Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Intracerebral hemorrhage (ICH) is a main complication of IVT, with prevalence reported around 3.2% Additionally, extravasation of contrast was seen within the left basal ganglia region, concerning for hemorrhagic transformation from IV‐tPA. He underwent single pass complete recanalization, TICI 2C using Stent retriever and aspiration.

Hemorrhage 40

Hemorrhage Thrombolysis Stroke Strokes 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionVertebral artery stenting represents a viable option in treating symptomatic vertebral artery atherosclerotic stenosis. We included articles reporting patients > 18 years old with symptomatic extracranial vertebral artery stenoses due to atherosclerosis treated with stenting (with or without angioplasty).

Angioplasty 40

Angioplasty Stent Stents Stenosis 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Herein, we describe a single‐step approach to deploy Neuroform Atlas stent (Stryker Neurovascular, Fremont, CA) which is a hybrid laser‐cut, nitinol self‐expanding stent without the need for ELW or lesion re‐access using MINI TREK RX (Abbott Vascular, Inc., There was no restriction on time from last known well (TLKW) to MT.

Angioplasty 40

Angioplasty Stent Stents Stroke 40

Stroke: Vascular and Interventional Neurology

JULY 6, 2023

BackgroundFor acute proximal intracranial artery occlusions, contact aspiration may be more effective than stent‐retriever for first‐line reperfusion therapy. stent‐retriever versus 55.5% stent‐retriever versus 55.5% stent‐retriever versus 55.5% versus 23.8%;P=0.10). versus 23.8%;P=0.10). versus 23.8%;P=0.10).

Stent 40

Stent Stents Thrombolysis Outcomes 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Rescue strategies options, including balloon angioplasty alone, rescue stenting (RS) alone, or stent with balloon angioplasty, have shown promise in observational studies and meta‐analyses [3, 4]. The primary efficacy outcome was the shift in the degree of disability, as measured by the modified Rankin Scale (mRS), at 90 days.

Stent 40

Stent Stents Angioplasty Thrombolysis 40

Stroke: Vascular and Interventional Neurology

OCTOBER 2, 2023

BackgroundProcedural intravenous cangrelor has been proposed as an effective platelet inhibition strategy for stenting in acute ischemic stroke. Safety outcomes included rates of symptomatic intracranial hemorrhage, parenchymal hematoma type 2, petechial hemorrhage, and in‐stent thrombosis. 3.28];P=0.836).

Hemorrhage 40

Hemorrhage Thrombosis Stent Stents 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 17, 2023

Overall, symptomatic intracranial hemorrhage was present in 5.6% (18/326) and mortality in 10.9% (35/326) without difference between first‐line technique.CONCLUSIONIn patients with isolated PCA occlusion, SR was associated with a higher rate of FPE compared with CA or combined techniques with no difference in final successful reperfusion.

Stent 40

Stent Stents Strokes Stroke 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Angioplasty and stenting typically require the administration of glycoprotein IIb/IIIa inhibitors and/or dual‐antiplatelets which may increase the risk of hemorrhage in the setting of recent thrombolysis administration.MethodsWe conducted a retrospective analysis of a prospectively maintained patient registry at a comprehensive stroke center.

Thrombolysis 40

Thrombolysis Angioplasty Hemorrhage Stent 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Endovascular intervention was defined as either angioplasty, stenting, or a combination of both. Safety outcomes were comparable with similar rates of symptomatic intracranial hemorrhage (sICH).ConclusionWhile Symptomatic intracranial hemorrhage was low in medically treated patients. Further studies are warranted.

Angioplasty 40

Angioplasty Stroke Strokes Stent 40

Stroke Journal

JUNE 26, 2024

Since then, transfemoral/transradial carotid stenting and transcarotid artery revascularization have emerged as alternatives to endarterectomy for revascularization. Features like intraplaque hemorrhage on MRI and echolucency on B-mode ultrasonography can identify patients at higher risk of stroke with asymptomatic stenosis.

Stenosis 40

Stenosis Stent Stents Atherosclerosis 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

We therefore aim to characterize the antiplatelet regimens, and associated thromboembolic/hemorrhagic outcomes, utilized in patients with aneurysms treated with PED Shield.MethodsFactors including demographics, comorbidities, rupture status, devices placed, and antiplatelet regimen, among others, were collected.

