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Current state of acute stroke care in Southeast Asian countries.
Authors: Ng JC, Churojana A, Pongpech S, Vu LD, Sadikin C, Mahadevan J, Subramaniam J, Jocson VE, Lee W Abstract Acute stroke care systems in Southeast Asian countries are at various stages of development, with disparate treatment availability and practice in terms of intravenous thrombolysis and endovascular therapy. With the advent of successful endovascular therapy stroke trials over the past decade, the pressure to revise and advance acute stroke management has greatly intensified. Southeast Asian patients exhibit unique stroke features, such as increased susceptibility to intracranial atherosclerosis and highe...
Source: Interventional Neuroradiology - November 23, 2018 Category: Radiology Tags: Interv Neuroradiol Source Type: research

Endovascular treatment of acute ischemic stroke in the posterior circulation.
Conclusion Endovascular treatment for posterior circulation stroke in this single-center cohort is relatively safe and effective with decreased mortality and increased favorable outcome compared to natural history. PMID: 29562859 [PubMed - as supplied by publisher]
Source: Interventional Neuroradiology - March 27, 2018 Category: Radiology Tags: Interv Neuroradiol Source Type: research

Outcomes of wake-up stroke undergoing mechanical thrombectomy: A systematic review and meta-analysis
CONCLUSION: Mechanical thrombectomy for patients with wake-up stroke was found to have favorable rates of good functional outcomes and relatively low rates of adverse events.PMID:36254575 | DOI:10.1177/15910199221133167
Source: Interventional Neuroradiology - October 18, 2022 Category: Radiology Authors: Michael Liu Hassan Kobeissi Sherief Ghozy David F Kallmes Source Type: research

Technical note on endovascular treatment of concomitant carotid occlusion in large vessel occlusion stroke: The "single-cross" technique.
CONCLUSIONS: The single-cross technique appears to be a safe and effective option for treating tandem occlusive lesions in the setting of ELVO. PMID: 31311374 [PubMed - as supplied by publisher]
Source: Interventional Neuroradiology - July 19, 2019 Category: Radiology Tags: Interv Neuroradiol Source Type: research

Use of intravenous cangrelor and stenting in acute ischemic stroke interventions: a new single center analysis and pooled-analysis of current studies
CONCLUSIONS: IV cangrelor during acute ischemic stroke intervention appears to be safe, with a symptomatic intracranial hemorrhage rate of 6.2%. More research is needed to determine the ideal dosing regimen.PMID:33945341 | DOI:10.1177/15910199211014417
Source: Interventional Neuroradiology - May 4, 2021 Category: Radiology Authors: Alexandra R Paul Pouya Entezami Devin Holden Nicholas Field John Dalfino Alan Boulos Source Type: research

Outcomes of young patients following mechanical thrombectomy for stroke: A systematic review and meta-analysis
CONCLUSIONS: Following mechanical thrombectomy for AIS, patients aged 18-65 years achieved relatively high rates of functional independence and successful reperfusion and low rates of mortality and sICH.Clinical Perspective In this systematic review and meta-analysis of eight studies, we examined outcomes in young stroke patients, aged 18-65 years old, following mechanical thrombectomy for acute ischemic stroke. We found that young patients achieved high rates of functional independence, high rates of successful reperfusion, and low rates of mortality and symptomatic intracerebral hemorrhage.While there have been several p...
Source: Interventional Neuroradiology - August 18, 2022 Category: Radiology Authors: Hassan Kobeissi Michael Liu Sherief Ghozy Ramanathan Kadirvel David F Kallmes Source Type: research

Stenting of the cervical internal carotid artery in acute stroke management: The Karolinska experience.
Conclusions Our single-centre retrospective analysis of emergency stent placement in the extracranial internal carotid artery in combination with anterior circulation thrombectomy demonstrated high technical success, reasonable clinical outcomes and acceptable rates of symptomatic intracranial haemorrhage in carefully chosen patients which are triaged interdisciplinary based on clinical and computed tomography imaging criteria. This warrants further study in a randomised prospective trial. PMID: 28304205 [PubMed - in process]
Source: Interventional Neuroradiology - March 20, 2017 Category: Radiology Tags: Interv Neuroradiol Source Type: research

Comparisons of ASPECTS 5 and 6 for endovascular treatment in anterior circulation occlusive stroke.
Conclusions ASPECTS 5 has very little chance to reach good functional outcome in Chinese patients with anterior circulation large-artery occlusive stroke. Future studies with large sample sizes are needed. PMID: 28728534 [PubMed - as supplied by publisher]
Source: Interventional Neuroradiology - July 23, 2017 Category: Radiology Tags: Interv Neuroradiol Source Type: research

Therapeutic effect of pre-operative tirofiban on patients with acute ischemic stroke with mechanical thrombectomy within 6-24 hours.
CONCLUSION: The use of tirofiban before MT can shorten the procedure time and improve the recanalization rate of occluded vessels in AIS patients. PMID: 31112428 [PubMed - as supplied by publisher]
Source: Interventional Neuroradiology - May 23, 2019 Category: Radiology Tags: Interv Neuroradiol Source Type: research

Favorable first-pass recanalization rates with NeVa ™ thrombectomy device in acute stroke patients: Initial clinical experience.
CONCLUSIONS: In our experience, the NeVa™ device demonstrated high first-pass and overall recanalization rates along with a good safety profile. PMID: 32615827 [PubMed - as supplied by publisher]
Source: Interventional Neuroradiology - July 5, 2020 Category: Radiology Tags: Interv Neuroradiol Source Type: research

Predictors of unfavorable outcomes despite substantial reperfusion: Insights from Analysis of Revascularization in Ischemic Stroke With EmboTrap II Study
CONCLUSION: More severe initial neurologic deficit and higher number of passes in patients with substantial reperfusion were independent predictors of dependency or death. These findings highlight a reduction in the number of passes required to achieve reperfusion as a therapeutic target to improve the outcome after thrombectomy.PMID:34719305 | DOI:10.1177/15910199211051553
Source: Interventional Neuroradiology - November 1, 2021 Category: Radiology Authors: Adnan H Siddiqui Muhammad Waqas Tommy Andersson Jeffrey L Saver Heinrich P Mattle Hormozd Bozorgchami Marc Rib ó Osama O Zaidat Source Type: research

Conservative versus aggressive antiplatelet strategy for emergent carotid stenting during stroke thrombectomy
CONCLUSIONS: In this retrospective study, aggressive periprocedural antiplatelet strategy led to improved stent patency and clinical outcomes, without increased HT. Further prospective randomized research is warranted to identify the optimal combination of antiplatelet agents for emergent carotid stenting in the setting of acute stroke.PMID:35253529 | DOI:10.1177/15910199221083112
Source: Interventional Neuroradiology - March 7, 2022 Category: Radiology Authors: Raoul Pop Fran çois Severac Anca Hasiu Dan Mihoc Pierre H Mangin Salvatore Chibbaro Mihaela Simu Raluca Tudor Roxana Gheoca V éronique Quenardelle Val érie Wolff R émy Beaujeux Source Type: research

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