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Source: Journal of NeuroInterventional Surgery
Procedure: CT Scan

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Total 82 results found since Jan 2013.

P-016 Relationship between stroke recurrence, infarct pattern, and vascular distribution in patients with symptomatic intracranial stenosis
Conclusion We determined that basilar artery stenosis was most likely to present as a perforator stroke. As expected, patients discharged with suboptimal medical therapy were twice as likely to have a recurrent stroke (29% versus 13%). Among patients with optimal medical therapy, no recurrent strokes were seen in patients with embolic infarct pattern, while 57% recurrence rate was seen in patients with a watershed infarct pattern, suggesting that an embolic infarct pattern on initial presentation is possibly related to underlying plaque instability that is modifiable with optimal medical therapy. On the other hand, initial...
Source: Journal of NeuroInterventional Surgery - July 23, 2017 Category: Neurosurgery Authors: Raghuram, K., Kohlnhofer, J., Durgam, A. Tags: Oral Poster Abstracts 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

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

E-019 Outcome of the Patients Presenting with Basilar Occlusions in a Busy Stroke Center Treated with new Generation Stent Retrievers
ConclusionAlthough the successful recanalization rate (TICI 2 b or higher) in basilar occlusions is high (18/23 (78.3%)), the mortality (10/23 (43%)) and morbidity with MRS ≥ 3 (5/23 (22%)) remains disappointingly high. In our study, good clinical outcome (MRS 0–2) was achieved in 30% (7/23) of patients, better than the natural course in basilar occlusions, which is encouraging. This group highlights the value of early presentation and a negative CT as strong predictors of a good outcome. The prognosis in patients with basilar occlusions with positive CT findings and unknown time of onset remain guarded.Disclosure...
Source: Journal of NeuroInterventional Surgery - July 28, 2016 Category: Neurosurgery Authors: Akhtar, I., Halpin, J., Holloway, W., Martin, C., Akhtar, N. Tags: Electronic poster abstracts Source Type: research

E-046 Procedural Efficiency of the Streamlined Launchpad Stroke Admission Paradigm - A Single Center Experience
ConclusionThe streamlined stroke activation Launchpad protocol demonstrated an increased speed in patient admission and significant reduction in time from presentation to CT scan. This significant improvement in processing time allowed for an increased number of patients to meet the therapeutic window for IV tPA eligibility. A prospective trial will strengthen the current finding and support the implementation of this paradigm amongst other stroke centers.DisclosuresK. Sivakumar: None. S. Feuerwerker: None. D. Turkel-Parrella: None. A. Tiwari: None. J. Farkas: None. K. Arcot: None.
Source: Journal of NeuroInterventional Surgery - July 28, 2016 Category: Neurosurgery Authors: Sivakumar, K., Feuerwerker, S., Turkel-Parrella, D., Tiwari, A., Farkas, J., Arcot, K. 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-099 Does Anterior Cerebral Artery Vasospasm after Spontaneous Subarachnoid Hemorrhage Predict Short Term Cognitive Outcome
ConclusionsOur study reaffirms that occurrence of DCI after SAH predicts poor cognitive outcome at 3 months. The fact that cognitive outcomes were not superior in patients treated for CVS suggests that a complex pathophysiology determines outcomes after SAH. Relatively poor cognitive outcome among patients with SAH in locations other than ACA/ACom alludes to involvement of functional neural network apart from frontal lobe based networks that needs further investigation.DisclosuresV. Pandav: None. B. Bohnstedt: None. L. Yearout: None. D. Thompson: None. B. Ray: None.
Source: Journal of NeuroInterventional Surgery - July 28, 2016 Category: Neurosurgery Authors: Pandav, V., Bohnstedt, B., Yearout, L., Thompson, D., Ray, B. Tags: Electronic poster abstracts Source Type: research

O-001 Impact of Recanalization in Patients with Pretreatment DWI-ASPECTS
ConclusionPatients with a pretreatment DWI-ASPECTS ≤6 may still benefit of EVT when a good recanalization is achieved. In particular, EVT-induced recanalization was associated with a reduced rate of mortality without increased risk of symptomatic intracerebral hemorrhage.DisclosuresJ. Desilles: None. A. Consoli: None. S. Escalard: None. H. Redjem: None. R. Blanc: None. P. Guedin: None. O. Coskun: None. G. Ciccio: None. S. Smajda: None. C. Ruiz Guerrero: None. P. Sasannejad: None. G. Rodesch: None. M. Piotin: None. B. Lapergue: None.
Source: Journal of NeuroInterventional Surgery - July 28, 2016 Category: Neurosurgery Authors: Desilles, J., Consoli, A., Escalard, S., Redjem, H., Blanc, R., Guedin, P., Coskun, O., Ciccio, G., Smajda, S., Ruiz Guerrero, C., Sasannejad, P., Rodesch, G., Piotin, M., Lapergue, B. Tags: Oral abstracts Source Type: research