Embolism 40

Embolism Aneurysm Hemorrhage Stent 40

Stroke Journal

FEBRUARY 1, 2024

We also compared the safety of acute carotid stenting (CAS) in TLs with low ASPECTS.Methods:This prospective multicenter study from 16 centers included patients with anterior circulation TL from 2015-2020. 5.02; p=0.86), petechial hemorrhages (OR: 0.79, CI: 0.10-6.05; in patients with stenting (18/44) versus no-stenting (25/44).Conclusion:This

Stroke 40

Stroke Strokes Stent Stents 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 respondents (86%) preferred acute treatment of ICAS‐LVO with rescue stenting (RS) +/‐ angioplasty.

Atherosclerosis 40

Atherosclerosis Angioplasty Biomarkers Stent 40

Stroke: Vascular and Interventional Neurology

FEBRUARY 15, 2024

BACKGROUNDThe optimal endovascular approach for acutely ruptured wide‐neck intracranial aneurysms remains uncertain, and the use of stent‐assisted coiling or flow diversion is controversial due to antiplatelet therapy requirements and potential risks. P= 0.180) and hemorrhagic events (WEB: 3.8% Of the patients, 60.5% versus BAC: 2.8%;P=

Aneurysm 40

Aneurysm Outcomes Hemorrhage Stent 40

Stroke Journal

FEBRUARY 1, 2024

Time from puncture to recanalization was 68 and 42 minutes, and symptomatic intracranial hemorrhage was significantly different between 1.4% Balloon angioplasty was the treatment technique in 35% and 1.1%, and intracranial stents in 6.4% and 4.2%, while good outcome was similar between 40% and 38%. and 0.05%, respectively.

Embolism 40

Embolism Outcomes Hemorrhage Angioplasty 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Outcomes evaluated include modified Rankin scale at 3 months, symptomatic intracranial hemorrhage, mass effect, 90‐day mortality, and whether any stenting or angioplasty was required during mechanical thrombectomy.Results495 patients met the inclusion criteria out of which 69 had HbA1c of 9% or greater. or greater.

Outcomes 40

Outcomes Angioplasty Atrial Fibrillation Diabetes 40

Stroke Journal

FEBRUARY 1, 2024

There was no difference in symptomatic ICH (EVT: 2% vs MM: 0%) or parenchymal hemorrhage (EVT: 2% vs MM: 0%). Frequency of vascular complications was similar to those without tandem lesions and no patients receiving immediate stenting demonstrated parenchymal hemorrhage. MM: 2%; aRR: 9.53; 95%CI, 1.71-53.21; 0.90), p=0.009).

Stroke 40

Stroke Strokes Hemorrhage Stent 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

We compared baseline characteristics and completed a one‐way ANOVA to analyze for outcome measures such as in‐hospital mortality, 90‐day mortality, favorable functional outcome defined as modified Rankin Score (mRS) of 0‐2, at 90 days, symptomatic intracranial hemorrhage (sICH) and asymptomatic hemorrhage (aICH) between groups.

Strokes 40

Strokes Stroke Hemorrhage Academic 40

Stroke Journal

FEBRUARY 1, 2024

carotid stenting) or systemic anticoagulation, hemorrhagic complications, and whom received at least one antiplatelet agent upon discharge. We sought to investigate time-trends and determinants of DAPT prescription after moderate-to-severe NCIS in the Florida Stroke Registry (FSR).Methods:Within

Strokes 40

Strokes Stroke Atherosclerosis Stent 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionThe optimal endovascular approach for wide‐neck intracranial aneurysms (IAs) during the acute phase of bleeding remains uncertain, and the use of stent‐assisted coiling or flow diversion is controversial due to antiplatelet therapy requirements and potential risks (1, 2).

Aneurysm 40

Aneurysm Outcomes Hemorrhage Stent 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Ruptured aneurysmal subarachnoid hemorrhage accounted for 15.7% (8/51) of all patients. There were no hemorrhagic complications. An analysis of the data shows that larger aneurysm dimensions, necessity for adjunctive stent, and minor compaction were significantly associated with inadequate occlusion.

Aneurysm 40

Aneurysm Embolism Hemorrhage Document 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionThe Advanced Neurovascular Access (ANA5, Anaconda Biomed) is a novel stroke thrombectomy catheter comprising a distal self‐expanding covered funnel designed to locally restrict blood flow in the Internal Carotid Artery (ICA) and, when used in conjuction with available stent retreiver, reduce clot fragmentation during clot ingestion.

