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Procedure: Arterial Puncture

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Total 44 results found since Jan 2013.

Mobile Interventional Stroke Teams Lead to Faster Treatment Times for Thrombectomy in Large Vessel Occlusion Clinical Sciences
Background and Purpose—Endovascular recanalization treatment for acute ischemic stroke is a complex, time-sensitive intervention. Trip-and-treat is an interhospital service delivery model that has not previously been evaluated in the literature and consists of a shared mobile interventional stroke team that travels to primary stroke centers to provide on-site interventional capability. We compared treatment times between the trip-and-treat model and the traditional drip-and-ship model.Methods—We performed a retrospective analysis on 86 consecutive eligible patients with acute ischemic stroke secondary to large vessel o...
Source: Stroke - November 27, 2017 Category: Neurology Authors: Daniel Wei, Thomas J. Oxley, Dominic A. Nistal, Justin R. Mascitelli, Natalie Wilson, Laura Stein, John Liang, Lena M. Turkheimer, Jacob R. Morey, Claire Schwegel, Ahmed J. Awad, Hazem Shoirah, Christopher P. Kellner, Reade A. De Leacy, Stephan A. Mayer, Tags: Revascularization, Cerebrovascular Disease/Stroke, Cerebrovascular Procedures, Ischemic Stroke Original Contributions Source Type: research

Results of Systemizing Stroke Care in Acute Endovascular Patients (P2.308)
CONCLUSIONS: Implementation of a streamlined routing and transfer process significantly shortened treatment times and decreased complications in our stroke patients. Our pre-established expedited triage, imaging, stroke physician expertise, and mechanical clot retrieval proficiency resulted in more favorable outcomes. With these changes, patients receive the most specialized endovascular care in a highly efficient manner.Disclosure: Dr. Hawkins has nothing to disclose. Dr. Martin has nothing to disclose. Dr. Akhtar has nothing to disclose. Dr. Holloway has nothing to disclose. Dr. Olds has nothing to disclose. Dr. Morris h...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Hawkins, A., Martin, C., Akhtar, N., Holloway, W., Olds, K., Morris, H. Tags: Stroke Systems of Care Source Type: research

Multicenter clinical experience in over 125 patients with the Penumbra Separator 3D for mechanical thrombectomy in acute ischemic stroke
Conclusions The results suggest that the Separator 3D enables safe and effective revascularization of occluded large arteries in acute stroke intervention, leading to a high rate of functional independence at 90 days.
Source: Journal of NeuroInterventional Surgery - December 13, 2015 Category: Neurosurgery Authors: Behme, D., Kowoll, A., Mpotsaris, A., Hader, C., Hechelhammer, L., Weber, J., Weber, W. Tags: Ischemic stroke 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

Endovascular treatment of stroke in children under 2 years with heart failure and ventricular assist device.
CONCLUSION: As a result of the difficulty in performing arterial puncture, the small vessel calibre and the limitation in the use of iodated contrast, there are certain limitations to endovascular treatment of strokes in children that can lead to complications. A multidisciplinary approach to managing such cases would be helpful. PMID: 31072251 [PubMed - as supplied by publisher]
Source: Interventional Neuroradiology - May 12, 2019 Category: Radiology Tags: Interv Neuroradiol Source Type: research

Iatrogenesis imperfecta: stroke caused by accidental carotid artery catheterization.
CONCLUSION:: Even with ultrasound-guided central venous catheterization, it is essential to remain vigilant for the early detection of vascular complications. Clinical suspicion combined with diagnostic modalities such as chest radiograph, transduction and manometry can increase the detection rates. PMID: 25041919 [PubMed - as supplied by publisher]
Source: The Journal of Vascular Access - November 27, 2014 Category: Surgery Tags: J Vasc Access Source Type: research

Anesthetic Management of Emergency Endovascular Thrombectomy for Acute Ischemic Stroke, Part 1: Patient Characteristics, Determinants of Effectiveness, and Effect of Blood Pressure on Outcome.
Abstract In the United States, stroke ranks fifth among all causes of death and is the leading cause of serious long-term disability. The 2018 American Heart Association stroke care guidelines consider endovascular thrombectomy to be the standard of care for patients who have acute ischemic stroke in the anterior circulation when arterial puncture can be made within 6 hours of symptom onset or within 6-24 hours of symptom onset when specific eligibility criteria are satisfied. The aim of this 2-part review is to provide practical perspective on the clinical literature regarding anesthesia care of patients treated ...
Source: Anesthesia and Analgesia - March 20, 2019 Category: Anesthesiology Authors: Hindman BJ Tags: Anesth Analg 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

Safety and Effectiveness of Drip, Ship, and Retrieve Paradigm for Acute Ischemic Stroke: a Single Center Experience.
CONCLUSION: Time-saving measures need to be taken by both the transferring and receiving hospitals in DSR paradigm. PMID: 27432512 [PubMed - as supplied by publisher]
Source: Neurologia Medico-Chirurgica - July 21, 2016 Category: Neurosurgery Tags: Neurol Med Chir (Tokyo) Source Type: research

Clinical and Angiographic Outcomes with the Combined Local Aspiration and Retriever in the North American Solitaire Stent-Retriever Acute Stroke (NASA) Registry
Background: Various techniques are used to enhance the results of mechanical thrombectomy with stent-retrievers, including proximal arrest with balloon guide catheter (BGC), conventional large bore proximal catheter (CGC), or in combination with local aspiration through a large-bore catheter positioned at the clot interface (Aspiration-Retriever Technique for Stroke [ARTS]). We evaluated the impact of ARTS in the North American Solitaire Acute Stroke (NASA) registry.Summary: Data on the use of the aspiration technique were available for 285 anterior circulation patients, of which 29 underwent ARTS technique, 131 CGC, and 1...
Source: Interventional Neurology - October 10, 2017 Category: Neurology Source Type: research

Anesthetic Management of Emergency Endovascular Thrombectomy for Acute Ischemic Stroke, Part 2: Integrating and Applying Observational Reports and Randomized Clinical Trials.
This article concludes with a pragmatic approach to real-time anesthesia decision-making (sedation versus general anesthesia) and the goals and methods of acute phase anesthesia management of endovascular thrombectomy patients. PMID: 30883416 [PubMed - in process]
Source: Anesthesia and Analgesia - March 20, 2019 Category: Anesthesiology Authors: Hindman BJ, Dexter F Tags: Anesth Analg Source Type: research

Aortic and supra-aortic arterial tortuosity and access technique: Impact on time to device deployment in stroke thrombectomy.
CONCLUSION: CTA-based ASMETS can predict time between arterial puncture and deployment of the mechanical thrombectomy device in stroke patients, irrespective of the technique used to catheterise the target ICA. This could inform the operator in preparing appropriate strategies to overcome challenging vascular anatomy in patients undergoing MT. PMID: 33215558 [PubMed - as supplied by publisher]
Source: Interventional Neuroradiology - November 22, 2020 Category: Radiology Tags: Interv Neuroradiol 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