Rank #1: M2 occlusions patients may benefit from endovascular therapy
Listen to the conversation between the Editor-in-Chief of JNIS, Felipe de Albuquerque, and Ansaar Rai (Department of Interventional Neuroradiology, West Virginia University Hospital, USA), who is the co-author of “A population-based incidence of M2 strokes indicates potential expansion of large vessel occlusions amenable to endovascular therapy”. Read the Editor’s Choice paper of June 2018 on the JNIS website: jnis.bmj.com/content/10/6/510.
May 29 2018
Rank #2: Current endovascular strategies for cerebral venous thrombosis
Read the paper on the JNIS website: https://jnis.bmj.com/content/10/8/803
Jul 19 2018
Rank #3: AVM angioarchitecture and hemorrhagic presentation in children with cerebral AVMs
JNIS editor Rob Tarr talks to Darren Orbach, Department of Neurointerventional Radiology, Children's Hospital Boston, about his recent editor's choice paper: Angioarchitectural features associated with hemorrhagic presentation in pediatric cerebral arteriovenous malformation.
Apr 25 2013
Rank #4: Too good to intervene? Thrombectomy for large vessel occlusion strokes with minimal symptoms
He is the co-author of the study "Too good to intervene? Thrombectomy for large vessel occlusion strokes with minimal symptoms: an intention-to-treat analysis".
Read the full paper published in the October 2017 issue of the journal also on the JNIS website: http://dx.doi.org/10.1136/neurintsurg-2016-012633.
The second article mentioned in this podcast, "Thrombectomy versus medical management for large vessel occlusion strokes with minimal symptoms: an analysis from STOPStroke and GESTOR cohorts", can be found here: http://dx.doi.org/10.1136/neurintsurg-2017-013243.
Oct 20 2017
Rank #5: Implications of limiting mechanical thrombectomy to patients with ELVO meeting top tier evidence
The Editor-in-Chief of JNIS Felipe Albuquerque talks to the two main authors of the study, "Implications of limiting mechanical thrombectomy to patients with emergent large vessel occlusion meeting top tier evidence criteria". Rohini Bhole and Adam Arthur (University of Tennessee Health Sciences Center) explain how guideline adherence impacted treatment numbers and outcomes in a cohort of patients from a comprehensive stroke centre.
Read the full paper: http://jnis.bmj.com/content/9/3/225.
Mar 23 2017
Rank #6: Analysis of vertebral augmentation practice patterns update. The farewell to JNIS editor Robert Tarr
Dr J A Hirsch, from the Massachusetts General Hospital, Harvard Medical School, USA, and Dr R V Chandra, from the Interventional Neuroradiology Service, Monash University, Melbourne, Australia, are the leading authors of the study "Analysis of vertebral augmentation practice patterns: A 2016 update", published in the December 2016 print edition of JNIS.
Read the full article here: http://jnis.bmj.com/content/8/12/1299.
Jan 03 2017
Rank #7: Type of general anesthesia effects on endovascular management of acute ischemic stroke
The study concludes that anesthetic techniques and associated physiology used in endovascular management of acute ischemic stroke (EMAIS) are not homogeneous, making any statements about the effects of generic general anesthesia in stroke ambiguous.
In "Anesthetic variation and potential impact of anesthetics used during endovascular management of acute ischemic stroke" the authors also conclude that the type of general anesthesia may affect the outcome after EMAIS.
Read the full details here:
Oct 27 2016
Rank #8: Long term experience using the ADAPT technique for the treatment of acute ischemic stroke
In this podcast, The Editor-in-Chief of JNIS Felipe Albuquerque and Aquilla Turk discuss the details of this single center's long term experience with ADAPT. The paper “Long term experience using the ADAPT technique for the treatment of acute ischemic stroke” can be found on the JNIS website (http://jnis.bmj.com/content/9/5/437) and on the May 2017's edition of the journal.
Read the other study mentioned in this podcast, "The ‘pit-crew’ model for improving door-to-needle times in endovascular stroke therapy: a Six-Sigma project", here: http://jnis.bmj.com/content/8/5/447.
May 08 2017
Rank #9: Posterior cranial fossa arteriovenous malformations are more prone to feeder vessel aneurysms
Dr Alaraj, from the Department of Neurosurgery, Neuropsychiatric Institute University of Illinois, Chicago, USA, explains why are posterior cranial fossa arteriovenous malformations (AVMs) more prone to developing associated aneurysms, specifically feeder vessel aneurysms. Feeder vessel aneurysms are more likely to be the source of hemorrhage in the posterior fossa. As such, they may be the most appropriate targets for initial and prompt control by embolization or surgery due to their elevated threat.
Read the full paper here: http://jnis.bmj.com/content/8/10/1021.full.
Oct 04 2016
Rank #10: Predictors of false-positive stroke thrombectomy transfers
The Editor-in-Chief of JNIS Felipe Albuquerque speaks to Michael Chen (Department of Neurological Surgery, Rush University Medical Center, Chicago, USA) about his co-authored study ‘Predictors of false-positive stroke thrombectomy transfers’, published in the September 2017’s issue of the JNIS.
