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Source: Journal of NeuroInterventional Surgery

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Total 1766 results found since Jan 2013.

Endovascular treatment in patients with acute ischemic stroke and apparent occlusion of the extracranial internal carotid artery on CTA
Conclusions In cases of acute stroke and apparent occlusion of the extracranial ICA, intra-arterial treatment should be considered, especially when IVT fails and <15% of the hemisphere is infarcted on CT. Endovascular treatment may be beneficial especially in pseudo-occlusions but also in true occlusions of the extracranial ICA.
Source: Journal of NeuroInterventional Surgery - September 13, 2015 Category: Neurosurgery Authors: Duijsens, H. M., Spaander, F., van Dijk, L. C., Treurniet, F. E., Keunen, R. W., Mosch, A., Majoie, C. B., van Overhagen, H. Tags: Ischemic stroke Source Type: research

The Dotter method revisited: early experience with a novel method of rapid internal carotid artery revascularization in the setting of acute ischemic stroke
Conclusions The Dotter stroke technique is a feasible and safe alternative to carotid stenting in the setting of acute ischemic stroke and may reduce the risk of hemorrhagic conversion. No re-occlusion occurred during follow-up in patients with post-Dotter stenosis ≤65%.
Source: Journal of NeuroInterventional Surgery - March 15, 2016 Category: Neurosurgery Authors: Woodward, K., Wegryn, S., Staruk, C., Nyberg, E. M. Tags: Ischemic stroke Source Type: research

Trends in mortality following mechanical thrombectomy for the treatment of acute ischemic stroke in the USA
Conclusions Utilization of MT represents a small percentage of stroke cases, although the trend is increasing. Mortality following MT has been showing a steady decline over the past 5 years. This may be a result of a learning curve, improved patient selection, and/or device improvements. Randomized trials remain essential to evaluate the potential benefit of endovascular devices and identify the most appropriate patients.
Source: Journal of NeuroInterventional Surgery - April 13, 2016 Category: Neurosurgery Authors: Villwock, M. R., Padalino, D. J., Deshaies, E. M. Tags: Ischemic stroke Source Type: research

Posterior circulation CT angiography collaterals predict outcome of endovascular acute ischemic stroke therapy for basilar artery occlusion
Conclusions The presence of bilateral PCOMs on pretreatment CTA appears to be associated with more favorable outcomes in BAO treated with EVT.
Source: Journal of NeuroInterventional Surgery - July 13, 2016 Category: Neurosurgery Authors: Goyal, N., Tsivgoulis, G., Nickele, C., Doss, V. T., Hoit, D., Alexandrov, A. V., Arthur, A., Elijovich, L. Tags: Ischemic stroke Source Type: research

Hemodynamics during anesthesia for intra-arterial therapy of acute ischemic stroke
Conclusions Patients with acute ischemic stroke undergoing intra-arterial therapy with general anesthesia had lower minimum SBP, DBP, and MAP, greater fluctuations in blood pressure, and less favorable outcomes. More studies are needed to examine the implications of variable and reduced blood pressures and neurological outcomes.
Source: Journal of NeuroInterventional Surgery - August 11, 2016 Category: Neurosurgery Authors: Jagani, M., Brinjikji, W., Rabinstein, A. A., Pasternak, J. J., Kallmes, D. F. Tags: Ischemic stroke Source Type: research

Initial factors affecting the clinical outcome after successful recanalization via MR-based mechanical thrombectomy in patients with acute ischemic stroke due to basilar artery occlusion
Conclusions Patients with AIS caused by BAO with a lower initial NIHSS score, fewer lesions on initial DWI, and less contrast staining on the post-thrombectomy control CT have higher probabilities of a good clinical outcome after successful recanalization via a mechanical thrombectomy.
Source: Journal of NeuroInterventional Surgery - August 11, 2016 Category: Neurosurgery Authors: Son, S., Kim, Y.-W., Oh, M. K., Kim, S.-K., Park, K.-J., Choi, N.-C., Kwon, O.-Y., Lim, B. H., Choi, H. C., Choi, D. S. Tags: Ischemic stroke Source Type: research

The impact of evidence: evolving therapy for acute ischemic stroke in a large healthcare system
Conclusions An interdisciplinary and rapid response to the emergence of strong clinical evidence can result in dramatic changes in a large healthcare system.
Source: Journal of NeuroInterventional Surgery - October 12, 2016 Category: Neurosurgery Authors: Mascitelli, J. R., Wilson, N., Shoirah, H., De Leacy, R. A., Furtado, S. V., Paramasivam, S., Oermann, E. K., Mack, W. J., Tuhrim, S., Dangayach, N. S., Meyer, S. A., Bederson, J. B., Mocco, J., Fifi, J. T. Tags: Ischemic stroke Source Type: research

Stroke vision, aphasia, neglect (VAN) assessment--a novel emergent large vessel occlusion screening tool: pilot study and comparison with current clinical severity indices
Conclusions The VAN screening tool accurately identified ELVO patients and outperformed a NIHSS ≥6 severity threshold and may best allow clinical teams to expedite care and mobilize resources for ELVO patients. A larger study to both validate this screening tool and compare with others is warranted.
Source: Journal of NeuroInterventional Surgery - January 12, 2017 Category: Neurosurgery Authors: Teleb, M. S., Ver Hage, A., Carter, J., Jayaraman, M. V., McTaggart, R. A. Tags: Open access, Ischemic stroke Source Type: research

