Jorge Mario Gaspar Toro | Neurointerventionalist

Vascular Physiologist 🧠
#InterventionalNeurologist
#BrainHealth 🇨🇴 Brain, Spine and more!

[Jorge Mario Gaspar Toro | Neurointerventionalist @jmgaspart]

Todos invitados a revisar y utilizar nuestro libro a la cabecera de sus pacientes y en la práctica del día a día en neurociencias clínicas 📚 🧠 clic al enlace 👇🏻

https://t.co/ZmpzVnQF4E

@ACNeurologia
@ALATACV
@SIECV_IASO
@svinsociety
@WorldStrokeEd
@interneurona
@NN_publishing

[Jorge Mario Gaspar Toro | Neurointerventionalist @jmgaspart]

Nuevas fronteras en #Neurointervencionismo embolizacion para reducción de meningiomas como único tratamiento
En @JNIS_BMJ
Por grupo @S_Pesch

[Jorge Mario Gaspar Toro | Neurointerventionalist @jmgaspart]

@SharathKumarGG7 And the link to paper professor!

[Jorge Mario Gaspar Toro | Neurointerventionalist @jmgaspart]

Nuevos datos en #ACV #DMVO #M2 #NeuroIntervencionismo #NeurologiaIntervencionista Tmax>4s a tener en cuenta para trombectomia

[Dhairya A. Lakhani, MD @dhairyalakhani]

In EVT treated M2 occlusion stroke, larger Tmax >4 s perfusion deficit was associated with worse 90-day functional outcomes.

Tmax >4 s volume >113 mL best discriminated outcomes.

MAD-MT study by @vsyedavalli @NANConsortium

https://t.co/QCLfSvIu6F

[Jorge Mario Gaspar Toro | Neurointerventionalist @jmgaspart]

Avances en hemorragia subaracnoidea #Neurointervencionismo

[W David Freeman, MD, FRSM, FNCS, FAAN @freemanwd]

🚨 New study in Clinical Neurology and Neurosurgery on aneurysmal subarachnoid hemorrhage (aSAH) management 🩸 🧠

Anticipatory initiation of Intrathecal Nicardipine (ITN)—given before clinical or imaging evidence of delayed cerebral ischemia (DCI)—significantly reduces DCI parenchymal infarcts compared to controls (31.3% vs 55.2%).

Key findings:
📉 Starting ITN prior to intra-arterial (IA) spasmolytics significantly lowers the need for serial IA treatments for recalcitrant vasospasm from 71.4% down to 23.1%.

🛡️ It is a safe intervention with no increased risk of EVD-related complications or meningitis.

⚠️ Timing is everything, because reactionary ITN given after DCI onset did not reduce the rate of additional infarcts or the need for serial IA treatments.

Question: Does this article change your practice?

#NeuroTwitter #NeuroCriticalCare #SubarachnoidHemorrhage #Vasospasm #NeuroSurgery

https://t.co/t09vQGuY3W

[Jorge Mario Gaspar Toro | Neurointerventionalist @jmgaspart]

Nuevas técnicas por #FisiologiaVascular en #Neurointervencionismo

[Amit Chaudhari MD @NeuroIRdoc]

RESELECT technique.. really cool idea. Will try it

https://t.co/LDHA4q9elt

[Jorge Mario Gaspar Toro | Neurointerventionalist @jmgaspart]

Novedades #neurointervencionismo

[AJNR @TheAJNR]

"Application of High-Resolution Conebeam CT for Evaluation of Endothelialization after Flow Diverter Implantation for Unruptured Intracranial Aneurysms"

https://t.co/22Uw2yBnM6

[Jorge Mario Gaspar Toro | Neurointerventionalist @jmgaspart]

Nueve modalidades en #NeurologiaIntervencionista

[Stroke AHA/ASA @StrokeAHA_ASA]

Article Commentary: “PET Imaging of Carotid Atherosclerosis: Methodology, Implications, and Applications in Neurovascular Disease”

In this #BloggingStroke post, Natalie Neale discusses #Stroke article by Bhakta et al. https://t.co/K88JjKpHyn

[Jorge Mario Gaspar Toro | Neurointerventionalist @jmgaspart]

Ampliando fronteras #neurointervencionismo

[JNIS @JNIS_BMJ]

📊 Meta-analysis of 612 pediatric stroke cases suggests mechanical thrombectomy is safe and effective, achieving high recanalization rates and better functional outcomes than medical management—highlighting its promise despite current off-label use. Read more here: https://t.co/Ga9mA9rwDV
@ElekAlperen

[Jorge Mario Gaspar Toro | Neurointerventionalist @jmgaspart]

Evidencia en #neurointervencionismo #aneurismas

[JNIS @JNIS_BMJ]

🔎🧠In 298 aneurysms, jailing vs re-crossing in stent-assisted coiling showed similar procedure metrics, no significant difference in safety events at 12 months, and comparable occlusion rates (89.4% vs 83.9%). Read more: https://t.co/rtDNmJt5eT
@AshuPJadhav @BrianJankowitz @_AdnanSiddiqui

[Jorge Mario Gaspar Toro | Neurointerventionalist @jmgaspart]

Novedades en #NeurologiaIntervencionista

[Michela Rosso @rossomichi]

Are arterial webs limited to the carotid?

