ESMINT 2021 – Abstract book最新文献

{"title":"EP01* Safety and efficacy of eptifibatide for endovascular intracranial aneurysm treatment","authors":"T. Schubert, HS Husain, P. Thurner, J. Madjidyar, W. Jan, Z. Kulcsár","doi":"10.1136/neurintsurg-2021-esmint.1","DOIUrl":"https://doi.org/10.1136/neurintsurg-2021-esmint.1","url":null,"abstract":"Introduction The rate of thromboembolic complications during endovascular aneurysm treatment remains at a relatively high rate of about 10%. However, only 30% of these complications result in clinically symptomatic events. One effective group of drugs in treating and preventing embolic events are GP IIb/IIIa inhibitors. Aim of Study To report our results concerning safety and efficacy of epitifibatide in the prevention and treatment of thromboembolic complications in ruptured and unruptured aneurysms and develop a treatment algorithm. Methods During a three-year period, 41 patients received eptifibatide at our institution during aneurysm treatment (23 patients (56%) with ruptured aneurysms). Reasons for epitifibatide treatment were: clot at the coil surface, clot prevention before stent placement and distal emboli. Presence of distal occlusion at the end of the procedure and intracranial hemorrhage were recorded as predictors of efficacy and safety. Results Treatment indications were: clot at the coil surface in 27 (57%), prevention before stent placement in 10 (24%) and distal embolism in 4 cases (10%). Eptifibatide was given as arterial bolus in 5 (12%), as intravenous infusion in 7 (17%) and combined in 29 cases (71%). In 4 cases (10%), a distal occlusion persisted at the end of the intervention, one resulted in a symptomatic infarction (2%). In two patients (10%), intracranial hemorrhage occurred (one clinically silent bleeding and one fatal parenchymal hemorrhage (2%)). Conclusions Based on our experience, we propose an algorithm for eptifibatide administration for endovascular aneurysm treatment based on patient characteristics as well as the postinterventional angiogram.","PeriodicalId":341667,"journal":{"name":"ESMINT 2021 – Abstract book","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114270979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"EP39* Collateral damages of COVID-19 on the hungarian ischemic stroke care","authors":"P. Böjti, G. Szilagyi, B. Dobi, R. Stang, I. Szikora, B. Kis, Å. Kornfeld, C. Óváry, L. Erőss, P. Banczerowski, W. Kuczyński, D. Bereczki","doi":"10.1136/neurintsurg-2021-ESMINT.38","DOIUrl":"https://doi.org/10.1136/neurintsurg-2021-ESMINT.38","url":null,"abstract":"IntroductionAlthough most of the stroke centers reported a remarkable decline in stroke care during the coronavirus disease 2019 (COVID-19) pandemic, data from Central Europe are limited.ObjectivesWe aimed to assess the impact of the ongoing pandemic on the Hungarian ischemic stroke (IS) care system.MethodsAt a national level, we retrospectively accessed the number of IS admissions and reperfusion therapies, i.e., intravenous thrombolysis (IVT) and endovascular therapy (EVT), from 2 January 2017 to 31 December 2020 in Hungary. We used different statistics (means, medians, trends, relative rates, linear relationships) to analyze the impact of the COVID-19 outbreak on the number of IS admissions and reperfusion therapies.ResultsAlthough the non-standardized number of IS admissions, IVTs and EVTs decreased only in some measure during the COVID-19 epidemic, the trend analysis demonstrated a significant disruption in the trends. The reduction’s dynamic and extent have differed for each variable, and the number of IS admissions decreased to a disproportionally larger extent than the number of IVTs and EVTs. In contrast to IVT, the number of IS admissions and EVTs showed a significant negative linear correlation with the number of new or cumulative COVID-19 cases in Hungary.ConclusionsCollateral damages of the COVID-19 outbreak on the Hungarian IS care system were demonstrated. The disproportionally greater decline of IS admission numbers could partially be explained by the effect of health emergency operative measures. Further studies are needed to evaluate the causes of our observations.ReferencesBersano A, Kraemer M, Touzé E, Weber R, Alamowitch S, Sibon I, et al. Stroke care during the COVID-19 pandemic: experience from three large European countries. Eur J Neurol 2020;27(9):1794–800. https://doi.org/10.1111/ene.14375Böjti PP, Stang R, Gunda B, Sipos I, Bereczki D. A járulékos egészségügyi veszteségek retrospektív, egycentrumos felmérése. [Effects of COVID-19 pandemic on acute ischemic stroke care. A single-centre retrospective analysis of medical collateral damage]. Orv Hetil 2020;161(34):1395–9. https://doi.org/10.1556/650.2020.31936. Hungarian.Slowik A, Nowak R, Popiela T. Significant fall in stroke admissions in the Malopolska Voivodeship of Poland during the COVID-19 pandemic. Neurol Neurochir Pol 