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Total 28 results found since Jan 2013.

Trends in mortality following mechanical thrombectomy for the treatment of acute ischemic stroke in the USA
Conclusions Utilization of MT represents a small percentage of stroke cases, although the trend is increasing. Mortality following MT has been showing a steady decline over the past 5 years. This may be a result of a learning curve, improved patient selection, and/or device improvements. Randomized trials remain essential to evaluate the potential benefit of endovascular devices and identify the most appropriate patients.
Source: Journal of NeuroInterventional Surgery - April 13, 2016 Category: Neurosurgery Authors: Villwock, M. R., Padalino, D. J., Deshaies, E. M. Tags: Ischemic stroke Source Type: research

Optimal thresholds to predict long-term outcome after complete endovascular recanalization in acute anterior ischemic stroke
Conclusions After complete recanalization in acute anterior circulation ischemic stroke, a good long-term outcome could be accurately predicted reaching NIHSS score ≤5 after 24 hours.
Source: Journal of NeuroInterventional Surgery - November 18, 2021 Category: Neurosurgery Authors: Neuberger, U., Vollmuth, P., Nagel, S., Schönenberger, S., Weyland, C. S., Gumbinger, C., Ringleb, P. A., Bendszus, M., Pfaff, J. A. R., Möhlenbruch, M. A. Tags: Ischemic stroke Source Type: research

P040/41 Imaging study in stroke diagnosis and treatment in a referral center Chile
ConclusionAs a conclusion, different topics of obtaining and observing images in Stroke are obtained. Either CT, MRA, Cerebral Angiography. Both nurses and technicians should know some generalities and topics of nomenclature, neuroanatomy, general and specific characteristics of each of the imaging techniques that we want to share for this ETMINT 2023 seminar.Disclosure of InterestNothing to disclose
Source: Journal of NeuroInterventional Surgery - August 21, 2023 Category: Neurosurgery Authors: Nunez, F. B. Tags: 4. Ischemic stroke Source Type: research

P041/42 Imaging study in stroke diagnosis and treatment in a referral center in Chile
ConclusionAs a conclusion, different topics of obtaining and observing images in Stroke are obtained. Either CT, MRA, Cerebral Angiography. Both nurses and technicians should know some generalities and topics of nomenclature, neuroanatomy, general and specific characteristics of each of the imaging techniques that we want to share for this ETMINT 2023 seminar.Disclosure of InterestNothing to disclose
Source: Journal of NeuroInterventional Surgery - August 21, 2023 Category: Neurosurgery Authors: Nunez, F. B. Tags: 4. Ischemic stroke Source Type: research

Automated detection of arterial landmarks and vascular occlusions in patients with acute stroke receiving digital subtraction angiography using deep learning
Conclusion These results may serve as an unbiased standard for clinical stroke trials, as optimal standardization would be useful for core laboratories in endovascular thrombectomy studies, and also expedite decision-making during DSA-based procedures.
Source: Journal of NeuroInterventional Surgery - May 16, 2023 Category: Neurosurgery Authors: Khankari, J., Yu, Y., Ouyang, J., Hussein, R., Do, H. M., Heit, J. J., Zaharchuk, G. Tags: Ischemic stroke Source Type: research

Preprocedural determination of an occlusion pathomechanism in endovascular treatment of acute stroke: a machine learning-based decision
Conclusions An ML-PM could accurately determine an occlusion pathomechanism with common preprocedural findings. A decision flowchart consisting of the four most influential findings was clinically applicable and superior to single common preprocedural findings for determining an occlusion pathomechanism.
Source: Journal of NeuroInterventional Surgery - August 29, 2023 Category: Neurosurgery Authors: Baek, J.-H., Kim, B. M., Kim, D. J., Heo, J. H., Nam, H. S., Kim, Y. D., Rho, M. H., Chung, P.-W., Won, Y. S., Chung, Y. Tags: Ischemic stroke Source Type: research

