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Omeprazole-clopidogrel interaction and neurovascular complications after flow-diverter device placement

Omeprazole-clopidogrel interaction and neurovascular complications after flow-diverter device placement | Neurovascular Intervention | Scoop.it

Omeprazole was associated with a significant increase in the mean P2Y12 reactivity level among patients with intracranial aneurysms treated with flow-diverting devices who received clopidogrel. However, receipt of omeprazole was not associated with an increased risk of ischemic events or stent stenosis. For neuroendovascular patients who are treated with a flow diverter while receiving clopidogrel, alternative gastrointestinal medication regimens should be considered.

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OCD: a risk factor for ischemic stroke

OCD: a risk factor for ischemic stroke | Neurovascular Intervention | Scoop.it

Adult patients with obsessive-compulsive disorder (OCD) are at higher risk for new-onset ischemic stroke, but not hemorrhagic stroke, compared to patients without OCD, according to an analysis from Taiwan. Evidence has mounted in recent years linking OCD to a number of metabolic disorders, including obesity and diabetes, Ya-Mei Bai, MD, PhD, of the Department of Psychiatry at Taipei Veterans General Hospital in Taipei, Taiwan, and colleagues wrote in Stroke.

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Risk of second stroke can be reduced with prevention efforts based on cause of first stroke

Risk of second stroke can be reduced with prevention efforts based on cause of first stroke | Neurovascular Intervention | Scoop.it

Having a stroke caused by blocked blood vessels or a transient ischemic attack (TIA) greatly increases your chances of having a future stroke. Identifying the cause or causes of the first stroke is key to developing strategies to prevent additional strokes. Managing blood pressure levels, reducing or quitting smoking, eating a healthy diet, and regular physical activity will reduce the risk of a second stroke, along with managing conditions such as Type 2 diabetes and high cholesterol. People who experience a stroke or TIA should be screened and potentially treated for the irregular heart rhythm known as atrial fibrillation.

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Thrombectomy Market Will Grow With Newly Approved Adjustable Stent Retriever

Thrombectomy Market Will Grow With Newly Approved Adjustable Stent Retriever | Neurovascular Intervention | Scoop.it

There are two types of devices for extracting stroke-causing clots in the arteries of the brain — stent retrievers and aspiration catheters. These devices can be used individually or in combination. While the clinical outcomes and revascularization rates is similar for both the device, used separately or in conjugation, the aspiration retriever is quicker and easier to operate and is therefore becoming more popular.

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Pipeline Flex Embolization Device with Shield Technology FDA Approved

Pipeline Flex Embolization Device with Shield Technology FDA Approved | Neurovascular Intervention | Scoop.it

Medtronic has won FDA approval for its Pipeline Flex Embolization Device with Shield Technology. The original Pipeline Flex was the first commercially available flow diverter for brain aneurysms. Shield Technology, a novel surface treatment that now encompasses the device, helps to reduce the tendency of the device itself to produce clots.

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Stenting should be reserved for extracranial, not intracranial, vertebral arteries

Stenting should be reserved for extracranial, not intracranial, vertebral arteries | Neurovascular Intervention | Scoop.it

After hearing arguments from either side of this controversial topic, mainly regarding the potential safety risks and clinical benefits associated with intracranial artery stenting in stroke patients, 64% of the CX audience voted in favour of the motion that ‘Only extracranial, not intracranial, vertebral arteries should be considered for stenting’.

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For the Brain, Timing Is Everything

For the Brain, Timing Is Everything | Neurovascular Intervention | Scoop.it

For decades the dominant approach to understanding the brain has been to measure how many times individual neurons activate during particular behaviors. In contrast to this “rate code,” a more recent hypothesis proposes that neurons signal information by changing the precise timing when they activate.

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80% Of Patients Hospitalized With Covid-19 Develop Neurologic Complications And Are 6 Times More Likely To Die, New Study Finds

80% Of Patients Hospitalized With Covid-19 Develop Neurologic Complications And Are 6 Times More Likely To Die, New Study Finds | Neurovascular Intervention | Scoop.it

According to results of a new JAMA Network Open study, 8 in 10 patients hospitalized with Covid-19 developed neurologic complications, with a subsequent sixfold risk of increased mortality. Patients with neurological complications were more likely to die in the hospital compared to patients with no evidence of neurologic involvement, the study also found.

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The study found that having a preexisting neurological condition of any kind -- from brain, spinal cord and nerve diseases to chronic migraines, dementia or Alzheimer's disease, among others -- is the strongest predictor of developing COVID-19-related neurological complications, increasing the risk by two-fold. In addition, having any neurological symptoms related to COVID-19 -- from something as seemingly innocuous as the loss of smell to major events like strokes -- is associated with a six-fold higher risk of dying.

