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neurointervention with Trevo

Naim Khoury, Cyril Dargazanli, Adrien Guenego, Kevin Zuber, Asya Ekmen, Guillaume Charbonnier, Solène Hebert, Jean Capron, Candice Sabben, Erwan Morvan, William Boisseau, Benjamin Maier, Kévin Premat, Frédéric Clarençon, Stanislas Smajda, Hocine Redjem, Vanessa Chalumeau, Gregoire Boulouis, Annaëlle Chetrit, Augustin Lecler, Patricia Koskas, Loic Duron, Gabriele Ciccio, Célina Ducroux, Simon Escalard, Jean Philippe Desilles, Mylène Hamdani, Bertrand Lapergue, Mikael Mazighi, Malek Ben Maacha, Nahida Brikci-Nigassa, Raphael Blanc, Michel Piotin, Robert Fahed
PURPOSE: The DAWN trial (Diffusion weighted imaging or CT perfusion Assessment with clinical mismatch in the triage of Wake-up and late presenting strokes undergoing Neurointervention with Trevo) has demonstrated the benefits of thrombectomy in patients with unknown or late onset strokes, using automated software (RAPID) for measurement of infarct volume. Because RAPID is not available in all centers, we aimed to assess the accuracy and repeatability of visual infarct volume estimation by clinicians and the consequences for thrombectomy decisions based on the DAWN criteria...
February 2, 2019: Journal of Neurointerventional Surgery
A Ragoschke-Schumm, S Walter
BACKGROUND: Endovascular thrombectomy has been proven effective in the first 6 h after onset of stroke and large-vessel occlusion in the anterior cerebral circulation. To date, it was not clear whether thrombectomy beyond 6 h is also beneficial. METHODS: A summary of the prospective DAWN (DWI or CTP Assessment with Clinical Mismatch in the Triage of Wake-Up and Late Presenting Strokes Undergoing Neurointervention with Trevo) and DEFUSE-3 (Endovascular Therapy Following Imaging Evaluation for Ischemic Stroke) trials is presented...
November 2018: Der Radiologe
C Ducroux, N Khoury, A Lecler, R Blanc, A Chetrit, H Redjem, G Ciccio, S Smajda, S Escalard, J-P Desilles, M Mazighi, M Ben Maacha, M Piotin, R Fahed
BACKGROUND AND PURPOSE: An external validation of the selection criteria of diffusion-weighted imaging or computerized tomography perfusion assessment with clinical mismatch in the triage of wake-up and late-presenting strokes undergoing the Neurointervention with Trevo (DAWN) and the Endovascular Therapy Following Imaging Evaluation for Ischemic Stroke (DEFUSE3) trials was conducted in a cohort of unknown onset stroke (UOS) patients treated with thrombectomy. METHODS: A validation cohort of UOS patients was selected from a prospectively collected thrombectomy database to match the inclusion criteria of DAWN and DEFUSE 3...
August 2018: European Journal of Neurology: the Official Journal of the European Federation of Neurological Societies
Ashutosh P Jadhav, Shashvat M Desai, Cynthia L Kenmuir, Marcelo Rocha, Matthew T Starr, Bradley J Molyneaux, Bradley A Gross, Brian T Jankowitz, Tudor G Jovin
BACKGROUND AND PURPOSE: The results of the DAWN trial (Diffusion-Weighted Imaging or Computerized Tomography Perfusion Assessment With Clinical Mismatch in the Triage of Wake Up and Late Presenting Strokes Undergoing Neurointervention With Trevo) support the benefit of endovascular therapy in patients presenting beyond the 6-hour time window with anterior circulation large vessel occlusions. The impact of these results with respect to additional number of eligible patients in clinical practice remains unknown...
April 2018: Stroke; a Journal of Cerebral Circulation
(no author information available yet)
No abstract text is available yet for this article.
February 2018: Stroke; a Journal of Cerebral Circulation
Mark J Alberts, Martin D Ollenschleger, Amre Nouh
No abstract text is available yet for this article.
April 24, 2018: Circulation
Gustavo Saposnik, Daniel Strbian
No abstract text is available yet for this article.
February 2018: Stroke; a Journal of Cerebral Circulation
Tudor G Jovin, Jeffrey L Saver, Marc Ribo, Vitor Pereira, Anthony Furlan, Alain Bonafe, Blaise Baxter, Rishi Gupta, Demetrius Lopes, Olav Jansen, Wade Smith, Daryl Gress, Steven Hetts, Roger J Lewis, Ryan Shields, Scott M Berry, Todd L Graves, Tim Malisch, Ansaar Rai, Kevin N Sheth, David S Liebeskind, Raul G Nogueira
Rationale Efficacy of mechanical thrombectomy for acute stroke due to large vessel occlusion initiated beyond 6 h of time last seen well has not been demonstrated in randomized trials. Aim To establish whether subjects considered to have substantial areas of salvageable brain based on age-adjusted clinical core mismatch who can undergo endovascular treatment within 6-24 h from time last seen well (TLSW) have better outcomes at three months compared to subjects treated with standard medical therapy alone...
August 2017: International Journal of Stroke: Official Journal of the International Stroke Society
Lakshmi Leishangthem, Sudhakar R Satti
The authors report a case of an intracranial extravasation during the withdrawal of a Trevo ProVue stent retriever device in a patient being treated for acute ischemic stroke. An 82-year-old woman developed sudden left hemiparesis and aphasia during an urgent cardiac catheterization procedure for a non-ST elevation myocardial infarction. She had a baseline National Institutes of Health Stroke Scale (NIHSS) score of at least 10 and no improvement with intravenous administration of tissue plasminogen activator (tPA)...
October 2014: Journal of Neurosurgery
E Broussalis, E Trinka, W Hitzl, A Wallner, V Chroust, M Killer-Oberpfalzer
BACKGROUND AND PURPOSE: Revascularization of large cerebral artery occlusion is the therapeutic goal in stroke therapy. Currently, many recanalization devices are in clinical use. This study compares the outcome parameters, efficacy, and safety of the new generation of stent-retriever devices with the well-established Merci retriever. MATERIALS AND METHODS: All patients who received endovascular mechanical recanalization therapy were prospectively registered. One hundred twenty-two patients were treated with either new stent retrievers, including the Trevo and Solitaire devices, or the Merci retriever system...
February 2013: AJNR. American Journal of Neuroradiology
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