Development of a machine learning-based real-time location system to streamline acute endovascular intervention in acute stroke: a proof-of-concept study
Conclusions ML-based RTLS technology using WiFi fingerprinting has the potential to streamline delivery of acute stroke endovascular intervention by efficiently tracking patient and staff movement during stroke calls.
Source: Journal of NeuroInterventional Surgery - July 14, 2022 Category: Neurosurgery Authors: Lim, D. Z., Yeo, M., Dahan, A., Tahayori, B., Kok, H. K., Abbasi-Rad, M., Maingard, J., Kutaiba, N., Russell, J., Thijs, V., Jhamb, A., Chandra, R. V., Brooks, M., Barras, C., Asadi, H. Tags: Vascular neurology Source Type: research

O-023 Stroke predictX: a tissue-based clinical decision tool to predict stroke outcomes after endovascular therapy
ConclusionsOur pre-and post-procedural models reliably estimated clinical outcomes in stroke patients undergoing thrombectomy. They represent a step forward in creating simple and efficient prognostication tools to aid treatment decision-making.Disclosures M. Bouslama: None. L. Pisani: None. D. Haussen: 2; C; Stryker, Vesalio, Cerenovus, and Jacobs Institute. 4; C; VizAi. R. Nogueira: 1; C; PI of ENDOLOW trial. Funding provided by Cerenovus. 2; C; consulting fees for advisory roles with Anaconda, Biogen, Cerenovus, Genentech, Hybernia, Imperative Care, Medtronic, Phenox, Philips, Prolong Pharmaceuticals, Stryker Neurovascu...
Source: Journal of NeuroInterventional Surgery - July 23, 2022 Category: Neurosurgery Authors: Bouslama, M., Pisani, L., Haussen, D., Nogueira, R. Tags: SNIS 19th annual meeting oral abstracts Source Type: research

P-029 Interpretable machine learning modeling for thrombectomy outcome prediction in ischemic stroke
ConclusionMachine learning applied to quantifiable image features from CT and CTA alongside basic clinical characteristics constitutes a promising automated method for predicting stroke prognosis. Our interpretable model allows understanding of which features contribute the most to post-thrombectomy outcome prediction and which feature values the model used to individually predict each patient outcome.Abstract P-029 Figure 1Disclosures M. Jabal: None. O. Joly: 5; C; Brainomix. D. Kallmes: None. G. Harston: 4; C; Brainomix. 5; C; Brainomix. A. Rabinstein: None. T. Huynh: None. W. Brinjikji: None.
Source: Journal of NeuroInterventional Surgery - July 23, 2022 Category: Neurosurgery Authors: Jabal, M., Joly, O., Kallmes, D., Harston, G., Rabinstein, A., Huynh, T., Brinjikji, W. Tags: SNIS 19th annual meeting oral poster abstracts Source Type: research

Machine learning and acute stroke imaging
Conclusions ML in acute ischemic stroke imaging has already made tremendous headway. Additional applications and further integration with clinical care is inevitable. Thus, facility with these approaches is critical for the neurointerventional clinician.
Source: Journal of NeuroInterventional Surgery - January 11, 2023 Category: Neurosurgery Authors: Sheth, S. A., Giancardo, L., Colasurdo, M., Srinivasan, V. M., Niktabe, A., Kan, P. Tags: Neuroimaging Source Type: research

LB-009 Smartphone-enabled machine learning algorithms for autonomous stroke detection
ConclusionsOur results confirm that smartphone enabled ML-algorithms can reliably identify acute stroke features with high accuracy comparable to neurologists’ clinical impression.DisclosuresR. Raychev: 1; C; Boehringer Ingelheim. 2; C; Rapid Medical, Perflow Medical. 4; C; Neuronics Medical. J. Saver: 2; C; Neuronics Medical. D. Liebeskind: 2; C; Neuronics Medical. M. Nour: 2; C; Neuronics Medical, Ischemia View. S. Petkov: 4; C; Neuronics Medical. D. Angelov: 4; C; Neuronics Medical. D. Georgiev: None. A. Koralova: None. F. Aleksiev: None. T. Sakelarova: None. D. Kalpachka: None. R. Kalpachki: None. E. Kostadinova:...
Source: Journal of NeuroInterventional Surgery - August 3, 2023 Category: Neurosurgery Authors: Raychev, R., Saver, J., Liebeskind, D., Nour, M., Petkov, S., Angelov, D., Georgiev, D., Koralova, A., Aleksiev, F., Sakelarova, T., Kalpachka, D., Kalpachki, R., Kostadinova, E., Manolova, T., Milanov, I. Tags: SNIS 20th annual meeting late-breaking oral abstracts Source Type: research