O-007 Recanalization and Outcome Comparisons in Acute Ischemic Stroke Patients Treated with Mechanical Thrombectomy Selected by CT/MR Perfusion Imaging Versus CT Angiography
ConclusionsMechanical thrombectomy patients selected by CTA or perfusion imaging demonstrated no difference in successful recanalization rate, but higher level of recanalization/reperfusion and a trend of improved outcomes with CTA selection that may be attributed to improved treatment times.DisclosuresA. Honarmand: None. A. Shaibani: None. M. Hurley: None. P. Golnari: None. M. Potts: None. B. Jahromi: None. S. Ansari: None.
Source: Journal of NeuroInterventional Surgery - July 28, 2016 Category: Neurosurgery Authors: Honarmand, A., Shaibani, A., Hurley, M., Golnari, P., Potts, M., Jahromi, B., Ansari, S. Tags: Oral abstracts Source Type: research

P-013 Use of the Solitaire Device for Emergency Revascularization of the Superior Mesenteric Artery
ConclusionsThe techniques and equipment used for acute stroke intervention may be suitable for acute recanalization of peripheral vessels, under the right circumstances. As with many surgical interventions, a multidisciplinary approach may at times yield a novel and effective strategy for a difficult clinical problem.DisclosuresJ. Dalfino: None. A. Paul: None. J. Hnath: None.
Source: Journal of NeuroInterventional Surgery - July 28, 2016 Category: Neurosurgery Authors: Dalfino, J., Paul, A., Hnath, J. Tags: Oral poster abstracts Source Type: research

P-014 A Six-Sigma Approach for Decreasing Door To Needle Times In Endovascular Stroke Therapy
ConclusionA protocol driven process can significantly improve efficiency of care in the time-sensitive stroke interventions.DisclosuresA. Rai: 1; C; stryker Neurovascular. 2; C; stryker Neurovascular. M. Smith: None. S. Boo: None. A. Tarabishy: None. G. Hobbs: None. J. Carpenter: None.
Source: Journal of NeuroInterventional Surgery - July 28, 2016 Category: Neurosurgery Authors: Rai, A., Smith, M., Boo, S., Tarabishy, A., Hobbs, G., Carpenter, J. Tags: Oral poster abstracts Source Type: research

P-015 Influence of Core Infarct Volume and Patient Age on Clinical Outcome in Endovascular Treatment of Large Vessel Occlusion for Acute Stroke
ConclusionThis study found TICI 2 B/3 reperfusion, core volume, age, and baseline NIHSS were independent predictors for good outcome. ROC analysis demonstrated a core infarct volume of <45 ml had a PPV of at least 10% of yielding a good outcome. For patients >80 years the ROC analysis demonstrated that a core infarct volume of <16 ml had a PPV of 10% or better of yielding a good outcome, suggesting that older patients tolerate a smaller core. However, the current study was underpowered to identify the significance of this threshold.DisclosuresN. Telischak: None. A. Faisal: None. J. Wong: None. A. Moraff: None. H. ...
Source: Journal of NeuroInterventional Surgery - July 28, 2016 Category: Neurosurgery Authors: Telischak, N., Faisal, A., Wong, J., Moraff, A., Do, H., Dodd, R., Heit, J., Mlynash, M., Lansberg, M., Albers, G., Marks, M. Tags: Oral poster abstracts 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

Evaluation of an anatomic definition of non-aneurysmal perimesencephalic subarachnhoid hemorrhage
Conclusions Our anatomic definition of PSAH correlated with a low risk of brain aneurysm and was applied with excellent inter-observer agreement.
Source: Journal of NeuroInterventional Surgery - March 15, 2016 Category: Neurosurgery Authors: Wallace, A. N., Vyhmeister, R., Dines, J. N., Chatterjee, A. R., Kansagra, A. P., Viets, R., Whisenant, J. T., Moran, C. J., Cross, D. T., Derdeyn, C. P. Tags: Hemorrhagic stroke Source Type: research

O-017 a retrospective case review using the apollo™ system for endoscopic assisted, neuro-navigation guided evacuation of intracerebral hemorrhage
ConclusionPreliminary experience using the Apollo™ System in the evacuation of ICH shows promising results in rapidly reducing overall clot volume with a favorable safety profile and ICU stay compared with historical controls. Further study is required to determine the association between the reduction in clot volume and outcome measures such as length of hospital stay and clinical recovery.Abstract O-017 Figure 1DisclosuresR. Ryan: 2; C; Penumbra, Inc.
Source: Journal of NeuroInterventional Surgery - July 26, 2015 Category: Neurosurgery Authors: Ryan, R. Tags: SNIS 12th Annual Meeting Oral Abstracts Source Type: research