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Case of malignant brain edema despite successful recanalization after mechanical thrombectomy for anterior circulation stroke
CONCLUSION: MBE after MT results in unsatisfactory functional outcomes, even if it has successful revascularization. No collateral in the territory of the occluded vessel in the initial angiogram is one of the predictors of MBE after MT.PMID:37151444 | PMC:PMC10159319 | DOI:10.25259/SNI_28_2023
Source: Surgical Neurology International - May 8, 2023 Category: Neurosurgery Authors: Nur Setiawan Suroto Asra Al Fauzi Ayu Yoniko Christi Kevin Ariel Tiopan Simanjuntak Perthdyatama Syifaq Budiono Source Type: research

Obstructive sleep apnea confers lower mortality risk in acute ischemic stroke patients treated with endovascular thrombectomy: National Inpatient Sample analysis 2010-2018
Conclusions Our findings suggest that MT is a viable and safe treatment option for AIS patients with OSA.
Source: Journal of NeuroInterventional Surgery - November 14, 2022 Category: Neurosurgery Authors: Lapow, J. M., Dicpinigaitis, A. J., Pammal, R. S., Coghill, G. A., Rechester, O., Feldstein, E., Nuoman, R., Maselli, K., Kodi, S., Bauerschmidt, A., Rosenberg, J. B., Yaghi, S., Kaur, G., Kurian, C., Chong, J. Y., Mayer, S. A., Gandhi, C. D., Al-Mufti, F Tags: Vascular neurology Source Type: research

Intracranial non-occlusive intraluminal thrombus may indicate underlying etiology of large vessel occlusion in patients undergoing endovascular therapy
Conclusions The presence of iNOT may reflect an underlying ICAS related LVO in patients undergoing EVT.
Source: Journal of NeuroInterventional Surgery - September 14, 2022 Category: Neurosurgery Authors: Jang, S. H., Park, H., Yoo, J., Hong, J.-H., Lee, J. S., Lee, S.-J., Kim, Y.-W., Hong, J. M., Choi, J. W., Kang, D.-H., Kim, Y.-S., Hwang, Y.-H., Sohn, S.-I. Tags: Ischemic stroke Source Type: research

Bridging thrombolysis in atrial fibrillation stroke is associated with increased hemorrhagic complications without improved outcomes
Conclusion In this large thrombectomy registry, AF patients exposed to IVT before MT had increased hemorrhagic complications without improved functional outcomes, in contrast with non-AF patients. Prospective trials are warranted to assess whether AF patients represent a subgroup of LVO patients who may benefit from a direct to thrombectomy approach at thrombectomy capable centers.
Source: Journal of NeuroInterventional Surgery - September 14, 2022 Category: Neurosurgery Authors: Akbik, F., Alawieh, A., Dimisko, L., Howard, B. M., Cawley, C. M., Tong, F. C., Nahab, F., Samuels, O. B., Maier, I., Feng, W., Goyal, N., Starke, R. M., Rai, A., Fargen, K. M., Psychogios, M. N., Jabbour, P., De Leacy, R., Keyrouz, S. G., Dumont, T. M., Tags: Ischemic stroke Source Type: research

204 Improving access to cardiac monitoring for acute stroke patients: a quality improvement project
Conclusion The establishment of ‘in-house’ cardiac monitoring improves access to early cardiac moni- toring for patients.
Source: Journal of Neurology, Neurosurgery and Psychiatry - August 12, 2022 Category: Neurosurgery Authors: Scott, N., Curbera, N., McManus, J. Tags: Poster presentations Source Type: research

Predictors of futile recanalization after endovascular treatment in acute ischemic stroke: a meta-analysis
Conclusion This study identified female sex, comorbidities, admission systolic blood pressure, serum glucose, occlusion site, non-bridging therapy, and post-procedural complication as predictors of futile recanalization, and also confirmed previously reported factors. Further large-scale prospective studies are needed.
Source: Journal of NeuroInterventional Surgery - August 12, 2022 Category: Neurosurgery Authors: Deng, G., Xiao, J., Yu, H., Chen, M., Shang, K., Qin, C., Tian, D.-S. Tags: Ischemic stroke Source Type: research

O-016 Outcomes after endovascular mechanical thrombectomy for low national institutes of health stroke scale (NIHSS): a multicenter study
ConclusionsMT is an effective and safe treatment for appropriately selected ischemic stroke patients presenting with low NIHSS. Diabetes and prior stroke are predictors of functional dependence at 90 days, and prior stroke is also associated with mortality, suggesting that MT should be offered judiciously to patients with these risk factors. Our findings signal the need for a randomized trial comparing MT versus medical management for LVO patients with low NIHSS.Disclosures I. Abecassis: 2; C; IschemaView (Rapid), Remedy Robotics. E. Almallouhi: None. R. Chalhoub: None. S. Kassab: None. E. Bass: None. D. Ding: None. I. Mai...
Source: Journal of NeuroInterventional Surgery - July 23, 2022 Category: Neurosurgery Authors: Abecassis, I., Almallouhi, E., Chalhoub, R., Kassab, S., Bass, E., Ding, D., Maier, I., Psychogios, M., Liman, J., Alawieh, A., Wolfe, S., Arthur, A., Kan, P., Kim, J., De Leacy, R., Osbun, J., Jabbour, P., Grossbereg, J., Park, M., Mascitelli, J., Levitt Tags: SNIS 19th annual meeting oral abstracts Source Type: research

P-024 Balloon guide catheter use for stroke intervention: does the access site matter?
ConclusionsPatients treated with MT via TFA or sTRA had similar angiographic and clinical outcomes, differing only in the rate of crossover from one approach to another.Abstract P-024 Table 1TFA and sTRA Variable RadialN=30 FemoralN=63 P-value Age; mean (SD) 70.9 (13.9) 72.7 (11.4) 0.504 Women, n (%) 13 (43.3) 35 (55.6) 0.375 Diabetes, n (%) 7 (23.3) 18 (28.6) 0.629 Hypertension, n (%) 22 (73.3) 52 (82.5) 0.409 Hyperlipidemia, n (%) 18 (60) 30 (47.6) 0.278 Atrial fibrillation, n (%) 13 (43.3) 24 (38.1) 0.656 NIHSS at admission; mean (SD) 15 (8) 16 (6) 0.131 Intravenous alteplase, n (%) 10 (33.3) 20 (31.7) 1 ICA occlusion,...
Source: Journal of NeuroInterventional Surgery - July 23, 2022 Category: Neurosurgery Authors: Waqas, M., Monteiro, A., Cappuzzo, J., Dossani, R., Almayman, F., Metcalf-Doetsch, W., Snyder, K., Davies, J., Siddiqui, A., Levy, E. Tags: SNIS 19th annual meeting oral poster abstracts Source Type: research

P-027 Balloon guide catheter effect on first pass and revascularization success
ConclusionAmong our population, BGC use was not associated with higher first pass or final revascularization success.Disclosures M. Modzelewski: None.
Source: Journal of NeuroInterventional Surgery - July 23, 2022 Category: Neurosurgery Authors: Modzelewski, M. Tags: SNIS 19th annual meeting oral poster abstracts Source Type: research

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