13 research outputs found

    sj-pdf-1-ine-10.1177_15910199221118146 - Supplemental material for Initial clinical experience with a novel mechanical thrombectomy device-the ThrombX retriever

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    Supplemental material, sj-pdf-1-ine-10.1177_15910199221118146 for Outcome prediction value of critical area perfusion score for acute basilar artery occlusion by Daniel Behme, Martin Wiesmann, Omid Nikoubashman, Hani Ridwan, Dimah Hassan, Thomas Liebig, Christoph Trumm, Markus Holtmannspötter and Istvan Szikora in Interventional Neuroradiology</p

    Multimodal stroke imaging from a patient with endovascular therapy and decompressive hemicraniectomy CT-slices are shown in insular (left), ganglionic (middle) and supraganglionic levels from left to right.

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    <p>(a) ncCT on baseline presentation with an ASPECTS of 5, a symptom-to-CT time of 118 min and a baseline NIHSS of 12. (b) Cerebral blood volume on baseline with an ASPECTS of 3. (c) DSA before EVT with mTICI 0 and (d) after EVT with successful recanalization. (e) follow up ncCT with temporal edematous swelling compressing the right anterior horn of the lateral ventricle. (f) ncCT after DH with infarct demarcation of the territorial infarction of the medial cerebral artery circulation. ncCT: non-contrast cranial computed tomography; ASPECTS: Alberta Stroke Program Early CT score; NIHSS: National Institute of Health Stroke Scale; DSA: digital subtraction angiography; EVT: endovascular therapy; mTICI: modified thrombolysis in cerebral infarction score.</p

    Flow chart of our interdisciplinary standard operating procedure.

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    <p>NEUR-RE, resident neurologist; NRAD-RE, resident neuroradiologist; rt-PA, recombinant tissue plasminogen activator; SOP, standard operating procedure; ANES-SE, senior anesthesiologist; NIHSS, national institute of health stroke score; CED, conjugate eye deviation; ASPECTS, alberta stroke program early CT score; CTA, CT angiography; CTP, CT perfusion; NRAD-SE, senior neuroradiologist; NEUR-SE, senior neurologist; GA, general anesthesia; ICU, intensive care unit; IBP, invasive blood pressure; ANES-RE, resident anesthesiologist; NCCT, noncontrast CT.</p

    Bar graph of patient outcome measured with modified Rankin scale (mRS).

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    <p>Colors represent the scores ranging from 0 (no symptoms at all) to 6 (dead). Percentages of each category are given. After introduction of the standard operating procedure there were significantly more patients with no residual functional impairment. A general shift towards lower mRS values can be noticed (depicted with dotted lines). Hence, after management optimization less patients remained severely disabled.</p
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