Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Intravenous thrombolysis was deferred as the patient was on pre‐admission anticoagulants. XIENCE Skypoint™ stent was deployed within the left vertebral artery (V4 segment) with restoration of flow preceded by eptifibatide drip (Fig 2). Rescue strategies to increase MT success in the posterior circulation have been explored.

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Stents Stent Thrombosis Thrombolysis 40

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. Stent placement was feasible in all cases. Dual antiplatelet therapy with aspirin and clopidogrel was used in 15 patients before stenting.

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Stents Stent Hemorrhage Inpatient 40

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 Stroke Strokes 40

Stroke: Vascular and Interventional Neurology

FEBRUARY 19, 2024

P < 0.001) and more likelihood of achieving Thrombolysis in Cerebral Infarction 3 (79.5% Use of intravenous tissue‐type plasminogen activator, hypertension, final Thrombolysis in Cerebral Infarction 3, and lower baseline National Institutes of Health Stroke Scale score were independent predictors of functional outcome.

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Stents Stent Circulation Stroke 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 patients were divided into two groups: those who received RS and those who only received MM.

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Stents Stent Angioplasty Thrombolysis 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 17, 2023

Intravenous thrombolysis was administered in 39.6%. BACKGROUNDThe optimal reperfusion technique in patients with isolated posterior cerebral artery (PCA) occlusion is uncertain. 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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Stents Stent Stroke Strokes 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. Future prospective, multi‐center studies would be beneficial.

Thrombolysis 40

Thrombolysis Angioplasty 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.

Hemorrhage 40

Hemorrhage Thrombolysis Stroke Strokes 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Intravenous thrombolysis was administered in 39.6%. 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

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Stents Stent Outcomes Thrombolysis 40

Frontiers in Cardiovascular Medicine

JANUARY 30, 2024

Overall, 27/36 procedures were interventional, including 6 aortic valvuloplasties, 6 balloon angioplasties, and 15 stenting procedures. Results We identified 30 patients (66.7% males) with a median age of 1.1 months (IQR, 0.3–5.4), 5.4), and a median weight of 3.1 kg kg (IQR, 2.7–3.7). months (IQR, 1.7–5.1). mm (IQR, 2.4–3).

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Pediatrics Congenital Heart Disease Thrombosis Angioplasty 49

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.),

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Stents Stent Thrombolysis Embolism 40

Stroke Journal

FEBRUARY 1, 2024

Baseline characteristics and technical and clinical outcomes were compared between the two groups, with subgroup analysis in first-line thrombectomy techniques, including ADAPT, stent retriever, and Solumbra. The BGC group was associated with a lower mTICI score ≥ 2C (overall: 43.2% vs. 52.7%, p = 0.01; ADAPT: 42.2%

Embolism 40

Embolism Stents Stent Thrombolysis 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.

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Chest Pain Myocardial Infarction Anatomy Angina 122

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.

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Thrombolysis Stents Stent Hemorrhage 40

Dr. Smith's ECG Blog

DECEMBER 19, 2023

The commonest causes of MINOCA include: atherosclerotic causes such as plaque rupture or erosion with spontaneous thrombolysis, and non-atherosclerotic causes such as coronary vasospasm (sometimes called variant angina or Prinzmetal's angina), coronary embolism or thrombosis, possibly microvascular dysfunction.

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Plaque Angina Blog Stents 127

Dr. Anish Koka

JULY 23, 2023

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. Another superficial femoral artery stent was placed as well. All stents were occluded.

Vascular Care 52

Vascular Care Outpatient Peripheral Arterial Disease Stents 52

Dr. Smith's ECG Blog

MARCH 9, 2013

A stent was placed. A comparison of electrocardiographic changes during reperfusion of acute myocardial infarction by thrombolysis or percutaneous transluminal coronary angioplasty. Am J Cardiol (1995) 75 : pp 1206-1210. Wehrens X.H., Doevendans P.A., Ophuis T.J., Am Heart J (2000) 139 : pp 430-436.

Myocardial Infarction 52

Myocardial Infarction Chest Pain Ischemia Angina 52

EMS 12-Lead

AUGUST 14, 2022

A second 12 Lead ECG was recorded: This is a testament to the dynamic nature of coronary thrombosis and thrombolysis. One stent was deployed with restorative TIMI-0 flow. The patient verbalized spontaneous improvement just before 324mg ASA administration. But the lesion is still active! However, when the Troponin I returned 8.4

STEMI 52

STEMI Sudden Cardiac Death Thrombosis Thrombolysis 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.

Myocardial Infarction 52

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. 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. PubMed PMID: 10689257.

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Chest Pain Myocardial Infarction STEMI Article 52

DAIC

JANUARY 22, 2024

Late-Breaking Science sessions and concurrent oral abstract presentations are as follows: Wed., 7 Late-Breaking Science Oral Abstracts I (beginning at 2:00 p.m. MT) TESLA: The Thrombectomy for Emergent Salvage of Large Anterior Circulation Ischemic Stroke Trial: 1-Year Outcome: Osama Zaidat, Mercy Health St.

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Stroke Strokes Hospital Thrombolysis 100