Proteinuria as an independent risk factor for contrast-induced acute kidney injury and mortality in patients with stroke undergoing cerebral angiography
Conclusions Proteinuria is an independent risk factor for CI-AKI and 1-year mortality in patients with stroke undergoing cerebral angiography. More attention should be paid to the development of CI-AKI in patients with stroke with proteinuria.
Source: Journal of NeuroInterventional Surgery - April 13, 2017 Category: Neurosurgery Authors: Tao, Y., Dong, W., Li, Z., Chen, Y., Liang, H., Li, R., Mo, L., Xu, L., Liu, S., Shi, W., Zhang, L., Liang, X. Tags: Open access, Ischemic stroke Source Type: research

Predictors of false-positive stroke thrombectomy transfers
Conclusions Clinical scales appear to overdiagnose LVO and may be responsible for the majority of our stroke code transfers not undergoing thrombectomy. Primary stroke centres therefore have reason to develop the capability to rapidly acquire and interpret a CTA in patients with suspected LVO prior to transfer. Such efforts may reduce the costs associated with unnecessary thrombectomy transfers.
Source: Journal of NeuroInterventional Surgery - August 17, 2017 Category: Neurosurgery Authors: Yi, J., Zielinski, D., Ouyang, B., Conners, J., Dafer, R., Chen, M. Tags: Editor''s choice, Ischemic stroke Source Type: research

Ultra-distal access of the M1 segment with the 5 Fr Navien distal access catheter in acute (anterior circulation) stroke: is it safe and efficient?
Conclusions Ultra-distal placement of the Navien 58 distal access catheter into the M1 segment in acute anterior circulation stroke can be achieved consistently, is safe in practice, and results in good recanalization success rates.
Source: Journal of NeuroInterventional Surgery - June 16, 2017 Category: Neurosurgery Authors: Janssen, H., Killer-Oberpfalzer, M., Patzig, M., Buchholz, G., Lutz, J. Tags: Ischemic stroke Source Type: research

Optimal thresholds to predict long-term outcome after complete endovascular recanalization in acute anterior ischemic stroke
Conclusions After complete recanalization in acute anterior circulation ischemic stroke, a good long-term outcome could be accurately predicted reaching NIHSS score ≤5 after 24 hours.
Source: Journal of NeuroInterventional Surgery - November 18, 2021 Category: Neurosurgery Authors: Neuberger, U., Vollmuth, P., Nagel, S., Schönenberger, S., Weyland, C. S., Gumbinger, C., Ringleb, P. A., Bendszus, M., Pfaff, J. A. R., Möhlenbruch, M. A. Tags: Ischemic stroke Source Type: research

In-thrombus thrombin secretion: a new diagnostic marker of atrial fibrillation in cryptogenic stroke
Conclusions An assay measuring the change in thrombin in clots retrieved during acute stroke endovascular thrombectomy procedures may serve as a diagnostic marker of the origin of the clot. The suggested mechanism for these differences may be the clot location before its retrieval, with high blood flow causing thrombin washout in atherosclerotic clots, in contrast to atrium appendage low blood flow retaining high thrombin levels.
Source: Journal of NeuroInterventional Surgery - August 13, 2021 Category: Neurosurgery Authors: Itsekson Hayosh, Z., Abu Bandora, E., Shelestovich, N., Nulman, M., Bakon, M., Yaniv, G., Khaitovitch, B., Balan, S., Gerasimova, A., Drori, T., Mausbach, S., Schwammenthal, Y., Afek, A., Chapman, J., Shavit Stein, E., Orion, D. Tags: Ischemic stroke Source Type: research

Is a picture-perfect thrombectomy necessary in acute ischemic stroke?
Conclusions Complete and near-complete reperfusion after MT appear to confer comparable outcomes in patients with acute stroke.
Source: Journal of NeuroInterventional Surgery - January 18, 2022 Category: Neurosurgery Authors: Chen, C.-J., Chalhoub, R., Ding, D., Kumar, J. S., Ironside, N., Kellogg, R. T., Worrall, B. B., Southerland, A. M., Jabbour, P., Wolfe, S. Q., Arthur, A. S., Goyal, N., Fragata, I., Maier, I., Matouk, C., Grossberg, J. A., Kan, P., Schirmer, C. M., Crowl Tags: Editor''s choice, Ischemic stroke Source Type: research

Carotid web: an under-recognized and misdiagnosed ischemic stroke etiology
Conclusion CaW was predominantly identified in patients with strokes/TIAs rather than asymptomatic patients. CaW was commonly overlooked in facilities with lower levels of cerebrovascular certification. Recognition of CaW at a CSC has significantly increased over time, independent of overall imaging and stroke patient volume.
Source: Journal of NeuroInterventional Surgery - January 18, 2022 Category: Neurosurgery Authors: Osehobo, E. M., Nogueira, R. G., Koneru, S., Al-Bayati, A. R., de Camara, C. P., Nahab, F., Liberato, B., Frankel, M. R., Allen, J. W., Park, C. C., Haussen, D. C. Tags: Ischemic stroke Source Type: research