Emergent Large Vessel Occlusion Management

Emergent Large Vessel Occlusion Management

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Endovascular Therapy of Ischemic Stroke:

Emergent Large Vessel Occlusion Management – Major Trials:

MR CLEAN – A Randomized Trial of Intraarterial Treatment for Acute Ischemic Stroke. NEJM 2015

ESCAPE – Randomized Assessment of Rapid Endovascular Treatment of Ischemic Stroke. NEJM 2015

EXTEND-IA – Endovascular therapy for ischemic stroke with perfusion-imaging selection. NEJM 2015

SWIFT PRIME – Stent-Retriever Thrombectomy after Intravenous t-PA vs. t-PA Alone in Stroke. NEJM 2015

REVASCAT – Thrombectomy within 8 Hours after Symptom Onset in Ischemic Stroke

IMS III – Endovascular Therapy after Intravenous t-PA versus t-PA Alone for Stroke. NEJM 2013

SYNTHESIS – Endovascular Treatment for Acute Ischemic Stroke. NEJM 2013

MR RESCUE – A trial of imaging selection and endovascular treatment for ischemic stroke. NEJM 2013

ELVO Management Guidelines, Review Articles:

Guidelines:

2015 AHA/ASA Focused Update of the 2013 Guidelines for the Early Management of Patients With Acute Ischemic Stroke Regarding Endovascular Treatment

Embolectomy for stroke with emergent large vessel occlusion (ELVO): report of the Standards and Guidelines Committee of the Society of NeuroInterventional Surgery. J NeuroIntervent Surg 2015

Multisociety Consensus Quality Improvement Guidelines for Intraarterial Catheter-directed Treatment of Acute Ischemic Stroke -SIR

General:

Imaging-Based Selection of Stroke Patients: Physiology, Not Time. Endovascular today 2016

Advances in ELVO Access and Management Endovascular today 2016

Mechanical Thrombectomy Trials in Acute Ischemic Stroke Endovascular today 2016

Endovascular Treatment of Acute Ischemic Stroke: New Data, New Truth. JVIR 2015

Recently Published Stroke Trials: What the Radiologist Needs to Know. Radiology 2015

Evidence-Based Changes in Devices and Methods of Endovascular Recanalization Therapy Neurointervention 2012

Endovascular Approaches to Acute Stroke, Part 2: A Comprehensive Review of Studies and Trials AJNR Am J Neuroradiol May 2009

Intra-Arterial Stroke Therapy: An Assessment of Demand and Available Work Force AJNR Am J Neuroradiol March 2009

Technique:

Endovascular Therapy for Ischemic Stroke J Clin Neurol 2015

Endovascular treatment in patients with acute ischemic stroke: Technical aspects and results. Diagn Interv Imaging 2014

Intra-arterial Stroke Management Semin Intervent Radiol 2013

Off-Label Use of Drugs and Devices in the Neuroendovascular Suite AJNR 2013

Endovascular Stroke Treatment Today AJNR Am J Neuroradiol 2011

Endovascular Approaches to Acute Stroke, Part 1: Drugs, Devices, and Data AJNR Am J Neuroradiol April 2009

 

Helpful Clinical, Imaging Assessment Scores, Scales:

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Alberta Stroke Program Early CT score (ASPECTS)
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Collateral Scoring on multi-phase CT Angiogram
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Modified Rankin Scale – Wiki
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Thrombolysis In Cerebral Infarction (TICI) Score – Stroke 2013
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Other Stroke Assesment Scales – Strokecenter.org

Animations, Videos:

[ezcol_2fifth]Penumbra ACE[/ezcol_2fifth] [ezcol_3fifth_end]

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[ezcol_2fifth]Solitaire revascularization device[/ezcol_2fifth] [ezcol_3fifth_end]
https://www.youtube.com/watch?v=zlQ0E29rB3k
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[ezcol_2fifth]SIR RFS Webinar – Time, Brain, and the Interventional Stroke Treatment Revolution [/ezcol_2fifth] [ezcol_3fifth_end]

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SIR RFS Webinar – Time, Brain, and the Interventional Stroke Treatment Revolution