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Source: Journal of NeuroInterventional Surgery

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Total 1766 results found since Jan 2013.

Endovascular treatment for acute ischemic stroke in patients with tandem lesion in the anterior circulation: analysis from the METRICS study
Conclusion Patients with TL did not differ from those with SO in outcomes after EVT. TL patients with prior IVT had more complete recanalization and mRS 0–2 and IVT was found to be a predictor of good outcome after EVT.
Source: Journal of NeuroInterventional Surgery - August 29, 2023 Category: Neurosurgery Authors: Sanak, D., Kocher, M., Zapletalova, J., Cihlar, F., Czerny, D., Cernik, D., Duras, P., Fiksa, J., Husty, J., Jurak, L., Kovar, M., Lacman, J., Padr, R., Prochazka, P., Raupach, J., Reiser, M., Rohan, V., Roubec, M., Sova, J., Sercl, M., Skorna, M., Simune Tags: Ischemic stroke Source Type: research

Mechanical thrombectomy in ischemic stroke after cardiovascular procedures: a propensity-matched cohort analysis
Conclusions Use of MT for LVO stroke in patients after a recent CVP is a safe and efficient treatment in comparison with patients with a non-periprocedural LVO undergoing MT.
Source: Journal of NeuroInterventional Surgery - August 29, 2023 Category: Neurosurgery Authors: Bay, B., Gloyer, N.-O., Remmel, M., Schell, M., Zelenak, K., Seiffert, M., Brunner, F. J., Clemmensen, P., Reichenspurner, H., Blankenberg, S., Thomalla, G., Fiehler, J., Conradi, L., Waldeyer, C., Flottmann, F. Tags: Open access, Ischemic stroke Source Type: research

Endovascular treatment of acute tandem lesions in patients with mild anterior circulation stroke
Conclusions EVT for tandem lesions in patients with mild anterior circulation stroke appears to be feasible but may lead to increased rates of sICH. Further studies comparing endovascular with best medical treatment (BMT) especially investigating the risk of periprocedural hemorrhagic complications, are needed.
Source: Journal of NeuroInterventional Surgery - August 29, 2023 Category: Neurosurgery Authors: Meyer, L., Politi, M., Alexandrou, M., Roth, C., Kastrup, A., Mpotsaris, A., Hanning, U., Flottmann, F., Brekenfeld, C., Deb-Chatterji, M., Thomalla, G., Kniep, H., Faizy, T. D., Bechstein, M., Broocks, G., Herzberg, M., Feil, K., Kellert, L., Dorn, F., Z Tags: Ischemic stroke Source Type: research

Safety and efficacy of intensive systolic blood pressure lowering after successful endovascular therapy: a post hoc analysis of the BP TARGET trial
Conclusion The effect of SBP lowering treatment was not modified by age, location of occlusion history of hypertension, intravenous thrombolysis, and admission SBP. Diabetes modified the effect of intensive SBP lowering treatment, and there was a trend towards benefit from intensive SBP treatment in diabetic patients. This finding is hypothesis generating and requires further validation.
Source: Journal of NeuroInterventional Surgery - August 29, 2023 Category: Neurosurgery Authors: Anadani, M., Maier, B., Escalard, S., Labreuche, J., de Havenon, A., Sabben, C., Lapergue, B., Mistry, E. A., Gory, B., Spiotta, A. M., Richard, S., Sibon, I., Desilles, J.-P., Blanc, R., Piotin, M., Mazighi, M., of behalf the BP TARGET study group, Mazig Tags: Ischemic stroke Source Type: research

Delayed Functional Independence After Neurothrombectomy (DEFIANT) score: analysis of the Trevo Retriever Registry
Conclusion Approximately 45% of patients experience EFI. About one-third of non-early improvers experience DFI. Younger age, lower discharge NIHSS score, and absence of any hemorrhage were independent predictors of DFI among non-early improvers.
Source: Journal of NeuroInterventional Surgery - August 29, 2023 Category: Neurosurgery Authors: Jadhav, A. P., Desai, S. M., Gupta, R., Baxter, B. W., Bartolini, B., Krajina, A., English, J. D., Nogueira, R. G., Liebeskind, D. S., Veznedaroglu, E., Budzik, R. F. Tags: Ischemic stroke Source Type: research

