Cardiology Update

MARCH 25, 2024

Left main coronary artery disease (CAD) and diabetes pose significant challenges in cardiovascular care, often leading to adverse outcomes. Preliminary evidence from trials focusing on patients with multivessel disease has hinted at diabetes as a potential modifier of treatment outcomes.

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Diabetes Coronary Artery Bypass Graft Outcomes Coronary Artery Disease 122

Stroke: Vascular and Interventional Neurology

FEBRUARY 6, 2024

Stroke: Vascular and Interventional Neurology, Ahead of Print. BACKGROUNDMechanical thrombectomy is established for large‐vessel occlusions in acute ischemic stroke, but the potential role in distal vessel occlusions of medium arteries is less well established. Arterial diameters were measured at all these sites.

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Stent Stents Stroke Strokes 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. In order to improve treatment outcomes in these difficult cases, the use of stent‐assisted embolization has been attempted in endovascular treatment of intracranial aneurysms.

Aneurysm 40

Aneurysm Stent Stents Hemorrhage 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page ATMP94-ATMP94, February 1, 2024. Introduction:Current evidence suggests that acute carotid artery stenting (CAS) for cervical lesions is associated with better functional outcomes in patients with acute stroke with tandem lesions (TLs) treated with endovascular treatment (EVT).

Stent 40

Stent Stents Outcomes Angioplasty 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page ATP185-ATP185, February 1, 2024. Introduction:The Resolute Onyx stent has shown promise as an effective treatment for symptomatic intracranial atherosclerotic disease (sICAD), with positive clinical outcomes and low procedural complication rates.

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Stent Stents Stenosis Hemorrhage 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. IntroductionCurrent literature suggests a benefit in functional outcomes and reperfusion rates when carotid artery stenting (CAS) and mechanical thrombectomy (MT) are performed emergently. Stent placement was feasible in all cases.

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Stent Stents Hemorrhage Inpatient 40

Stroke: Vascular and Interventional Neurology

FEBRUARY 6, 2024

Stroke: Vascular and Interventional Neurology, Ahead of Print. OBJECTIVECarotid artery stenting for heavily calcified lesions is challenging for interventionists. A calcium burden is associated with suboptimal dilatation, periprocedural complications, high rates of restenosis, and poor outcomes.

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Stent Stents Stenosis Bradycardia 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page AWP208-AWP208, February 1, 2024. We evaluated patients who underwent emergent carotid artery stenting (CAS) of the ICA with mechanical thrombectomy (MT).Methods:We We evaluated patients who underwent emergent carotid artery stenting (CAS) of the ICA with mechanical thrombectomy (MT).Methods:We

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Stent Stents Outcomes Blood Pressure 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 2, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue 6 , November 1, 2023. Transverse sinus stenting is a new effective treatment for IIH. The patient underwent venous sinus stenting for fulminant IIH. The use of ticagrelor did not lead to any adverse outcomes for the patient or the fetus in our case.

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Stent Stents Hypertension Stroke 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page ATP202-ATP202, February 1, 2024. Background:Advancements in arterial stenting technology have challenged prior notions favoring medical management over endovascular intervention for intracranial atherosclerotic disease (ICAD).

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Stent Stents Technology Article 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. IntroductionVertebral artery stenting represents a viable option in treating symptomatic vertebral artery atherosclerotic stenosis. Patients’ characteristics, procedural details, complications, and outcomes were extracted.

Angioplasty 40

Angioplasty Stent Stents Stenosis 40

Stroke: Vascular and Interventional Neurology

JULY 6, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue 6 , November 1, 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% versus 23.8%;P=0.10).

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Stent Stents Thrombolysis Outcomes 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 17, 2023

Stroke: Vascular and Interventional Neurology, Ahead of Print. The primary outcome was the first‐pass effect (FPE), defined as expanded Treatment in Cerebral Infarction (TICI) 2c/3 on the first pass. male, median age 75 (interquartile range 65–82) years, and median National Institutes of Health Stroke Scale score 8 (5–12).

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Stent Stents Stroke Strokes 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page AWMP9-AWMP9, February 1, 2024. Introduction:Intracranial atherosclerotic disease (ICAD) is a common cause of ischemic stroke worldwide. In the ICADLVO group, 23 out of 68 patients underwent angioplasty, whereas 38 patients received stenting. vs. 4%, p = 0.008). 1.13, p=0.118).Conclusion:Our

Stroke 40

Stroke Strokes Outcomes Angioplasty 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page A53-A53, February 1, 2024. Introduction:Mechanical Thrombectomy improves outcomes in patients with acute ischemic stroke due to large vessel occlusion. Data on demographics and baseline risk factors, occlusion site, and acute treatment was pulled from the stroke registry.

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Hospital Stroke Strokes Stent 40

Stroke: Vascular and Interventional Neurology

DECEMBER 27, 2023

Stroke: Vascular and Interventional Neurology, Ahead of Print. BACKGROUNDCarotid artery stenting (CAS) has emerged as a viable alternative to carotid endarterectomy for managing carotid artery stenosis in high‐risk patients. There are limited data comparing the outcomes of the transradial with the transfemoral approach for CAS.

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Stent Stents Myocardial Infarction Stroke 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. IntroductionMechanical thrombectomy (MT) often fails to achieve successful reperfusion in up to 20% of acute ischemic stroke (AIS) patients with large vessel occlusion (LVO) [1, 2]. ConclusionRS showed promising functional outcomes compared to MM.

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Stent Stents Angioplasty Thrombolysis 40

Frontiers in Cardiovascular Medicine

JANUARY 15, 2024

This systematic review of the literature aims to explore outcomes in the patients treated with conservative management vs. invasive strategy. SCAD-PCI revascularization frequently required three or more stents and had residual areas of dissection. SCAD-PCI revascularization was associated with a variable range of PCI failure.

