Oral poster abstracts最新文献_第2页

P-027 Ultra-early functional improvement after stroke thrombectomy – predictors and implications 卒中血栓切除术后超早期功能改善-预测因素和意义

Oral poster abstracts Pub Date : 2021-08-01 DOI: 10.1136/neurintsurg-2021-snis.63

S. Desai, D. Tonetti, G. Nayar, A. Morrison, K. Shah, T. Jovin, A. Jadhav

引用次数: 0

P-047 Multimodal endovascular treatment of wide-necked aneurysms: safety and occlusion outcomes from the sterling registry 多模式血管内治疗宽颈动脉瘤:来自sterling注册的安全性和闭塞性结果

Oral poster abstracts Pub Date : 2021-08-01 DOI: 10.1136/NEURINTSURG-2021-SNIS.83

R. Leacy, A. Puri, R. Starke, B. Jankowitz, A. Yoo, G. Pero, C. Chivot, Tom L. Yao, O. Zaidat

引用次数: 0

P-057 Initial experiences using the wahoo dual mode guide catheter P-057使用wahoo双模导尿管的初步经验

Oral poster abstracts Pub Date : 2021-08-01 DOI: 10.1136/NEURINTSURG-2021-SNIS.93

J. Vargas, M. Chaudry, A. Turk, R. Turner

引用次数: 0

P-005 Clot spatial heterogeneity rather than histologic composition is related to FPE rate 与FPE率相关的是血块的空间异质性，而不是组织学组成

Oral poster abstracts Pub Date : 2021-08-01 DOI: 10.1136/neurintsurg-2021-snis.41

Yang Liu, W. Brinjikji, M. Abbasi, D. Dai, J. Larco, D. Kallmes, L. Savastano

引用次数: 0

P-003 Association between baseline serology and symptomatic intracranial hemorrhage after endovascular thrombectomy for acute ischemic stroke 基线血清学与急性缺血性脑卒中血管内取栓术后症状性颅内出血的关系

Oral poster abstracts Pub Date : 2021-08-01 DOI: 10.1136/neurintsurg-2021-snis.39

J. Diestro, C. Parra-Fariñas, M. Balas, Z. Zador, N. Almusalam, A. Dmytriw, P. Rajendram, R. Phillips, A. Alqabbani, E. Qazi, Y. Li, W. Montanera, D. Sarma, T. Marotta, A. Bharatha, J. Spears

引用次数: 0

P-042 Initial experience with tenecteplase as the intravenous thrombolytic of choice before mechanical thrombectomy for large vessel occlusion acute ischemic stroke 急性缺血性大血管闭塞脑卒中机械取栓前选择替奈普酶静脉溶栓的初步经验

Oral poster abstracts Pub Date : 2021-08-01 DOI: 10.1136/NEURINTSURG-2021-SNIS.78

U. Ugur, S. Platko, D. Peters, F. Bensabeur, J. Terry, B. Ludwig, E. Cheng-Ching

引用次数: 0

P-014 Reperfusion catheter malfunction during stroke intervention: an analytical review of the FDA’s maude database 卒中干预期间P-014再灌注导管故障:FDA maude数据库的分析回顾

Oral poster abstracts Pub Date : 2021-08-01 DOI: 10.1136/neurintsurg-2021-snis.50

D. Bageac, B. Gershon, R. Leacy

{"title":"P-014 Reperfusion catheter malfunction during stroke intervention: an analytical review of the FDA’s maude database","authors":"D. Bageac, B. Gershon, R. Leacy","doi":"10.1136/neurintsurg-2021-snis.50","DOIUrl":"https://doi.org/10.1136/neurintsurg-2021-snis.50","url":null,"abstract":"Background In December 2020, the JET7 Xtra Flex reperfusion catheter was voluntarily recalled after reports of injury and death associated with device malfunction. The FDA’s MAUDE (Manufacturer and User Facility Device Experience) database aggregates reports of adverse events and product problems involving medical devices. We present the first analytical review of all MAUDE reports involving FDA cleared reperfusion catheters in order to summarize safety events to date and characterize unique modes of device failure. Methods All publicly available MAUDE datasets were downloaded and linked, and all events associated with catheters carrying product code ‘NRY’ were extracted. Product code ‘NRY’ encompasses all devices intended to restore blood flow by removing thrombus/clots in patients experiencing ischemic stroke. Note that this review does not include catheters used off-label for aspiration thrombectomy. Event characteristics including device type, malfunction and adverse events were collected directly as reported on MedWatch Form 3500. In order to characterize procedure-specific details, narrative information submitted in MedWatch Form 3500 Sections B and H was coded by 2 independent raters. Results Between 1/1/2003 and 8/31/2020, there were 1,808 reperfusion catheter defects and/or malfunctions reported in the MAUDE database. Of these, 93.4% did not result in any adverse effect on patients. There were 112 malfunctions associated with an adverse event, of which 98 (87.5%) resulted in injury, and 14 (12.5%) resulted in death. A summary of malfunctions is available in table 1. When interpreting these findings, it is important to note that FDA surveillance of these devices does not include data on the number of units sold, thus event rates cannot be determined or compared across devices. Of 14 reported deaths, 13 involved malfunctions of the Jet 7 Xtra Flex catheter. All of these cases reported mechanical failure at the tip of the catheter, 10 of which involved tip rupture or ballooning following contrast injection. Ballooning was unique to the Jet 7 Xtra Flex, and was also responsible for 3 patient injuries and 37 cases of malfunction that did not result in adverse outcomes. One death and 45 injuries involved the 3 MAX Reperfusion catheter. All of these events were caused by catheter fracture leading to fragment embolization or vessel injury. This mechanism of failure was not unique to the 3 MAX, and was present in 61.2% of all malfunctions resulting in injury. Among malfunctions that did not result in adverse events, the majority (59.1%) were attributable to damage that occurred on the back table during device preparation. Detailed descriptions of unique malfunction mechanisms for each catheter are omitted from this brief abstract but are available for presentation. Conclusion Reperfusion catheter failures resulting in injury or death are rare. These findings suggest that current methods of FDA surveillance have effectively identified outliers. Di","PeriodicalId":341680,"journal":{"name":"Oral poster abstracts","volume":"13 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":"122881975","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}

引用次数: 2

P-026 Aqua embolic system: evaluating the performance of a new liquid embolic system using a swine AVM model P-026水栓塞系统:利用猪AVM模型评估一种新型液体栓塞系统的性能

Oral poster abstracts Pub Date : 2021-08-01 DOI: 10.1136/neurintsurg-2021-snis.62

I. Yuki, K. Ohkawa, S. Li, E. Steward, B. Nguyen, F. Hsu, J. Xu, S. Suzuki

引用次数: 1

P-056 Improved fluid dynamics simulations of coiled cerebral aneurysms using microtomography and homogenization techniques 使用显微断层扫描和均质化技术改进了脑动脉瘤的流体动力学模拟

Oral poster abstracts Pub Date : 2021-08-01 DOI: 10.1136/neurintsurg-2021-snis.92

J. R. Bhathal, F. Chassagne, L. Marsh, M. Levitt, D. Bass, J. Keen, C. Geindreau, A. Aliseda

引用次数: 0

P-022 Endovascular treatment of wide-neck bifurcation aneurysms: a single-center experience and paradigm shift 宽颈分岔动脉瘤的血管内治疗:单中心经验和模式转变

Oral poster abstracts Pub Date : 2021-08-01 DOI: 10.1136/NEURINTSURG-2021-SNIS.58

A. Copelan, J. D. Almandoz, Y. Kayan, J. Scholz

引用次数: 0