Endovascular therapy for acute ischemic stroke in patients with active malignancy: a meta-analysis with trial sequential analysis
Conclusion Although a quarter of patients with active malignancy and AIS regained functional independence, physicians and patients should consider whether to apply EVT in patients with active malignancy.
Source: Journal of NeuroInterventional Surgery - August 29, 2023 Category: Neurosurgery Authors: Jhou, H.-J., Yang, L.-Y., Chen, P.-H., Lee, C.-H. Tags: Ischemic stroke Source Type: research

O01/8 Flow diverting stents in cerebral small calibre vessels (< 2 mm) for aneurysm treatment
ConclusionThe use of FDS in vessels ≤ 2 mm is technically feasible with good aneurysm occlusion rates and an acceptable safety profile. Nevertheless, it is essential to be aware of the of the main complications associated when operating in small diameter vessels.Disclosure of InterestNothing to disclose.
Source: Journal of NeuroInterventional Surgery - August 21, 2023 Category: Neurosurgery Authors: Hohenstatt, S., Vinci, S., Vollherbst, D., Tessitore, A., Schmitt, N., Pitrone, A., Caragliano, A., Velo, M., Möhlenbruch, M., Paolucci, A. Tags: 1.1 HAEMORRHAGIC - Aneurysms Source Type: research

O05/57 Validation of a novel multiphase CTA perfusion tool compared to CTP in patients with suspected acute ischemic stroke
Conclusion mCTAp shows similar performance compared to CTP in assisting readers to detect ischemia and its side/location, requiring less radiation exposure, acquisition time and contrast-dose compared to additional-CTP, but mainly as it relates to proximal vessel occlusions.Disclosure of InterestDr. Menon holds patents on systems of triage in acute stroke, for LVO detection and for mCTAp, and stock ownership in Circle Cardiovascular Inc. Dr. Bala has nothing to declare. Dr. Duszynski is an employee of, and holds stock options for Circle Cardiovascular Imaging Inc. Dr. Nayem Pinky, Dr. Golan and Luis A Souto Maior Neto are ...
Source: Journal of NeuroInterventional Surgery - August 21, 2023 Category: Neurosurgery Authors: Benali, F., Zhang, J., Pinky, N., Bala, F., Alhabli, I., Golan, R., Neto, S., Elebute, I., Duszynski, C., Qiu, W., Menon, B. Tags: 2.2 ISCHEMIC - Imaging Source Type: research

O06/60 Diagnosis of intracranial atherosclerosis related large vessel occlusion before endovascular treatment
ConclusionA combination of clinical and radiological variables available before EVT can accurately predict the presence of an ICAD-LVO. The ICAD-Scale could be useful to perform a rapid assessment of underlying etiology and suggest specific pathophysiology-based measures (adjunctive pharmacological treatment, angioplasty and/or intracranial stenting).Disclosure of InterestDr Molina reported receiving personal fees from AstraZeneca for consultant services outside the submitted work. Dr Tomasello reported receiving personal fees from Anaconda Biomed, Balt, Medtronic, Perflow, and Stryker outside the submitted work. Dr Ribo r...
Source: Journal of NeuroInterventional Surgery - August 21, 2023 Category: Neurosurgery Authors: Rodrigo-Gisbert, M., Garcia-Tornel, A., Requena, M., Rubiera, M., Lascuevas, M. D. D., Olive, M., Pinana, C., Rizzo, F., Muchada, M., Rodriguez-Villatoro, N., Rodriguez-Luna, D., Juega, J., Pagola, J., Hernandez, D., Molina, C. A., Tomasello, A., Ribo, M. Tags: 2.2 ISCHEMIC - Imaging Source Type: research

O07/69 Procedural, clinical and safety outcomes in acute ischemic stroke stratified by operator techniques and clot location - insights from the assist registry
ConclusionASSIST provides insights into the effectiveness and safety of different MT techniques as stratified by clot location to improve reperfusion rates, functional outcomes and quality of life for AIS patients worldwide.ClinicalTrialsgov ID: NCT03845491Disclosure of InterestDFV reports consultancy for Medtronic, paid lectures for Cerenovus, and a research grant by MicroVention (unrelated to this work). DSL is a consultant as imaging core lab for Cerenovus, Genentech, Medtronic, Rapid Medical, Stryker, Vesalio. LLP is a Principal Biostatistician employed by Stryker Neurovascular. All other authors report no disclosures.
Source: Journal of NeuroInterventional Surgery - August 21, 2023 Category: Neurosurgery Authors: Moehlenbruch, M. A., Vollherbst, D., Miralbes, S., Naravetla, B., Spiotta, A., Loehr, C., Galdamez, M. M., Mctaggart, R., Defreyne, L., Vega, P., Zaidat, O., Price, L. L., Liebeskind, D., Gupta, R. Tags: 2.3 ISCHEMIC - Treatment Source Type: research

