SMART-CHOICE 3 results presented at #ACC25

Outcomes Following Minimally Invasive Surgery for Intracerebral Hemorrhage in the AHA Get With The Guidelines Registry | Stroke BACKGROUND: The efficacy of minimally invasive surgery (MIS) in improving outcomes after nontraumatic intracerebral hemorrhage (ICH) remains uncertain, with inconsistent findings from randomized clini...

Favourable effect on mortality but disappointing functional outcomes

www.ahajournals.org/doi/abs/10.1...

Screen shot of JAMA Neurology title page for "Optimal Delay Time to Initiate Anticoagulation after AF-Associated Ischemic Stroke", published today. Link to article in the post.

#Stroke. Published! Optimal Delay Time to Initiate Anticoagulation After AF-Associated Ischemic Stroke. The START trial from the Texas Lone Star Stroke Research Consortium @lonestarstroke.bsky.social. Congrats to lead author Dr. Steven Warach and our entire investigative team.

t.co/atdIxm8cS2

High-Risk Embolic Sources on Cardiac Computed Tomography in Patients With Acute Ischemic Stroke: A Case-Control Study - PubMed A high-risk source of cardioembolism was detected on cardiac CT more frequently in patients with AIS than in patients with SMi. These data substantiate the clinical relevance of cardioembolic sources ...

cardiac CT (or TEE for valve stuff) for all patients with acute ischemic stroke in an emboliform pattern on imaging

“A high-risk cardioembolic source was found on CT in 32/375 (8.5%) patients with acute ischemic stroke”

pubmed.ncbi.nlm.nih.gov/39704069/

Multiple MEVO trials presented and medical therapy is the victor this time #ISC25

Endovascular Treatment of Stroke Due to Medium-Vessel Occlusion | NEJM Whether the large effect size of endovascular thrombectomy (EVT) for stroke due to large-vessel occlusion applies to stroke due to medium-vessel occlusion is unclear. In a multicenter, prospective,...

www.nejm.org/doi/full/10....

Combination Antithrombotic Therapy for Reduction of Recurrent Ischemic Stroke in Intracranial Atherosclerotic Disease | Stroke BACKGROUND: Stroke secondary to intracranial atherosclerotic disease (ICAD) is associated with high recurrence risk despite currently available secondary prevention strategies. In patients with system...

www.ahajournals.org/doi/abs/10.1...

Should patients seen in #SDEC #AmbulatoryCare receive #VTE prophylaxis?

Our data #WarwickMedSchool @susie-shapiro.bsky.social show VTE rate in SDEC as high as hospitalised patients.

Ability to ambulate does NOT equal reduced VTE risk.
@ukhahsoc.bsky.social www.sciencedirect.com/science/arti...

🎁 As we wrap up 2024, let's review the most significant stroke research breakthroughs in each month, from practice changing updates to glimpses of the future.

After discovering The Precarious Painter and "chopperlysis," stroke care will never be the same 👇

What a programme….

As the only Jew at my pre-school, naturally I played Mary. I apparently chucked baby Jesus into the manger by his ankle…

This is a valuable initiative. But I can’t help but feel sad that the reason bypass units like these are necessary is in part because we as a wider institution have failed these patients time and time again. Many reasons for this but institutional racism being one.

Country’s first specialist unit launches in Manchester to support patients with sickle cell disease - Manchester University NHS Foundation Trust Patients in the North West living with a rare blood disease have welcomed the launch of a pioneering new specialist unit and 24/7 helpline to support them during emergencies. The new Sickle Cell Unit ...

Interesting info on sickle cell disease ED bypass units.
mft.nhs.uk/2024/03/05/c...

The trial every stroke physician is waiting for… Thrombolysis on DOACs

www.doit-trial.ch

Improved functional outcome for stroke patients with low ASPECTS score large core infarctions: 1-year follow-up of three randomised trials Several randomised controlled trials (RCTs)1–5 have established 3-month efficacy and safety of endovascular thrombectomy (EVT) in treating patients with acute ischaemic stroke (AIS) with a large infar...

Meta-analysis of the three principle large core trials… Favourable functional outcomes at 1 year with no significant difference in mortality… svn.bmj.com/content/earl...

a movie poster for vertigo special edition with james stewart and kim novak ALT: a movie poster for vertigo special edition with james stewart and kim novak

👋 Hey there, neuro peeps! Today we're diving headfirst into the whirlpool of vertigo! 😵‍💫

Ever felt like the world is spinning around you (and not just in the normal overwhelming way)? Let's unravel this dizzying mystery together!

Let’s gooo--owhooaah!--🌀🧠 #Blutorial #NeuroSky #MedSky

ATTEST-2 now out - tenecteplase vs alteplase for stroke within 4.5h of symptom onset. TNK found to be non inferior with sICH in 2-3%.

www.thelancet.com/action/showP...

Observational study of 1100 patients… Anticoagulant-associated ICH less likely to be associated with CAA

www.ahajournals.org/doi/full/10....

Screenshot showing my youtube channel with 29,992 subscribers

When I started a YouTube channel devoted to #Neuroradiology education, I had no idea that so many people would be interested.

Now it's at nearly 30,000 subscribers. Help me push it over the milestone!

www.youtube.com/c/LearnNeuro...

A liberal transfusion strategy compared with a restrictive strategy resulted in a lower rate of unfavorable neurological outcome among patients with acute brain injury.

ja.ma/3V5z1p9

🙋‍♀️

Over on “the place that must not be named” I am seeing so many posts about #SVIN24 - I am wondering if there were many delegates from outside the US? It looked like a great meeting.

Outcomes of Adjunct Emergent Stenting Versus Mechanical Thrombectomy Alone: The RESCUE-ICAS Registry | Stroke Background: Underlying intracranial stenosis is the most common cause of failed mechanical thrombectomy in acute ischemic stroke patients with large vessel occlusion. Adjunct emergent stenting is some...

www.ahajournals.org/doi/10.1161/...

Where is geriatric medicine please?

🙋‍♀️

Intracerebral haemorrhage — mechanisms, diagnosis and prospects for treatment and prevention Nature Reviews Neurology - Effective treatments for the acute stages of intracerebral haemorrhage are currently limited. In this Review, the authors consider advances in therapeutic strategies and...

www.nature.com/articles/s41...

I hope they join us soon… 🙏

Is the problem the words or what it represents? If our society wasn’t so inherently ageist then the words wouldn’t be an issue…

Statin Overuse in Cerebral Ischemia Without Indications: Systematic Review and Annual US Burden of Adverse Events | Stroke BACKGROUND: Statin agents play a major role in secondary prevention after acute cerebral ischemia (ACI) events but are not indicated in all patients with ischemic stroke and transient ischemic attack....

Interesting article in AHA Stroke Journal about over-prescription of statins in stroke patients.
No clear evidence of benefit in absence of atherosclerotic disease, and potential to harm.
A reminder that it's important to personalise not protocolise treatment.
www.ahajournals.org/doi/10.1161/...

I read somewhere that to amplify posts via the algorithm you need to re-post rather than like… Maybe that would help…? I am getting a lot of astronomy too…