SCAD 75

SCAD Coronary Artery Bypass Graft Outcomes Myocardial Infarction 75

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page AWP187-AWP187, February 1, 2024. Background:Persistent hypotension after carotid artery stenting (CAS) can lead to adverse outcomes, prolong length of stay (LOS), and increase hospital costs. Persistent hypotension prolonged LOS (P=0.014).Conclusion:Prior

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Stent Stents Blood Pressure Hypertension 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. Diabetes is a risk factor for acute ischemic stroke and also a poor predictor of outcome for many interventional surgeries. vs. 20.5%; p = 0.048) and stenting (28.4% or greater. or greater.

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Outcomes Angioplasty Atrial Fibrillation Diabetes 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. IntroductionCarotid artery stenting (CAS) has emerged as a viable alternative to carotid endarterectomy for managing carotid artery stenosis in high‐risk patients (1). Limited data exists comparing the outcomes of TR approach in CAS to TF approach.

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Stent Stents Myocardial Infarction Stroke 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. IntroductionThe optimal management strategy for large vessel occlusion strokes (LVOS) from intracranial atherosclerotic disease (ICAD) remains debated. Endovascular intervention was defined as either angioplasty, stenting, or a combination of both.

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Angioplasty Stroke Strokes Stent 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page ATP151-ATP151, February 1, 2024. Background and Purpose:The flow diverter (FD) has dramatically improved the treatment outcome of large / giant internal carotid artery (IC) aneurysms. However, it is difficult to predict the treatment outcome of FD just after the treatment.

Aneurysm 40

Aneurysm Outcomes Stent Stents 40

Circulation

OCTOBER 24, 2023

Background:Stopping aspirin within 1 month after implantation of a drug-eluting stent (DES) for ticagrelor monotherapy has not been exclusively evaluated for patients with acute coronary syndrome (ACS). Circulation, Ahead of Print. versus 3.4%; HR, 0.35 [95% CI, 0.20–0.61];P<0.001).Conclusions:This 0.61];P<0.001).Conclusions:This

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Stent Stents Myocardial Infarction Thrombosis 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page A157-A157, 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. in patients with stenting (18/44) versus no-stenting (25/44).Conclusion:This

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Stroke Strokes Stent Stents 40

Circulation

NOVEMBER 23, 2023

There was no difference in net adverse clinical outcomes and each component of coprimary cardiovascular end point. 3.30]) and subacute definite or probable stent thrombosis (0.58% and 0.17%; hazard ratio, 3.40 [95% CI, 1.26–9.23]) years; men, 76.6%; acute coronary syndrome, 75.0%). 1.45];Pnoninferiority=0.01).

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Stent Stents Thrombosis Myocardial Infarction 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. The primary outcome was the first‐pass effect (FPE), defined as eTICI 2c/3 on the first pass. The primary outcome was the first‐pass effect (FPE), defined as eTICI 2c/3 on the first pass. Excellent outcome (mRS 0‐1) occurred in 30.7%

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Stent Stents Outcomes Thrombolysis 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. The primary outcomes were independent functional outcome (i.e. Efforts to optimize the procedure may focus on navigation beyond the occlusion site and retraction of stent‐retriever/aspiration catheter.

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Outcomes Stent Stents Stroke 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. IntroductionThe 2015 American Heart Association Guidelines recommended mechanical thrombectomy with stent‐retriever devices. ICD‐9 and ICD‐10 codes identified Ischemic stroke and mechanical thrombectomy patients.

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Stroke Strokes Cardiac Arrest Inpatient 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. In addition to medical management with DAPT or anticoagulation and high intensity statin, our literature review supports endovascular or surgical interventions due to reportedly good outcomes.

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Stroke Strokes Stent Stents 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page ATMP85-ATMP85, February 1, 2024. Functional, safety, and imaging outcomes were compared between patients in EVT vs. MM.Results:Of 352 enrolled, 100 (28%) had tandem occlusions, with 56 receiving EVT. 3.34; p<0.001), similar to those without TL (aGenOR: 1.59, 95% CI: 1.23-2.05,

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Stroke Strokes Hemorrhage Stent 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. However, IVT's efficacy on stent retriever (SR) and aspiration thrombectomy (ASP) outcomes specifically remain unclear. ResultsWe included four randomized controlled trials with 1176 patients.

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Thrombolysis Outcomes Embolism Stent 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page AWMP87-AWMP87, February 1, 2024. and 4.2%, while good outcome was similar between 40% and 38%. Balloon angioplasty was the treatment technique in 35% and 1.1%, and intracranial stents in 6.4% and 0%, recurrent stroke 6.4% and 0.05%, respectively. Reocclusion was 3.1%

Embolism 40

Embolism Outcomes Hemorrhage Angioplasty 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page A158-A158, February 1, 2024. The patients were divided into two groups: those who received RS (including balloon angioplasty alone, intracranial stenting with or without balloon angioplasty) and those who only received MM. MM: 9%, aOR=0.32, 95%CI 0.14-0.71,p=0.005) p=<0.001).Conclusion:Our

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Angioplasty Stroke Strokes Stent 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. IntroductionTicagrelor use has become more prominent in acute ischemic stroke management in the presence of clopidogrel resistance(1‐2). A total of 162/433 (36.0%) had a presumed stroke etiology of intracranial atherosclerotic disease (ICAD).

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Stroke Strokes Hemorrhage Academic 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page ATP213-ATP213, 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.

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Thrombolysis Stroke Strokes Stent 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 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. 10.75], P=0.02).

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Stroke Strokes Outcomes Stent 40