🔥The 9th Round of Easy Loan, Earn $40 Reward is in progress❗️ ⏰ Promotion Period: January 15th - Feburary 15th, 2025 👉 Register now and check more details at gate.io/campaigns/358

In idiopathic intracranial hypertension, lumbar puncture opening pressure strongly correlated with venous sinus pressure gradient (r = 0.76). Patients with higher gradients may derive the most benefit from venous sinus stenting. #IIH #VenousStenting Link:journals.sagepub.com/doi/abs/10.117…

Mechanical Thrombectomy for Large Ischemic Stroke: A Critical Appraisal of Evidence From 6 Randomized Controlled Trials ahajournals.org/doi/10.1161/ST… Stroke AHA/ASA

This systematic review and meta-analysis found a high residual risk of recurrent stroke in patients with atrial fibrillation despite anticoagulation. ja.ma/45meL8C Prof. Ronan Collins

DAYLIGHT trial The Lancet Neurology shows extended CTA (to 6 cm below carina) detects cardioaortic thrombus in 8.8% vs 1.7% w standard CTA in acute stroke/TIA (OR 5.7, p=0.002) w no delay in care. NNS = 14. Mica Schachter, MD 🇺🇲🇦🇷 📌 Consider during code stroke 🔗 doi.org/10.1016/S1474-…

Emerging Advances in the Management of Delayed Cerebral Ischemia After Aneurysmal Subarachnoid Hemorrhage: A Narrative Review mdpi.com/2077-0383/14/1…

Persistent Tissue-Level Hypoperfusion (No-Reflow) Negates the Clinical Benefit of Successful Thrombectomy | Stroke ahajournals.org/doi/10.1161/ST…

Aiming for TICI 4: angiographic and ultrasonographic predictors of parenchymal hemorrhage after successful thrombectomy jnis.bmj.com/content/early/…

In cases with super tortuous arch & low carotid bifurcation, I’ll use a buddy wire (018 Glide Advantage or BMX96) out the ECA in tandem with the working wire during angioplasty & stenting. If stenting the proximal common carotid, try placing the buddy wire out the subclavian.

Retrospective study (N=129) that seems to indicate that 1. Being on antiplatelet therapy does not increase the risk of insertional EVD tract hemorrhage 2. Giving a platelet transfusion does not reduce this risk Overall bleed rate 30%, Sx bleeds 5% sciencedirect.com/science/articl…

Apixaban might be even safer than aspirin for #stroke prevention (pooled RR 0.67 [95% CI=0.43–1.08]). Apixaban seems to be just in the perfect sweet spot !ahajournals.org/doi/epub/10.11…

Zero-degree head positioning for acute LVO patients is a protective maneuver to maintain clinical stability in the pre-thrombectomy phase while awaiting definitive treatment. ja.ma/4jKjyEE

Why wait to stent acutely symptomatic ICAD? Randomized trial data shows lower 1 month stroke rates if patients are treated within 7 days of their qualifying event, contrary to previous FDA recommendations bit.ly/3HugnTU Camilo R. Gomez

Meningeal Embolization for Preventing Chronic Subdural Hematoma Recurrence After Surgery: The EMPROTECT Randomized Clinical Trial jamanetwork.com/journals/jama/… JAMA Network

Trigger Warning (for Neurologists)‼️ Long-Term Follow-Up of #CMOSS reveals superiority of Bypass vs Medical. Why is the Neuro community playing the sound of silence 🤫? Time for a paradigm shift? ⁦JAMA⁩ jamanetwork.com/journals/jama/…

When to WEB? Partially thrombosed aneurysms show a markedly higher rate of retreatment need compared to aneurysms without thrombus with WEB embolization in the this large multicenter WorldWideWeb Consortium study bit.ly/4mRgUPU #Aneurysm #Embolization #WEB

Just Published Outcomes of Emergent Stenting with Antiplatelet Therapy in Patients with Large Vessel Occlusion Stroke with or without Intravenous Tissue Plasminogen Activator doi.org/10.5797/jnet.o…

Aspirin Continuation or Discontinuation in Surgically Treated Chronic Subdural Hematoma? It doesn’t matter! The 6 month SDH recurrence rate is the same whether you continue or stop the ASA. jamanetwork.com/journals/jaman…

Another arrow in the quiver for overcoming ledge-effect and tortuosity preventing distal access in stroke thrombectomy as Jan-Karl Burkhardt, MD et al describe the "slingshot" technique with balloon-guided assisted tracking bit.ly/3HG45rS #Thrombectomy #StrokeCare

CT Perfusion for Predicting Ischemic Stroke in Patients With Symptomatic Carotid or Middle Cerebral Artery Occlusion: A Post Hoc Analysis of the CMOSS Study | Stroke ahajournals.org/doi/full/10.11…

Age isn’t just a number!   Do you know how to tell the age of blood on MRI?   This post shows you how to date blood on MRI so that the next time you see a hemorrhage, your guess on when it happened will always be in the right vein!   No one likes the crazy mnemonic about babies &