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Specialty: Neurosurgery
Condition: Hemorrhagic Stroke

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Total 2080 results found since Jan 2013.

Outcomes of manual aspiration thrombectomy for acute ischemic stroke refractory to stent-based thrombectomy
Conclusions This study suggests that MAT with the Penumbra reperfusion catheter can further increase the revascularization rate without serious complications in patients with acute stroke with refractory occlusions after SBT with a Solitaire stent.
Source: Journal of NeuroInterventional Surgery - June 11, 2015 Category: Neurosurgery Authors: Kim, S. K., Yoon, W., Moon, S. M., Park, M. S., Jeong, G. W., Kang, H. K. Tags: Ischemic stroke Source Type: research

Impact of the ASPECT scores and distribution on outcome among patients undergoing thrombectomy for acute ischemic stroke
Conclusions These findings support a strategy of selecting candidacy for thrombectomy that does not exclude patients with non-perfect ASPECT scores involving either the basal ganglia or cortical regions. Outcomes were identical among patients with no non-perfect ASPECT scores and those with cortical or subcortical infarcts, despite a higher incidence of hemorrhagic conversion found among those with non-perfect ASPECT scores.
Source: Journal of NeuroInterventional Surgery - July 14, 2015 Category: Neurosurgery Authors: Spiotta, A. M., Vargas, J., Hawk, H., Turner, R., Chaudry, M. I., Battenhouse, H., Turk, A. S. Tags: Ischemic stroke Source Type: research

Conscious sedation versus general anaesthesia during mechanical thrombectomy for stroke: a propensity score analysis
Conclusions In our cohort, thrombectomy patients receiving conscious sedation have decreased in-hospital mortality, decreased rates of pneumonia, and lower hospital costs and lengths of stay when compared with patients who received general anaesthesia. However, most practitioners continue to use general anaesthesia in the setting of acute stroke interventions.
Source: Journal of NeuroInterventional Surgery - October 14, 2015 Category: Neurosurgery Authors: McDonald, J. S., Brinjikji, W., Rabinstein, A. A., Cloft, H. J., Lanzino, G., Kallmes, D. F. Tags: Ischemic stroke Source Type: research

Collateral flow as causative of good outcomes in endovascular stroke therapy
Conclusions Improved collateral flow in patients with AIS undergoing endovascular therapy was associated with improved radiographic and clinical outcomes. Independent of age, vessel occlusion and time, in patients with comparable ischemic burdens, changes in collateral grade alone led to significant differences in initial stroke severity as well as ultimate clinical outcome.
Source: Journal of NeuroInterventional Surgery - December 13, 2015 Category: Neurosurgery Authors: Sheth, S. A., Sanossian, N., Hao, Q., Starkman, S., Ali, L. K., Kim, D., Gonzalez, N. R., Tateshima, S., Jahan, R., Duckwiler, G. R., Saver, J. L., Vinuela, F., Liebeskind, D. S., for the UCLA Collateral Investigators Tags: Ischemic stroke Source Type: research

Impact of collaterals on the efficacy and safety of endovascular treatment in acute ischaemic stroke: a systematic review and meta-analysis
Conclusions Good pretreatment collateral status is associated with higher rates of favourable functional outcome, and lower rates of symptomatic intracranial haemorrhage and mortality, in patients with acute ischaemic stroke receiving endovascular therapies.
Source: Journal of Neurology, Neurosurgery and Psychiatry - April 13, 2016 Category: Neurosurgery Authors: Leng, X., Fang, H., Leung, T. W. H., Mao, C., Miao, Z., Liu, L., Wong, K. S., Liebeskind, D. S. Tags: Stroke Cerebrovascular disease Source Type: research

