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Source: Journal of NeuroInterventional Surgery

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Total 1766 results found since Jan 2013.

Clinical outcome of patients with mild pre-stroke morbidity following endovascular treatment: a HERMES substudy
Conclusions Patients asymptomatic/without disability prior to onset have better outcomes following EVT than patients with mild disability/symptoms. Patients with pre-stroke mRS 1–2, however, more often achieve good outcomes with EVT compared with conservative management. These findings indicate that mild pre-existing disability/symptoms influence patient prognosis after EVT but do not diminish the EVT treatment effect.
Source: Journal of NeuroInterventional Surgery - February 14, 2023 Category: Neurosurgery Authors: McDonough, R. V., Ospel, J. M., Majoie, C. B. L. M., Saver, J. L., White, P., Dippel, D. W. J., Brown, S. B., Demchuk, A. M., Jovin, T. G., Mitchell, P. J., Bracard, S., Campbell, B. C. V., Muir, K. W., Hill, M. D., Guillemin, F., Goyal, M., on behalf of Tags: Ischemic stroke Source Type: research

Duration of symptomatic stroke and successful reperfusion with endovascular thrombectomy for anterior circulation large vessel occlusive stroke
Conclusion In a real-world cohort of acute ischemic stroke patients with anterior circulation occlusion treated with endovascular therapy, longer duration of symptomatic stroke is associated with lower rates of successful reperfusion and reperfusion on the first pass.
Source: Journal of NeuroInterventional Surgery - November 18, 2021 Category: Neurosurgery Authors: de Havenon, A., Alexander, M. D., Nogueira, R. G., Haussen, D. C., Castonguay, A. C., Linfante, I., Johnson, M. A., Nguyen, T. N., Mokin, M., Zaidat, O. O. Tags: Ischemic stroke Source Type: research

Stroke recurrence rates among patients with symptomatic intracranial vertebrobasilar stenoses: systematic review and meta-analysis
Conclusions Our results showed that the risk of stroke recurrence or death or the risk of stroke recurrence alone was comparable between the medical and endovascular therapy groups. A small preventive effect of endovascular therapy may exist, particularly if the 30 day postprocedural risk is reduced.
Source: Journal of NeuroInterventional Surgery - January 13, 2016 Category: Neurosurgery Authors: Abuzinadah, A. R., Alanazy, M. H., Almekhlafi, M. A., Duan, Y., Zhu, H., Mazighi, M., Lutsep, H. L., Donnon, T., Hill, M. D. Tags: Ischemic stroke Source Type: research

Discrepancy between early neurological course and mid-term outcome in older stroke patients after mechanical thrombectomy
Conclusions Older patients exhibit a similar early neurological course and responsiveness to mechanical thrombectomy as younger patients, but this is not reflected in mid-term functional outcome scores. This indicates that post-stroke complications and other factors that are not, or only indirectly, related to the brain tissue damage induced by the incident stroke have a dominant role in their poor prognosis.
Source: Journal of NeuroInterventional Surgery - June 13, 2016 Category: Neurosurgery Authors: Kleine, J. F., Boeckh-Behrens, T., Prothmann, S., Zimmer, C., Liebig, T., Poppert Tags: Ischemic stroke Source Type: research

Comparison of outcomes of patients with inpatient or outpatient onset ischemic stroke
Conclusions Using a comprehensive all-payer cohort of patients with ischemic stroke in New York State, we identified an association of inpatient stroke onset with fewer stroke-related interventions and increased mortality, rate of discharge to rehabilitation, and LOS.
Source: Journal of NeuroInterventional Surgery - November 14, 2016 Category: Neurosurgery Authors: Bekelis, K., Missios, S., Coy, S., MacKenzie, T. A. Tags: Ischemic stroke Source Type: research

Thrombectomy in acute ischemic stroke: estimations of increasing demands
Conclusions When the new recommendations are implemented broadly, there may be a substantial increase in demand for thrombectomies. Our study highlights the need for policymakers and healthcare professionals to prepare for the increasing demands for advanced endovascular stroke treatment.
Source: Journal of NeuroInterventional Surgery - August 17, 2017 Category: Neurosurgery Authors: Kuntze Söderqvist, A., Andersson, T., Ahmed, N., Wahlgren, N., Kaijser, M. Tags: Ischemic stroke Source Type: research

Correlation of imaging and histopathology of thrombi in acute ischemic stroke with etiology and outcome: a systematic review
Conclusions The hyperdense artery sign is associated with RBC-rich thrombi and improved recanalization rates. However, there was no association between the histopathological characteristics of thrombi and stroke etiology and angiographic outcomes.
Source: Journal of NeuroInterventional Surgery - May 30, 2017 Category: Neurosurgery Authors: Brinjikji, W., Duffy, S., Burrows, A., Hacke, W., Liebeskind, D., Majoie, C. B. L. M., Dippel, D. W. J., Siddiqui, A. H., Khatri, P., Baxter, B., Nogeuira, R., Gounis, M., Jovin, T., Kallmes, D. F. Tags: Editor''s choice, Ischemic stroke Source Type: research

Factors associated with perforator stroke after selective basilar artery angioplasty or stenting
Conclusions Diabetes, time from last symptom to procedure, and pre-procedure stenosis percentage may be factors affecting the risk of perforator stroke associated with basilar artery angioplasty and/or stenting. These factors should be considered in planning of potential basilar artery angioplasty and/or stenting and prospectively evaluated in future multicenter trials.
Source: Journal of NeuroInterventional Surgery - July 12, 2017 Category: Neurosurgery Authors: Jia, B., Liebeskind, D. S., Ma, N., Gao, F., Mo, D., Luo, G., Li, X., Sui, X., Peng, G., Miao, Z. Tags: Ischemic stroke Source Type: research

