The age of brain–computer interfaces (BCIs) is coming. But where do we put these devices?
@tomoxl
New article alert! Superior cortical venous anatomy for endovascular device implantation: a systematic review
Exciting potential in glioma treatment: Superselective intra-arterial cerebral infusion of teniposide shows safety and efficacy in case series with 83.3% disease control rate. Promising results call for larger prospective studies!
#Glioma
#endovascular
Latest content in AVF- -Sanchez S et al. studied 60 anterior cranial fossa (ACF)- dAVF on behalf of the CONDOR Consortium. They recommend closure of ACF-dAVFs regardless of presentation, due to the high risk of bleeding.
Including automated ASPECTS scoring in clinical practice might potentially improve expert readings and help frontline physicians make faster and more accurate acute
#stroke
management decisions. A systematic review and meta-analysis by Adamou A. et al.
Is contact aspiration better than stent-retriever for basilar artery occlusion?
@sarov
,
@RaoulPop25
,
@jildazz
demonstrate that this may be so! Check out this new published article:
Featured in JNIS this month: A breakthrough for the field! Researchers demonstrated the success of a fully implantable wireless brain-computer interface (BCI) that allows patients w/ severe paralysis to resume daily tasks! Learn more ⤵️
Jayaraman et al: Triage to a more distant comprehensive stroke center is associated w/ faster time to thrombectomy and less disability at 90 days compared to transfer to closer primary stroke centers.
Learn the snare-over-stentretriever maneuver here A bailout technique for misplaced self-expandable intracranial stents presented by Renee Chapot et al.
@PascalMosimann
Latest content: Raz et al describe the "SuperDyna" fusion imaging method combining Cone-Beam CT and 3D-DSA for better device evaluation aiding treatment assessment and patient education
@eytanraz
@shapiro_maksim
#3D
#ConeBeamCT
🌟 Breakthrough in Neurology! Venous Sinus Stenting (
#VSS
) offers hope for patients with medically-refractory
#IIH
. Recent study sheds light on long-term. Are you ready to for the future? Check it out in
@JNIS_BMJ
!
#NeuroScience
#MedicalInnovation
🧠💡👩⚕️
A new deep learning model accurately predicts difficult transfemoral access in stroke thrombectomy, simplifying decision-making for arterial access strategies in torturous extracranial vascular anatomy.
@ManuRequenaRuiz
@ooliverdiaz
@MagJablonska
Latest in pediatric
#NeuroIR
- - Pearl M et al. describe technique of 'endovascular embolic hemispherectomy’ for tx of seizures in neonates and young infants with hemimegalencephaly (HME) and in whom surgical hemispherectomy is not a viable option.
🧠 Do you have aneurysmal subarachnoid hemorrhage patients who remain debilitated with long-term neuropsychiatric outcomes despite successful aneurysm treatment and "good" functional outcomes? New review from
@DanniDiestro
@SmhNeuroVasc
@BAFOUND
How do you approach spinal EPIdural fistulas?
@charlesbeaman
et al. of
@UCLAHealth
: These rare lesions may be adequately treated by endovascular embolization with their series of 26 cases. 69% demonstrate early improved clinical outcomes. New pub alert 🚨
Its official, size doesn’t matter!
@marcocolasurdo
et al provide a meta-analysis of 6 RCTs showing the benefit of EVT in LVO with ASPECTS 3-5 within 6 hours of LKW. NNT = 4.7 for mRS 0-2 outcomes over medical management.
#strokecare
#thrombectomy
🌟 Breaking News: Brain AVM Hemodynamics = risk?! 🧬🔬 MIPM and QDSA used to measure hemodynamics. Higher pressure in AVMs is a key in rupture risk. Revolutionize how we predict and manage brain AVMs! 🧠💥
#Neuroscience
#AVMResearch
#MedicalInnovation
🎯 Major Findings in Stroke 🌟
Hopeful twist in recovery! Despite 75% patients experience intracranial hemorrhage post-EVT, functional outcomes remain unaffected. 🧠💪 SELECT2 trial shows hemorrhages are not the end of the road! 🚀
Read the full study 👉
Latest content: Schulze-Zachau et al. found MeVO had twice the frequency of vessel perforation vs. LVO during
#thrombectomy
. Navigation beyond the occlusion and retraction of stent retriever/aspiration catheter were the highest risk steps.
#stroke
@MPeyT1
New tech: Promising results in the treatment of pulsatile tinnitus using BosStent, a novel braided stent for sigmoid/transverse sinus stenosis. Study shows complete resolution of PT symptoms in all patients, with no complications.
#endovascular
#tinnitus
Just in: PEDVU(R) study results: Pipeline Vantage Embolization Device (PEDV) shows >90% occlusion rates in unruptured cohort at short/medium-term follow-up. Superior efficacy and similar safety in unruptured cases.
@ThomasCBooth
@KingsImaging
#aneurysm
Seyedsaadat et al: Systematic review and meta-analysis of submaximal angioplasty without stenting for the treatment of symptomatic intracranial atherosclerotic disease.
Latest content- Fargen K et al. report that venography under general anesthesia may provide information that is not substantially different than in awake patients, as the
#gradient
across the lateral transverse sinus remains mostly unchanged
#IIH
Latest in devices- - Oliver AA et al. review bioresorbable flow diverters for the treatment of intracranial
#aneurysms
: review of current literature and future directions.
