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Procedure: Arterial Puncture

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Total 44 results found since Jan 2013.

Thrombectomy with and without computed tomography perfusion imaging for large-vessel occlusion stroke in the extended time window: a meta-analysis of randomized clinical trials
ConclusionThese findings suggest that the choice of NCCT ± CTA (without CTP) for the assessment of mechanical thrombectomy within 6–24 h after LVO in the anterior circulation is not significantly different from CTP; instead, the choice of NCCT ± CTA significantly reduces the time from onset to arterial puncture.
Source: Frontiers in Neurology - August 17, 2023 Category: Neurology Source Type: research

LB-013 Real world performance of the zoom aspiration system: insights from the NVQI-QOD registry
ConclusionsWe present real world data from the NVQI-QOD registry of the Zoom beveled aspiration system. Overall rates of successful reperfusion are high and there are no safety concerns.DisclosuresK. Moldovan: None. J. Singer: 2; C; Stryker, Kaneka, Imperative Care. 3; C; Medtronic, Nico, Rapid Medical. 6; C; Cerenovous, Imperative Care. B. Bohnstedt: 2; C; Stryker. T. Peebles: None. D. Altschul: 2; C; Siemens, viz.ai, Stryker, Microvention, Cerenovus. 6; C; Synchron, Bendit, Sim&Cure, Serenity, vonMedical. B. Chancellor: None. V. Vadlamudi: None. M. Hussain: None. J. Tsai: None. A. Khaladi: None. M. Lawson: None. B. W...
Source: Journal of NeuroInterventional Surgery - August 3, 2023 Category: Neurosurgery Authors: Moldovan, K., Singer, J., Bohnstedt, B., Peebles, T., Altschul, D., Chancellor, B., Vadlamudi, V., Hussain, M., Tsai, J., Khaladi, A., Lawson, M., Welch, B., Patel, A., Jayaraman, M. Tags: SNIS 20th annual meeting late-breaking oral abstracts Source Type: research

E-048 Efficacy of asymmetric clot engagement for aspiration thrombectomy in distal vessel occlusion
ConclusionOur findings suggest that aspiration thrombectomy with asymmetric clot engagement is safe and highly effective in patients with stroke from DVO.Disclosures D. Goldman: None. M. Al-Kawaz: None. V. Nguyen: None. J. Dallas: None. K. Khatibi: None. J. Scaggiante: None. K. Yaeger: None. T. Hardigan: None. C. Kellner: 1; C; Penumbra, Siemens. J. Fifi: 1; C; Stryker, Penumbra. 2; C; Stryker, Microvention, Penumbra, Cerenovus. 4; C; Endostream. S. Majidi: 2; C; Rapid Medical, Imperative Care, Cerenovus.
Source: Journal of NeuroInterventional Surgery - July 30, 2023 Category: Neurosurgery Authors: Goldman, D., Al-Kawaz, M., Nguyen, V., Dallas, J., Khatibi, K., Scaggiante, J., Yaeger, K., Hardigan, T., Kellner, C., Fifi, J., Majidi, S. Tags: SNIS 20th annual meeting electronic poster abstracts Source Type: research

Hyperacute stenting and angioplasty for acute extracranial non-tandem internal carotid artery strokes within the first 48  h: A 20-year experience and a systematic review and meta-analysis
CONCLUSION: Stenting and angioplasty for acute cervical ICA occlusive strokes during the hyperacute phase can be performed successfully with favorable clinical outcomes and an acceptable recanalization rate.PMID:37218164 | DOI:10.1177/15910199231164510
Source: Interventional Neuroradiology - May 23, 2023 Category: Radiology Authors: Ammad A Baig Pui Man Rosalind Lai Ryan C Turner Brianna M Donnelly Cathleen C Kuo Jaims Lim Kunal P Raygor Mehdi Bouslama Shefalika Prasad Najya Fayyaz Kenneth V Snyder Jason M Davies Adnan H Siddiqui Elad I Levy Source Type: research

Artificial Intelligence-Assisted Software Significantly Decreases All Workflow Metrics for Large Vessel Occlusion Transfer Patients, within a Large Spoke and Hub System
Conclusion: Within our spoke and hub system, Viz LVO significantly decreased all workflow metrics for patients who were transferred from spokes with versus without Viz.
Source: Cerebrovascular Diseases Extra - February 14, 2023 Category: Neurology Source Type: research