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Changes in the Risk of Stroke in Dialysis Patients: A Retrospective Analysis over the Last 40 Years

Changes in the Risk of Stroke in Dialysis Patients: A Retrospective Analysis over the Last 40 Years | Neurovascular Intervention | Scoop.it

This study analyzed the high incidence of stroke and the risk factors in patients on dialysis with long-term follow-up. DN and inadequate URR control significantly increased overall stroke, but online HDF reduced overall stroke. Age >80 years at HD initiation were significantly associated with stroke and/or death events. Although dialysis technology has advanced over time, these advances are not enough to overcome other risk factors for stroke. Further increase in stroke and mortality due to aging remains a concern.

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First World Stroke Thrombectomy Day to be announced by SVIN MT2020+

First World Stroke Thrombectomy Day to be announced by SVIN MT2020+ | Neurovascular Intervention | Scoop.it

World stroke thrombectomy dayThe Society of Vascular and Interventional Neurology (SVIN) Mission Thrombectomy 2020+ Initiative (MT2020+) will announce the first annual World Stroke Thrombectomy Day at the Global MT Revolution Regional Conference on 15 May 2021. By designating this official day, MT2020+ plans to raise public awareness about thrombectomy surgery for the treatment of severe stroke, and instil new global calls to action.

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Safety, Efficacy, and Durability of Stent Plus Balloon-Assisted Coiling for the Treatment of Wide-Necked Intracranial Bifurcation Aneurysms

Safety, Efficacy, and Durability of Stent Plus Balloon-Assisted Coiling for the Treatment of Wide-Necked Intracranial Bifurcation Aneurysms | Neurovascular Intervention | Scoop.it

Wide-necked bifurcation aneurysms remain a challenge for endovascular surgeons. Dual-stent-assisted coiling techniques have been defined to treat bifurcation aneurysms with a complex neck morphology. However, there are still concerns about the safety of dual-stenting procedures. Stent plus balloon-assisted coiling is a recently described endovascular technique that enables the coiling of wide-necked complex bifurcation aneurysms by implanting only a single stent.

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Noninferiority of mechanical thrombectomy alone reinforced in AIS patients

Noninferiority of mechanical thrombectomy alone reinforced in AIS patients | Neurovascular Intervention | Scoop.it

The noninferiority of mechanical thrombectomy alone—compared to mechanical thrombectomy plus intravenous tissue plasminogen activator (IV-tPA)—for the treatment of acute ischaemic stroke has been demonstrated across more than 109,000 patients within a national US database. These results were presented at the International Symposium on Endovascular Therapy (ISET; 9–11 May, Miami, USA).

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Rapid Medical conclut un financement de série D de 50 M $

Rapid Medical conclut un financement de série D de 50 M $ | Neurovascular Intervention | Scoop.it

Dirigé par Ronen Eckhouse, co-fondateur et PDG, Rapid Medical développe des dispositifs d’intervention pour les maladies endovasculaires telles que les AVC ischémiques et hémorragiques. Utilisant de nouvelles techniques de fabrication, les produits de la société sont réglables à distance et entièrement visibles. Cela permet aux médecins de réagir en temps réel à l’environnement intravasculaire et de mieux contrôler les résultats des procédures.

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Singapore-based HeMo Bioengineering Receives China's NMPA Approval for flagship Afentta(TM) Aspiration Catheter

Singapore-based HeMo Bioengineering Receives China's NMPA Approval for flagship Afentta(TM) Aspiration Catheter | Neurovascular Intervention | Scoop.it

Developed on novel, proprietary technologies, Afentta™'s flagship aspiration catheter offers an efficacious, fast and safe direct aspiration treatment option for acute ischemic stroke thrombectomy and has demonstrated lower post stroke treatment disability rates and disease burden from clinical studies.

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脑膜中动脉栓塞治疗慢性硬膜下血肿:神经介入的下一个风口?

脑膜中动脉栓塞治疗慢性硬膜下血肿:神经介入的下一个风口? | Neurovascular Intervention | Scoop.it

 

 

脑膜中动脉栓塞在全世界范围内得到了广大学者的关注,从现有的临床数据来看,脑膜中动脉栓塞治疗慢性硬膜下血肿安全,相比颅骨钻孔引流复发率更低;对于正在抗聚、抗凝等具有外科手术禁忌的患者尤其具有应用优势。

Beeyond's insight:

Middle meningeal artery embolization has received worldwide attention from scholars. From the available clinical data, middle meningeal artery embolization is safe for the treatment of chronic subdural hematoma and has a lower recurrence rate than cranial borehole drainage; it is especially advantageous for patients with contraindications to surgical procedures such as being anti-poly and anticoagulated.

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Angioplasty Balloons Market: Preference For Drug-coated Balloons Increasing At A Rapid Rate

Angioplasty Balloons Market: Preference For Drug-coated Balloons Increasing At A Rapid Rate | Neurovascular Intervention | Scoop.it

Balloon angioplasty is increasingly being used to carry out various specific tasks during surgeries, such as scoring, cutting, and drug eluting. Manufacturers of angioplasty balloons are focusing on improving patient outcomes by constantly upgrading their existing products. Balloon angioplasty is widely preferred for being minimally-invasive, and can be performed under local anaesthesia, wherein, the patient can be discharged within 24 hours after the surgery, in most cases.

