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Source: Journal of NeuroInterventional Surgery
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Total 1766 results found since Jan 2013.
Comparison of endovascular treatment approaches for acute ischemic stroke: cost effectiveness, technical success, and clinical outcomes
Conclusions
The ADAPT technique represents the most technically successful yet cost-effective approach to revascularization of large vessel intracranial occlusions.
Source: Journal of NeuroInterventional Surgery - August 12, 2015 Category: Neurosurgery Authors: Turk, A. S., Turner, R., Spiotta, A., Vargas, J., Holmstedt, C., Ozark, S., Chalela, J., Turan, T., Adams, R., Jauch, E. C., Battenhouse, H., Whitsitt, B., Wain, M., Chaudry, M. I. Tags: Ischemic stroke Source Type: research
Conscious sedation versus general anaesthesia during mechanical thrombectomy for stroke: a propensity score analysis
Conclusions
In our cohort, thrombectomy patients receiving conscious sedation have decreased in-hospital mortality, decreased rates of pneumonia, and lower hospital costs and lengths of stay when compared with patients who received general anaesthesia. However, most practitioners continue to use general anaesthesia in the setting of acute stroke interventions.
Source: Journal of NeuroInterventional Surgery - October 14, 2015 Category: Neurosurgery Authors: McDonald, J. S., Brinjikji, W., Rabinstein, A. A., Cloft, H. J., Lanzino, G., Kallmes, D. F. Tags: Ischemic stroke Source Type: research
Outcomes after endovascular treatment for anterior circulation stroke presenting as wake-up strokes are not different than those with witnessed onset beyond 8 hours
Conclusions
Rates of good outcomes, parenchymal hematoma, and final infarct volumes following endovascular treatment may not be different in patients with WUS compared with patients with witnessed onset of symptoms beyond 8 h.
Source: Journal of NeuroInterventional Surgery - November 13, 2015 Category: Neurosurgery Authors: Aghaebrahim, A., Leiva-Salinas, C., Jadhav, A. P., Jankowitz, B., Zaidi, S., Jumaa, M., Urra, X., Amorim, E., Zhu, G., Giurgiutiu, D.-V., Horev, A., Reddy, V., Hammer, M., Wechsler, L., Wintermark, M., Jovin, T. Tags: Ischemic stroke Source Type: research
Collateral flow as causative of good outcomes in endovascular stroke therapy
Conclusions
Improved collateral flow in patients with AIS undergoing endovascular therapy was associated with improved radiographic and clinical outcomes. Independent of age, vessel occlusion and time, in patients with comparable ischemic burdens, changes in collateral grade alone led to significant differences in initial stroke severity as well as ultimate clinical outcome.
Source: Journal of NeuroInterventional Surgery - December 13, 2015 Category: Neurosurgery Authors: Sheth, S. A., Sanossian, N., Hao, Q., Starkman, S., Ali, L. K., Kim, D., Gonzalez, N. R., Tateshima, S., Jahan, R., Duckwiler, G. R., Saver, J. L., Vinuela, F., Liebeskind, D. S., for the UCLA Collateral Investigators Tags: Ischemic stroke Source Type: research
Successful recanalization for acute ischemic stroke via the transbrachial approach
We report three cases of acute ischemic stroke where a transbrachial endovascular approach to revascularization was used, resulting in successful recanalization. These examples suggest that a transbrachial approach may be considered as an alternative in the endovascular treatment of acute ischemic stroke.
Source: Journal of NeuroInterventional Surgery - January 13, 2016 Category: Neurosurgery Authors: Okawa, M., Tateshima, S., Liebeskind, D., Ali, L. K., Thompson, M. L., Saver, J., Duckwiler, G. R. Tags: Ischemic stroke Source Type: research
Early arrival at the emergency department is associated with better collaterals, smaller established infarcts and better clinical outcomes with endovascular stroke therapy: SWIFT study
Conclusions
Time was a critical factor in successful clinical outcomes for neurothrombectomy in the SWIFT trial. Shorter times to presentation were associated with better collaterals, smaller established infarcts, and better clinical outcome after revascularization.
Source: Journal of NeuroInterventional Surgery - May 12, 2016 Category: Neurosurgery Authors: Liebeskind, D. S., Jahan, R., Nogueira, R. G., Jovin, T. G., Lutsep, H. L., Saver, J. L., for the SWIFT Investigators Tags: Editor''s choice, Ischemic stroke Source Type: research
Mechanical thrombectomy for acute ischemic stroke with cerebral microbleeds
Conclusions
Patients with CMBs are not at increased risk for HT and mortality following mechanical thrombectomy for acute stroke. Excluding such patients from mechanical thrombectomy is unwarranted. The risk of HT in patients with ≥5 CMBs requires further study.
Source: Journal of NeuroInterventional Surgery - May 12, 2016 Category: Neurosurgery Authors: Shi, Z.-S., Duckwiler, G. R., Jahan, R., Tateshima, S., Gonzalez, N. R., Szeder, V., Saver, J. L., Kim, D., Ali, L. K., Starkman, S., Vespa, P. M., Salamon, N., Villablanca, J. P., Vinuela, F., Feng, L., Loh, Y., Liebeskind, D. S. Tags: Ischemic stroke Source Type: research
Severe hemiparesis as a prehospital tool to triage stroke severity: a pilot study to assess diagnostic accuracy and treatment times
Conclusions
We have presented a pilot study showing that severe hemiparesis or hemiplegia may be a reasonable prehospital tool in recognizing patients requiring endovascular treatment. Patients being identified earlier may be treated faster and potentially improve outcomes. Further prospective controlled studies are required to assess the impact on outcomes and cost effectiveness using this methodology.
