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Direct carotid artery puncture for acute ischemic stroke: Local experience and systematic review
CONCLUSION: We describe the detailed procedure of the rare case of an emergency DCAP performed at our institution. DCAP provides an alternative treatment method in cases where thrombus removal access cannot be established through traditional methods.PMID:36113459 | DOI:10.1177/15910199221125094
Source: Interventional Neuroradiology - September 16, 2022 Category: Radiology Authors: Chun Yin Yasuo Ding Hao Chang Source Type: research

Association of local anesthesia versus conscious sedation with functional outcome of acute ischemic stroke patients undergoing embolectomy.
CONCLUSION: Functional outcome of acute ischemic stroke patients undergoing embolectomy appears to be similar for patients receiving local anesthesia and conscious sedation. This similarity may be beneficial to a future study comparing general anesthesia to local anesthesia and conscious sedation. The use of local anesthesia or conscious sedation does not significantly impact hemodynamic status. PMID: 32375517 [PubMed - as supplied by publisher]
Source: Interventional Neuroradiology - May 9, 2020 Category: Radiology Tags: Interv Neuroradiol Source Type: research

Angiographic Baseline Proximal Thrombus Appearance of M1/M2 Occlusions in Mechanical Thrombectomy
ConclusionBaseline cut off thrombus appearance predicts a  higher number of thrombectomy maneuvers. In day to day practice this may prepare the neurointerventionalist for a more challenging endovascular procedure ahead. Stroke etiology, clinical outcomes and thrombus-specific characteristics did not show any associations with the thrombus appearance.
Source: Klinische Neuroradiologie - December 4, 2019 Category: Radiology Source Type: research

Posterior Circulation Occlusions May Be Associated with Distal Emboli During Thrombectomy
ConclusionPosterior circulation occlusions were significantly associated with distal emboli during thrombectomy, possibly due to the lack of flow arrest during such procedures. New techniques and devices should be developed to protect against embolic complications during posterior circulation stroke thrombectomy.
Source: Klinische Neuroradiologie - March 22, 2018 Category: Radiology Source Type: research

Interpretation of Brain CT Scans in the Field by Critical Care Physicians in a Mobile Stroke Unit
CONCLUSIONThis pilot study shows that anesthesiologists trained in prehospital critical care may effectively assess cerebral CT scans in an MSU, and determine if there are radiological contraindications for thrombolysis.
Source: Journal of Neuroimaging - July 1, 2017 Category: Radiology Authors: Maren Ranhoff Hov, Erik Zakariassen, Thomas Lindner, Terje Nome, Kristi G. Bache, Jo R øislien, Jostein Gleditsch, Volker Solyga, David Russell, Christian G. Lund, Tags: Clinical Investigative Study Source Type: research