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Source: Journal of NeuroInterventional Surgery

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Total 1766 results found since Jan 2013.

Association of asymptomatic hemorrhage after endovascular stroke treatment with outcomes
Conclusions aICH was not associated with worse outcomes in patients with large-vessel stroke treated with EVT. aICH was more frequent in patients with successful recanalization. Further validation of our findings in large cohort studies of EVT-treated patients is warranted.
Source: Journal of NeuroInterventional Surgery - November 18, 2021 Category: Neurosurgery Authors: Feldman, M. J., Roth, S., Fusco, M. R., Mehta, T., Arora, N., Siegler, J. E., Schrag, M., Mittal, S., Kirshner, H., Mistry, A. M., Yaghi, S., Chitale, R. V., Khatri, P., Mistry, E. A. Tags: Ischemic stroke Source Type: research

Proximal Internal Carotid artery Acute Stroke Secondary to tandem Occlusions (PICASSO) international survey
Conclusions The PICASSO survey demonstrates multiple areas of uncertainty regarding the medical and endovascular management of TOs. Experts acknowledged the need for further evidence and their willingness to participate in a randomized controlled trial to evaluate the best treatment for the cervical TO lesion.
Source: Journal of NeuroInterventional Surgery - November 18, 2021 Category: Neurosurgery Authors: Zevallos, C. B., Farooqui, M., Quispe-Orozco, D., Mendez-Ruiz, A., Patterson, M., Below, K., Martins, S. O., Mansour, O. Y., MontAlverne, F., Nguyen, T. N., Lemme, L., Siddiqui, A. H., Fraser, J. F., Jadhav, A. P., Zaidat, O. O., Ortega-Gutierrez, S. Tags: Ischemic stroke Source Type: research

Cost-effectiveness of endovascular thrombectomy in patients with acute stroke and M2 occlusion
Conclusion Our study suggests that EVT is cost-effective for treatment of acute M2 branch occlusions. Faster and improved reperfusion techniques would increase the relative cost-effectiveness of EVT even further in these patients.
Source: Journal of NeuroInterventional Surgery - August 13, 2021 Category: Neurosurgery Authors: Khunte, M., Wu, X., Payabvash, S., Zhu, C., Matouk, C., Schindler, J., Sanelli, P., Gandhi, D., Malhotra, A. Tags: Ischemic stroke Source Type: research

Rescue carotid puncture for ischemic stroke treated by endovascular therapy: a multicentric analysis and systematic review
Conclusion RCP mainly concerned elderly patients admitted for AIS with anterior LVO with supra-aortic tortuosity. The procedure seemed feasible, notably for patients treated with IVT, and led to significant reperfusion rates at the end of procedure, but with pronounced unfavorable outcomes at 3 months. RCP should be performed under general anesthesia to avoid life-threatening complications and ensure airways safety. Finally, RCP led to low rates of closure complications, emphasizing that this concern should not withhold RCP, if indicated.
Source: Journal of NeuroInterventional Surgery - August 13, 2021 Category: Neurosurgery Authors: Allard, J., Ghazanfari, S., Mahmoudi, M., Labreuche, J., Escalard, S., Delvoye, F., Ciccio, G., Smajda, S., Redjem, H., Hebert, S., Consoli, A., Costalat, V., Desilles, J.-P., Mazighi, M., Piotin, M., Dargazanli, C., Lapergue, B., Blanc, R., Maïer Tags: Ischemic stroke Source Type: research

Endovascular reperfusion outcomes in patients with a stroke and low ASPECTS is highly dependent on baseline infarct volumes
Conclusions Outcomes may vary significantly in the same ASPECTS category depending on infarct volume. Patients with ASPECTS ≤5 but baseline infarct volumes ≤70 cc may achieve independence in nearly 40% of the cases and thus should not be excluded from treatment.
Source: Journal of NeuroInterventional Surgery - January 18, 2022 Category: Neurosurgery Authors: Bouslama, M., Barreira, C. M., Haussen, D. C., Rodrigues, G. M., Pisani, L., Frankel, M. R., Nogueira, R. G. Tags: Ischemic stroke Source Type: research

Endovascular thrombectomy without versus with intravenous thrombolysis in acute ischemic stroke: a non-inferiority meta-analysis of randomized clinical trials
Conclusions This meta-analysis suggests that EVT alone is non-inferior to IVT plus EVT for several, but not the most stringent, non-inferiority margins.
Source: Journal of NeuroInterventional Surgery - February 16, 2022 Category: Neurosurgery Authors: Lin, C.-H., Saver, J. L., Ovbiagele, B., Huang, W.-Y., Lee, M. Tags: Open access, Ischemic stroke Source Type: research

Effect of first pass reperfusion on outcome in patients with posterior circulation ischemic stroke
Conclusions FPR in patients with PCS is associated with favorable clinical outcome in comparison with no FPR. In comparison with MPR, the effect of FPR was no longer statistically significant. Nevertheless, our data support the notion that FPR should be the treatment target to pursue in every patient treated with EVT.
Source: Journal of NeuroInterventional Surgery - March 18, 2022 Category: Neurosurgery Authors: den Hartog, S. J., Roozenbeek, B., Boodt, N., Bruggeman, A. A. E., van Es, A. C. G. M., Emmer, B. J., Majoie, C. B. L. M., van den Wijngaard, I. R., van Doormaal, P. J., van Zwam, W. H., Lingsma, H. F., Dippel, D. W. J., MR CLEAN Registry investigators, D Tags: Open access, Ischemic stroke Source Type: research