E-028 The impact of time delays on endovascular reperfusion success in late window stroke patients
ConclusionFaster hospital arrival to arterial puncture time is associated with a higher rate of successful reperfusion in late window stroke patients. Pre-hospital delays were not associated with subsequent reperfusion.Disclosures I. Alhabli: None. F. Benali: None. S. Murphy: None. D. Toni: None. P. Michel: None. M. Hill: None. D. Herlihy: None. I. Casetta: None. S. Power: None. V. Saia: None. A. Hegarty: None. G. Pracucci: None. A. Demchuk: None. S. Mangiafico: None. K. Boyle: None. M. Goyal: None. S. Nannoni: None. E. Fainardi: None. J. Thornton: None. B. Kim: None. B. Menon: None. M. Almekhlafi: None. F. Bala: None.
Source: Journal of NeuroInterventional Surgery - July 23, 2022 Category: Neurosurgery Authors: Alhabli, I., Benali, F., Murphy, S., Toni, D., Michel, P., Hill, M., Herlihy, D., Casetta, I., Power, S., Saia, V., Hegarty, A., Pracucci, G., Demchuk, A., Mangiafico, S., Boyle, K., Goyal, M., Nannoni, S., Fainardi, E., Thornton, J., Kim, B., Menon, B., Tags: SNIS 19th annual meeting electronic poster abstracts Source Type: research

E-173 Initial experience with penumbra red reperfusion catheters for acute stroke intervention: subset analysis from the prospective, multicenter insight registry
ConclusionAspiration thrombectomy with Penumbra RED catheters resulted in good rates of revascularization for all clot types.Disclosures C. Kellner: 1; C; Research funding from Penumbra, Integra, Cerebrotech, VizAI, Siemens, and Minnetronix. A. Dabney: 2; C; SAB member for the INSIGHT Study. S. Baltan: 2; C; SAB member for the INSIGHT Study. F. Sohrabji: 2; C; SAB member for the INSIGHT Study. K. Pennypacker: 4; C; co-owner of Cerelux. A. Nanda: 2; C; SAB for Insight Study. K. Woodward: None. D. Rivet: None. J. Fraser: 2; C; consultant with Stream Biomedical, Penumbra, and Medtronic. 4; C; co-owner of Cerelux, equity holde...
Source: Journal of NeuroInterventional Surgery - July 23, 2022 Category: Neurosurgery Authors: Kellner, C., Dabney, A., Baltan, S., Sohrabji, F., Pennypacker, K., Nanda, A., Woodward, K., Rivet, D., Fraser, J. Tags: SNIS 19th annual meeting electronic poster abstracts Source Type: research

O-059 Higher procedural volumes are associated with faster treatment times, better functional outcomes, and lower mortality in patients undergoing endovascular treatment for acute ischemic stroke
ConclusionsAmong patients undergoing EVT for AIS in routine clinical practice, treatment at centers with higher procedural volumes was significantly associated with faster treatment times, better discharge outcomes, and lower rates of in-hospital mortality and SICH.Abstract O-059 Table 1Association between Annual (EVT procedural center volumes and outcomesOdds ratios are for 10-case increase an EVT VolumeResults from GEE logistic regression models (primary cohort for all primary outcomes, secondary cohorts for IVT/EVT time metrics)Disclosures R. Nogueira: 1; C; Principal Investigators of the ‘Endovascular Therapy for...
Source: Journal of NeuroInterventional Surgery - July 23, 2022 Category: Neurosurgery Authors: Nogueira, R. Tags: SNIS 19th annual meeting oral abstracts Source Type: research

Automated emergent large vessel occlusion detection by artificial intelligence improves stroke workflow in a hub and spoke stroke system of care
Conclusions AI automated alerts can be incorporated into a comprehensive stroke center hub and spoke system of care. The use of AI to detect ELVO improves clinically meaningful stroke workflow metrics, resulting in faster treatment times for mechanical thrombectomy.
Source: Journal of NeuroInterventional Surgery - June 16, 2022 Category: Neurosurgery Authors: Elijovich, L., Dornbos III, D., Nickele, C., Alexandrov, A., Inoa-Acosta, V., Arthur, A. S., Hoit, D. Tags: New devices and techniques Source Type: research

