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Source: Journal of NeuroInterventional Surgery

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Total 1766 results found since Jan 2013.

E-129 Trends in demographic and geographic disparities of stroke-related mortality in older adults in the United States from 1999 to 2020
Stroke is a leading cause of mortality and morbidity in the United States. Many risk factors are controversial, and their relative importance is not fully understood. Elucidating the association between demographic and geographic disparities and stroke-related mortality in older adults will guide policy to alleviate stroke burden. This retrospective cohort study characterizes stroke-related mortality among individuals aged 55 and older in the United States from January 1999 to December 2020 using the Centers for Disease Control and Prevention Wide-Ranging Online Data for Epidemiologic Research database. Segmented regressio...
Source: Journal of NeuroInterventional Surgery - July 30, 2023 Category: Neurosurgery Authors: McCandless, M., Powers, A., Baker, K., Strickland, A. Tags: SNIS 20th annual meeting electronic poster abstracts Source Type: research

E-006 Extremes of body mass indices and thrombectomy outcomes: a new paradox in acute stroke treatment?
Conclusion Extremes of BMI were associated with better clinical outcomes with a "reverse U-shaped relationship" in patients with large vessel occlusions of the anterior circulation undergoing endovascular treatment, as the best clinical outcomes were observed in the UW and MO. This paradox differs from the previously described "obesity paradox," in which OW and mildly Ob typically have better outcomes than the NW, UW, and MO.1,2 The cause of and implications for these findings in acute stroke treatment is unclear. While these results may be secondary to patient selection bias, additional potential mechanisms include possib...
Source: Journal of NeuroInterventional Surgery - July 23, 2017 Category: Neurosurgery Authors: Lavie, J., Bennett, G., Arndt, S., Albar, A., Wojcik, K., Milburn, J., Vidal, G. Tags: Electronic Poster Abstracts Source Type: research

Implementing the SNIS recommendations for neurointerventional emergent care in the setting of COVID-19: impact on stroke metrics and patient outcomes
Conclusions The COVID-19 pandemic did not significantly affect stroke admission volume or acute stroke treatment utilization. Outcomes were not affected by implementing SNIS guidelines. Although there was a statistical increase in time to groin puncture for ET, it was not clinically meaningful. These results suggest hospitals managing patients efficiently can implement practices in response to COVID-19 without impacting outcomes.
Source: Journal of NeuroInterventional Surgery - February 16, 2022 Category: Neurosurgery Authors: Atchie, B., Jarvis, S., Stoddard, E., Salottolo, K., Nieberlein, A., McCarthy, K., Bartt, R., Bennett, A., Burrell, C., Frei, D., Bar-Or, D. Tags: Open access, COVID-19 The pandemic and neurointervention Source Type: research

E-152 Cone-beam CT angiogram acquisition in the angiography suite for LVO detection in acute ischemic stroke
ConclusionDTAS triage workflow with cone-beam head CT and CTA image acquisition in the angiography suite may be a next step to further optimize LVO stroke pathways by bypassing conventional CT/MR. This new workflow has the potential to further decrease door-to-needle times and thereby may improve patient outcome.Disclosures A. Kuhn: None. J. Singh: None. M. Garcia: None. S. Sarid: None. M. Gounis: 1; C; National Institutes of Health (NIH), the United States – Israel Binational Science Foundation, Anaconda, ApicBio, Arsenal Medical, Axovant, Balt, Cerenovus, Ceretrieve, CereVasc LLC, Cook Medical, Gal. 2; C; fee-per-h...
Source: Journal of NeuroInterventional Surgery - July 30, 2023 Category: Neurosurgery Authors: Kuhn, A., Singh, J., Garcia, M., Sarid, S., Gounis, M., Anagnostakou, V., Puri, A. Tags: SNIS 20th annual meeting electronic poster abstracts Source Type: research

E-028 Implementation of an ED-based Rapid Brain-Attack Triage Algorithm in a Regional Tele-stroke Network Positively Impacts Discharge Disposition for Stroke Patients
Conclusions A simplified ED-based Rapid Brain-Attack Triage Algorithm and triage of appropriate patients to comprehensive stroke centers for consideration of catheter-based therapy is feasible and significantly improves discharge disposition in stroke patients. Abstract E-028 Figure 12010 Data Abstract E-028 Figure 22012 Data Disclosures A. Venizelos: None. D. Roper: None. J. Coulson: None. K. Patel: None. J. Myers: None. C. Fanale: None. S. Robbins: None. V. Janardhan: None.
Source: Journal of NeuroInterventional Surgery - July 26, 2014 Category: Neurosurgery Authors: Venizelos, A., Roper, D., Coulson, J., Patel, K., Myers, J., Fanale, C., Robbins, S., Janardhan, V. Tags: Electronic poster abstracts Source Type: research

