Mandar Waghralkar, MD DM FINR

Father | Husband | Interventional Neurologist @Nagpur #Stroke & Neuro-Vascular Intervention Specialist 🧠 | Avid Photographer #wildlife📸

[World Stroke Academy @WorldStrokeEd]

#ESOC2025

🦵🏽EECP for improve cerebral vasodilatory reserve (on SPECT) in ICAD patient
1hr/d, 5 times/week
122 randomized patients, 58y, 61%males

✅EECP was associated with significant improvement in hemodynamic parameters

[Stroke AHA/ASA @StrokeAHA_ASA]

To Stent or Not to Stent: That Is the Tandem Question

In this #BloggingStroke post, @MDStebnerAl discusses #Stroke article by @sousajoaoandre & @MRodrigoGisbert et al., presented at #ISC25. #AHAJournals @AHAScience

https://t.co/s3oI2kKZpA

[Lester Y. Leung, MD, MSc @LesterLeung]

Excellent talk by Dr. Jae Song at #ISC25 on value added by vessel wall imaging in differentiating between cerebral vasculitis and other non-inflammatory vasculopathies

[Stroke AHA/ASA @StrokeAHA_ASA]

#STROKE: Adjunct emergent stenting for patients with underlying intracranial stenosis is associated with better functional outcome without a significantly increased risk of symptomatic hemorrhage – being presented today at #SVIN24. #AHAJournals

https://t.co/xND4v0XJpy

[JNIS @JNIS_BMJ]

🤓 Do you know your vertebrobasilar perforators? Check out this review with fantastic images from @eytanraz @neuroangio1 @ENossek @MatthewPottsMD @SharashidzeVera @ChungCharlotte @rdeleacymd Link: https://t.co/lq7dTUpXqD

[Gravity Medical Technology @GravityMedTech]

Challenging distal M1 occlusion w ICAD & tortuous vasculature. Achieved first-pass recanalization w Supernova 4x43mm stent retriever (optimized for ICAD) & Neutron 070 aspiration catheter. Courtesy of Dr. Wittawat Takong, Bangkok Hospital Pattaya, Thailand.

[Mandar Waghralkar, MD DM FINR @mandaarw]

@TareqKass @SandeepNathanMD @Jonathan_PaulMD @Thindmints There are good dedicated support neuro-wires available for such encounters …using cardiac stiff wires can be disastrous in perforator rich region.

[Mandar Waghralkar, MD DM FINR @mandaarw]

Today, on 29th October, #WorldStrokeDay, let us prioritize awareness and education NOT just for 1 day, But Each and Every Day for 365 days.
Stroke can strike anyone, anywhere, at any time.
Recognizing the signs and knowing how to act can drastically improve recovery.
#ACTFAST

[Mandar Waghralkar, MD DM FINR @mandaarw]

@DrJessicaCampos @cvsection @ClemensSchirmer @CNS_Update @StavTjoumakaris @bainmd @Doctorjfred Hi, can FMG apply for it?

[Mandar Waghralkar, MD DM FINR @mandaarw]

@WorldStrokeEd @sheilambrasil @opontesnetoMD @gsaposnik @Diana_A_Sousa @a_charidimou @ShadiYaghi2 @ALATACV @Montecoya @SharashidzeVera @StrokeAHA_ASA @TrimaanS99031

[Mateus Damiani Monteiro @mateusdamiani]

Contrast stagnation time and carotid web morphological features. Check out our new paper:
https://t.co/FmIoGj58Tm
@Mo_TarekNeuro @PedroNMartins__ @JayDoliaMD @RaulNogueiraMD @DiogoHaussen @EmoryStroke @JNIS_BMJ

[Miriam Vicente @mirivicente]

#Innovation
•"Is the act of working through all the obstacles and problems of turning a creative idea into a success". Dr Tom Marotta 🇨🇦 #aneurysm #newdevices
@LINNConline @neurofox
@ipagiola
@DanielVelaMD
@DoctorGaldamez
@sujijantaratMD

[Rodrigo Rivera @neurofox]

Full house at day 1 of @LINNConline Paris!!

@ipagiola
@DanielVelaMD
@DoctorGaldamez
@sujijantaratMD
@mirivicente

[Science Translational Medicine @ScienceTM]

A miniaturized, snake-like OCT imaging probe navigates and illuminates the labyrinth of cerebral arteries with high resolution, offering a diagnostic tool to guide #endovascular interventions for #stroke and other conditions. @RADIS_lab @SmhNeuroVasc https://t.co/392mTQjtbR

[Mandar Waghralkar, MD DM FINR @mandaarw]

#WorldThrombectomyDay #India 🇮🇳 #spreadingtheword @svinsociety @dyavagal @AshuPJadhav @almuftifawaz @NguyenThanhMD @StrokeAHA_ASA @ShashvatDesai

[Andrew Micieli @MicieliA_MD]

We now have multiple #stroke RCTs (ACT🇨🇦, TRACE-2 🇨🇳, ATTEST-2 🇬🇧, TIMELESS🇺🇸) showing the rate of symptomatic intracranial hemorrhage with tPA or TNK is ~3%

Time to move away from the previously quote ~6% from the old RCTs. A likely result of better patient selection and CTA (+/- CTP) imaging

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

Just published our paper on 30-Day Readmission post stroke undergoing MT 703 patients
Causes for readmission:
1- Cerebrovascular events 53.4%
2- Cardiac events 8.6%
3- Infection 6.9%
Predictors of readmission:
Smoking, distal embolization, intracranial stenting, decompression

[Andrew Micieli @MicieliA_MD]

Recent high impact stroke publications/updates:

1. INSPIRES trial via @NEJM - DAPT up to 72hr post TIA/minor stroke (https://t.co/z3YUsZXHMd)
2. ATTICUS trial via @NEJM - Apixaban not superior to ASA for ESUS (https://t.co/dT1E0I6etE)
3. Code ICH 🩸 via @StrokeAHA_ASA (https://t.co/ibxnSDxGfV)
4. Stroke etiologies graphic via @a_charidimou (https://t.co/BbdxdTqae5)

#stroke #MedED #neurology

[NEJM Evidence @NEJMEvidence]

In the ATTICUS trial, among pts w/ embolic stroke of undetermined source and cardioembolic risk factors, apixaban was not superior to aspirin in preventing new ischemic lesions on MRI and was comparable in rates of clinically relevant bleeding. https://t.co/l3OMFcRTQF

[Elena Zapata-Arriaza @ELeNaZapS]

Pues parece que la @EMA_News va a simplificar el uso de TNK! https://t.co/aqDZpV3pnf