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Source: Journal of NeuroInterventional Surgery

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Total 1766 results found since Jan 2013.

Direct aspiration first pass technique for the treatment of acute ischemic stroke: initial experience at a European stroke center
Conclusions The direct aspiration first pass technique proofed to be fast, effective, and safe. Promising revascularization results can be achieved quickly in more than 50% of patients using this technique as the firstline option. Nevertheless, stent retrievers are still warranted in approximately 40% of cases to achieve a favorable revascularization result.
Source: Journal of NeuroInterventional Surgery - February 14, 2016 Category: Neurosurgery Authors: Kowoll, A., Weber, A., Mpotsaris, A., Behme, D., Weber, W. Tags: Ischemic stroke Source Type: research

Enrollment bias: frequency and impact on patient selection in endovascular stroke trials
Conclusions The majority of patients felt suitable for EST at our institution were excluded from recent trials. Formal entry criteria succeeded in selecting patients with better prognostic features, although many of these patients were treated outside of trials. Acknowledging and mitigating these biases will be crucial to ongoing investigations.
Source: Journal of NeuroInterventional Surgery - March 15, 2016 Category: Neurosurgery Authors: Sheth, S. A., Saver, J. L., Starkman, S., Grunberg, I. D., Guzy, J., Ali, L. K., Kim, D., Gonzalez, N. R., Jahan, R., Tateshima, S., Duckwiler, G., Liebeskind, D. S. Tags: Ischemic stroke Source Type: research

The 'pit-crew model for improving door-to-needle times in endovascular stroke therapy: a Six-Sigma project
Conclusions A protocol-driven process can significantly improve efficiency of care in time-sensitive stroke interventions.
Source: Journal of NeuroInterventional Surgery - April 13, 2016 Category: Neurosurgery Authors: Rai, A. T., Smith, M. S., Boo, S., Tarabishy, A. R., Hobbs, G. R., Carpenter, J. S. Tags: Open access, Ischemic stroke Source Type: research

Feasibility of combined surgical and endovascular carotid access for interventional treatment of ischemic stroke
Conclusions Surgical carotid access for endovascular stroke treatment is feasible, with considerable advantages, in patients with expected problematic access or for whom transfemoral endovascular carotid access has failed.
Source: Journal of NeuroInterventional Surgery - May 12, 2016 Category: Neurosurgery Authors: Wiesmann, M., Kalder, J., Reich, A., Brockmann, M.-A., Othman, A., Greiner, A., Nikoubashman, O. Tags: Ischemic stroke Source Type: research

Anesthetic variation and potential impact of anesthetics used during endovascular management of acute ischemic stroke
Conclusions Our data support the notion that anesthetic techniques and associated physiology used in EMAIS are not homogeneous, making any statements about the effects of generic GA in stroke ambiguous. Moreover, our data suggest that the type of GA may affect the outcome after EMAIS.
Source: Journal of NeuroInterventional Surgery - October 12, 2016 Category: Neurosurgery Authors: Sivasankar, C., Stiefel, M., Miano, T. A., Kositratna, G., Yandrawatthana, S., Hurst, R., Kofke, W. A. Tags: Editor''s choice, Ischemic stroke Source Type: research

Revisiting the NIH Stroke Scale as a screening tool for proximal vessel occlusion: can advanced imaging be targeted in acute stroke?
Conclusions In this cohort, specific NIHSS criteria were highly sensitive for emergent large vessel occlusion and, if validated, may allow for clinical screening prior to advanced imaging with CT angiography.
Source: Journal of NeuroInterventional Surgery - November 14, 2016 Category: Neurosurgery Authors: Moore, R. D., Jackson, J. C., Venkatesh, S. L., Quarfordt, S. D., Baxter, B. W. Tags: Ischemic stroke Source Type: research

Risk of acute kidney injury associated with neuroimaging obtained during triage and treatment of patients with acute ischemic stroke symptoms
Conclusions This study provides preliminary evidence of the safety and feasibility of obtaining CTSS with additional DSA imaging, whether for diagnosis or intervention, to identify possible acute ischemic stroke.
Source: Journal of NeuroInterventional Surgery - November 14, 2016 Category: Neurosurgery Authors: Hall, S. L., Munich, S. A., Cress, M. C., Rangel-Castilla, L., Levy, E. I., Snyder, K. V., Siddiqui, A. H. Tags: Ischemic stroke Source Type: research

Impact of immediate post-reperfusion cooling on outcome in patients with acute stroke and substantial ischemic changes
Conclusions The use of post-reperfusion cooling as a rescue treatment in patients with substantial ischemia at baseline might improve clinical outcome.
Source: Journal of NeuroInterventional Surgery - December 13, 2016 Category: Neurosurgery Authors: Hwang, Y.-H., Jeon, J.-S., Kim, Y.-W., Kang, D.-H., Kim, Y.-S., Liebeskind, D. S. Tags: Ischemic stroke Source Type: research

