Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

With the advancement of endovascular coil devices, aneurysm embolization with coiling is becoming the more preferred treatment approach compared to craniotomy with microsurgical clipping. Primary outcomes were functional status recorded as modified Rankin scores (mRS) and radiographic occlusion rates documented as Raymond‐Roy scores.

Aneurysm 40

Aneurysm Embolism Stent Stents 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

However, IVT's efficacy on stent retriever (SR) and aspiration thrombectomy (ASP) outcomes specifically remain unclear. Moreover, our results indicate that administration of IVT before MT may improve certain outcomes based on the used first‐line MT technique.

Thrombolysis 40

Thrombolysis Outcomes Embolism Stents 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

We studied the effects of COA treatment with FD alone or in combination with coil embolization, based on the origin of the ophthalmic artery in‐relation to the aneurysm sac.MethodsRetrospective analysis of a prospectively collected tertiary center database. directly from the aneurysm fundus, B. aneurysm neck, C. aneurysm neck, C.

Aneurysm 40

Aneurysm Outcomes Embolism Stents 40

Stroke Journal

FEBRUARY 1, 2024

This study aimed to compare the outcomes of BGC vs non-BGC in DMVO thrombectomy.Methods:This retrospective study focused on DMVO cases defined as occlusions in M2-M4 middle cerebral artery, anterior cerebral artery, and posterior cerebral artery. The BGC group was associated with a lower mTICI score ≥ 2C (overall: 43.2%

Embolism 40

Embolism Stents Stent Thrombolysis 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

The stent–aspiration (Solumbra) technique uses a large bore aspiration catheter with a stent retriever device for potential synergistic effects. The technique involves deploying a stent retriever through microcatheter and large bore aspiration catheter like ACE 68 (Penumbra, Inc.), years, mean NIHSS 9.1).

Stents 40

Stents Stent Thrombolysis Embolism 40

Open Heart

JANUARY 19, 2023

Ischaemic events were defined as myocardial infarction, stroke, transient ischaemic attack or peripheral embolism at 1 year. Patterns of Non-adherence to Anti-Platelet Regimen in Stented Patients (PARIS) and Coronary Revascularisation Demonstrating Outcome Study in Kyoto (CREDO-Kyoto) integer scoring systems were tested.

Aortic valve 52

Aortic valve TAVR Aortic Myocardial Infarction 52

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionTo provide our single‐institution experience and outcome data with the WEB device in 51 patients treated for ruptured and unruptured intracranial aneurysms.MethodsOcclusion rates in a cohort of 51 patients treated with WEB were collected at time of procedure and at last follow‐up between the years 2019 and 2021.

Aneurysm 40

Aneurysm Embolism Hemorrhage Document 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Hemodynamic and embolic factors attribute towards the microembolization from the proximal carotid stump through the external carotid artery (ECA), into the facial artery and IMax and their distal branches which anastomose with the ophthalmic artery, causing the emboli to end up in the major branches of the carotid terminus.

Stroke 40

Stroke Strokes Stents Stent 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionThe 2015 American Heart Association Guidelines recommended mechanical thrombectomy with stent‐retriever devices. We analyze the national trends in mechanical thrombectomy use and outcomes for stroke five years after publication of the US guideline update.MethodsWe analyzed the National Inpatient Sample from 2012‐2019.

Stroke 40

Stroke Strokes Cardiac Arrest Inpatient 40

Stroke Journal

FEBRUARY 1, 2024

A subanalysis of the TIGER study data was performed in order to assess the effectiveness and safety of Tigertriever in small and large clot sizes.Methods:The TIGER study was a single arm, prospective, multi-center trial assessing the efficacy and safety of the Tigertriever, a radially-adjustable stent retriever, for LVO-related stroke.

Embolism 40

Embolism Stent Stents Stroke 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Coil embolization (CE) is safer and more efficacious in the treatment of BTAs compared to open surgery but has increased rate of recanalization. Patient data on demographics, aneurysmal characteristics and management, post‐operative outcomes, ICU management, and withdrawal of care were abstracted from the medical record of eligible patients.