Read the full paper on the journal's website: http://jnis.bmj.com/content/9/9/834.
Aug 30 2017
Rank #11: MACRA 2.0
In times of change in the American Administration, the group reflects on what elements of the MACRA/QPP will remain and which might change or even disappear.
Read the related articles:
Jan 25 2017
Rank #12: Favorable revascularization therapy in patient with ASPECTS ≤5 in anterior circulation infarct
The Editor-in-Chief of JNIS Felipe Albuquerque is joined by Vincent Costalat (Department of Neuroradiology, CHRU Gui de Chauliac, Montpellier, France), who co-authored the paper: "Favorable revascularization therapy in patients with ASPECTS ≤ 5 on DWI in anterior circulation stroke".
Read the full details of this article published in the January 2018 issue of JNIS here: http://jnis.bmj.com/content/10/1/5.
Jan 24 2018
Rank #13: The low-profile visualized intraluminal support device use on wide-necked intracranial aneurysms
Dr Fiorella, from the Department of Neurological Surgery, Stony Brook University Medical Center, New York, concludes that the LVIS device facilitates coil embolization of wide-necked intracranial aneurysms with high rates of technical success. The process also granted an excellent safety profile, and very high rates of complete and near-complete occlusion at follow-up.
Read the full paper here: http://jnis.bmj.com/content/early/2015/09/21/neurintsurg-2015-011937.full
Sep 06 2016
Rank #14: Neurothrombectomy in the late time window: continued benefit in trial ineligible patients
Thrombectomy 6-24 hours after stroke in trial ineligible patients (https://jnis.bmj.com/content/10/11/1033)
Thrombectomy 24 hours after stroke: beyond DAWN (https://jnis.bmj.com/content/10/11/1039).
Oct 26 2018
Rank #15: Decreasing procedure times with a standardized approach to ELVO cases. Welcoming JNIS new editor
The study was run at the single comprehensive stroke center at the Rhode Island Hospital and concluded that a standardized approach to the equipment used and process for ELVO cases at a single institution can dramatically reduce procedure times.
Read the full paper at the JNIS website: http://jnis.bmj.com/content/9/1/2.
Jan 05 2017
Rank #16: Editorial: In defence of “our” stroke patients
In this commentary, they analyse the conclusions of the study “Public Health Urgency Created by the Success of Mechanical Thrombectomy Studies in Stroke”, published by Circulation, stating that the opinions of Drs Hopkins and Holmes “lead to unwarranted conclusions that have dangerous implications for patient care”.
The authors of the JNIS editorial comment on three major points of controversy:
(1) a disregard for training, expertise, and experience in the management of a disease that may lead to death or disability when treating physicians do not have them;
(2) a misunderstanding of the fundamental underpinnings of stroke physiology and anatomy;
(3) a false association between a real problem (undeveloped systems of care) and a spurious assumption (ie, that there are not enough physicians trained to perform intracranial MT). We examine these concerns below.
The editorial “In defense of our patients” was written on behalf of the Society of NeuroInterventional Surgery, the Cerebrovascular Section of the American Association of Neurological Surgeons and the Congress of Neurological Surgeons, and the Society of Vascular and Interventional Neurology.
Read the full article on the JNIS website: jnis.bmj.com/content/9/6/525.
Jun 05 2017
Rank #17: Balloon guide catheter use in mechanical thrombectomy linked to clinical and angiographic outcomes
Waleed Brinjikji (Departments of Radiology and Neurosurgery of the Mayo Clinic, Rochester, Minnesota, USA) tells the Editor-in-Chief of the journal Felipe Albuquerque the details of his paper ‘Impact of balloon guide catheter on technical and clinical outcomes: a systematic review and meta-analysis’.
Read the Editor’s Choice of April 2018: http://jnis.bmj.com/content/10/4/335
Mar 21 2018
Rank #18: GRAFT reduces potential flow diverter malapposition and occasional acute thrombus formation
GRAFT is a semi-automated image post-processing software, which uses intuitive two-dimensional representations of wall apposition from either high-resolution contrast-enhanced cone-beam CT (VasoCT) or intravascular optical coherence tomography (OCT) images.
The technique brings great prospects of reducing stroke-related complications when treating intracranial aneurysms. It delivers quantitative and visually convenient representations of potential flow diverter malapposition and occasional acute thrombus formation.
The paper, published on the August 2016 issue of JNIS, can be read here: http://jnis.bmj.com/content/8/8/847.full.
Jul 14 2016
Rank #19: Arteriovenous malformation embocure score
Demetrius Lopes, a neuroendovascular surgeon at Rush University Medical Center, Chicago, Illinois, USA, is the corresponding author of this study selected as Editor's choice for the July issue of JNIS, which is fully accessible here: http://jnis.bmj.com/content/8/7/685.full
Jun 28 2016
Rank #20: Three-dimensional printing of anatomically accurate patient specific intracranial aneurysm models
The research concluded that the 3D printed aneurysm models were accurate and able to be produced inhouse. Read the full paper here: http://jnis.bmj.com/content/early/2015/04/10/neurintsurg-2015-011686.full
Jun 06 2016