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Mechanical thrombectomy is efficacious in patients with pre ‐stroke moderate disability
ConclusionPatients with pre-stroke moderate disability may benefit from MT if they are appropriately selected. This may result in fewer patients requiring nursing home placement and less financial burden on the public health system, indicating significant savings are possible.
Source: Journal of Medical Imaging and Radiation Oncology - June 17, 2021 Category: Radiology Authors: Tara Nababan, Timothy J. Phillips, Graeme J. Hankey, Matthew T. Crockett, Albert Ho Yuen Chiu, Tejinder P. Singh, David Blacker, William McAuliffe Tags: Medical Imaging —Original Article Source Type: research

Transfer of stroke patients impairs eligibility for endovascular stroke treatment
Conclusions EST should be provided directly whenever possible as one in four transferred stroke patients becomes ineligible for EST during transfer. If direct transfer is not possible, indication for EST should be re-assessed after transfer.
Source: Journal of Neuroradiology - September 19, 2017 Category: Radiology Source Type: research

Direct Admission vs. Secondary Transfer to a  Comprehensive Stroke Center for Thrombectomy
ConclusionThese results confirm prior studies stating that DA to a  comprehensive stroke center leads to better outcome compared to ST in stroke patients undergoing thrombectomy.
Source: Klinische Neuroradiologie - October 10, 2019 Category: Radiology Source Type: research

Seeing the good in the bad: actual clinical outcome of thrombectomy stroke patients with formally unfavorable outcome
ConclusionDichotomizing the mRS into favorable and unfavorable outcome does not do justice to the full spectrum of stroke. Patients with formal unfavorable outcome after mRS can improve neurologically, achieve treatment goals, and even regain their admission or pre-stroke mRS.
Source: Neuroradiology - March 8, 2022 Category: Radiology Source Type: research

Endovascular thrombectomy and medical therapy versus medical therapy alone in acute stroke: A randomized care trial
Conclusion A care trial was implemented to offer verifiable care to acute stroke patients. This approach offers a promising means to manage clinical dilemmas and guide uncertain practices.
Source: Journal of Neuroradiology - February 24, 2017 Category: Radiology Source Type: research

Number of Stentriever Passes and Outcome after Thrombectomy in Stroke
Conclusions:The number of passes needed to achieve target vessel recanalization modifies outcome after thrombectomy and successful recanalization after a single pass is associated with favorable outcome.
Source: Journal of Neuroradiology - April 12, 2019 Category: Radiology Source Type: research

Stent-based thrombectomy versus intravenous tissue plasminogen activator in acute ischaemic stroke: A systematic review and meta-analysis.
CONCLUSION: Stentrievers can achieve a high rate of recanalisation and functional independence in acute ischaemic stroke and have a relatively good safety profile. Our meta-analysis demonstrates a clear benefit of an intra-arterial mechanical approach vs standard treatment. PMID: 26490828 [PubMed - as supplied by publisher]
Source: Interventional Neuroradiology - October 23, 2015 Category: Radiology Tags: Interv Neuroradiol Source Type: research

First-line lesional aspiration in acute stroke thrombectomy using a novel intermediate catheter: Initial experiences with the SOFIA.
CONCLUSIONS: Lesional aspiration with SOFIA is in line with published data. The SOFIA may be used as a first-line device, aiming at fast recanalization by sole aspiration with good safety and efficacy. If unsuccessful, it converts into part of a stent retriever-based multimodality treatment. PMID: 26908589 [PubMed - as supplied by publisher]
Source: Interventional Neuroradiology - February 26, 2016 Category: Radiology Tags: Interv Neuroradiol Source Type: research

Mechanical Thrombectomy in Acute Ischemic Stroke Using a  Manually Expandable Stent Retriever (Tigertriever) : Preliminary Single Center Experience.
CONCLUSION: The Tigertriever offers a safe and effective treatment option in ischemic stroke due to LVOs with reperfusion rates and a safety profile similar to alternative devices. The Tigertriever is a promising bail-out tool in complex cases. Its role as a first line device has to be evaluated in further prospective studies. PMID: 32529306 [PubMed - as supplied by publisher]
Source: Nuklearmedizin - June 10, 2020 Category: Radiology Authors: Will L, Maus V, Maurer C, Weber A, Weber W, Fischer S Tags: Clin Neuroradiol Source Type: research

Acute Stroke and Obstruction of the Extracranial Carotid Artery Combined with Intracranial Tandem Occlusion: Results of Interventional Revascularization
Conclusion Endovascular recanalization of acute cervical carotid artery occlusion was technically feasible in all patients, and resulted in high extra- and intracranial revascularization rates. A trend for favorable clinical outcome was seen in a higher TICI score, younger age, good collateral status, and combined IV rTPA and endovascular therapy.
Source: CardioVascular and Interventional Radiology - December 30, 2014 Category: Radiology Source Type: research

Efficacy of ADAPT with large-bore reperfusion catheter in anterior circulation acute ischemic stroke: a multicentric Italian experience
ConclusionsADAPT is a valid technique with respect to the rates of TICI 2b/3 recanalization and 90-day mRS scores. In this series, an attempt at recanalization with ADAPT with larger-bore reperfusion catheter may be warranted prior to stentriever thrombectomy.
Source: La Radiologia Medica - August 30, 2019 Category: Radiology Source Type: research

Safety and effectiveness of CATCH+ as a first-line device for revascularization in the treatment of acute ischemic stroke
Conclusions: The CATCH+ device is a safe and effective mechanical thrombectomy device for the first-line treatment of acute ischemic stroke.
Source: Journal of Neuroradiology - September 18, 2019 Category: Radiology Source Type: research

Use of intracranial stent as rescue therapy after mechanical thrombectomy failure —9-year experience in a comprehensive stroke centre
ConclusionPlacement of an intracranial stent as rescue therapy after MT failure was associated with better clinical outcome without significant increase in haemorrhagic complications. We believe that this procedure should be appraised in these patients.
Source: Neuroradiology - June 29, 2020 Category: Radiology Source Type: research

Endovascular treatment of acute ischemic stroke due to tandem lesions of the anterior cerebral circulation: a multicentric Italian observational study
ConclusionIn our real-life series, the EVT for TLs ’ AIS was feasible, safe and effective in improving 90-day functional outcome with acceptable morbi-mortality rates. ECAS increased the risk of SICH, independently from the antiplatelet therapy regimen.
Source: La Radiologia Medica - January 27, 2021 Category: Radiology Source Type: research

Endovascular treatment over 24  hours after ischemic stroke onset: a single-center retrospective study
ConclusionsThe FAISSR to groin puncture time over 24  h may not be a taboo for EVT and it may be safe and effective for AIS-LVO/S in anterior cerebral circulation, especially with lower preoperative NIHSS scores.
Source: Neuroradiology - December 23, 2022 Category: Radiology Source Type: research

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