Mechanical thrombectomy with the Solitaire stent: is there a learning curve in achieving rapid recanalization times?
Conclusions There is a learning curve involved in the efficient use of the Solitaire stent in endovascular acute stroke therapy. Along with improvements in patient transfer to angiography and improved efficiency with intracranial access, mastering this device contributed significantly towards reducing recanalization times.
Source: Journal of NeuroInterventional Surgery - October 7, 2014 Category: Neurosurgery Authors: Eesa, M., Burns, P. A., Almekhlafi, M. A., Menon, B. K., Wong, J. H., Mitha, A., Morrish, W., Demchuk, A. M., Goyal, M. Tags: Ischemic stroke Source Type: research

P-008 Probabilistic ensemble learning for prediction of stroke thrombectomy outcomes from the neurovascular quality initiative-quality outcomes database (NVQI-QOD) registry
ConclusionsThis study demonstrates the utility of probabilistic ensemble learning in clinical decision-making and prognosis. It can provide robust predictions as well as quantify data uncertainty. Our results regarding NIHSS changes reinforce the substantial benefits of MT, that can improve outcomes in nearly half of patients. The degree of disability relevant to the 90-day follow-up mRS can be determined by probabilistic learning available as early as discharge.Disclosures C. Zhou: None. S. Faruqui: None. A. Patel: None. R. Abdalla: None. A. Shaibani: None. M. Potts: None. B. Jahromi: None. S. Ansari: None. D. Cantrell: None.
Source: Journal of NeuroInterventional Surgery - July 30, 2023 Category: Neurosurgery Authors: Zhou, C., Faruqui, S., Patel, A., Abdalla, R., Shaibani, A., Potts, M., Jahromi, B., Ansari, S., Cantrell, D. Tags: SNIS 20th annual meeting oral poster abstracts Source Type: research

E-033 variety of clot types and their implication on technique during endovascular stroke therapy
ConclusionOur data indicate that thrombectomy with a stent-retriever and balloon guide system provides the best opportunity for good outcomes. Because of the risks of shearing off part or all of a clot when aspirating an oversized thrombus into an intermediate catheter and further retrieving against the flow in the internal carotid, our strategy is to use intermediate catheters in conjunction with a balloon guide whenever possible to achieve flow-arrest. We did not have a large enough sample size to draw conclusions about the impact of technique on the number of passes. Further evaluation of how to optimize techniques in d...
Source: Journal of NeuroInterventional Surgery - July 26, 2015 Category: Neurosurgery Authors: Andersson, T. Tags: SNIS 12th Annual Meeting Electronic Poster Abstracts Source Type: research

Rapid learning curve for Solitaire FR stent retriever therapy: evidence from roll-in and randomised patients in the SWIFT trial
Conclusions Thrombectomy in AIS using the Solitaire stent retriever device can be performed safely and effectively when used by experienced neurointerventionalists without previous experience with the device. Trial registration number The SWIFT study is registered with ClinicalTrials.gov, number NCT 01054560.
Source: Journal of NeuroInterventional Surgery - March 15, 2016 Category: Neurosurgery Authors: Sheth, S. A., Jahan, R., Levy, E. I., Jovin, T. G., Baxter, B., Nogueira, R. G., Clark, W., Budzik, R., Zaidat, O. O., Saver, J. L., for the SWIFT Trialists Tags: Ischemic stroke Source Type: research