Today we broke down educational barriers at the first neurovascular symposium in Ecuador. Dear Professor @DavidSeiffge , thank you for honoring us with your time. It is a privilege to learn from you. Having you at a talk for our Ecuadorian neurology team 🇪🇨 was a true luxury.
💉🧠Study finds IVT+EVT for medium distal vessel occlusions was associated with worse functional outcomes vs IVT alone
👉Supports recent research but more RCTs needed
Read more here👇
https://t.co/R5wtmHeSck
🧠⏱️In patients with breakthrough ischemic stroke, early severity-adapted DOAC initiation was associated with:
⬇️Lower risks of recurrent ischemic events & mortality at 90 days
❌No increase in major bleeding
https://t.co/CYSAm4UbTa @luciodanna2@Simona_Sacco_@mattfos89
🤰🧠New review of stroke in pregnancy is now available
🩸Physiological mechanisms impacting stroke risk include hypercoagulability, inflammation and hemodynamic changes
Read the review here!👇
https://t.co/ZycQjsqzT1
✅🔎HERMES-24 score shows excellent prediction of 90-day outcomes after EVT across LVO localization and treatment windows in real-world patients
Read more here! 👇
https://t.co/TQVBqSXBHO
#FlashbackFriday !
📊Secondary analysis of CONVINCE
🧠💊Regardless of stroke subtype, direction of effect for prevention of recurrent major adverse cardiovascular events favoured colchicine
Read more here👇
https://t.co/sgbVfuN8O2
When Is Early Too Late? Timing Matters for Dual Antiplatelet Therapy After Minor Stroke and TIA
In this #BloggingStroke post, Anel Karisik discusses #Stroke article by Shin et al. @KimBJstroke @doohyuk_kwon https://t.co/ldK45rV54p
"Most imaging biomarkers are predictors of outcome rather treatment effect modifiers. Therefore, these techniques should not be used primarily to exclude patients from thrombectomy,” Nogueira clarified."
YESSSS!
https://t.co/Z62tKQCQFd.
Management of Patients at Risk of Ischemic Stroke With Left Ventricular Systolic Dysfunction in the Absence of Intracardiac Thrombus: A Scientific Statement From the American Heart Association https://t.co/Se66kc7eBp
📊Study finds early hematoma absorption is common after ICH and associated with favorable early neurological evolution
🎯May represent an endogenous hematoma resolution process and potential therapeutic target
Read more below👇
https://t.co/n7y25lgi1P @QiLiMD
Key Point 4 from the article Stroke in Children and Younger Adults by Drs. Thalia S. Field and Thiviya Selvanathan from the June #CerebrovascularDisease issue, which is available to subscribers at https://t.co/AIti3AZLUq. #NeuroTwitter#MedEd
🤔Rethinking stroke trials
☝️📊Advances in trial design and outcome assessment may improve efficiency, interpretability, and clinical relevance of stroke trials
Read the review here!⬇️
https://t.co/vyYHTjILmI
Building on the First Definition of Heart Failure, the Second Definition refines HF staging with sharper stage criteria, emphasizing early detection and individualized risk reduction and introduces the universal classification of HF causes, with explicit acknowledgment of geographic variation in HF risk and outcomes. https://t.co/YDuE4stb5s
This updated document provides a unified, internationally harmonized framework intended to standardize terminology. It addresses changes in disease manifestations, diagnostic strategies, and understanding of pathophysiology.
✍🏼 @MinnowWalsh@KarenSliwa@amibanerjee1@BiykemB@akshaydesaimd@DukeHFDoc@MKIttlesonMD@lamcardio@WilfriedMullens@NutritionHF
#STROKE: In a multicenter cohort of patients with dAVF, hemorrhagic presentation was primarily determined by venous anatomy, with high-grade dAVFs and male sex independently increasing risk, while antithrombotic therapy showed a protective association. https://t.co/MX23E2cjro
As a Ecuadorian I feel completely honored to be able to learn the path of neurovascular neurology from these brilliant minds. Being part of this program is motivation to improve access to treatment for our people. Immensely grateful @MASStroke@ESOstroke
Oxford-style debate winners!! These have undoubtedly been exceptional days of learning; I'm truly delighted with the level of teaching of the @MASStroke@ESOstroke 🧠🧠🧠🧠
Thank you for revolutionizing the field of neurovascular neurology and for being role models for those of us who want to follow in your footsteps. @FishingNeurons@DavidSeiffge@ESOstroke@MASStroke
TCD with bubble has the highest sensitivity to detect a right to left shunt and TEE with bubble has the highest specificity to diagnose a PFO. Cardiac CT has low sensitivity for PFO. Great work by @nbavar https://t.co/Ei4eLqqEoB
🧵 ICYMI: May #Stroke Highlights:
🌟 Among patients with isolated vertebral artery occlusion, IVT improved recanalization without outcome benefit, while EVT ± IVT showed worse outcomes, with higher ICH and mortality rates.
#FlashbackFriday !
🧠💉In acute ischemic stroke patients with anterior-circulation LVO, IV tirofiban administration following EVT:
⬆️Improved favorable functional outcomes
❌Did not increase the risk of sICH or END
Read more below!👇
https://t.co/qQHxv05Ghw @linaazheng