Stroke: Vascular and Interventional Neurology

JANUARY 25, 2024

Most neurointerventionalists (91%) diagnose ICAS‐LVO after a continued or recurrent occlusion or by the presence of fixed focal stenosis after multiple mechanical thrombectomy attempts. Most respondents (86%) preferred acute treatment of ICAS‐LVO with rescue stenting (RS)±angioplasty.

Atherosclerosis 40

Atherosclerosis Angioplasty Stenosis Biomarkers 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Treatment of ICAS‐LVO with rescue stenting and/or angioplasty has shown promising outcomes, but diagnosing ICAS‐LVO during MT can be challenging [2, 3]. Most neurointerventionalists (91%) diagnose ICAS‐LVO after a continued or recurrent occlusion or by the presence of fixed focal stenosis (FFS) after multiple MT attempts.

Atherosclerosis 40

Atherosclerosis Angioplasty Biomarkers Stent 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

MRA head demonstrated multifocal arterial stenosis. Repeat CTA head/neck and CT perfusion showed severe stenosis of bilateral M1 segments and left greater than right A1 segments as well as ischemic penumbra in left ACA/MCA watershed territory.

Blood Pressure 40

Blood Pressure Stenosis Hemorrhage Thrombosis 40

Stroke Journal

FEBRUARY 1, 2024

The PREMIER study first demonstrated high rates of complete occlusion without parent vessel stenosis or permanent neurological complications after the treatment of wide-necked small and medium-sized intracranial ICA aneurysms with the 48-wire pipeline. Median aneurysm and neck size were 5.8 mm (IQR: 4.0-7.5) At a median 10.1 months (IQR: 6.3-12.6),

Aneurysm 40

Aneurysm Stenosis Academic Stent 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Options include initial angioplasty and/or stenting of the cervical lesion followed by intracranial thrombectomy versus Dotter navigation of catheters through the cervical lesion to first target the intracranial LVO. The degree of cervical ICA stenosis following thrombectomy improved from 96.5%

Stenosis 40

Stenosis Angioplasty Circulation Strokes 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Patient underwent emergent mechanical thrombectomy with ADAPT to TICI3 revascularization with future plan for possible angioplasty and stenting of R vertebral stenosis. Initially maintained on aspirin and Cangrelor infusion, then transitioned to aspirin and Plavix without hemorrhagic conversion.

Strokes 40

Strokes Stroke Angioplasty Outcomes 40

DAIC

JANUARY 22, 2024

Late-Breaking Science sessions and concurrent oral abstract presentations are as follows: Wed., MT) TESLA: The Thrombectomy for Emergent Salvage of Large Anterior Circulation Ischemic Stroke Trial: 1-Year Outcome: Osama Zaidat, Mercy Health St.

Strokes 100

Strokes Stroke Hospital Thrombolysis 100

Dr. Smith's ECG Blog

AUGUST 9, 2019

61,62) The interventional community defines occlusive LM disease as >50% by FFR, or ≥75% stenosis,(63) but urgent or emergent intervention on lesions not meeting these thresholds is only imperative if it is a thrombotic lesion and the patient has refractory ischemic symptoms (i.e. TIMI 0/1 flow).(61,62) Knotts et al.

Myocardial Infarction 52

Myocardial Infarction Ischemia STEMI Cardiogenic Shock 52