Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionCurrent literature suggests a benefit in functional outcomes and reperfusion rates when carotid artery stenting (CAS) and mechanical thrombectomy (MT) are performed emergently. Good clinical outcomes were a < 4 points of NIHSS at 24 hours, mRS (0‐3) at 90 days, and disposition to home or inpatient rehabilitation.

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Stents Stent Hemorrhage Inpatient 40

Stroke Journal

JANUARY 30, 2025

Background and Aims:Endovascular treatment (EVT) alone has been confirmed to be non-inferior to intravenous thrombolysis (IVT) followed with EVT in acute ischemic stroke (AIS) due to large-vessel occlusion of the anterior circulation. Stroke, Volume 56, Issue Suppl_1 , Page AWP253-AWP253, February 1, 2025.

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Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Primary efficacy outcome included successful recanalization (modified thrombolysis in cerebral infarction [mTICI]>=2B) using 3mm Trevo NXT on either first pass or rescue pass (i.e., Primary safety outcome is rate of complications associated with the stent retriever. after initial pass failure with another device).

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Stents Stent Thrombolysis Stroke 40

Stroke Journal

FEBRUARY 1, 2024

Background and Purpose:Although intra-arterial thrombolysis (IAT) is widely used as adjunct with mechanical thrombectomy in acute ischemic stroke patients, the patients who are likely to benefit are not known. Minimum procedure time and lesser number of passes for thrombectomy are related with good neurological outcomes at 90 days.

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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.

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Stents Stent Angioplasty Thrombolysis 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 17, 2023

The primary outcome was the first‐pass effect (FPE), defined as expanded Treatment in Cerebral Infarction (TICI) 2c/3 on the first pass. Intravenous thrombolysis was administered in 39.6%. FPE was associated with higher rates of favorable outcomes (modified Rankin scale score 0–2: 58% versus 43.4%;P=0.01; 0.95];P=0.04).

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Stents Stent Stroke Strokes 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Previous studies in LVO and MeVO have demonstrated a correlation between good clinical outcomes and the first pass effect (FPE, eTICI 2c/3 on the first pass) but no differences in FPE rates or clinical outcomes between first‐line endovascular therapy techniques.1‐6 Intravenous thrombolysis was administered in 39.6%. of patients.

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Stents Stent Outcomes Thrombolysis 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionThe risk of tandem occlusion treatment in the setting of intravenous thrombolysis is unclear. Patients who received thrombolysis and subsequently underwent endovascular therapy for acute ischemic stroke between 2012 and 2022 were included. Baseline demographics and clinical characteristics were compared.

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Angioplasty Thrombolysis Hemorrhage Stents 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

He underwent single pass complete recanalization, TICI 2C using Stent retriever and aspiration. Left ICA stenting was not completed secondary to hemorrhagic transformation. Decision to undergo MT was made secondary to severity of debilitating neurologic symptoms, age, and large perfusion deficit observed.

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Hemorrhage Thrombolysis Stroke Strokes 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).

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Stents Stent Thrombolysis Embolism 40

Dr. Smith's ECG Blog

APRIL 22, 2024

A comparison of electrocardiographic changes during reperfusion of acute myocardial infarction by thrombolysis or percutaneous transluminal coronary angioplasty. Here are other very interesting posts: Wellens' syndrome: to stent or not? Am Heart J. 2000;139:430–436. Eur Heart J [Internet]. 2019;40:283–291.

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Chest Pain Myocardial Infarction Anatomy Angina 118

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%

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Embolism Stents Stent Thrombolysis 40

Stroke Journal

JANUARY 30, 2025

We excluded patients who had a clear contraindication to Eptifibatide, received a stent, or if the luminal stenosis was related to reactive vasospasm and any cases with TICI 0, 1, or TICI 3 scores.Results:Our sample size was 60 (51.7% female, mean age 63.9). p=0.028), discharge mRS (1.3 p=0.009), and 90-day mRS (1.0

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Stenosis Thrombolysis Stroke Strokes 40

Dr. Smith's ECG Blog

MARCH 9, 2013

A stent was placed. I have seen cases of Wellens' syndrome that were ignored because of either negative troponins or normal echo or both and the patient did not get an angiogram and had a bad outcome. Wellen's syndrome is a Reperfusion syndrome. Am J Cardiol (1995) 75 : pp 1206-1210. Wehrens X.H., Doevendans P.A., Ophuis T.J.,

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Chest Pain Myocardial Infarction Ischemia Angina 52

Dr. Anish Koka

JULY 23, 2023

The Times also briefly touches on some other patients of Mustapha who had bad outcomes. Based on these results, Dormu performed a percutaneous transluminal balloon angioplasty and a mechanical atherectomy and stenting of the right superficial femoral artery and stenting of the right superficial femoral artery.

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Vascular Care Outpatient Peripheral Arterial Disease Stent 52

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.

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Myocardial Infarction Pericarditis Angina STEMI 52

Dr. Smith's ECG Blog

JUNE 28, 2018

A comparison of electrocardiographic changes during reperfusion of acute myocardial infarction by thrombolysis or percutaneous transluminal coronary angioplasty. More outcome Peak troponin I was 0.58 Here is the first post-cath ECG (ECG #4). Wehrens XH, Doevendans PA, Ophuis TJ, Wellens HJ. Am Heart J. 2000 Mar;139(3):430-6.

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Chest Pain Myocardial Infarction STEMI Article 52

DAIC

JANUARY 22, 2024

Best Medical Therapy in Acute Ischemic Stroke due to Large VEssel OcclusioN Trial in the Extended Time Window: Raul Nogueira, University of Pittsburgh, Pittsburgh, PA MOST Multi-Arm Optimization of Stroke Thrombolysis Trial: Opeolu Adeoye, Washington University, Saint Louis, MO Thurs.,

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Stroke Strokes Hospital Stent 100

Frontiers in Cardiovascular Medicine

MARCH 17, 2025

A combination of balloon angioplasty, stent implantation, and intra-arterial thrombolysis with recombinant tissue plasminogen activator (rt-PA) was employed, resulting in significant thrombus reduction and improved coronary flow. The patient was discharged with dual antiplatelet therapy and showed favorable outcomes.

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Coronary Artery Bypass Graft Thrombolysis Coronary Artery Disease Myocardial Infarction 52

Dr. Smith's ECG Blog

MARCH 14, 2025

He eventually underwent CAG, where a circumflex occlusion was stented. Here is evidence for this: Opiates are associated with worse outcomes in Myocardial Infarction. Association of intravenous morphine use and outcomes in acute coronary syndromes: Results from the CRUSADE Quality Improvement Initiative. Am Heart J.

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Chest Pain Myocardial Infarction STEMI Ischemia 106