E-013 unchanged utilization of endovascular treatment in acute ischemic stroke patients in the post ims-iii era
ConclusionContrary to expectations, there has been no reduction in the utilization of endovascular treatment among acute ischemic stroke patients after IMS-III, MR RESCUE and SYNTHESIS EXPANSION results were published.Abstract E-013 Table 1Pre and Post IMS III Pre-IMS III Post-IMS III P-value Patients with ischemic stroke (%)6765 (50.5)6643 (49.5)Mechanical thrombectomy155 (2.3)161 (2.4)0.6IV tPA483 (7.1)520 (7.8)0.1Discharge dispositionHome or self care3135 (46.6)3079 (46.3)Skilled nursing facility1529 (22.6)1486 (22.4)Expired268 (4.0)253 (3.8)0.3Length of stay in hospital3.8 ± 4.13.6 ± 3.50.02Hospital c...
Source: Journal of NeuroInterventional Surgery - July 26, 2015 Category: Neurosurgery Authors: Hassan, A., Bezzina, C., Malik, A., Sanchez, C., Tekle, W., Qureshi, A. Tags: SNIS 12th Annual Meeting Electronic Poster Abstracts Source Type: research

E-003 Evaluation of Strategies to Reduce Time to Revascularization in Acute Ischemic Stroke
ConclusionsDespite the relatively small sample size for the study, this evaluation provides evidence based practice strategies which could be implemented at stroke centers to reduce door to revascularization time in EVT. These strategies are also theorized to positively impact stroke outcomes due to the improvement in treatment times and will be reported with the final study analysis.Abstract E-003 Table 1Stroke workflow timelinePre PI n = 8 meanSDPost PI n = 9 meanSDSigArrival to angio suite (hh:mm)1:590:391:260:28p = 0.57Angio suite to groin puncture (hh:mm)0.270:080:250:12p = 0.73Groin puncture to first pass (hh:mm)0:28...
Source: Journal of NeuroInterventional Surgery - July 28, 2016 Category: Neurosurgery Authors: Doerr, A., Jenkins, S., Davis, J. Tags: Electronic poster abstracts Source Type: research

P-016 Relationship between stroke recurrence, infarct pattern, and vascular distribution in patients with symptomatic intracranial stenosis
Conclusion We determined that basilar artery stenosis was most likely to present as a perforator stroke. As expected, patients discharged with suboptimal medical therapy were twice as likely to have a recurrent stroke (29% versus 13%). Among patients with optimal medical therapy, no recurrent strokes were seen in patients with embolic infarct pattern, while 57% recurrence rate was seen in patients with a watershed infarct pattern, suggesting that an embolic infarct pattern on initial presentation is possibly related to underlying plaque instability that is modifiable with optimal medical therapy. On the other hand, initial...
Source: Journal of NeuroInterventional Surgery - July 23, 2017 Category: Neurosurgery Authors: Raghuram, K., Kohlnhofer, J., Durgam, A. Tags: Oral Poster Abstracts Source Type: research

E-102 Transport distances for bypass and non-bypass routing models of stroke patients in the United States
ConclusionsBypass incurs a modest distance penalty for non-LVO patients and offers a modest distance benefit for LVO patients. These differences in distance are likely insignificant to intra-hospital delays that contribute greatly to delays in EVT treatment in non-bypass transport. Based on current guidelines, bypass of the nearest stroke center for an EVT-capable center may be warranted for a majority of Americans.Disclosures C. Yu: None. P. Panagos: None. A. Kansagra: None.
Source: Journal of NeuroInterventional Surgery - July 26, 2021 Category: Neurosurgery Authors: Yu, C., Panagos, P., Kansagra, A. Tags: Electronic poster abstracts Source Type: research