Stroke care: initial data from a county-based bypass protocol for patients with acute stroke
Conclusions Our results indicate that EMS adaptation of the RA protocol within Lucas County is feasible and effective for early triage and treatment of patients with stroke. Using this protocol, we can significantly improve treatment times for both systemic thrombolysis and MT.
Source: Journal of NeuroInterventional Surgery - June 16, 2017 Category: Neurosurgery Authors: Zaidi, S. F., Shawver, J., Espinosa Morales, A., Salahuddin, H., Tietjen, G., Lindstrom, D., Parquette, B., Adams, A., Korsnack, A., Jumaa, M. A. Tags: Open access, Ischemic stroke Source Type: research

Benefit of successful reperfusion achieved by endovascular thrombectomy for patients with ischemic stroke and moderate pre-stroke disability (mRS 3): results from the MR CLEAN Registry
Conclusions Although patients with AIS with pre-stroke mRS 3 comprise a heterogenous group of disability causes, we observed improved outcomes when patients achieved successful reperfusion after EVT.
Source: Journal of NeuroInterventional Surgery - April 13, 2023 Category: Neurosurgery Authors: Benali, F., Kappelhof, M., Ospel, J., Ganesh, A., McDonough, R. V., Postma, A. A., Goldhoorn, R.-J. B., Majoie, C. B. L. M., van den Wijngaard, I., Lingsma, H. F., Vos, J. A., van Oostenbrugge, R. J., van Zwam, W. H., Goyal, M., on behalf of MR CLEAN Regi Tags: Ischemic stroke Source Type: research

Overcoming the evening/weekend effects on time delays and outcomes of endovascular stroke therapy: the Calgary Stroke Program experience
Conclusions Some delays were encountered during evenings and weekend hours. Despite that, it was feasible to achieve a relatively short imaging to reperfusion times during these hours, in comparison to existing literature. A target universal time metric is needed to assess the timeliness of endovascular therapy in stroke centers.
Source: Journal of NeuroInterventional Surgery - November 7, 2014 Category: Neurosurgery Authors: Almekhlafi, M. A., Hockley, A., Desai, J. A., Nambiar, V., Mishra, S., Volny, O., Eesa, M., Demchuk, A. M., Menon, B. K., Goyal, M. Tags: Ischemic stroke Source Type: research

Endovascular treatment of acute ischemic stroke in nonagenarians compared with younger patients in a multicenter cohort
Conclusions Nonagenarians are at a substantially higher risk of a poor 90-day outcome after EVT than younger patients. However, a small subset of nonagenarians may benefit from EVT, particularly if they have a good pre-stroke functional status. Further research is needed to identify factors associated with favorable outcome in this age cohort.
Source: Journal of NeuroInterventional Surgery - July 12, 2017 Category: Neurosurgery Authors: Khan, M. A., Baird, G. L., Miller, D., Patel, A., Tsekhan, S., Yaghi, S., Puri, A., Jayaraman, M., Henninger, N., Silver, B. Tags: Ischemic stroke Source Type: research

Endovascular treatment beyond 24 hours from the onset of acute ischemic stroke: the Italian Registry of Endovascular Thrombectomy in Acute Stroke (IRETAS)
Conclusions These findings suggest that, in a real world setting, very late endovascular therapy is feasible in appropriately selected patients.
Source: Journal of NeuroInterventional Surgery - November 14, 2022 Category: Neurosurgery Authors: Casetta, I., Fainardi, E., Pracucci, G., Saia, V., Vallone, S., Zini, A., Bergui, M., Cerrato, P., Nappini, S., Nencini, P., Gasparotti, R., Saletti, A., Causin, F., Romano, D., Burdi, N., Giorgianni, A., Mangiafico, S., Toni, D., The Italian Registry of Tags: Ischemic stroke Source Type: research

Evaluation of direct-to-angiography suite (DTAS) and conventional clinical pathways in stroke care: a simulation study
Conclusions The results of the SimStroke model showed comparable time intervals for door-to-reperfusion for DTAS compared with a conventional stroke care pathway. However, the DTAS pathway was very sensitive to baseline angiography suite utilization, with even a 10% increase eliminating the advantages of DTAS compared with the conventional pathway. Given the minimal time savings modeled here, further investigation of implementing the DTAS pathway in clinical care is warranted.
Source: Journal of NeuroInterventional Surgery - November 14, 2022 Category: Neurosurgery Authors: Bastani, M., White, T. G., Martinez, G., Ohara, J., Sangha, K., Gribko, M., Katz, J. M., Woo, H. H., Boltyenkov, A. T., Wang, J., Rula, E., Naidich, J. J., Sanelli, P. C. Tags: Ischemic stroke Source Type: research

Outcomes in patients with acute ischemic stroke from proximal intracranial vessel occlusion and NIHSS score below 8
Conclusions Patients with acute stroke due to large vessel occlusion and low admission NIHSS scores (0–7 range) may have poor functional outcomes at discharge. These patients, if not eligible for IV thrombolysis, might benefit from IA revascularization therapies.
Source: Journal of NeuroInterventional Surgery - June 28, 2014 Category: Neurosurgery Authors: Mokin, M., Masud, M. W., Dumont, T. M., Ahmad, G., Kass-Hout, T., Snyder, K. V., Hopkins, L. N., Siddiqui, A. H., Levy, E. I. Tags: Ischemic stroke Source Type: research