Laurens Winkelmeier

Is TICI 3 associated with superior outcomes compared with TICI 2b in #Thrombectomy for large ischemic strokes (ASPECTS 3-5)? Results published @JNIS. Check it out ⬇️ jnis.bmj.com/content/early/… @Fie0815 @FabianFlottmann @BroocksGabriel @MDoctoronboard #UKEHamburg #stroke

RT @Fie0815: Warm welcome for the DGNR/OEGNR meeting in Salzburg. 🇦🇹 Attendee record expected. No wonder with @_AdnanSiddiqui as key note…

Better done than perfect? Stop after TICI 2b 1st pass?TICI 2b 1st pass not worse than TICI 3 after 2nd or 3rd pass? bit.ly/4oc53Mi Another reperfusiology analysis from 🇩🇪 GSR (n=6,398) @AdamArthurMD @Cure4Stroke @TudorGJovin @MokinMax @_AdnanSiddiqui @WinkelmeierMD

New 🇩🇪 cSDH embolization data (n=718): 25% mRS 0-2 increase at FU. bit.ly/47cysA8 76% shrink / 47% full resolution, 16% failure rate. Antithrombotics up failure risk (16% vs 9%). Thoughts? @_AdnanSiddiqui @Ansaar_Rai @JMoccoMD @eneri_neuro @MDoctoronboard @VladimirKZagreb @jildazz

Article Commentary: “General Anesthesia Versus Conscious Sedation in Thrombectomy Patients With Low NIHSS Anterior Circulation Stroke” In this #BloggingStroke post, Jason Vuong discusses #Stroke article by Heitkamp et al. #AHAJournals ahajournals.org/do/10.1161/blo…

🧵In an observational study based on the German Stroke Registry, the rate of successful recanalization was comparable between patients with anterior circulation LVO with low NIHSS on presentation undergoing EVT with local anesthesia/conscious sedation versus general anesthesia.

RCT @TENSIONstudy: 24h NIHSS score with higher impact on outcomes than 24h infarct volume bit.ly/3QMI2kz Topography, structural connectivity, selective neuronal loss❓ @_AdnanSiddiqui @VladimirKZagreb @CSI_Basel @CheesemakerMD @johanna_ospel

#STROKE: Subanalysis of the #TENSION trial showed that factors beyond infarct volume, such as the involvement of specific brain regions, disruption of structural networks, selective neuronal loss, and compensatory mechanisms, may significantly impact functional outcomes.

Check out the article ⬇️ ahajournals.org/doi/full/10.11… #AHAJournals @mihill68 @mayank_G0 @clauszsimonsen @gaborpetzold @rablauenfeldt @BroocksGabriel @annehegeaamodt @MDoctoronboard @Fie0815 @ZelenakKamil @WinkelmeierMD

Thrombectomy With Low ASPECTS: The Roles of Infarct Volume and Postacute Neurological Status | Stroke ahajournals.org/doi/full/10.11…

LVO with NIHSS score 0-5: GA with better recanalization but poorer outcome⁉️bit.ly/3Rrrbnm GSR🇩🇪cohort: 582 pts. after propensity score matching. @AmeerEHassan @esmintsociety @DGNR_org @eneri_neuro @shazamhussain

General Anesthesia Versus Conscious Sedation in Thrombectomy Patients With Low NIHSS Anterior Circulation Stroke | Stroke ahajournals.org/doi/full/10.11…

Arterial Collaterals and Endovascular Treatment Effect in Acute Ischemic Stroke with Large Infarct: A Secondary Analysis of the TENSION Trial | Radiology pubs.rsna.org/doi/10.1148/ra…

These findings suggest that patients with large ischemic stroke manifesting within 12 hours after onset should undergo endovascular thrombectomy irrespective of single-phase CTA collateral status.

Don’t miss the companion editorial by @AnassBenomarMD & @RaymondJeanMD1: Another Step Toward Thrombectomy for All Patients with Severe Ischemic Stroke. 🧠🚑Dive into the latest insights on expanding thrombectomy access. #NeuroRadiology #Stroke pubs.rsna.org/doi/10.1148/ra…

In patients with large ischemic stroke, thrombectomy within 12 hours significantly reduces 90-day functional disability compared to medical treatment—regardless of collateral status on single-phase CTA. #Stroke #NeuroRadiology @WinkelmeierMD pubs.rsna.org/doi/10.1148/ra…

Secondary TENSION RCT analysis: EVT works with good and poor collaterals in large core stroke. No significant difference. bit.ly/3Qydcfc Single-phase CTA scoring. @TENSIONstudy @CSI_Basel @MeyerL_MD @ikeafonso1 @FabianFlottmann @daigaole

💡Heard of the TENSION trial ❓ 🧠 TENSION showed benefit of thrombectomy up to 12hrs after a LARGE infarct using non-con CT only! New @radiology_rsna paper explores if arterial collaterals may be a modifier:   #RadInTraining  #TWEETORIAL @RITEditor @VChernyakMD A thread 🧵

No overall better outcome of EVT vs. BMT in acute symptomatic ICA occlusions below CoW. bit.ly/40GHwdm Good outcome after EVT mainly decreased by periprocedural emboli downstream. @DGNR_org @esmintsociety @radiology_rsna @_AdnanSiddiqui @TudorGJovin @VladimirKZagreb @neuroradaktuell

#STROKE January #EditorPick: Penumbral imaging could guide treatment decision-making in DMVOs, particularly in cases of suspected non- or co-dominant M2 vessel occlusions. #AHAJournals ahajournals.org/doi/full/10.11…

HAST 2024 in Hamburg 🍔🇩🇪 Looking forward to summarizing latest EVT studies in stroke. Did I forget anything? @DGNR_org @UKEHamburg @MeyerL_MD @WinkelmeierMD