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3 Monate nach Schlaganfall konnten mehr als die Hälfte der unter 60-Jährigen ohne fremde Hilfe zu Hause leben (56%), bei den über 80-jährigen waren es nur 15%. Die Sterblichkeit nach 90 Tagen betrug 15% bei den jungen Patienten gegenüber 64% bei den über 80-Jährigen.

This study published in JAMA Network Open from Hamburg has revealed striking differences in outcomes for #stroke patients based on age. jamanetwork.com/journals/jaman… Their study showed that the rate of independent ambulation—being able to walk without assistance—decreased sharply

Reperfusion followed by immediate systolic blood pressure reduction (LA, CS) bit.ly/3XD2oRg‼️ European Stroke Org WINN 🇺🇦 Helena Guerreiro Gabriel Broocks Fabian Flottmann

Getting more aggressive? WHY we stop attempting reperfusion? Complications + distal occlusion! bit.ly/3Y4f9EO Recent data from 🇩🇪 German Stroke Registry. @DGNR_org JNIS ESMINT Society Matthias Bechstein Rosalie McDonough Laurens Winkelmeier

HAST 2024 in Hamburg 🍔🇩🇪 Looking forward to summarizing latest EVT studies in stroke. Did I forget anything? @DGNR_org UKE Hamburg Lukas Meyer Laurens Winkelmeier

#STROKE January #EditorPick: Penumbral imaging could guide treatment decision-making in DMVOs, particularly in cases of suspected non- or co-dominant M2 vessel occlusions. #AHAJournals ahajournals.org/doi/full/10.11…

No overall better outcome of EVT vs. BMT in acute symptomatic ICA occlusions below CoW. bit.ly/40GHwdm Good outcome after EVT mainly decreased by periprocedural emboli downstream. @DGNR_org ESMINT Society Radiology Adnan H. Siddiqui, MD Tudor G. Jovin, MD Vladimir Kalousek

Secondary TENSION RCT analysis: EVT works with good and poor collaterals in large core stroke. No significant difference. bit.ly/3Qydcfc Single-phase CTA scoring. TENSION Study Clinical Stroke & Imaging Analysis Lab Basel Lukas Meyer Luís H Castro-Afonso Fabian Flottmann Dr. Dai

💡Heard of the TENSION trial ❓ 🧠 TENSION showed benefit of thrombectomy up to 12hrs after a LARGE infarct using non-con CT only! New Radiology paper explores if arterial collaterals may be a modifier:   #RadInTraining  #TWEETORIAL Rad In Training Editor Victoria Chernyak, MD MS FSAR FESGAR FACR A thread 🧵

In patients with large ischemic stroke, thrombectomy within 12 hours significantly reduces 90-day functional disability compared to medical treatment—regardless of collateral status on single-phase CTA. #Stroke #NeuroRadiology Laurens Winkelmeier pubs.rsna.org/doi/10.1148/ra…

Don’t miss the companion editorial by Anass Benomar, MD MSc FRCPC & RaymondJeanMD: Another Step Toward Thrombectomy for All Patients with Severe Ischemic Stroke. 🧠🚑Dive into the latest insights on expanding thrombectomy access. #NeuroRadiology #Stroke pubs.rsna.org/doi/10.1148/ra…

These findings suggest that patients with large ischemic stroke manifesting within 12 hours after onset should undergo endovascular thrombectomy irrespective of single-phase CTA collateral status.

Arterial Collaterals and Endovascular Treatment Effect in Acute Ischemic Stroke with Large Infarct: A Secondary Analysis of the TENSION Trial | Radiology pubs.rsna.org/doi/10.1148/ra…

General Anesthesia Versus Conscious Sedation in Thrombectomy Patients With Low NIHSS Anterior Circulation Stroke | Stroke ahajournals.org/doi/full/10.11…

RCT TENSION Study: 24h NIHSS score with higher impact on outcomes than 24h infarct volume bit.ly/3QMI2kz Topography, structural connectivity, selective neuronal loss❓ Adnan H. Siddiqui, MD Vladimir Kalousek Clinical Stroke & Imaging Analysis Lab Basel Johannes Kaesmacher Johanna Ospel, MD PhD

LVO with NIHSS score 0-5: GA with better recanalization but poorer outcome⁉️bit.ly/3Rrrbnm GSR🇩🇪cohort: 582 pts. after propensity score matching. Ameer E. Hassan ESMINT Society @DGNR_org ENERI - Dr. Pedro Lylyk Shazam Hussain, MD

Thrombectomy With Low ASPECTS: The Roles of Infarct Volume and Postacute Neurological Status | Stroke ahajournals.org/doi/full/10.11…

#STROKE: Subanalysis of the #TENSION trial showed that factors beyond infarct volume, such as the involvement of specific brain regions, disruption of structural networks, selective neuronal loss, and compensatory mechanisms, may significantly impact functional outcomes.

Check out the article ⬇️ ahajournals.org/doi/full/10.11… #AHAJournals Michael D Hill Mayank Goyal Claus Z. Simonsen @gaborpetzold Rolf Blauenfeldt Gabriel Broocks @annehegeaamodt Matthias Bechstein Jens Fiehler Kamil Zeleňák Laurens Winkelmeier

🧵In an observational study based on the German Stroke Registry, the rate of successful recanalization was comparable between patients with anterior circulation LVO with low NIHSS on presentation undergoing EVT with local anesthesia/conscious sedation versus general anesthesia.