Prateeka Koul

Interventional Neurology Fellow

[Prateeka Koul @KoulMD]

@andresgudino01 @ssanchezneuro Felicidades 🎊

[Prateeka Koul @KoulMD]

Am grateful to have been able to learn background information and tips and tricks for using glue, coils, and thrombectomy products #johnsonandjohnsonmedtechneurovascular #jnjfutureleaders @eytanraz @visishs

[Beom Joon [BJ] Kim @KimBJstroke]

Starting DOAC within 4 days after stroke is NOT inferior to delayed initiation after 7 days. OPTIMAS trial published in Lancet this morning #WSC2024

[Justin Turpin, MD @jturpinmd]

New publication from the Northwell CV lab!

The use of balloon guide catheters during venous sinus stenting - Justin Turpin, @timothywhiteMD, Daniel Toscano, @DalalSidd, @MiriamShao,@ShyleMehta, Jared Bassett, Kevin A. Shah, Athos Patsalides, 2024 https://t.co/q3p48ZHN12

[Prateeka Koul @KoulMD]

@neuroangio1

[Prateeka Koul @KoulMD]

Have learned so much at #BANANA2024 these past few days, and had a wonderful reunion with colleagues @timothywhiteMD @cwer42 #interventionalneurology #endovascularneurosurgery

[Prateeka Koul @KoulMD]

@andresgudino01 @IowaVascular @wfitn_ny Felicidades Gudiño!

[Prateeka Koul @KoulMD]

I’m grateful to have had the opportunity to present at #CNS2024 in Houston and catch up with colleagues. Will have to make another trip to explore this beautiful city @ClemensSchirmer @AbdulrazeqHael #Geisinger #UBNS #interventionalneurology #endovascularneurosurgery

[Prateeka Koul @KoulMD]

@dgolubMD @WomenInNSGY @CNS_Update @NorthwellNsurg @CNSResidents @jturpinmd @cwer42 @MiriamShao @AlonKashanian Well deserved 🎉

[Prateeka Koul @KoulMD]

@jturpinmd @CNS_Update @CNSResidents Look at you! 👏🏻

[Prateeka Koul @KoulMD]

@dgolubMD @NorthwellNsurg @CNS_Update @amirdehdashti @drdavidlanger @TheJNS @cvsection @CNSResidents Proud of you!

[Satoshi Tateshima, MD, DMSc @STateshimaMD]

Angioplasty with medical management superior to medical management alone from BASIS trial. BTW, a stent plasty device trial, TG dilator to treat LVO with ICAD is taking place in Japan. Prolonged angioplasty may be enough and stent may not be needed.
https://t.co/N7ePOtxqHP

[Eyad Almallouhi @E_Almallouhi]

Proud to have contributed to this work. In this individual patient metaanalysis from SAMMPRIS and CASSISS, stenting in symptomatic ICAS was again associated with high risk of short term complications. Highlighting the need for better selection criteria.

[International Journal of Stroke @IntJStroke]

🩸🕸️How are radiological features of the Carotid Web associated with stroke risk?

📊1.7% patients had carotid web

⭕️Carotid web length, thickness, volume, & angle relative to the carotid wall were associated with symptomatic carotid web

https://t.co/68baKwjEtP @FouziBala

[Stroke AHA/ASA @StrokeAHA_ASA]

Article Commentary: “How Clot Composition Influences Fibrinolysis in the Acute Phase of Stroke”

In this #BloggingStroke post, Antonella Potenza discusses #Stroke article by Doche et al. #AHAJournals @aphm_actu

https://t.co/z3XYYdWwBr

[JAMA Neurology @JAMANeuro]

Most viewed in the last 7 days from @JAMANeuro:

What is the optimal antithrombotic strategy for cancer-associated cryptogenic stroke?

https://t.co/SLCNVk7nU2

[Lea Alhilali, MD @teachplaygrub]

Time to go for the jugular when it comes to carotid stenosis!

Degree of stenosis isn’t all that matters

Here’s cheat sheet you NEED to remember the risky features of carotid plaques

Read on for the newest @theAJNR SCANtatistic on carotid stenosis:

https://t.co/SieEdSWFrc

NASCET isn’t the end of what you need to know—it’s just the beginning.

In addition to degree of stenosis, there are features of plaques on imaging that suggest they are prone to rupture & cause strokes.

You can remember the high-risk features by remembering that atherosclerosis is influenced by a bad diet—so the features you get when you have a bad diet are the same features vulnerable plaques will show on imaging!

High risk features:
🔸Size
You get increased size w/outward remodeling of your belly w/a bad diet. Same w/vulnerable plaques—larger plaques with outward remodeling are riskier

🔸Irregularity
If you eat a poor diet, you will get constipated & irregular. Same w/vulnerable plaques—irregular plaques are at higher risk

🔸Ulceration
Obesity is associated with ulcers. Same w/vulnerable plaques—ulcerated plaques are more vulnerable

🔸Lipid necrotic core
If you eat a lot, you get more belly fat or lipid in your core. Same w/vulnerable plaques—plaques with fatty deposits in their core are more vulnerable

🔸Loss of fibrous cap
If you eat a lot, your belt can’t hold your fat in anymore & will break. Same w/vulnerable plaques—loss of the fibrous cap holding in the lipid core is a high-risk feature.

🔸Neovascularity
Poor diet leads to constipation & hemorrhoids, a sort of neovascularity. Same w/vulnerable plaques—increased vasculature in the plaque & enhancement is a high-risk feature.

🔸Hemorrhage
Poor diet & hemorrhoids leads to bleeding. Same w/vulnerable plaques—intraplaque hemorrhage is associated with increased chance of rupture

More and more research like the research in this month’s @theAJNR have shown that looking at only degree of stenosis & symptomatology are not enough

Now you know all the imaging features that suggest a high-risk plaque beyond the degree of stenosis. Don’t narrow your focus when it comes to carotid narrowing!

[Prateeka Koul @KoulMD]

Grateful for being a part of #SNIS2024 so much I have learned and so much more to learn ahead @WomenInNeuroIR #interventionalneurology

[SNIS Info @SNISinfo]

Thank you for attending the @SNISinfo Annual Meeting! Feedback indicates this was the best ever! Welcoming attendees from over 30 countries, we continue to attract a global audience. We look forward to seeing you in Nashville in 2025. @esmintsociety @cvsection @WFITN_Society

[Prateeka Koul @KoulMD]

Truly blown away by #SNIS2024 incredible networking opportunities, grateful to have been part of research presented, getting to make my own wire with @ASAHIINTECCMEDI hands-on learning and a snazzy VR experience with #KanekaNeuro @mtlawton @andresgudino01 @julioisidor

[Prateeka Koul @KoulMD]

@mahdisowlat @julioisidor

[Prateeka Koul @KoulMD]

Learning so much about different tech and riveting debates of @MV_Terumo products by the experts at #SNIS2024 @esamaniego @neuroangio1 @andresgudino01 @DavidAltschulMD @StavTjoumakaris @InoaVioliza @AlexandraPaulMD