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Stroke

Stroke | Neurovascular Intervention | Scoop.it

Think of a stroke as a "brain attack"— it is an emergency! When symptoms appear, call 911 immediately; every minute counts. A stroke occurs when the brain is deprived of blood supply. Without oxygen, brain cells die. Depending on the area affected, a person may have problems speaking, walking, seeing, or thinking. A stroke may result in permanent brain damage or death. If the stroke is caused by a blood clot, a clot-busting drug or retrieval device may be used to restore blood flow.

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Mechanical thrombectomy versus medical care alone in large ischemic core: An up-to-date meta-analysis

Mechanical thrombectomy versus medical care alone in large ischemic core: An up-to-date meta-analysis | Neurovascular Intervention | Scoop.it

Thrombectomy remained safe and effective by careful selection in patients with low ASPECTS. More studies were warranted to explore contraindications for mechanical thrombectomy in AIS patients, especially in patients with large core volume.

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Types of Stroke

Types of Stroke | Neurovascular Intervention | Scoop.it

Just as strokes have many effects, they also have many causes. Learn the various types of stroke and related treatment.

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水凝胶:有望替代弹簧圈,成为颅内动脉瘤治疗新选择

水凝胶:有望替代弹簧圈,成为颅内动脉瘤治疗新选择 | Neurovascular Intervention | Scoop.it

弹簧圈作为治疗颅内动脉瘤的方法之一,已有多年历史,并且成为如今颅内动脉瘤治疗方案。尽管技术越来越成熟,但是弹簧圈依旧存在很多不足,甚至致命不足。例如弹簧圈脱落、弹簧圈放置过程导致动脉瘤破裂等等。甚至有些产品并发症高达30%,太可怕了。
韩国浦项科技大学的研究人员看到弹簧圈不足,希望改进。当然他们不像在弹簧圈上进行修修补补,而是通过全新技术进行革新颅内动脉瘤治疗技术。他们选择水凝胶方式来替换弹簧圈。

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Light-Responsive Hydrogel to Fill Cerebral Aneurysms

Light-Responsive Hydrogel to Fill Cerebral Aneurysms | Neurovascular Intervention | Scoop.it

Researchers at Pohang University of Science & Technology (POSTECH) in Korea have developed a new technique to treat cerebral aneurysms. Described in journal Advanced Materials, the treatment involves using a catheter to deliver an alignate hydrogel that is crosslinked in place within the aneurysm using light. The hydrogel is not degradable and can reside within the body for extended periods. As an alternative to coil embolization, the hydrogel stabilizes the aneurysm and reduces the chance of it bursting.

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Woman died after ambulance prevented from going to closest hospital

Woman died after ambulance prevented from going to closest hospital | Neurovascular Intervention | Scoop.it

Shortly after 8 a.m., as Tate and a group of workers came off a break, she felt worse. Tate asked for a piece of bread with honey. A co-worker hustled to get it. She returned to find Tate leaning against a counter, supporting herself with one hand. The left side of Tate’s face drooped; she was slurring her words.

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How to Know if You're Having a Stroke - Unilab

How to Know if You're Having a Stroke - Unilab | Neurovascular Intervention | Scoop.it

Stroke happens when one of your arteries develops a blockage or suddenly bursts. A stroke is usually a result of an underlying condition, but can also occur even in healthy individuals. There are two kinds of stroke: ischemic and hemorrhagic, with the former being the most common type. The main difference between the two is that an ischemic stroke is caused by a blood clot in an artery, while a hemorrhagic stroke is the result of a ruptured or leaking artery. Both types of stroke are classified as a medical emergency. Every minute lost during an attack can change a person’s life forever, so it’s important that you recognize the initial signs before it’s too late.

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FDA clears Aspire MAX mechanical thrombectomy system

FDA clears Aspire MAX mechanical thrombectomy system | Neurovascular Intervention | Scoop.it

Control Medical Technology has announced that the US Food and Drug Administration (FDA) has cleared its Aspire MAX 7 – 11F mechanical thrombectomy platform to remove blood clots from peripheral vessels.

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When Your Head Explodes -- For Real

When Your Head Explodes -- For Real | Neurovascular Intervention | Scoop.it

My head exploded on the same day Luke Perry had a fatal stroke, at the exact moment that Rep. Elijah Cummings was making his closing comments after Michael Cohen’s testimony before the Oversight committee. I don’t mean that in an entirely figurative way. One minute, I was typing and clipping and monitoring the hearing, and the next I felt like I had left my body and was looking down on myself. Thinking perhaps there was a carbon monoxide problem, I ran upstairs, opened the windows, and turned to check on Violet who was asleep on the bed.

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