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Effect of mechanical thrombectomy with and without intravenous thrombolysis on the functional outcome of patients with different degrees of thrombus perviousness
ConclusionPatients with thrombi of lower perviousness were recommended to undergo intravenous alteplase followed by endovascular thrombectomy, and those with thrombi of higher perviousness could undergo thrombectomy alone.
Source: Neuroradiology - August 29, 2023 Category: Radiology Source Type: research

Association between thrombus composition and stroke etiology in the MR CLEAN Registry biobank
ConclusionThrombus composition is significantly associated with stroke etiology, with an increase in RBC and a decrease in F/P raising the odds for a non-cardioembolic cause. No difference between composition of cardioembolic thrombi and of undetermined origin was seen. This emphasizes the need for more extensive monitoring for arrhythmias and/or extended cardiac analysis in case of an undetermined origin.
Source: Neuroradiology - April 15, 2023 Category: Radiology Source Type: research

Visualization of thrombus using iterative reconstruction and maximum intensity projection of thin-slice CT images
ConclusionsIR reduces noise and improves resolution. MIP in combination with IR facilitates visualization of thrombus.
Source: Neuroradiology - November 9, 2022 Category: Radiology Source Type: research

Endovascular treatment in patients with middle cerebral artery occlusion of different aetiologies
ConclusionsPatients with acute MCA M1 occlusion stroke due to different pathogeneses had comparable successful recanalization rates and functional independence at 90  days. The optimal management for MCAO patients with different aetiologies requires further research.
Source: Neuroradiology - November 5, 2022 Category: Radiology Source Type: research

An old thrombus may potentially identify patients at higher risk of poor outcome in anterior circulation stroke undergoing thrombectomy
ConclusionThe presence of old thrombi, particularly those with focal hemosiderin, may aid in identifying patients with acute ischemic anterior circulation stroke who are at a higher risk of poor clinical outcome at 3-month follow-up.
Source: Neuroradiology - October 21, 2022 Category: Radiology Source Type: research

A nomogram for predicting thrombus composition in stroke patients with large vessel occlusion: combination of thrombus density and perviousness with clinical features
ConclusionThis study has developed and internally validated an easy-to-use nomogram which can help predict clot composition and optimize therapeutic strategies for thrombectomy.
Source: Neuroradiology - September 6, 2022 Category: Radiology Source Type: research

Association of thrombus density and endovascular treatment outcomes in patients with acute ischemic stroke due to M1 occlusions
ConclusionIn patients with M1 occlusions, thrombus density was not clearly associated with procedural and clinical outcomes after EVT.
Source: Neuroradiology - May 16, 2022 Category: Radiology Source Type: research

High-resolution MR vessel wall imaging in determining the stroke aetiology and risk stratification in isolated middle cerebral artery disease
ConclusionHigh-resolution MRVWI can help in identifying the aetiology of stroke. The HRVWI characteristics in ICAD can help in risk stratification.
Source: Neuroradiology - February 3, 2022 Category: Radiology Source Type: research

Early clinical experience of using the Surpass Evolve flow diverter in the treatment of intracranial aneurysms
ConclusionThe SE is safe and easy to deploy.
Source: Neuroradiology - January 27, 2022 Category: Radiology Source Type: research

Letter to the editor about the paper by Gensicke et al. on the measurement of intracranial thrombus permeability in acute stroke
Source: Neuroradiology - December 12, 2019 Category: Radiology Source Type: research

A back and forth manual aspiration technique using a SOFIA Plus catheter for acute ischemic stroke: technical note
ConclusionThis modified technique with back and forth movements of the SOFIA Plus catheter over the thrombus during aspiration may facilitate thrombectomy in AIS. However, further studies in larger groups are necessary to elucidate its efficacy and to compare with current techniques.
Source: Neuroradiology - November 13, 2018 Category: Radiology Source Type: research

Endovascular aspiration of a symptomatic free-floating common carotid artery thrombus
AbstractFree-floating thrombi of the common carotid artery (CCA) are a very rare cause of ischemic stroke. To date, only a few reports have been described in the academic literature. Revascularization is indicated due to the risk of thromboembolic disease and hemodynamic-related stroke syndromes. Medical treatment typically includes anticoagulation and, in some circumstances, open surgical thrombectomy is an additional option. Although rarely described in the literature, endovascular thrombectomy is a viable treatment alternative in these patients.
Source: Neuroradiology - October 1, 2018 Category: Radiology Source Type: research

Combined aspiration thrombectomy and continuous intrasinus thrombolysis for cerebral venous sinus thrombosis: technical note and case series
We report a retrospective study of angiographic and clinical outcome of six consecutive patients treated with this approach. Endovascular aspiration thrombectomy with large bore catheters followed by continuous local thrombolytic infusion appeared to be a safe and effective salvage treatment for selected patients with cerebral dural venous sinus thrombosis refractory to medical treatment.
Source: Neuroradiology - October 1, 2018 Category: Radiology Source Type: research

Endovascular aspiration of a symptomatic free-floating common carotid artery thrombus
AbstractFree-floating thrombi of the common carotid artery (CCA) are a very rare cause of ischemic stroke. To date, only a few reports have been described in the academic literature. Revascularization is indicated due to the risk of thromboembolic disease and hemodynamic-related stroke syndromes. Medical treatment typically includes anticoagulation and, in some circumstances, open surgical thrombectomy is an additional option. Although rarely described in the literature, endovascular thrombectomy is a viable treatment alternative in these patients.
Source: Neuroradiology - August 14, 2018 Category: Radiology Source Type: research

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