Endovascular thrombectomy for acute ischemic stroke in patients with cancer: a propensity-matched analysis
Conclusions In propensity matched analysis of patients undergoing EVT for AIS with and without cancer, 90-day functional outcomes and mortality were similar. However, there was a significantly higher rate of HT in cancer patients.
Source: Journal of NeuroInterventional Surgery - November 14, 2022 Category: Neurosurgery Authors: Joshi, K. C., Grewal, P., Beer-Furlan, A., Vargas, A., Osteraas, N., Dafer, R., Chen, M. Tags: Editor''s choice, Ischemic stroke Source Type: research

Influence of the interventionists experience on outcomes of endovascular thrombectomy in acute ischemic stroke: results from the MR CLEAN Registry
Conclusions Higher levels of interventionist’s experience are associated with better outcomes after EVT, in particular when experience is defined as the number of patients treated in the preceding year. Every 20 procedures more per year is associated with approximately one NIHSS score point decrease, an increased probability for recanalization (aOR=1.44), and a 6-minute shorter procedure time.
Source: Journal of NeuroInterventional Surgery - January 11, 2023 Category: Neurosurgery Authors: Olthuis, S. G. H., den Hartog, S. J., van Kuijk, S. M. J., Staals, J., Benali, F., van der Leij, C., Beumer, D., Lycklama a Nijeholt, G. J., Uyttenboogaart, M., Martens, J. M., van Doormaal, P.-J., Vos, J. A., Emmer, B. J., Dippel, D. W. J., van Zwam, W. Tags: Open access, Ischemic stroke Source Type: research

Republished:Aspiration catheter failure leading to carotid-cavernous fistula during stroke thrombectomy
We present a case of a previously unreported complication related to malfunction of a Penumbra aspiration catheter during stroke thrombectomy resulting in a carotid-cavernous fistula.
Source: Journal of NeuroInterventional Surgery - February 14, 2023 Category: Neurosurgery Authors: Agrait, M., Kee-Sampson, J., Brzezicki, G., Bashir, S., Matteo, J., Meyer, T., Siragusa, D. Tags: Ischemic stroke Source Type: research

Stroke thrombectomy volume, rather than stroke center accreditation status of hospitals, is associated with mortality and discharge disposition
Conclusion A higher volume of ST cases was associated with lower mortality and higher home discharge rate. No significant differences in mortality and discharge disposition were found between accredited and non-accredited hospitals.
Source: Journal of NeuroInterventional Surgery - February 14, 2023 Category: Neurosurgery Authors: Waqas, M., Tutino, V. M., Cappuzzo, J. M., Lazarov, V., Popoola, D., Patel, T. R., Levy, B. R., Monteiro, A., Mokin, M., Rai, A. T., Mocco, J., Turk, A. S., Snyder, K. V., Davies, J. M., Levy, E. I., Siddiqui, A. H. Tags: Editor''s choice, Ischemic stroke Source Type: research

Risk factors of unexplained early neurological deterioration after treatment for ischemic stroke due to large vessel occlusion: a post hoc analysis of the HERMES study
Conclusions UnEND is not an uncommon event, with a similar rate which ever treatment arm is considered. In the clinical scenario of AIS due to large vessel occlusion, no patient-related factor seems to increase the risk for UnEND when treated by EVT compared with MM.
Source: Journal of NeuroInterventional Surgery - February 14, 2023 Category: Neurosurgery Authors: Bourcier, R., Goyal, M., Muir, K. W., Desal, H., Dippel, D. W. J., Majoie, C. B. L. M., van Zwam, W. H., Jovin, T. G., Mitchell, P. J., Demchuk, A. M., van Oostenbrugge, R. J., Brown, S. B., Campbell, B., White, P., Hill, M. D., Saver, J. L., Weimar, C., Tags: Ischemic stroke Source Type: research

Endovascular thrombectomy for anterior circulation stroke beyond 6 hours of onset in Sweden 2015 to 2020: rates and outcomes in a nationwide register-based study
Conclusion Late window EVTs have increased substantially over time, and currently account for one third of anterior circulation treatments. Early and late window patients had similar outcomes.
Source: Journal of NeuroInterventional Surgery - March 14, 2023 Category: Neurosurgery Authors: Ullberg, T., von Euler, M., Wester, P., Arnberg, F., Norrving, B., Andersson, T., Wasselius, J. Tags: Open access, Ischemic stroke Source Type: research

Effects of endovascular therapy for mild stroke due to proximal or M2 occlusions: meta-analysis
Conclusions For patients with mild AIS, observational data suggest that EVT may be beneficial for proximal ICA or M1 but not for distal M2 occlusions. Randomized trials are needed to confirm these findings. PROSPERO registration number CRD42021281034.
Source: Journal of NeuroInterventional Surgery - March 14, 2023 Category: Neurosurgery Authors: Lin, C.-H., Saver, J. L., Ovbiagele, B., Tang, S.-C., Lee, M., Liebeskind, D. S. Tags: Open access, Ischemic stroke Source Type: research

Endovascular treatment for isolated posterior cerebral artery occlusion stroke in the MR CLEAN registry
Conclusions EVT should be considered in selected patients with AIS with an isolated PCA occlusion, presenting with moderate–severe neurological deficits, as EVT was technically feasible in most of our patients and about half had good clinical outcome. In case of lower NIHSS score, a more conservative approach seems warranted, since periprocedural complications are not uncommon. Nonetheless, EVT seems reasonably safe considering the absence of sICH in our study.
Source: Journal of NeuroInterventional Surgery - March 14, 2023 Category: Neurosurgery Authors: Brouwer, J., Ergezen, S., Mulder, M. J. H. L., Lycklama a Nijeholt, G. J., van Es, A. C. G. M., van der Lugt, A., Dippel, D. W. J., Majoie, C. B. L. M., Roos, Y. B. W. E. M., Coutinho, J. M., Emmer, B. J., on behalf of the MR CLEAN Registry investigators, Tags: Ischemic stroke Source Type: research