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P139/31 Role of sarcopenia as a predictor of functional outcome of ischemic stroke
ConclusionIschemic stroke patients with an early diagnosis of sarcopenia (according to EWGS and AWGS) had a significantly higher risk of poor functional outcome. Height-adjusted ASMs may play an important role in predicting poor functional outcomesDisclosure of Interestnone
Source: Journal of NeuroInterventional Surgery - August 21, 2023 Category: Neurosurgery Authors: Lee, S.-H., Jung, J.-M. Tags: 2.3 ISCHEMIC - Treatment Source Type: research

Age-adjusted infarct volume threshold for good outcome after endovascular treatment
Conclusions Age-adjusted infarct size might represent a powerful surrogate marker of stroke outcome and further refine the predictive accuracy of infarct volume on prognosis in patients with stroke undergoing endovascular treatment. This information may be used in the design of new trials to individualize selection criteria for different age groups.
Source: Journal of NeuroInterventional Surgery - June 28, 2014 Category: Neurosurgery Authors: Ribo, M., Flores, A., Mansilla, E., Rubiera, M., Tomasello, A., Coscojuela, P., Pagola, J., Rodriguez-Luna, D., Muchada, M., Alvarez-Sabin, J., Molina, C. A. Tags: Ischemic stroke Source Type: research

E-035 new app to support decision making during stroke emergencies: 'join'
ConclusionsThe ‘JOIN’ is an efficient tool of appropriate standard management in most time demanding treatments of stroke. It is our belief that adoption of this app with smartphone will allow us to help and save the lives of more patients with cerebral stroke.DisclosuresH. Takao: 1; C; NTT DOCOMO, INC.. T. Ishibashi: None. I. Yuki: None. S. Kaku: None. I. Kan: None. K. Nishimura: None. R. Mori: None. M. Watanabe: None. Y. Kanbayashi: None. Y. Yeh: None. K. Irie: None. T. Sakano: None. H. Arita: 5; C; NTT DOCOMO INC. T. Oobatake: 5; C; NTT DOCOMO INC. Y. Murayama: 1; C; NTT DOCOMO, INC.
Source: Journal of NeuroInterventional Surgery - July 26, 2015 Category: Neurosurgery Authors: Takao, H., Ishibashi, T., Yuki, I., Kaku, S., Kan, I., Nishimura, K., Mori, R., Watanabe, M., Kanbayashi, Y., Yeh, Y., Irie, K., Sakano, T., Arita, H., Oobatake, T., Murayama, Y. Tags: SNIS 12th Annual Meeting Electronic Poster Abstracts Source Type: research

E-128 five-year endovascular acute ischemic stroke intervention experience at a rural academic medical center
In conclusion, we present our experience at a rural academic setting as a real world test ground for the current guidelines and trends in endovascular stroke intervention.DisclosuresE. Akture: None. C. O'Neill: None. M. Gorman: None. C. Commichau: None. G. Linnell: None. D. Johnson: None.
Source: Journal of NeuroInterventional Surgery - July 26, 2015 Category: Neurosurgery Authors: Akture, E., O'Neill, C., Gorman, M., Commichau, C., Linnell, G., Johnson, D. Tags: SNIS 12th Annual Meeting Electronic Poster Abstracts Source Type: research

Tribulations of stroke trials
We thank Drs Broderick and Tomsick for their insights regarding our editorial ‘The tribulations of stroke trials’.1 As the title of the editorial implies, acute stroke trials are difficult to design and complete. Our editorial was not meant to discount the results of the Interventional Management of Stroke III (IMS III), or those of the Retrieval and Recanalization of Stroke Clots Using Embolectomy (MR-RESCUE) and SYNTHESIS Expansion trials, but rather to temper the interpretation of the results and to emphasize potentially confounding methodological nuances that should be examined prior to designing future str...
Source: Journal of NeuroInterventional Surgery - June 11, 2016 Category: Neurosurgery Authors: Albuquerque, F. C., Fiorella, D., Hirsch, J. A., Pretigiacomo, C., Tarr, R. W. Tags: PostScript Source Type: research