#flowdiversion
#brainaneurysm
Tiny bubbles, big implications?! 💡 Discover the not-so-innocent truth about air microemboli. Despite meticulous precautions, tiny bubbles may lead to silent neurocognitive decline. It's time to modernize our approach and explore solutions for safer angio.
Latest content: Zoppo et al. used a rabbit model to test SEAL Arc, a novel new double layered, neck bridging, hybrid nitinol mesh intrasaccular device and compare to the WEB device with excellent complete early aneurysm occlusion.
#aneurysm
#flowdiversion
JNIS Latest Content - Basic Science
Pereira et al: Torrents of torment: turbulence as a mechanism of pulsatile tinnitus secondary to venous stenosis revealed by high-fidelity computational fluid dynamics.
Ng et al: Middle meningeal artery embolization as an adjuvant treatment to surgery for symptomatic chronic subdural hematoma: a pilot study assessing hematoma volume resorption.
In the age of intrasaccular flow disruption for bifurcation aneurysms, how does L-stenting compare? Still pretty good: Adequate occlusion rate of 88.7%! This CORE LAB ADJUDICATED study can serve as a comparator arm for new devices:
@jmascite
@rdeleacymd
We are committed to publishing first class research that will have an impact in neurointerventional surgery. To thank our authors, readers, editors & reviewers for their contributions, our top cited articles are free to access
Comprehensive review of imaging in diagnosing intracranial atherosclerotic disease (ICAD)! From CT and MR angiography to high-res MRI and CTP scans, new techniques reveal detailed plaque characteristics and blood flow dynamics. 🧠🔍
#StrokeAwareness
Debate on stenting for idiopathic intracranial hypertension!
@DrMichaelLevitt
and
@CPDerdeyn
make their points: & Should venous stenting be 1st line tx or are RCTs needed? Comment below! Image from
New European multi-center study on the Contour Neurovascular System for treating cerebral aneurysms shows promising results. In a large multicenter cohort, 91.5% of aneurysms achieved adequate occlusion with low complication rates.
@cgriessenauer
Latest content: Navia et al. demonstrate an association between the position of the guide catheter, microguidewire and first-pass reperfusion in patients with acute ischemic stroke undergoing mechanical thrombectomy with ADAPT.
Aneurysm Risk Breakdown: New study from Chinese centers finds unruptured aneurysms in those with multiple intracranial aneurysms after subarachnoid hemorrhage were far more dangerous than without SAH. Read more:
#AneurysmResearch
@DrMichaelLevitt
thoughts?
BREAKING NEWS - - Expedited recommendation on indication for intravenous thrombolysis before mechanical thrombectomy in patients with acute ischemic stroke and anterior circulation LVO. A standards guideline by
@JNIS_BMJ
and ESJ
@ESOstroke
@esmintsociety
Latest in spinal AVF - - complete cure of spinal AVFs with dual lumen balloon assisted embolization alone was obtained in 80% of cases (8/10).
#NeuroIRtip
Mohammaden et al: Safety and efficacy of ticagrelor as single antiplatelet therapy in prevention of thromboembolic complications associated with the Pipeline Embolization Device (PED): multicenter experience.
Latest in
#stroke
- Weller JM et al. show that ongoing intravenous thrombolysis upon flow restoration during endovascular thrombectomy improves outcome in
#EVT
. Data from the German-Stroke Registry.
@Gaborpetzold
Baker A et al. on behalf of SNIS: position statement on pregnancy and parental leave for physicians practicing neurointerventional surgery
@amandaebaker
@SNISinfo
Latest in neuroimaging- - Dr. Raz et al. describe the acquisition and reformatting of state of the art high resolution cone beam CT in the angio suite.
@eytanraz
#conebeam
#CTA
JNIS Latest Content - Ischemic Stroke
Raychev et al: Impact of eloquent motor cortex-tissue reperfusion beyond the traditional thrombolysis in cerebral infarction (TICI) scoring after thrombectomy.
Latest JNIS podcast - Major complication of venous sinus stenting in idiopathic intracranial hypertension presented by
@JNISEditor
Dr Albuquerque and Dr Fargen
@kylefargen
.
A case series "Mechanical thrombectomy with a balloon-guide catheter: sheathless transradial versus transfemoral approach" by Waqas M et al. showing similar safety profiles, angiographic results, and clinical outcomes.
@EladLevyMD
Radial or femoral access for thrombectomy? The STAR registry shows radial access is associated with shorter reperfusion times and similar recanalization rates compared to femoral access.
Photorealistic images of a brain AVM using a customized post-processing cinematic rendering software platform on 3T MRI provide viewing angles that cannot be achieved using conventional neuroimaging modalities
@dhairyalakhani
@gerarddeib
Tiger style! 🐅 Having trouble with mechanical thrombectomy in large vessel occlusions with underlying ICAD? The Tigertriever’s gradual control of radial expansion may allow for improved reperfusion.
@DiegoOjeda2020
@esamaniego
#Stroke
#thrombectomy
Latest content - - Berenstein A showed successful navigation of the Bendit Steerable Microcatheter to all aneurysms without a guidewire. A new concept of neurovascular navigation.
@MountSinaiNeuro
🚨 Breaking Research in Stroke Treatment! 🧠💉
Unlocking the secrets of Stroke Thrombectomy.
Which technique leads to the most effective first-pass reperfusion? 🔄
ANSWER Stent retriever for the win (P=0.01) v primary aspiration!
🔗 Read in
@JNIS_BMJ
here: