Peter Sporns

Diagnostic & Interventional Neuroradiology
Head Neuroradiology @Stadtspital Zürich
Chair IPSO Communications Commit
Board @ESOstroke Young Stroke Physicians

[Peter Sporns @PSporns]

Wow, it's finally out and it's Nature!! Check out this Primer on #ChildhoodStroke in @DiseasePrimers https://t.co/PlJcrYUmnD @ESOstroke @esmintsociety @curekidstroke Thanks for all the support @KidStrokeMD @MPeyT1 @Fie0815

[IPSO @curekidstroke]

For the first time, the AHA/ASA Guidelines include pediatric stroke, a major step toward ensuring all stroke centers are prepared to care for children. Thanks to IPSO members Drs. Nestor Gonzalez, Peter Sporns, and Heather Fullerton for their contributions! @AHAScience

[AHA Science @AHAScience]

For the first time, the 2026 Guideline for the Early Management of Patients With Acute Ischemic Stroke include recommendations for interventional treatment in pediatric patients with AIS.

Although much work remains to adapt prehospital and hospital stroke protocols for pediatric patients, expert consensus and recent studies highlight the importance of early stroke recognition in children and support the safety and potential benefit of endovascular interventions in select pediatric patients with AIS.

These recommendations serve as a foundation for future recommendations and address the phases of pediatric acute stroke care.

✍🏼 @annealexandrov @AlexandraCzap @OanaDumitrascu5Koto @ashupjadhav @BarrowNeuro @SVINjournal @PoojaKhatriMD @wtkimberly @brianmacgrory @tmadsenem @eva_mistry @natperezossa @strokemaven @PSporns @stavtjoumakaris @WFNeurosurgery @shadiyaghi2

[Stroke AHA/ASA @StrokeAHA_ASA]

2026 Guideline for the Early Management of Patients With Acute Ischemic Stroke: A Guideline From the American Heart Association/American Stroke Association https://t.co/ztmfxD3mBZ

[AHA Science @AHAScience]

Every year in the United States, >600000 individuals have a first ischemic stroke and approximately 200000 more have a recurrent stroke.

This guideline aims to incorporate this updated evidence in order to provide an up-to-date, comprehensive set of recommendations for the acute evaluation and management of patients with AIS.

✍🏼 @annealexandrov @AlexandraCzap @OanaDumitrascu5Koto @ashupjadhav @BarrowNeuro @SVINjournal @PoojaKhatriMD @wtkimberly @brianmacgrory @tmadsenem @eva_mistry @natperezossa @strokemaven @PSporns @stavtjoumakaris @WFNeurosurgery @shadiyaghi2

[AHA Science @AHAScience]

The 2026 Guideline for the Early Management of Patients With Acute Ischemic Stroke aims to cover the full course of the emergency evaluation and early management of the patient with AIS. This includes the earliest interaction with the health care system in the prehospital space, early evaluation and treatment, and in-hospital management of patients with AIS.

📷 Journey of a patient with AIS.

✍🏼 @annealexandrov @AlexandraCzap @OanaDumitrascu5Koto @ashupjadhav @BarrowNeuro @SVINjournal @PoojaKhatriMD @wtkimberly @brianmacgrory @tmadsenem @eva_mistry @natperezossa @strokemaven @PSporns @stavtjoumakaris @WFNeurosurgery @shadiyaghi2

[AHA Science @AHAScience]

Brain imaging is essential to exclude hemorrhage in adult and pediatric patients eligible for AIS reperfusion therapies. Although CT-based protocols are more efficient and generalizable, MRI-based protocols may be appropriate in high-resource settings and in pediatric populations if similar time to imaging can be achieved as with CT.

📷 ASPECTS: Alberta Stroke Program Early CT Score.

✍🏼 @annealexandrov @AlexandraCzap @OanaDumitrascu5Koto @ashupjadhav @BarrowNeuro @SVINjournal @PoojaKhatriMD @wtkimberly @brianmacgrory @tmadsenem @eva_mistry @natperezossa @strokemaven @PSporns @stavtjoumakaris @WFNeurosurgery @shadiyaghi2

[Stroke AHA/ASA @StrokeAHA_ASA]

🧵#STROKE Highlights for September are here:

🌟In a pooled case-control study across 45 centers, EVT in pediatric large-vessel stroke was linked to markedly better functional outcomes than BMT without higher bleeding risk.

[Neurointerventional & Neuroanalytics Consortium @NANConsortium]

Why EVT failed to demonstrate benefit in DMVO trials?

@PSporns @WFITN_Society
#INR #DMVO #Thrombectomy
See more:https://t.co/icbRhS1niH

[Stroke AHA/ASA @StrokeAHA_ASA]

#STROKE: Pediatric patients with anterior circulation stroke and low ASPECTS who received thrombectomy had significantly better functional outcomes than those treated with medical management alone. #AHAJournals https://t.co/rqdIs35rS8

[MeshaMartinezMD @MeshaMartinezMD]

🚨 Game-changer in #PedsStroke!

New paper shows mechanical thrombectomy > medical management in kids w/ acute ischemic stroke. Not on this one (ugh!) but love the brilliant team who made it happen ❤️

And @PSporns —your announcement was 🔥👏

#NeuroIR #Pediatrics #StrokeCare

[@RadiologyEditor @RadiologyEditor]

For patients with symptomatic acute occlusions of the internal carotid artery below the circle of Willis, both endovascular and best medical treatments prove to be effective and safe options, offering promising outcomes. 🧠 @MeyerL_MD
https://t.co/PCQ5bOPgXN

[Neurointerventional & Neuroanalytics Consortium @NANConsortium]

🧠 EVT for very distal VO using soft partial release of non-aggressive stent retrievers technique is safe and effective with acceptable risk of hemorrhage.

@AndreKemmling @PSporns @Almohammadi_M
#INR #MedTwitter #DVO #Stroke
https://t.co/8naRwN6Zc5

[European Stroke Org @ESOstroke]

🌟Join Us for the next ESO Educational Webinar Episode #17: "Paediatric #Stroke: Diagnostic Work-up and Hyperacute Treatments" ▶️ https://t.co/Rz7d8bBZNy
Speakers: @PSporns & Prof Maja Steinlin. Moderated by Anna Bersano & @vojtech_no
#strokeeducation #ESOWebinar #stroketwitter

[Daniel Kaiser @daniel_kaiserMD]

Computed tomography hypoperfusion-hypodensity mismatch vs. automated perfusion mismatch to identify stroke patients eligible for thrombolysis
⬇️⬇️⬇️
https://t.co/0mM3MCbSIo
@PSporns @AndreKemmling @MPeyT1 @WolfgangGKunzMD @Fie0815

[TENSION Study @TENSIONstudy]

Fantastic @TENSIONtrial results! Thrombectomy in stroke with extended lesion and extended time window resulted in better functional outcome using a simple diagnostic algorithm using predominantly plain CT!

[Jens Fiehler @Fie0815]

@TENSIONstudy results at @WorldStrokeOrg conference: EVT superior to MM in NE-CT ASPECTS 3-5 pts<12h‼️(OR 2.58; 95%CI, 1.60 to 4.15; p<0.001). Surpising effect size - mRS0-3@90d: 31.5% EVT vs. 13.1% MM. @esmintsociety = project partner🇪🇺. @ESOstroke @WorldStrokeOrg @TudorGJovin

[Peter Sporns @PSporns]

What‘s the best technique for distal occlusions? #MeVO #DMVO #Stroke
We use the Quattro-technique⬇️

long sheath in ICA, large asp cath M1, small asp & stentriever at clot

Details ➡️ https://t.co/tV8NtjqSec

Credits @MPeyT1

What‘s your approach? @Fie0815
@daniel_kaiserMD

[Peter Sporns @PSporns]

Persistent flow in #Web device after #aneurysm treatment is uncommon (~5%) but more likely after DAPT and Web undersizing

Great multicenter study incl 600 aneurysms led by @aymeric87 @toobib3 @sfnr_jeni @gboulouis @FouziBala

@mpey @Fie0815 @NimaE

https://t.co/WCYt1aPvi8

[Peter Sporns @PSporns]

@Fie0815 @stats_feed I prefer Weststrand Darss 😉

[Peter Sporns @PSporns]

@NimaE @Fie0815 @WBrinjikji Thanks for the interesting discussion!
Do you see a realistic chance to re-do an UIA trial in the near future?