O-012 Emergent Endovascular Management of Long-segment Carotid Artery Dissections in Acute Ischemic Stroke Intervention with Multiple Tandem Stents
ConclusionTandem stent reconstruction for the treatment of long segment and flow limiting carotid dissections is technically safe and effective with favorable clinical outcomes in acute ischemic stroke intervention, allowing for successful thrombectomy, vessel salvage, restoration of cerebral perfusion, and prevention of recurrent thromboembolic stroke.DisclosuresS. Ansari: None. A. Kuhn: None. A. Honarmand: None. S. Hou: None. M. Khan: None. J. Chueh: None. I. van der Bom: None. M. Hurley: None. A. Shaibani: None. M. Gounis: None. M. Potts: None. B. Jahromi: None. A. Wakhloo: None. A. Puri: None.
Source: Journal of NeuroInterventional Surgery - July 28, 2016 Category: Neurosurgery Authors: Ansari, S., Kuhn, A., Honarmand, A., Hou, S., Khan, M., Chueh, J., Bom, I. v. d., Hurley, M., Shaibani, A., Gounis, M., Potts, M., Jahromi, B., Wakhloo, A., Puri, A. Tags: Oral abstracts Source Type: research

E-004 Factors Associated with Successful Revascularization using the Aspiration Component of ADAPT in the Treatment of Acute Ischemic Stroke
ConclusionsAspiration success was associated with younger age. There was a trend for aspiration failure to be associated with cardiogenic etiology and more difficult vascular anatomy. Our findings suggest that the ADAPT technique can be used for the vast majority of patients but it may be beneficial to use a SR primarily when performing thrombectomy in the elderly. Further research analyzing thrombus characteristics is needed.References1 Turk AS, Frei D, Fiorella D, et al. ADAPT FAST study: a direct aspiration first pass technique for acute stroke thrombectomy. J Neurointerv Surg 2014 ;6(4):260–4.2 Turk AS, Turner R,...
Source: Journal of NeuroInterventional Surgery - July 28, 2016 Category: Neurosurgery Authors: Mascitelli, J., Kellner, C., Oravec, C., DeLeacy, R., Oermann, E., Paramasivam, S., Fifi, J., Mocco, J. Tags: Electronic poster abstracts Source Type: research

E-011 SOFIA Distal Access Catheter for Endovascular Treatment of Acute Ischemic Stroke Using Combined Mechanical and Aspiration Thrombectomy
ConclusionSOFIA is a safe and effective intermediate catheter for mechanical and aspiration thrombectomy in acute stroke intervention. In conjunction with stent retrievers and suction aspiration technique, successful revascularization was 94%, with average number of passes of 1.6. There were no complications directly attributable to the use of SOFIA.Abstract E-011 Figure 1DisclosuresJ. Wong: None. H. Do: 2; C; MicroVention, Inc. N. Telischak: None. A. Moraff: None. M. Marks: None. R. Dodd: None. J. Heit: 2; C; MicroVention, Inc.
Source: Journal of NeuroInterventional Surgery - July 28, 2016 Category: Neurosurgery Authors: Wong, J., Do, H., Telischak, N., Moraff, A., Marks, M., Dodd, R., Heit, J. Tags: Electronic poster abstracts Source Type: research

E-014 Management of Blood Pressure for Acute Ischemic Stroke in the Modern Era of Mechanical Thrombectomy
ConclusionThis study shows a clear disparity of opinion with regard to blood pressure management following mechanical thrombectomy for acute ischemic stroke. Optimal blood pressure management following recanalization may play a role in improving clinical outcomes for these patients. Hence, we believe that there is a need for future prospective trials addressing this issue.DisclosuresS. Mannava: None. A. Garg: None.
Source: Journal of NeuroInterventional Surgery - July 28, 2016 Category: Neurosurgery Authors: Mannava, S., Garg, A. Tags: Electronic poster abstracts Source Type: research

E-048 Factors Associated with Early Tracheostomy and Percutaneous Gastrostomy and Their Effects on Hospitalization in Hemorrhagic Stroke Patients
ConclusionsHemorrhagic stroke is a devastating neurovascular event that requires prompt intervention and vigilant management. Our study identified patient risk factors that may suggest candidacy for tracheotomy and PEG. Additionally, we found that timing of PEG may shape a patient’s hospital course. Complication rates related to tracheostomy and PEG in this population were minimal. In conclusion, this retrospective data set supports some benefit to early PEG placement in this population, and justifies the need for further prospective study.DisclosuresM. McCann: None. J. Fraser: None.
Source: Journal of NeuroInterventional Surgery - July 28, 2016 Category: Neurosurgery Authors: McCann, M., Fraser, J. Tags: Electronic poster abstracts Source Type: research