2020;54(5):471–2. https://doi.org/10.5603/PJNNS.a2020.0056DisclosureNothing to disclose","PeriodicalId":341667,"journal":{"name":"ESMINT 2021 – Abstract book","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131136667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"EP28 Surgical treatment of spinal AVM: 10 years experience in a single centre","authors":"M. Cenzato, D. Boeris, E. Marcati, M. Piano, D. Colistra, E. Boccardi","doi":"10.1136/neurintsurg-2021-esmint.28","DOIUrl":"https://doi.org/10.1136/neurintsurg-2021-esmint.28","url":null,"abstract":"","PeriodicalId":341667,"journal":{"name":"ESMINT 2021 – Abstract book","volume":"84 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116102060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"EP61 Direct carotid puncture for mechanical thrombectomy in acute ischaemic stroke: a single centre experience and review of the literature","authors":"Jcy Chan, Ihw Cheung, Yle Chu, R. Lee","doi":"10.1136/neurintsurg-2021-esmint.60","DOIUrl":"https://doi.org/10.1136/neurintsurg-2021-esmint.60","url":null,"abstract":"","PeriodicalId":341667,"journal":{"name":"ESMINT 2021 – Abstract book","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122117287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"EP29 The diagnostic performance of 4D-DSA product and prototype software on cerebral AVM","authors":"L. Pan, W. Xiang, Y. Zhao","doi":"10.1136/neurintsurg-2021-esmint.29","DOIUrl":"https://doi.org/10.1136/neurintsurg-2021-esmint.29","url":null,"abstract":"","PeriodicalId":341667,"journal":{"name":"ESMINT 2021 – Abstract book","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133705138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"EP59 Successful mechanical thrombectomy after microsurgical clipping of a ruptured middle cerebral artery aneurysm","authors":"M. Boutchakova-Meyer, P. Beyaz, C. Roth, P. Papanagiotou","doi":"10.1136/neurintsurg-2021-esmint.58","DOIUrl":"https://doi.org/10.1136/neurintsurg-2021-esmint.58","url":null,"abstract":"","PeriodicalId":341667,"journal":{"name":"ESMINT 2021 – Abstract book","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133827651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"EP50* Catheter tip distensibility substantially influences the aspiration force of thrombectomy devices","authors":"J. Li, Ó. Castaño, A. Tomasello, M. de Dios, P. Canals, E. Engel, M. Ribó","doi":"10.1136/neurintsurg-2021-esmint.49","DOIUrl":"https://doi.org/10.1136/neurintsurg-2021-esmint.49","url":null,"abstract":"","PeriodicalId":341667,"journal":{"name":"ESMINT 2021 – Abstract book","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116133902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"EP55 Keep it simple: the SNACE (Sofia non-wire aspiration contrast enhancement) technique for the endovascular management of acute ischemic stroke","authors":"B. Pabón, V. Torres, J. Mejia, M. Patiño, O. Vargas, N. Serna, J. Peláez","doi":"10.1136/neurintsurg-2021-esmint.54","DOIUrl":"https://doi.org/10.1136/neurintsurg-2021-esmint.54","url":null,"abstract":"","PeriodicalId":341667,"journal":{"name":"ESMINT 2021 – Abstract book","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122715125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"EP40 Teleproctoring in neurointerventionism","authors":"B. Pabón, V. Torres, M. Patiño, N. Serna, O. Vargas, C. Estrada, J. Peláez, J. Mejia","doi":"10.1136/neurintsurg-2021-ESMINT.39","DOIUrl":"https://doi.org/10.1136/neurintsurg-2021-ESMINT.39","url":null,"abstract":"6 cases of neurovascular treatment with remote assistance are presented. various techniques (zoom, smart glasses and hospital internal system) 2 aneurysm treatments with flow diversion are presented. 1 case with web device. and 3 cases of stroke.All cases occurred during the covid 19 pandemic.Multiple tests were carried out during the simulation courses. Evaluating communication in real time. mastery of the images and mastery of the software.Bechstein M, et al. Interhospital teleproctoring of endovascular intracranial aneurysm treatment using a dedicated live-streaming technology: first experiences during the COVID-19 pandemic. BMJ Case Rep 2020. PMID: 33012707.DisclosureBoris Pabon: proctorship con MEDTRONIC, Microvention Consultant MIVI","PeriodicalId":341667,"journal":{"name":"ESMINT 2021 – Abstract book","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133177072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"EP42* Use of the new philips´ advanced 3D neuro-imaging for LVO triaging and door to puncture times reduction","authors":"F. Massari, J. Singh, A. Kühn, V. Naragum, M. Gounis, B. Hallacoglu, A. Puri","doi":"10.1136/neurintsurg-2021-esmint.41","DOIUrl":"https://doi.org/10.1136/neurintsurg-2021-esmint.41","url":null,"abstract":"","PeriodicalId":341667,"journal":{"name":"ESMINT 2021 – Abstract book","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130598011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}