Time to Endovascular Reperfusion and Outcome in Acute Ischemic Stroke
ConclusionAmong patients with acute ischemic stroke in routine clinical practice, shorter time to reperfusion was associated with better outcome after endovascular therapy. Standardized workflows and training in endovascular treatment techniques should be promoted nationally to reduce in-hospital delays.
Source: Klinische Neuroradiologie - May 27, 2022 Category: Radiology Source Type: research

Modeling the Impact of Prehospital Triage on a True-Life Drip and Ship Mechanical Thrombectomy Urban Patient Cohort
Conclusions: Modeled EMS prehospital triage of ELVO patients ’ results in shorter MT times without a change in thrombolysis times. As triage tools increase in sensitivity and specificity, EMS triage protocols stand to improve patient outcomes.Cerebrovasc Dis Extra 2021;11:137 –144
Source: Cerebrovascular Diseases Extra - November 25, 2021 Category: Neurology Source Type: research

Clinical and Procedural Outcomes with or without Balloon Guide Catheters during Endovascular Thrombectomy in Acute Ischemic Stroke: A Systematic Review and Meta-analysis with First-line Technique Subgroup Analysis INTERVENTIONAL
CONCLUSIONS: Current literature suggests improved clinical and procedural outcomes associated with the use of balloon guide catheters during endovascular thrombectomy, especially when using the first-line stent retriever.
Source: American Journal of Neuroradiology - August 11, 2021 Category: Radiology Authors: Podlasek, A., Dhillon, P. S., Jewett, G., Shahein, A., Goyal, M., Almekhlafi, M. Tags: INTERVENTIONAL Source Type: research

P-006 Update on the reperfusion with cooling in cerebral acute ischemia II (RECCLAIM II) trial
ConclusionThere is limited evidence demonstrating the clinical benefit or impact of neuroprotection in conjunction with endovascular reperfusion therapy for acute ischemic stroke. Combining intravascular therapeutic hypothermia with endovascular reperfusion therapy may provide an opportunity to enhance clinical outcomes in patients with large vessel occlusion.Disclosures R. Gupta: 1; C; Stryker Neurovascular PI ASSIST Registry, Zoll PI RECCLAIM II (No compensation), Cerenovous Steering Committee MEMBRANE study, Medtronic Steering Committee ELEVATE Study, Penumbra CEC MIND Trial, Vesalio PI CLEAR Study, Rapid Medical PI Tig...
Source: Journal of NeuroInterventional Surgery - July 26, 2021 Category: Neurosurgery Authors: Gupta, R., Zaidi, S., Jumaa, M., Badjatia, N., Yoo, A. Tags: Oral poster abstracts Source Type: research

P-021 Tiger study: shorter arterial puncture to revascularization times and first pass effect improves angiographic and clinical outcomes
ConclusionsAmong patients with acute ischemic stroke due to large vessel occlusion, faster time from arterial puncture to revascularization is strongly associated with improved angiographic and 3 month clinical outcomes. These data emphasize the importance of rapid and efficient catheter navigation, device deployment, and clot retrieval for best patient outcomes.Disclosures A. Jadhav: None. R. Gupta: None. E. Levy: None. O. Zaidat: None. D. Yavagal: None. J. Saver: None.
Source: Journal of NeuroInterventional Surgery - July 26, 2021 Category: Neurosurgery Authors: Jadhav, A., Gupta, R., Levy, E., Zaidat, O., Yavagal, D., Saver, J. Tags: Oral poster abstracts Source Type: research

E-025 Aspiration thrombectomy of acute ischemic stroke patients with intracranial atherosclerotic disease or tandem lesion
ConclusionAspiration thrombectomy was effective in restoring blood flow and resulting in good 90-day functional outcome in AIS patients with anterior circulation tandem lesion, and the 90-day mortality rate in these patients was low. No significant difference in outcomes was detected between patients with a stent and patients without a stent.Disclosures O. Zaidat: 1; C; Genentech, Medtronic Neurovascular, Stryker. 2; C; Codman, Medtronic Neurovascular, National Institutes of Health StrokeNet, Penumbra, Stryker. J. Fifi: 1; C; Microvention, Penumbra, Stryker. 2; C; Microvention, Stryker. 4; C; Imperative Care. A. Hassan: 2;...
Source: Journal of NeuroInterventional Surgery - July 26, 2021 Category: Neurosurgery Authors: Zaidat, O., Fifi, J., Hassan, A. Tags: Electronic poster abstracts Source Type: research