Mechanical thrombectomy for acute ischemic stroke with cerebral microbleeds
Conclusions Patients with CMBs are not at increased risk for HT and mortality following mechanical thrombectomy for acute stroke. Excluding such patients from mechanical thrombectomy is unwarranted. The risk of HT in patients with ≥5 CMBs requires further study.
Source: Journal of NeuroInterventional Surgery - May 12, 2016 Category: Neurosurgery Authors: Shi, Z.-S., Duckwiler, G. R., Jahan, R., Tateshima, S., Gonzalez, N. R., Szeder, V., Saver, J. L., Kim, D., Ali, L. K., Starkman, S., Vespa, P. M., Salamon, N., Villablanca, J. P., Vinuela, F., Feng, L., Loh, Y., Liebeskind, D. S. Tags: Ischemic stroke Source Type: research

Unwanted detachment of the Solitaire device during mechanical thrombectomy in acute ischemic stroke
Conclusions Unwanted detachment of a Solitaire is an uncommon complication during mechanical thrombectomy in patients with acute ischemic stroke and is associated with the clot retrieval attempts, SICH, poor outcome, and higher mortality.
Source: Journal of NeuroInterventional Surgery - November 14, 2016 Category: Neurosurgery Authors: Castano, C., Dorado, L., Remollo, S., Garcia-Bermejo, P., Gomis, M., Perez de la Ossa, N., Millan, M., Garcia-Sort, M. R., Hidalgo, C., Lopez-Cancio, E., Cubells, C., Davalos, A. Tags: Ischemic stroke Source Type: research

Primary acute stroke thrombectomy within 3 h for large artery occlusion (PAST3-LAO): a pilot study
Conclusions Our study demonstrates that primary SRT in AIS from LAO is safe and feasible and is associated with complete recanalization and good outcome. Further study is required.
Source: Journal of NeuroInterventional Surgery - March 15, 2017 Category: Neurosurgery Authors: Lodi, Y., Reddy, V., Petro, G., Devasenapathy, A., Hourani, A., Chou, C.-A. Tags: Ischemic stroke Source Type: research

Distinction between contrast staining and hemorrhage after endovascular stroke treatment: one CT is not enough
Conclusions There are no density thresholds for PCHDs that allow predicting the absence or presence of hemorrhage with 100% specificity and acceptable sensitivity. A CT scan performed at least 19–24 h after endovascular therapy is the only reliable method to differentiate contrast staining from hemorrhage.
Source: Journal of NeuroInterventional Surgery - March 15, 2017 Category: Neurosurgery Authors: Dekeyzer, S., Nikoubashman, O., Lutin, B., De Groote, J., Vancaester, E., De Blauwe, S., Hemelsoet, D., Wiesmann, M., Defreyne, L. Tags: Ischemic stroke Source Type: research

Toward a more inclusive paradigm: thrombectomy for stroke patients with pre-existing disabilities
Conclusions While baseline mRS was associated with absolute 90-day disability, there was no association with accumulated disability or other outcomes. Patients with baseline disability should not be routinely excluded from EVT based on baseline mRS alone.
Source: Journal of NeuroInterventional Surgery - September 15, 2021 Category: Neurosurgery Authors: Regenhardt, R. W., Young, M. J., Etherton, M. R., Das, A. S., Stapleton, C. J., Patel, A. B., Lev, M. H., Hirsch, J. A., Rost, N. S., Leslie-Mazwi, T. M. Tags: Editor''s choice, Ischemic stroke Source Type: research

Bridging thrombolysis in atrial fibrillation stroke is associated with increased hemorrhagic complications without improved outcomes
Conclusion In this large thrombectomy registry, AF patients exposed to IVT before MT had increased hemorrhagic complications without improved functional outcomes, in contrast with non-AF patients. Prospective trials are warranted to assess whether AF patients represent a subgroup of LVO patients who may benefit from a direct to thrombectomy approach at thrombectomy capable centers.
Source: Journal of NeuroInterventional Surgery - September 14, 2022 Category: Neurosurgery Authors: Akbik, F., Alawieh, A., Dimisko, L., Howard, B. M., Cawley, C. M., Tong, F. C., Nahab, F., Samuels, O. B., Maier, I., Feng, W., Goyal, N., Starke, R. M., Rai, A., Fargen, K. M., Psychogios, M. N., Jabbour, P., De Leacy, R., Keyrouz, S. G., Dumont, T. M., Tags: Ischemic stroke Source Type: research

