Ali Shaibani

A23 Practical antiplatelet strategies in pediatric neurointervention: a multisociety expert consensus guideline

Sophia Hohenstatt, Lucie Thibault, Darren B. Orbach, Steven W. Hetts et autres

Background/Introduction No consensus exists regarding the choice and dosing of antiplatelet agents in the pediatric population undergoing neurointerventional procedures. Current practice is largely extrapolated from adult data or heterogeneous institutional protocols, despite fundamental differences in pharmacokinetics, pharmacodynamics, and developmental hemostasis. Objective/Purpose To …

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One-Year Outcomes After Endovascular Treatment for Large Acute Ischemic Stroke

Osama O. Zaidat, Sami Al Kasab, Sunil A. Sheth, Ansaar Rai et autres

This randomized clinical trial examines 1-year safety and efficacy outcomes in patients who underwent intra-arterial thrombectomy or medical management following an acute ischemic stroke with large-core infarcts.

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Concurrent Four‐Dimensional Dynamic MRA and Perfusion Imaging Using Dual‐Module Arterial Spin Labeling MRI With Stack‐Of‐Stars Golden‐Angle Radial Acquisition

Tianrui Zhao, Jianing Tang, Sarah J. Moum, Yining He et autres

Arterial spin labeling (ASL) has been used for perfusion imaging and non-contrast enhanced dynamic MR angiography (MRA), and both have become favorable for clinical diagnosis and treatment planning of cerebrovascular diseases. Separate sequences are typically required to obtain brain vascular hemodynamics and …

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Standardizing Global Pediatric Stroke Pathways: Insights From a Global Survey Conducted by the Society of Neurointerventional Surgery Pediatric Special Interest Group

Mesha L Martinez, Aarón Rodríguez-Calienes, Alhamza R Al‐Bayati, Joseph J. Gemmete et autres

BACKGROUND: To evaluate global stroke pathways in pediatric acute ischemic stroke care, including availability of personnel, imaging practices, hyperacute therapies available, and institutional resources. METHODS: A 25-question survey designed by the Society of Neurointerventional Surgery Pediatric Special Interest Group was distributed internationally …

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ESMINT-ESNR-IPSO-SNIS-WFITN guidelines on antiplatelet therapy in pediatric neurointervention: practical recommendations and dosing strategies

Sophia Hohenstatt, Lucie Thibault, Darren B. Orbach, Steven W. Hetts et autres

Pediatric neurointerventional procedures are increasingly performed, yet antiplatelet management remains largely empirical or extrapolated from adult practice because of limited pediatric-specific evidence. This guideline provides scenario-based recommendations for antiplatelet therapy in children undergoing neurointerventional procedures; anticoagulant therapy will be addressed separately. Institutional …

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Endovascular thrombectomy for patients with large-core ischaemic stroke presenting up to 24 h after onset (ATLAS): a systematic review and individual patient data meta-analysis with central imaging adjudication

Amrou Sarraj, Götz Thomalla, Shinichi Yoshimura, Xiaochuan Huo et autres

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Successful thrombectomy for acute ischaemic stroke in an infant supported with a single ventricle assist device

K. D. Ewing, Chrisoula Cheronis, Rohit Seth Loomba, Nora Hammond et autres

Acute ischaemic stroke is rare in infancy and presents unique diagnostic and therapeutic challenges, particularly in patients supported with mechanical circulatory devices. We describe an infant with CHD supported with a single ventricle assist device who developed an acute ischaemic stroke and …

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Pre-operative embolization and surgical resection of extracranial superficial arteriovenous malformations

Shankar Rajeswaran, Abhinav Reddy Balu, Joe B. Baker, J. Ness et autres

Extracranial arteriovenous malformations (AVMs) are high-flow vascular malformations that are challenging entities to treat and are primarily managed with embolization alone. Single-stage embolization and resection is a technique occasionally used for treating intracranial arteriovenous malformations. This manuscript describes combined embolization and surgical …

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Open surgical management of a high-flow supratentorial pediatric pial arteriovenous fistula

Lucinda Chiu, Jillian H. Plonsker, Ali Shaibani, Jonathan Perry Scoville et autres

Pial arteriovenous fistulas (pAVFs) in pediatric patients are a rare, usually congenital, high-flow vascular anomaly. Because of their rarity, there are no consensus treatment guidelines. Although most pAVFs can be treated endovascularly, surgical treatment has yielded higher obliteration rates. Superficial pAVF varix …

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Fluoroscopic guided percutaneous sacroplasty utilizing a single curved needle: technical notes

Teymour Sadrieh, Anas S. Al-Smadi, Ali Shaibani, Ramez Nader Abdalla et autres

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`Probabilistic ensemble learning for prediction of stroke thrombectomy outcomes from the NeuroVascular Quality Initiative-Quality Outcomes Database (NVQI-QOD) Acute Ischemic Stroke Registry

Chaochao Zhou, Syed Hasib Akhter Faruqui, Abhinav Patel, Ramez Nader Abdalla et autres

INTRODUCTION: Mechanical Thrombectomy (MT) is the standard of care in the interventional management of Acute Ischemic Stroke (AIS). The NVQI-QOD registry records detailed patient characteristics, pre-operative imaging, procedure metrics, and post-operative outcomes of neurointerventional surgical procedures. Although these data are highly informative, …

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Progressive thrombosis and involution of a pediatric giant middle cerebral artery pseudoaneurysm following superficial temporal artery–to–middle cerebral artery bypass: illustrative case

Nicole Villalba, Lucinda T. Chiu, Jonathan Perry Scoville, Ali Shaibani et autres

BACKGROUND: Direct arterial cerebral bypass is commonly performed as part of the definitive treatment strategy for complex aneurysms. While several reports have demonstrated aneurysm thrombosis after direct bypass alone, this report highlights the successful treatment of pediatric giant pseudoaneurysm with direct bypass, …

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