In our case series + systematic review, we describe extra-carotid webs and propose the term “cervical arterial web”—a unified entity that may represent an underrecognized cause of cryptogenic stroke. @ENossek @BellevueHosp @nyugrossman @nyulangone @svinsociety @SVINJournal @AHAScience

https://t.co/H3P5Czy6op

[Jorge Mario Gaspar Toro | Neurointerventionalist @jmgaspart]

Actualizacion #NeurologiaVascular #Neurointervencionismo

[Stephan A Mayer @stephanamayer]

Left Atrial Appendage Closure or Medical Therapy in Atrial Fibrillation @nejm

“Among patients with atrial fibrillation at high risk for stroke and bleeding, left atrial appendage closure was not noninferior to medical care mgmt with regard to a composite end point of stroke, systemic embolism, major bleeding, or cardiovascular or unexplained death.”

Translation: patients randomized to LAA closure did worse then those treated with anticoagulation

https://t.co/wEC3tp2KgY

[Jorge Mario Gaspar Toro | Neurointerventionalist @jmgaspart]

Actualización en #neurologiavascular #neurointervencionismo

[International Journal of Stroke @IntJStroke]

🧠 Dyslipidemia Management in Stroke Prevention

✍ Current evidence and a phenotype-guided, individualized framework for dyslipidemia management across stroke subtypes

Read the review here! 👇
https://t.co/ZOyzCKrVQm

[Jorge Mario Gaspar Toro | Neurointerventionalist @jmgaspart]

Datos clave #neurologia

[Dr sthanu subramanian @drsthanus]

Crossed cerebellar diaschisis (CCD) explains this phenomenon, where a unilateral supratentorial cortical lesion causes contralateral cerebellar hypometabolism or hypoperfusion.

It is a functional disconnection of the cerebrum-ponto-cerebellar pathway, typically seen following acute stroke or seizure.

This image compares cerebral blood flow patterns associated with Crossed Cerebellar Diaschisis (CCD).

https://t.co/TLbEY6YPHe

[Jorge Mario Gaspar Toro | Neurointerventionalist @jmgaspart]

#NeurOCT Avances en #Neurointervencionismo

[JNIS @JNIS_BMJ]

🧠🔬 Neuro-dedicated intravascular OCT is emerging as a promising tool for intracranial vascular imaging. By enabling microscopic, high-resolution visualization of vessel wall pathology and therapeutic devices, it may expand our understanding of cerebrovascular disease and improve neurointerventional diagnosis and treatment strategies. 📖 Read more (open access): https://t.co/uGur9YugEj
@Cure4Stroke @_AdnanSiddiqui @Fie0815 @vitorpereiraca

[Jorge Mario Gaspar Toro | Neurointerventionalist @jmgaspart]

Tiempo es cerebro en #ACVhemorragico

[International Journal of Stroke @IntJStroke]

🧠Early (0–24 hrs) and delayed (24–72 hrs) surgery after aneurysmal subarachnoid hemorrhage showed comparable long-term outcomes

Differed in:
🏥In-hospital mortality
🩸Hemorrhage-related complications

Read more here👇
https://t.co/pju75GEzb8

[Jorge Mario Gaspar Toro | Neurointerventionalist @jmgaspart]

Avances en #neurointervencionismo

[JNIS @JNIS_BMJ]

🧠💉 In TNK-treated LVO stroke patients eligible for EVT, thrombus migration occurred in 36% and made EVT impossible in 26% vs 4% without migration. Thrombus migration significantly reduced rates of complete reperfusion but did not affect functional outcomes. Read more here: https://t.co/vv9lXmlFx3
@jildazz

[Jorge Mario Gaspar Toro | Neurointerventionalist @jmgaspart]

Avances en #neurointervencionismo

[Pascal Jabbour MD, FAANS, FACS, FAHA @PascalJabbourMD]

The economics of VSS Versus VPS for IIH :
(propensity-weighted, cost lens) our superstar research fellow @VictorGabriel_H has some numbers for you in this recent paper in @JNIS_BMJ @SNISinfo :
💰 Initial costs = twins
😵‍💫 Complications = 3.5% vs 37.7%
🏥 30d readmissions = 1.3% vs 33%
🚑 30d ER visits = 11.1% vs 36.6%
🔧 Reops = 1.3% vs 30.9%
All the extra 💰 goes on complications, readmissions and reoperations in the VPS arm! @TJUHospital @TJUHNeurosurg
https://t.co/B3a2E5qvAu

[Jorge Mario Gaspar Toro | Neurointerventionalist @jmgaspart]

Novedades en #neurointervencionismo

[Stroke AHA/ASA @StrokeAHA_ASA]

#STROKE: First-in-human study to enable live visualization of intracranial, including stents, flow diverters & thrombectomy, without complications. https://t.co/Ts4XGDjmM3

[Jorge Mario Gaspar Toro | Neurointerventionalist @jmgaspart]

Datos clave #neurologiaintervencionista #neurointervencionismo
Vía @WorldStrokeEd

[World Stroke Academy @WorldStrokeEd]

#MondayTip
Hypoperfusion Intensity Ratio
#HIR may be the most practical collateral biomarker in AIS

⬆️High HIR (>0.4) → rapid core growth, ↑ hemorrhage risk, worse mRS.
⬇️Low HIR → robust collaterals & better EVT outcomes.

https://t.co/wRfh2VnWQ8

[Jorge Mario Gaspar Toro | Neurointerventionalist @jmgaspart]

@johanna_ospel @TheAJNR Professor, can you share the PDF with me?