E-054 Correlation between Thrombus Density and Recanalization or Stroke Etiology in Acute Ischemic Stroke
ConclusionIn conclusion, our study found no relationship between thrombus attenuation and recanalization success or stroke etiology. While prior studies have suggested that higher attenuation is associated with good recanalization, our study could not find such a link.4 More studies are required to identify factors that predict successful recanalization in acute ischemic stroke patients.DisclosuresM. Jagani: None. W. Brinjikji: None. D. Kallmes: 1; C; ev3, MicroVention, Sequent, Codman. 2; C; ev3, Medtronic, Codman. 3; C; Microvention.
Source: Journal of NeuroInterventional Surgery - July 28, 2016 Category: Neurosurgery Authors: Jagani, M., Brinjikji, W., Kallmes, D. Tags: Electronic poster abstracts Source Type: research

E-088 A Follow-up to Transradial Access for Acute Interventional Stroke Therapy - A Feasibility Study
ConclusionWhile femoral access remains the standard operating procedure for endovascular intervention of acute ischemic stroke, in patients with tortuous vascular anatomy, or having severe femoral disease, access via transfemoral is discouraged. Results from our study demonstrate that radial access is a safe and promising alternative, both as primary and rescue attempts. In an effort to reduce overall procedural time, radial access should be considered for qualified patients. A larger sample size would better validate the present findings.DisclosuresJ. Farkas: None. N. Farkas: None. S. Feuerwerker: None. A. Tiwari: None. D...
Source: Journal of NeuroInterventional Surgery - July 28, 2016 Category: Neurosurgery Authors: Farkas, J., Farkas, N., Feuerwerker, S., Tiwari, A., Turkel-Parrella, D., Arcot, K., Sivakumar, K. Tags: Electronic poster abstracts Source Type: research

E-095 Early Hyperglycemia Predicts Poor Outcome Despite Successful Stroke Thrombectomy
ConclusionsIn selected stroke patients with successful endovascular reperfusion, early hyperglycemia may be independently associated with poor outcome and mortality over other medical co-morbidities. Further prospective study confirming this effect may further develop treatment strategies to prevent this injury.DisclosuresK. Dezse: None. S. Bajgur: None. A. Harrison: None. J. Mejilla: None. W. Hicks: None. T. Davis: None. P. Pema: None. R. Budzik: None. N. Vora: 2; C; Medtronic Neurovascular, Microvention Neurovascular. 3; C; Medtronic Neurovascular.
Source: Journal of NeuroInterventional Surgery - July 28, 2016 Category: Neurosurgery Authors: Dezse, K., Bajgur, S., Harrison, A., Mejilla, J., Hicks, W., Davis, T., Pema, P., Budzik, R., Vora, N. Tags: Electronic poster abstracts Source Type: research

The mission lifeline severity-based stroke treatment algorithm: We need more time
On March 10th, 2017 the American Heart Association presented their Mission Lifeline Severity-Based Stroke Treatment Algorithm For EMS. This document consisted of single page algorithm written to provide guidance to EMS providers regarding the triage and transport of suspected stroke patients, as well as a single explanatory page (https://www.heart.org/HEARTORG/Professional/MissionLifelineHomePage/MissionLifeline-Stroke_UCM_491623_SubHomePage.jsp). Specifically, patients with suspected emergent large vessel occlusion (ELVO) (based on pre-hospital stroke assessment), who were last know well within 6 hours, are to be consider...
Source: Journal of NeuroInterventional Surgery - April 13, 2017 Category: Neurosurgery Authors: Mocco, J., Fiorella, D., Albuquerque, F. C. Tags: Editors ' column Source Type: research

E-093 Embolic stroke of undetermined source: the role of the nonstenotic carotid plaque
Cryptogenic stroke, or stroke of undetermined cause, presents a remarkably challenging dilemma for the treating physician as there are limited therapeutic options to prevent recurrence. Roughly one third of transient ischemic attacks (TIAs) and ischemic strokes are classified as cryptogenic, with an even greater proportion in young patients.1 While classification systems have been successfully used in trials to refine therapeutic approaches specific to subtype, there has been little progress made in secondary prevention of cryptogenic stroke.2–3 The Cryptogenic Stroke/ESUS International Working Group recently propose...
Source: Journal of NeuroInterventional Surgery - July 23, 2017 Category: Neurosurgery Authors: Bulwa, Z. Tags: Electronic Poster Abstracts Source Type: research

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