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Dual antiplatelet use in the management of COVID-19 associated acute ischemic stroke reocclusion
CONCLUSION: COVID-19 AIS may be associated with a hypercoagulable state which risks malignant reocclusion complicating MT. We found antithrombotic treatment periprocedural cangrelor with or without argatroban transitioned to oral aspirin with ticagrelor to be a viable method for management of these patients.PMID:35549746 | DOI:10.1177/15910199221097484
Source: Interventional Neuroradiology - May 13, 2022 Category: Radiology Authors: Joshua Feler Carlin Chuck Matthew Anderson Jonathan Poggi Joseph Sweeney Krisztina Moldovan Mahesh V Jayaraman Ryan McTaggart Radmehr Torabi Source Type: research

Endovascular mechanical thrombectomy in a child with COVID-19: Clot analysis reveals a novel pathway in the neuroinflammatory cascade resulting in large-vessel occlusion
Interv Neuroradiol. 2022 Apr 21:15910199221094758. doi: 10.1177/15910199221094758. Online ahead of print.ABSTRACTLarge-vessel occlusion is rare in children, but its results can be devastating and may lead to recurrent strokes, persistent neurological deficits, and decreased quality of life. Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) has yielded extrapulmonary effects and multiorgan diseases, many of which are neurological manifestations. There is a paucity of literature in pediatric patients about large-vessel occlusion in the setting of COVID-19 infection. We discuss a nine-year-old child who presented w...
Source: Interventional Neuroradiology - April 22, 2022 Category: Radiology Authors: Vijay M Ravindra Frederik Denorme Matthew D Alexander Robert A Campbell Ramesh Grandhi Source Type: research

Neutrophil-Lymphocyte ratio is associated with poor clinical outcome after mechanical thrombectomy in stroke in patients with COVID-19
CONCLUSIONS: We show elevated NLR in LVO patients with COVID-19 portends significantly worse outcomes and increased mortality regardless of recanalization status. Severe neuro-inflammatory stress response related to COVID-19 may negate the potential benefits of successful thrombectomy.PMID:35404161 | DOI:10.1177/15910199221093896
Source: Interventional Neuroradiology - April 11, 2022 Category: Radiology Authors: Fawaz Al-Mufti Priyank Khandelwal Tolga Sursal Jared B Cooper Eric Feldstein Krishna Amuluru Jayaji M Mor é Ambooj Tiwari Amit Singla Adam A Dmytriw Mariangela Piano Luca Quilici Guglielmo Pero Leonardo Renieri Nicola Limbucci Mario Mart ínez-Galdámez Source Type: research

Is neuroimaging overused for diagnosing dizziness?
MRI and CT of the brain most likely are being overused in cases of dizziness...Read more on AuntMinnie.comRelated Reading: Ultrasound finds link between long COVID, viral effect on vagus nerve fMRI shows multiple concussions can affect teen brains Severe COVID-19 puts patients at risk of encephalopathy ECR 2020: COVID-19's nonpulmonary manifestations COVID-19 neuro findings marked by mental status, stroke
Source: AuntMinnie.com Headlines - April 7, 2022 Category: Radiology Source Type: news

Successful thrombectomy in a pediatric patient with large vessel occlusion and COVID-19 related multisystem inflammatory syndrome
Interv Neuroradiol. 2022 Feb 15:15910199221080873. doi: 10.1177/15910199221080873. Online ahead of print.ABSTRACTThis is a case report of a child with multisystem inflammatory syndrome in children (MIS-C) complicated by an acute ischemic stroke with right M1 occlusion and large penumbra who underwent thrombectomy with TICI 3 recanalization. There were no complications and the patient had improvement in the pediatric NIHSS from 16 to 3 in the subsequent days. This is the first known report of successful mechanical thrombectomy performed in a pediatric patient with MIS-C associated with COVID-19.PMID:35167391 | DOI:10.1177/15910199221080873
Source: Interventional Neuroradiology - February 15, 2022 Category: Radiology Authors: Lisa M Pabst Stephanie A Zyck Patrick Youssef Source Type: research

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