O09/90 Thrombectomy in ischemic stroke patients with large core but minor or absent ischemic changes on non-enhanced computed tomography
ConclusionIn patients with ASPECTS≥6, core volumes did not significantly modify the treatment effect of recanalization. Reperfusion and higher core volume were significantly associated with core overestimation which may explain the treatment effect of MT for patients with large ischemic core but minor ischemic changes on NECT.Abstract O09/90 Figure 1Abstract O09/90 Figure 2Disclosure of InterestNA.
Source: Journal of NeuroInterventional Surgery - August 21, 2023 Category: Neurosurgery Authors: Broocks, G., Kniep, H., Bechstein, M., Paula Hanning, U. M., Kemmling, A., Fiehler, J., Meyer, L. Tags: 2.3 ISCHEMIC - Treatment Source Type: research

O10/94 Ghost infarct core phenomenon after thrombectomy is associated with higher core lesion volume and degree of reperfusion
ConclusionOverestimation of the ischemic core occurred more often in patients presenting with large ICV and was associated with better functional outcomes. Although higher core volumes were associated with worse outcomes, timely vessel recanalization may result in significant treatment effects in this subgroup of patients. Large ICVs should not implicitly exclude patients from MT.Abstract O10/94 Figure 1Abstract O10/94 Figure 2Disclosure of InterestNA.
Source: Journal of NeuroInterventional Surgery - August 21, 2023 Category: Neurosurgery Authors: Broocks, G., Meyer, L., Heit, J., Fiehler, J., Faizy, T. Tags: 2.2 ISCHEMIC - Imaging Source Type: research

O13/126 Safety and efficacy of first-line double stent-retriever: the bifurcation elective thrombectomy with double y stentretriever (BETYS) prospective multicenter registry protocol
ConclusionThe BETYS registry is an ongoing prospective study regarding the use of double SR as first-line treatment in anterior circulation large vessel occlusions.Disclosure of InterestNothing to disclose.
Source: Journal of NeuroInterventional Surgery - August 21, 2023 Category: Neurosurgery Authors: Perez-Garcia, C., Rosati, S., Lopez-Jurado, A. L.-F., Gomez-Escalonilla Escobar, C. I., Moreu, M. Tags: 2.3 ISCHEMIC - Treatment Source Type: research

O15/151 Impact of post-thrombectomy isolated subarachnoid hemorrhage and other types of intracranial hemorrhage on neurological outcomes in patients with anterior circulation ischemic stroke - reperfusion grade determines
ConclusionPost-thrombectomy i-SAH is an important complication as it might aggravate patient’s neurological impairment, particularly in case of incomplete reperfusion.Disclosure of InterestNothing to disclose.
Source: Journal of NeuroInterventional Surgery - August 21, 2023 Category: Neurosurgery Authors: Landeghem, N. v., Ziegenfuss, C., Demircioglu, A., Dammann, P., Jabbarli, R., Haubold, J., Forsting, M., Wanke, I., Köhrmann, M., Frank, B., Deuschl, C., Li, Y. Tags: 2.3 ISCHEMIC - Treatment Source Type: research

O16/158 Artificial Intelligence based nationwide centralised decision supporting system for improving stroke case efficiency in Hungary
ConclusionUsing AI based centralized stroke imaging network fast and reliable decision support can be provided to a large nationwide stroke care system. The system was installed with the support of an EU grant EFOP 5.2.6.Disclosure of InterestIstvan Szikora has a consulting agreement with Brainomix Ltd.Zoltan Chadaide is a former employee of Brainomix Ltd.Edvard Benes is owner and CEO of eRAD-BBThe system was built by the support of an EU grant EFOP 5.2.6.The other authors have no relevant conflict of interest.
Source: Journal of NeuroInterventional Surgery - August 21, 2023 Category: Neurosurgery Authors: Szikora, I., Magyar, B., Papai, G., Szudi, G., Kondor, M., Czencz, M., Nardai, S., Chadaide, Z., Benes, E., Ovary, C., Eross, L. Tags: 2.2 ISCHEMIC - Imaging Source Type: research