Interventional Neuroradiology Turku

Finnish flow diverter study: 8 years of experience in the treatment of acutely ruptured intracranial aneurysms jnis.bmj.com/content/early/… Thank you for all our collaborators @HUS_fi @KYS_Sairaala @Tays_sairaala @OYS_sairaala . @fcalbuquerque51 @SNISinfo @JNIS_BMJ @esmintsociety

@WBrinjikji Interventional neuroradiologists be like

Once again we are here sharing our experience with #ESMINT2021 @RiittaRautio3 @cvsection @esmintsociety #inr @EANS_yns @GuenegoAdrien @JNIS_BMJ @TyksVsshp @HUS_fi

It has been almost 6 hours and no one mentioned clipping or bypass 😀 good debate tough #esmint2021 @vajkoczy @MKorja @GuenegoAdrien @esmintsociety @SNISinfo @AdamArthurMD @svinsociety #inr @cvsection

JNIS Latest Content Alpay et al report the Finnish flow diverter study for stenting of ruptured #aneurysms, find high rate of occlusion (90%) but high procedural complication rate (45%) @neurosurgeryfi @rahulbrraj bit.ly/3CANuOO

@PascalMosimann @ikeafonso1 @VladoKZg @txmed @daniel_kaiserMD @svinsociety @esmintsociety @EANS_yns @SNISinfo @cvsection @RiittaRautio3 In our humble opinion

@PascalMosimann @ikeafonso1 @VladoKZg @txmed @daniel_kaiserMD @svinsociety @esmintsociety @EANS_yns @SNISinfo @cvsection @RiittaRautio3 The bigger the jailed artery is the more probably it stays patent 😊

Pipeline Vantage 3.5x20 mm from upper M2 branch to ICA terminus. Good deployment and wall apposition. Happy ending with contrast stagnation in the aneurysm. @VladoKZg @txmed @daniel_kaiserMD @svinsociety @esmintsociety @EANS_yns @SNISinfo @cvsection @RiittaRautio3

@AmeerEHassan @svinsociety @SNISinfo @JNIS_BMJ @YoungNIR Would be stronger with a control arm.. great work though 👍

Our multicenter balloon mounted stenting for ICAD paper is finally out. Safety and efficacy of balloon-mounted stent in the treatment of symptomatic ICAD: a multicenter experience @svinsociety⁩ ⁦@SNISinfo⁩ ⁦@JNIS_BMJ⁩ ⁦@YoungNIR⁩ jnis.bmj.com/content/early/…

@ikeafonso1 @VladoKZg @txmed @daniel_kaiserMD @svinsociety @esmintsociety @EANS_yns @SNISinfo @cvsection @RiittaRautio3 The rationale behind was that The thicker branch was dominant as it supplies parietal lobe, that is why. It was challenging to catheterize the small one though. @eytanraz Patient woke up w/o any deficits 👌

@INRTurku @VladoKZg @txmed @daniel_kaiserMD @svinsociety @esmintsociety @EANS_yns @SNISinfo @cvsection @RiittaRautio3 Why did you chose the upper M2 branch? Rational on this choices are very interesting. I would pass through the inferior branch in this case

@Starkeneurosurg @VladoKZg @txmed @daniel_kaiserMD @svinsociety @esmintsociety @EANS_yns @SNISinfo @cvsection @RiittaRautio3 A 3-month DSA follow-up has been scheduled. We will keep all you posted and huge thanks to everyone for their interest in the case @svinsociety @esmintsociety @SNISinfo @vajkoczy

@INRTurku @VladoKZg @txmed @daniel_kaiserMD @svinsociety @esmintsociety @EANS_yns @SNISinfo @cvsection @RiittaRautio3 Would like to see the follow up for this case and immediately post treatment control angio. Thanks

@VladoKZg @txmed @daniel_kaiserMD @svinsociety @esmintsociety @EANS_yns @SNISinfo @cvsection @RiittaRautio3 On the first run we saw good over flow thru Acom from right to left. As DAPT we prefer Prasugrel + Aspirin and test the response with MPADP.

Great case. No wonder bypass was not elected in 5hrs since the best of the multiple choice offers was 2nd best only. No 1 option bypass not on the list. How representative is a poll w/o likes 😏? @mtlawton @SACHINKISHORE82

@vajkoczy @mtlawton @SACHINKISHORE82 No likes 😱The only explanation is that we have many surgeon followers who wants to be updated with contemporary therapies but doesn’t want to reveal 😂 and not to mention that all has good sense of humor like @MKorja

The poll has been a bit over 5 hours, and by-pass hasn’t been mentioned 😊 @vajkoczy @mtlawton @SACHINKISHORE82

The aneurysm is large, partially thrombozed and unruptured, but symptomatic. @JustinSingerMD @SACHINKISHORE82 @VitorMendesPer1 @PascalJabbourMD

Case of the day @SNISinfo @EANS_yns @cvsection @esmintsociety @GuenegoAdrien @AdamArthurMD

Shades of grey predict malignant media infarct. If NEMMI score (extent x attenuation) >10.5 sens/spec: 93%/71%. bit.ly/3fjibOI Easy applicability in clinical routine. @esmintsociety @ESOstroke @VladoKZg @DoctorGaldamez @MPeyT1 @mobilestroke4U @italolinfante

@SemmesMurphey @AdamArthurMD @UTHSCMedicine @uthsc @MemphisNSGY Congrats from Finland 🍾

Congratulations are in order yet again for @AdamArthurMD! @UTHSCMedicine has appointed him as Chairman of their prestigious Neurosurgery Department. news.uthsc.edu/adam-s-arthur-… @uthsc @MemphisNSGY #futureofsurgery #neurosurgery #neuroscience

@ikeafonso1 @timbo_phillips @WBrinjikji Agree on the contravention. The new APD don’t need to be checked because of their pharmacokinetics. However Clopidogrel should be checked always IMHO.

@INRTurku @timbo_phillips @WBrinjikji Good point! But despite platelet tests seems to be rational, the association between tests and outcomes are still controvertial in the literature. I really dont know if tests will become routine.