Aneurysm 40

Aneurysm Stents Stent ICU 40

Dr. Smith's ECG Blog

NOVEMBER 25, 2017

On day 3 of hospitalization she underwent coronary angiography, revealing a 95% lesion in the mid-LAD which was stented. Peak troponin, echocardiographic findings, and long term outcome are unknown. One can say with full confidence that is was completely occluded at the time of the presentation ECG. Learning Points: 1.

Chest Pain 52

Chest Pain Pericarditis Embolism Stent 52

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionMechanical thrombectomy using stent retrievers and aspiration techniques has emerged as the standard of care for patients with acute ischemic stroke (AIS) secondary to emergent large vessel occlusion (LVO). The study presented high rates of good functional outcome at Day 90 and low rates of safety events.

Stroke 40

Stroke Strokes Embolism Stents 40

Dr. Smith's ECG Blog

MAY 13, 2024

Several hours later, angiogram showed: Culprit lesion mid LAD, 75% stenosis, TIMI 3, thrombotic, likely the source of the distal LAD 100% embolic occlusion, with TIMI 0 flow. The culprit mid LAD lesion was stented. It is not clear in the report whether thrombectomy was performed on the distal LAD occlusion.

Chest Pain 120

Chest Pain STEMI Ultrasound Heart Attack 120

Dr. Smith's ECG Blog

MAY 23, 2023

And they of course activated the cath lab immediately, where he was found to have acute thrombotic occlusion (TIMI 0) of the proximal LAD, as well as embolic D1 occlusion. LAD and D1 were stented, but flow unfortunately could not be well restored despite efforts (they list the post intervention TIMI flow still as 0). Am J Emerg Med.

Chest Pain 98

Chest Pain STEMI Blog Stent 98

Dr. Smith's ECG Blog

MARCH 11, 2016

It was treated with and dual "kissing balloons" and drug eluting stents. Here is the post stent ECG: There is greater than 50% resolution of ST elevation (all but diagnostic of successful reperfusion) and Terminal T-wave inversion (also highly suggestive of successful reperfusion). TIMI flow is 0. Door to balloon time was 51 minutes.

Myocardial Infarction 52

Myocardial Infarction Pericarditis Angina STEMI 52

DAIC

JANUARY 22, 2024

Kown, Asan Medical Center, Seoul, Korea Golden Bridge II Effect of an Artificial Intelligence-Based Clinical Decision Support System on Stroke Care Quality and Outcomes in Patients With Acute Ischemic Stroke : A Cluster-Randomized Clinical Trial: Zixiao Li, Beijing Tiantan Hospital, Capital Medical University, Beijing, China Friday, Feb.

Stroke 100

Stroke Strokes Hospital Stent 100

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

There was a higher proportion of embolic stroke of undetermined source (ESUS) in the success group compared with the failure group (8.5% Stent‐retrieval alone (SR) was a more common first pass technique in failed than in successful MT (14.3% Recanalization failure was defined as TICI 0‐2a and success as TICI 2b‐3. vs 0%, p=0.039).

Atherosclerosis 40

Atherosclerosis Stents Stent Academic 40

Dr. Smith's ECG Blog

MARCH 8, 2025

After stent deployment, we often see improvement in the ST-T within seconds or minutes. Third, a slow motion segment showing delayed, brisk filling of the PDA due to dislodgment of a thrombus from contrast injection and distal embolization. Here is the final angiogram following placement of a stent in the ostial RCA.

Cardiomyopathy 75

Cardiomyopathy Myocardial Infarction Defibrillator Bradycardia 75

Dr. Smith's ECG Blog

MARCH 25, 2025

And it is definitely possible that a more proximal LCx lesion ruptured and produced distal embolism. A 2017 trial named CULPRIT SHOCK found that in patients with cardiogenic shock, a strategy of culprit vessel PCI only was associated with better outcomes than immediate multivessel PCI. Uncertainty about culprit vessel is very common.

Chest Pain 63

Chest Pain Ischemia Plaque Stents 63

Dr. Smith's ECG Blog

OCTOBER 27, 2024

No pulmonary embolism is identified. A paradox in the literature: All trials of very early intervention for NSTEMI which do not exclude patients with persistent chest pain show that intervention in < 2 hours results in a better outcome. First obtuse marginal also had an 80% stenosis and was stented.

STEMI 121

STEMI Chest Pain Myocardial Infarction Aneurysm 121