Health-related quality of life after thrombectomy in young-onset versus older stroke patients: a multicenter analysis
Conclusions Young-onset stroke patients have a better HRQoL after EVT than older patients. Their higher HRQoL is mainly explained by less physical disability assessed by mRS. Depressive symptoms should be actively assessed and targeted in rehabilitation therapies of young-onset stroke patients to improve quality of life after stroke.
Source: Journal of NeuroInterventional Surgery - October 14, 2022 Category: Neurosurgery Authors: Deb-Chatterji, M., Pinho, J., Flottmann, F., Meyer, L., Broocks, G., Brekenfeld, C., Reich, A., Fiehler, J., Gerloff, C., Thomalla, G., on behalf of the GSR-ET Investigators Tags: Vascular neurology Source Type: research

P118/214 New image transmitting system with stroke fast track for interhospital transfer in Korea
ConclusionThe Stroke Fast Track system, which can transmit medical data directly and non-face-to-face before arriving at the TSC, is feasible and can be utilized to shorten the start of EVT.Disclosure of InterestNothing to disclose
Source: Journal of NeuroInterventional Surgery - August 21, 2023 Category: Neurosurgery Authors: Kim, J. Y., Kim, D. Y., Kim, B. J., Han, M.-K., Bae, H.-J., Kang, J. Tags: 3.1 OTHER - Innovation Source Type: research

E-064 single center analysis of the safety and efficacy of a streamlined stroke admission paradigm
ConclusionWe sought to explore the safety and efficacy of the FastTrack protocol in reducing door to CT time as a measure of stroke team response while maintaining good patient care. We found that an expedited route through the ED may save valuable minutes in stroke assessment, treatment and intervention. Further studies are needed to establish the role of faster admission protocols on suspected strokes.DisclosuresT. Sabharwal: None. K. Sivakumar: None. K. Arcot: None. H. Dababneh: None. R. Kumar: None. J. Farkas: None.
Source: Journal of NeuroInterventional Surgery - July 26, 2015 Category: Neurosurgery Authors: Sabharwal, T., Sivakumar, K., Arcot, K., Dababneh, H., Kumar, R., Farkas, J. Tags: SNIS 12th Annual Meeting Electronic Poster Abstracts Source Type: research

E-046 Procedural Efficiency of the Streamlined Launchpad Stroke Admission Paradigm - A Single Center Experience
ConclusionThe streamlined stroke activation Launchpad protocol demonstrated an increased speed in patient admission and significant reduction in time from presentation to CT scan. This significant improvement in processing time allowed for an increased number of patients to meet the therapeutic window for IV tPA eligibility. A prospective trial will strengthen the current finding and support the implementation of this paradigm amongst other stroke centers.DisclosuresK. Sivakumar: None. S. Feuerwerker: None. D. Turkel-Parrella: None. A. Tiwari: None. J. Farkas: None. K. Arcot: None.
Source: Journal of NeuroInterventional Surgery - July 28, 2016 Category: Neurosurgery Authors: Sivakumar, K., Feuerwerker, S., Turkel-Parrella, D., Tiwari, A., Farkas, J., Arcot, K. Tags: Electronic poster abstracts Source Type: research

P92 Thrombectomy in ischemic stroke patients with extended lesion and time window
ConclusionVessel recanalization in patients with low ASPECTS and extended time window was associated with better functional outcomes in a time window up to 17.6h and ASPECTS of 3–5. The results of this study encourage current randomized trials investigating treatment of patients in the extended stroke lesion and time window.ReferencesNogueira RG, Jadhav AP, Haussen DC, et al. Thrombectomy 6 to 24 hours after stroke with a mismatch between deficit and infarct. N Engl J Med.2018;378(1):11–21.Kaesmacher J, Chaloulos-Iakovidis P, Panos L, et al. Mechanical thrombectomy in ischemic stroke patients with alberta strok...
Source: Journal of NeuroInterventional Surgery - August 29, 2022 Category: Neurosurgery Authors: Broocks, G., Hanning, U., Bechstein, M., Kemmling, A., Fiehler, J., Meyer, L. Tags: 14th Congress of the European Society of Minimally Invasive Neurological Therapy 2022 Meeting Abstracts Source Type: research

P138/30 The relationship between body mass index and stroke outcomes according to stroke subtype
ConclusionCE showed a favorable outcome in the overweight and obese patient groups compared to the normal weight group. SVD revealed that only the obese patient group had a favorable outcome; however, an association was not observed in the LAD patient group.Disclosure of Interestnone
Source: Journal of NeuroInterventional Surgery - August 21, 2023 Category: Neurosurgery Authors: Lee, S.-H., Park, M.-H. Tags: 2.3 ISCHEMIC - Treatment Source Type: research