Comparison of outcome and interventional complication rate in patients with acute stroke treated with mechanical thrombectomy with and without bridging thrombolysis
Conclusions Preceding use of IVT was not an independent predictor of favorable outcome in patients with acute stroke treated with MT and complication rates did not differ whether or not IVT was used. MT is safe and achieved a favorable outcome in one-third of patients with stroke ineligible for IVT.
Source: Journal of NeuroInterventional Surgery - February 13, 2017 Category: Neurosurgery Authors: Weber, R., Nordmeyer, H., Hadisurya, J., Heddier, M., Stauder, M., Stracke, P., Berger, K., Chapot, R. Tags: Ischemic stroke Source Type: research

Streamlining door to recanalization processes in endovascular stroke therapy
Conclusions This pilot study demonstrates that D2P times can be significantly reduced with a standardized multidisciplinary approach. There was no significant difference in the rate of 3-month good outcome, which is most likely due to the small sample size and confounding baseline patient characteristics.
Source: Journal of NeuroInterventional Surgery - March 15, 2017 Category: Neurosurgery Authors: Aghaebrahim, A., Streib, C., Rangaraju, S., Kenmuir, C. L., Giurgiutiu, D.-V., Horev, A., Saeed, Y., Callaway, C. W., Guyette, F. X., Martin-Gill, C., Pacella, C., Ducruet, A. F., Jankowitz, B. T., Jovin, T. G., Jadhav, A. P. Tags: Ischemic stroke Source Type: research

Long term experience using the ADAPT technique for the treatment of acute ischemic stroke
Conclusions ADAPT is an effective method to achieve good clinical and angiographic outcomes, and serves as a useful firstline method for revascularization.
Source: Journal of NeuroInterventional Surgery - April 13, 2017 Category: Neurosurgery Authors: Vargas, J., Spiotta, A., Fargen, K., Turner, R., Chaudry, I., Turk, A. Tags: Editor''s choice, Ischemic stroke Source Type: research

Mechanical thrombectomy for pediatric acute ischemic stroke: review of the literature
Conclusions This study suggests that mechanical thrombectomy in pediatric patients presenting with high pediatric NIH Stroke Scale scores and proximal large vessel occlusion is associated with high recanalization rates and excellent clinical outcome, although this is a retrospective review and the sample size is too small to make any definitive conclusions. This study provides class IVC evidence that endovascular treatment of pediatric AIS increases the chance of a good clinical outcome.
Source: Journal of NeuroInterventional Surgery - July 12, 2017 Category: Neurosurgery Authors: Satti, S., Chen, J., Sivapatham, T., Jayaraman, M., Orbach, D. Tags: Ischemic stroke Source Type: research

Monitored anesthesia care during mechanical thrombectomy for stroke: need for data-driven and individualized decisions
Conclusions Our study showed that the overall rate of conversion from MAC to GA during MT was low (1.6%) and, while higher in posterior circulation strokes, it was not predicted by either hemispheric dominance or stroke severity. Caution should be given before changing clinical practice during moments of crisis.
Source: Journal of NeuroInterventional Surgery - November 18, 2021 Category: Neurosurgery Authors: Nogueira, R. G., Mohammaden, M. H., Moran, T. P., Whalin, M. K., Gershon, R. Y., Al-Bayati, A. R. R., Ratcliff, J., Pisani, L., Liberato, B., Bhatt, N., Frankel, M. R., Haussen, D. C. Tags: Ischemic stroke, COVID-19 Source Type: research

Endovascular therapy for acute stroke in children: age and size technical limitations
Endovascular therapies for acute childhood stroke remain controversial and little evidence exists to determine the minimum age and size cut-off for thrombectomy in children. Despite this, an increasing number of reports suggest feasibility of thrombectomy in at least some children by experienced operators. When compared with adults, technical modifications may be necessary in children owing to differences in vessel sizes, tolerance of blood loss, safety of contrast and radiation exposure, and differing stroke etiologies. We review critical considerations for neurologists and neurointerventionalists when treating pediatric ...
Source: Journal of NeuroInterventional Surgery - August 13, 2021 Category: Neurosurgery Authors: Sun, L. R., Harrar, D., Drocton, G., Castillo-Pinto, C., Gailloud, P., Pearl, M. S. Tags: Ischemic stroke Source Type: research

Influence of intravenous alteplase on endovascular treatment decision-making in acute ischemic stroke due to primary medium-vessel occlusion: a case-based survey study
Conclusions Intravenous alteplase is an important factor in EVT decision-making for MeVO stroke. However, even in alteplase-treated patients, more than half of the physicians decided to proceed with EVT without waiting for alteplase effect.
Source: Journal of NeuroInterventional Surgery - April 12, 2022 Category: Neurosurgery Authors: Kappelhof, M., Ospel, J., Kashani, N., Cimflova, P., Singh, N., Almekhlafi, M. A., Menon, B. K., Fiehler, J., Chen, M., Sakai, N., Goyal, M. Tags: Open access, Ischemic stroke Source Type: research