: Zheng, Y., Xu, F., Ren, J., Xu, Q., Liu, Y., Tian, Y., Leng, B. Tags: Hemorrhagic stroke Source Type: research