Brent L. Flusty, DO

@FSQMD2 @STateshimaMD You’re asking to IVUS every single vessel to look for an aneurysm? Look how small of a vessel this dissecting aneurysm arises from. There is a role for IVUS in neuro IR, don’t think this is one of them.

A delayed AICA/PICA dissection detected on Day 7 after a negative Day 0 study. In high-grade or non-perimesencephalic SAH, repeat DSA at 5–7 days is mandatory—posterior circulation dissections can declare themselves late and rebleed if missed.

@JohannaSeidenMD @StrokeAHA_ASA @ralphnogueira Given the large core data, CTP is a waste of time, contrast, and radiation in the vast majority of cases.

Ruptured. Aorta.

@WillyRontgen @dr_cellini @northwoods1980 @MicieliA_MD 1000% not standard of care stenting an asymptomatic moderate MCA stenosis in a 37 yo man. This is insane.

@dr_cellini @northwoods1980 @MicieliA_MD Neurologist claiming they would have done targeted stenting for this…

@txmed Number 1 imo is the amount of buy-in you’re seeing from IR nursing/techs.

@MicieliA_MD The annoying part of CTP in this new era of large core thrombectomy. I’m taking this patient to the lab after a thorough discussion with the family. Indifferent on the TNK based on early changes on CT, could go either way.

Code #Stroke🚑 Patient presents ~1 hr from witnessed onset aphasia + R sided weakness. NIHSS >20. CT/CTP 👇. L M1 occlusion. Reduced extent of collaterals on single phase CTA. Radiology reports a large core, ED questions the utility of treatment based on CTP. What do you do?

Top of basilar occlusion transforms into right SCA occlusion. Light work for Red43 over Aristotle 18.

@davetp @JamesLucasIT Nice!

@JamesLucasIT Quebec City

What is the most underrated city on Earth?

@AdiG1993 I’m not CTA for all, just sharing a case relevant to the original tweet. Big believer of speaking to a patient and looking at the non con (dense basilar in this case) when treating sudden neurologic complaint. Nice localization!

You have a hemisensory loss. This localizes to the contralateral VPL nucleus of thalamus or the subcortical somatosensory fibers beyond. One does not need a CT angio to DIAGNOSE this per se. Only for therapeutic reasons. #MedTwitter #NeuroTwitter #StrokeTwitter

49W with left sided numbness, no other symptoms. Rack one up for the CTA for all crowd.

1/ Synchron's thesis on Interventional Neurotechnology: Massive unmet need – neurological disease biggest cause of disability globally. Only proven procedural solution shown to scale is interventional. Opportunity to positively impact millions of lives and for a $100B company to emerge (ie $10 billion revenue from 200,000 devices delivered annually) (our thesis hasn’t changed from first patent in 2011. Brain Computer Interface is just the beachhead) @synchroninc

Best refs you got for a state championship game? @MHSAA Low level.

@DarkoStateNews @Lions And a severely underrated member at that

Now a proud member of the @Lions front office!

They mocked him. They ripped him. He didn’t care. John Dorsey had to have @PatrickMahomes.

Measure twice, cut once

All class from Coach Campbell #Forward

@kabiitohassan I am ADAPT first, except for Terminus occlusions then I’ll use stenttriever. Always use pump.

@BrentLFlusty Do u use a pump for adapt?

Trevo 6x37mm + Zoom71

When Lisa found her husband Joel's face looking like "a melted candle," she rushed him to our ER. There, the Comprehensive Stroke Center team sprung into action, saving his life with a minimally-invasive procedure. Get the full story: bit.ly/46Do6Gs

@DrLeahCroll Just sort of happened!

@BrentLFlusty You grew up fast omg 😱

First pipeline case as an attending.