Stent 40

Stent Stents Stroke Strokes 40

Stroke: Vascular and Interventional Neurology

JANUARY 25, 2024

Most respondents (86%) preferred acute treatment of ICAS‐LVO with rescue stenting (RS)±angioplasty. Fear of hemorrhagic complications (74%) was the most compelling reason not to perform RS±angioplasty.

Atherosclerosis 40

Atherosclerosis Angioplasty Stenosis Biomarkers 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. Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. IntroductionEfficacy and safety of intravenous thrombolysis (IVT) in patients undergoing mechanical thrombectomy (MT) is still debatable.

Thrombolysis 40

Thrombolysis Outcomes Embolism Stent 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionObjective: To evaluate the safety and efficacy of the Tigertriever 13 stent retriever in acute ischemic stroke (AIS) patients with primary distal and medium vessel occlusions (DMVO). Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023.

Thrombolysis 40

Thrombolysis Stent Stents Hemorrhage 40

DAIC

APRIL 4, 2024

This catheter is designed to help deliver interventional devices into the blood vessels in the brain, allowing doctors to place devices like stents or coils, to treat neurovascular diseases and conditions. This type of catheter is commonly used in procedures where precise navigation and access to blood vessels in the brain are required.

Reimbursement 77

Reimbursement Embolism Stent Stents 77

Stroke Journal

FEBRUARY 1, 2024

Primary effectiveness was complete occlusion (Raymond Roy Class 1) without retreatment at 1-year follow-up (core lab adjudicated), and primary safety was major stroke (ischemic/hemorrhagic) in the territory supplied by the target artery or death.Results:129 cases were included (median age 58 years, IQR: 50-67 years, 85% females). mm (IQR: 4.0-7.5)

Aneurysm 40

Aneurysm Stenosis Academic Stent 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Cases of unruptured intracranial aneurysms (UIA) are estimated to affect roughly 3% of the general population and aneurysmal subarachnoid hemorrhage (aSAH) have an incidence of 8 to 9 people per 100,000. IntroductionIntracranial aneurysms, both ruptured and unruptured, pose a significant risk to the general population.

Aneurysm 40

Aneurysm Embolism Stent Stents 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

In light of postoperative CT head showing SAH in the basilar, perimesencephalic, prepontine cisterns, interhemispheric fissure and right frontal sulci as well as intraventricular hemorrhage in fourth ventricle, her presentation was thought to be secondary to cerebral vasospasm in the setting of postoperative SAH.

Blood Pressure 40

Blood Pressure Stenosis Hemorrhage Thrombosis 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Evolucumab group had a higher stent recovery rate than the non‐user group (70.7 However, there were no significant difference in TICI grade, or symptomatic hemorrhage. There were no significant differences between the two groups in age, gender ratio, major risk factors, stroke etiology, or prior statin treatment. vs 53.4%, p = 0.04).

Stroke 40

Stroke Strokes Stent Stents 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. TICI 2B or greater reperfusion (self‐adjudicated) as achieved in 100% of patients, with a mean time to best TICI of 21 minutes.

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.

Stroke 40

Stroke Strokes Angioplasty Outcomes 40

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). Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023.

Stroke 40

Stroke Strokes Embolism Stent 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionPrevious studies did not show a difference in terms of safety and efficacy among first‐line stent retriever (SR), contact aspiration (CA), or combined techniques for proximal large vessel occlusion strokes. Safety measures included procedural complications, symptomatic intracranial hemorrhage (sICH), and 90‐day mortality.

Strokes 40

Strokes Stroke Outcomes Stent 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionIt is controversial when to pursue carotid artery stenting (CAS) after acute tandem occlusion (TO) strokes treated with endovascular thrombectomy (EVT). Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. CAS performed 2‐7 days after EVT was defined as delayed CAS.

Stent 40

Stent Stents Strokes Stroke 40

Stroke Journal

FEBRUARY 1, 2024

Introduction:Subarachnoid hemorrhage (SAH) following mechanical thrombectomy (MT) is not uncommon. Stroke, Volume 55, Issue Suppl_1 , Page ATMP90-ATMP90, February 1, 2024.

Hemorrhage 40

Hemorrhage Outcomes Stent Stents 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