Celebrating milestone in first week of inpatient stroke π§
NIHSS β
Identified Distal M1 occlusion β
Pushed TNK β
with Door to needle π - 37min
Rushed to IR with TICI3
Pt recovered well with NIH 19 β‘οΈ4 in 24hrs
WVU Neurology Residency WVU Rockefeller Neuroscience Institute #NeuroTwitter Β #stroketwitter #MedTwitter
Tandem occlusion in posterior circulation - RVA prox. occl. on atherosclerotic stenosis and BA distal occl. ADAPT in BA (1pass with TICI3-LPCA connected with anter.circul.) then ballon-expand.stent in RVA Szpitale Pomorskie #neurotwitter #thrombectomy #stroke #posteriorcirculaton #BAO
β 1st thrombectomy at Paoli Hospital in the books! Stellar Main Line Health team in partnership with Jefferson Health Jefferson Neurocritical Care Jefferson Neurosurgery offering world class stroke care in the community! ππ» #TICI3
80yo M with M1 LMCA occlusion after 48hrs break in DOAC treatment(FAP) due to planned CRT implantation. NIHSS 23, MT: ASP+SR-DAC Catalyst 6, SR TrevoNXT4x41, 1pass, TICI3. In TEEβsludgeβ and small thrombus in LAA. Qualified to LAAC in 3weeks. #heartbrainteam #neurotwitter
Friday afternoon symptomatic left PCA #stroke 1 pass #TICI3 , almost same case / set up as last week. #Radial #079Rist Medtronic #Red62 Penumbra Neuro #Aristotle Scientia Vascular Single digit β°minutes #thrombectomy Penn Neurosurgery CV Section
General anesthesia may increase TICI3 rates in ACA occlusions (!), not PCA. bit.ly/3NMgwmX Lukas Meyer @drschuller Pedro Navia Eytan Raz @Doctorgaldamez ESMINT Society Deutsche Gesellschaft fΓΌr Neuroradiologie (DGNR) Gabriel Broocks
1/3
#Traumatic cca dissection with ica, mca and aca thromboembolus.
Mech #thrombectomy , cca balloon #angioplasty yielded tici3.
#acutestroke #interventionalradiology #neurointervention #stroke
And 3 for 3 #TICI3 #Firstpass for another PCA occlusion within last 10d. This time symptomatic R V4 occlusion migrated after #TNK to R PCA. Penn Neurosurgery #stroke CV Section #Rist079 #Red62 #Aristotle24
Acute #stroke , 40s m, π¬ , ICAD. 12 hrs + since onset- worsened, obtunded, intubated. Basilar filling via ASA.
MT+submax plasty -> restenosis +thrombus -> tiro & stent. Post 12 hrs Tici3. Off venti, nihss 4, moving limbs (4/5)
World Stroke Org Interventional Neuroradiology
TICI3 recanalization on our first enrollment for SOFAST trial MicroVention Neurovascular Solutions Inova Edward Greenberg, MD Ameet V Chitale, MD FAANS dheeraj gandhi