Benefit and risk of intravenous alteplase in patients with acute large vessel occlusion stroke and low ASPECTS
Conclusions Bridging IVT in patients with low ASPECTS was associated with very poor functional outcome and an increased risk of sICH. The benefit of this treatment should therefore be carefully weighed in such scenarios. Further randomized controlled trials are required to validate our findings.
Source: Journal of NeuroInterventional Surgery - December 14, 2022 Category: Neurosurgery Authors: Broocks, G., McDonough, R., Bechstein, M., Hanning, U., Brekenfeld, C., Flottmann, F., Kniep, H., Nawka, M. T., Deb-Chatterji, M., Thomalla, G., Sporns, P., Yeo, L. L., Tan, B. Y., Gopinathan, A., Kastrup, A., Politi, M., Papanagiotou, P., Kemmling, A., F Tags: Open access, Editor''s choice, Ischemic stroke Source Type: research

Predictors of parenchymal hemorrhage after endovascular treatment in acute ischemic stroke: data from ANGEL-ACT Registry
Conclusions In Chinese patients with AIS caused by anterior circulation LVO, the risk of PH was positively associated with low admission ASPECTS, serum glucose >7 mmol/L, and NLR, but negatively related to underlying ICAS and intracranial angioplasty/stenting. Trial registration number NCT03370939.
Source: Journal of NeuroInterventional Surgery - December 14, 2022 Category: Neurosurgery Authors: Sun, D., Jia, B., Tong, X., Kan, P., Huo, X., Wang, A., Raynald, , Ma, G., Ma, N., Gao, F., Mo, D., Song, L., Sun, X., Liu, L., Deng, Y., Li, X., Wang, B., Luo, G., Wang, Y., Ren, Z., Miao, Z., on behalf of ANGEL-ACT study group, Miao, Gui, Peng, Wu, Zha Tags: Ischemic stroke Source Type: research

Endovascular thrombectomy beyond 24 hours from ischemic stroke onset: a propensity score matched cohort study
Conclusion In this real world study, EVT beyond 24 hours from stroke onset or last known well appeared to be feasible, with comparable safety and functional outcomes to EVT initiation between 6 and 24 hours. Randomized trials assessing the efficacy of EVT in the VL window are warranted, but may only be feasible with a large international collaborative approach.
Source: Journal of NeuroInterventional Surgery - February 14, 2023 Category: Neurosurgery Authors: Dhillon, P. S., Butt, W., Podlasek, A., Barrett, E., McConachie, N., Lenthall, R., Nair, S., Malik, L., James, M. A., Dineen, R. A., England, T. J. Tags: Ischemic stroke Source Type: research

Endovascular treatment for acute ischemic stroke in patients with tandem lesion in the anterior circulation: analysis from the METRICS study
Conclusion Patients with TL did not differ from those with SO in outcomes after EVT. TL patients with prior IVT had more complete recanalization and mRS 0–2 and IVT was found to be a predictor of good outcome after EVT.
Source: Journal of NeuroInterventional Surgery - August 29, 2023 Category: Neurosurgery Authors: Sanak, D., Kocher, M., Zapletalova, J., Cihlar, F., Czerny, D., Cernik, D., Duras, P., Fiksa, J., Husty, J., Jurak, L., Kovar, M., Lacman, J., Padr, R., Prochazka, P., Raupach, J., Reiser, M., Rohan, V., Roubec, M., Sova, J., Sercl, M., Skorna, M., Simune Tags: Ischemic stroke Source Type: research