Source: Journal of NeuroInterventional Surgery - July 13, 2016 Category: Neurosurgery Authors: Gupta, R., Manuel, M., Owada, K., Dhungana, S., Busby, L., Glenn, B. A., Brown, D., Zimmermann, S. A., Horn, C., Rochestie, D., Hormes, J. T., Johnson, A. K., Khaldi, A. Tags: Ischemic stroke Source Type: research
Unwanted detachment of the Solitaire device during mechanical thrombectomy in acute ischemic stroke
Conclusions
Unwanted detachment of a Solitaire is an uncommon complication during mechanical thrombectomy in patients with acute ischemic stroke and is associated with the clot retrieval attempts, SICH, poor outcome, and higher mortality.
Source: Journal of NeuroInterventional Surgery - November 14, 2016 Category: Neurosurgery Authors: Castano, C., Dorado, L., Remollo, S., Garcia-Bermejo, P., Gomis, M., Perez de la Ossa, N., Millan, M., Garcia-Sort, M. R., Hidalgo, C., Lopez-Cancio, E., Cubells, C., Davalos, A. Tags: Ischemic stroke Source Type: research
ASPECTS discrepancies between CT and MR imaging: analysis and implications for triage protocols in acute ischemic stroke
Conclusions
The study suggests that patients with NIHSS scores at admission of <16 and patients with CT ASPECTS >7 have a higher likelihood of agreement between CT and DWI based on an ASPECTS cut-off value of 6. Additional MRI for triage in patients with NIHSS at admission of >16, and ASPECTS of 6 or 7 may be more likely to change management. Unsurprisingly, patients with low CT ASPECTS had good correlation with MRI ASPECTS.
Source: Journal of NeuroInterventional Surgery - February 13, 2017 Category: Neurosurgery Authors: Hui, F. K., Obuchowski, N. A., John, S., Toth, G., Katzan, I., Wisco, D., Cheng-Ching, E., Uchino, K., Man, S.-M., Hussain, S. Tags: Ischemic stroke Source Type: research
Weekend effect in endovascular stroke treatment: do treatment decisions, procedural times, and outcome depend on time of admission?
Conclusions
It is possible to produce competitive procedural times regardless of the time of admission and to prevent a treatment decision bias when standard operating procedures are applied consistently.
Source: Journal of NeuroInterventional Surgery - March 15, 2017 Category: Neurosurgery Authors: Nikoubashman, O., Probst, T., Schürmann, K., Othman, A. E., Matz, O., Brockmann, M.-A., Müller, M., Wiesmann, M., Reich, A. Tags: Ischemic stroke Source Type: research
Primary acute stroke thrombectomy within 3 h for large artery occlusion (PAST3-LAO): a pilot study
Conclusions
Our study demonstrates that primary SRT in AIS from LAO is safe and feasible and is associated with complete recanalization and good outcome. Further study is required.
Source: Journal of NeuroInterventional Surgery - March 15, 2017 Category: Neurosurgery Authors: Lodi, Y., Reddy, V., Petro, G., Devasenapathy, A., Hourani, A., Chou, C.-A. Tags: Ischemic stroke Source Type: research
Distinction between contrast staining and hemorrhage after endovascular stroke treatment: one CT is not enough
Conclusions
There are no density thresholds for PCHDs that allow predicting the absence or presence of hemorrhage with 100% specificity and acceptable sensitivity. A CT scan performed at least 19–24 h after endovascular therapy is the only reliable method to differentiate contrast staining from hemorrhage.
Source: Journal of NeuroInterventional Surgery - March 15, 2017 Category: Neurosurgery Authors: Dekeyzer, S., Nikoubashman, O., Lutin, B., De Groote, J., Vancaester, E., De Blauwe, S., Hemelsoet, D., Wiesmann, M., Defreyne, L. Tags: Ischemic stroke Source Type: research
Two-year single-center experience with the 'Baby Trevo stent retriever for mechanical thrombectomy in acute ischemic stroke
Conclusions
Our preliminary data suggest that the ‘Baby Trevo’ achieves a high recanalization rate without any significant risk. Larger cohort studies are needed to validate the clinical benefit.
Source: Journal of NeuroInterventional Surgery - May 30, 2017 Category: Neurosurgery Authors: Kühn, A. L., Wakhloo, A. K., Lozano, J. D., Massari, F., De Macedo Rodrigues, K., Marosfoi, M. G., Perras, M., Brooks, C., Howk, M., Rex, D. E., Gounis, M. J., Puri, A. S. Tags: Ischemic stroke Source Type: research
Impact of ASPECT scores and infarct distribution on outcomes among patients undergoing thrombectomy for acute ischemic stroke with the ADAPT technique
Conclusions
Patients with moderate-sized core infarcts involving various distributions in either hemisphere can potentially achieve similar good outcomes compared with those with no core infarction at presentation. A treatment algorithm for acute ischemic stroke, which employs hardline ASPECTS thresholds or excludes patients with basal ganglia infarcts, might preclude patients who would potentially benefit from mechanical thrombectomy with ADAPT.
Source: Journal of NeuroInterventional Surgery - August 17, 2017 Category: Neurosurgery Authors: Hungerford, J. P., Hyer, M., Turk, A. S., Turner, R. D., Chaudry, M. I., Fargen, K. M., Spiotta, A. M. Tags: Ischemic stroke Source Type: research