You can hardly find a mega-city, where from its downtown one could enjoy such a mountainous view.

#Tehran , view from Imam Khomeini Hospital

Exciting news off the #EMBOLISE trial:

neuronewsinternational.com/mma-embolisati…

Adding #MMA embolization to surgery in chronic subdural hematoma ( #cSDH ) patients reduces chances of re-operation by nearly three-fold!

Review we published in 2020: ncbi.nlm.nih.gov/pmc/articles/p…

One of the best places, if not the best place, in the world to
live the history of science and
train over the shoulder of giants.

P.S. Inadvertently turned into a poem!!

Could hardly find anything closer to the reality of #immigration than this...

In case you were waiting for: pRESET stentriever is non-inferior to Solitaire in stroke outcome.

pubmed.ncbi.nlm.nih.gov/38165690/

RCT just published in JAMA Neurology.

Stroke Prevention Treat The Stroke Medtronic RapidAI YoungNIR CV Section

Always thought of 'open surgery-first' for unruptured wide neck MCA aneurysms? See this:

pubmed.ncbi.nlm.nih.gov/38157538/

Endovascularly-treated pts were more asymptomatic at discharge (85% vs. 54%) or follow up (66% vs. 36%).

Comparable Intra- and post-op complications

CV Section

Is a complete circle of Willis important to prevent complications after CEA or stenting?

pubmed.ncbi.nlm.nih.gov/38159718/

It is a small study, but it answers: no!

CV Section Treat The Stroke RapidAI Get Ahead of Stroke YoungNIR

Mg and haemostatic effect in intracranial hemorrhage?

ahajournals.org/doi/abs/10.116…

Post-hoc analysis of FAST-MAG trial showed an association between higher Mg levels in group received Mg and diminished hematoma expansion.

Treat The Stroke Get Ahead of Stroke European Stroke Org Stroke Trials

Do you use CT perfusion, rather than plain CT, to select #stroke patients for #thrombectomy in late time window? Then see this:

pubmed.ncbi.nlm.nih.gov/38166040/

CTP and CT are comparable in outcome and safety.

Meta-analysis of 7 obs cohorts. Risk of bias.

Stroke: Vascular and Interventional Neurology SVIN

Flow diverters with surface modification, how do they compete?
pubmed.ncbi.nlm.nih.gov/38160909/

Aneurysm occlusion: Phenox-HPC = PED-Shield > FRED-X
In-stent stenosis/thrombosis: Phenox-HPC = FRED-X > PED-Shield

Meta-analysis of 2161 pts.

LINNC online 🧠 CV Section The Aneurysm and AVM Foundation (TAAF) YoungNIR

Treating dural AV fistula improves cognitive function 3 months after embolization.

jnis.bmj.com/content/early/…

Effect was irrespective of Cognard grade, although n was relatively small.

CV Section
SVIN Stroke: Vascular and Interventional Neurology The Aneurysm and AVM Foundation (TAAF) WFNS Young Neurosurgeons Forum LINNC online 🧠 YoungNIR European Stroke Org

Can D-dimer levels at ER predict first pass effect in #LVO #stroke ?

journals.sagepub.com/doi/full/10.11…

Yes...a lower D-dimer level is independently associated with first pass recanalization.

CV Section Treat The Stroke Get Ahead of Stroke European Stroke Org Stroke: Vascular and Interventional Neurology mission:brain Mission Thrombectomy

Tandem occlusions: anterograde or retrograde recanalization?

tinyurl.com/2rv7rv99

Both are comparable in outcome & safety, with antero. being faster.

Retrospective analysis of 691 cases.

Get Ahead of Stroke SVIN Stroke: Vascular and Interventional Neurology CV Section Treat The Stroke LINNC online 🧠

Aspiration or Stentriever, how much cheaper?

sciencedirect.com/science/articl…

Contact aspiration is comparable to Stentriever in outcome after EVT, with former being in averg. $4,760 lower in cost.

Retrospective analysis of 56 consecutive EVT cases.

CV Section World Neurosurgery Journal

Yalda night, the longest night of the year, is also long enough for a large vessel occlusion #stroke to happen.

Tandem ICA-MCA occlusion. Substantial (TICI2b) recanalization at Imam Khomeini Hospital.

Dr Torkaman and Dr Jamali, our good fellows.

Mission Thrombectomy Get Ahead of Stroke

Excellent article. Talking about a paradigm shift in ICH treatment.

Here I am back with another #NIR4Beginners video series:

youtu.be/7p6kBM6d9uQ?fe…

Step-by-Step on how to deploy Perclose ProGlide closure device

Its multi-step deployment is a hinderence; that's why I made this

YoungNIR CV Section Lea Alhilali, MD LINNC online 🧠 The Neuro Radialist

See below: thrombectomy is way more effective than other treatments.

But, is it merely potency of #thrombectomy , or we own very strong tools to mercilessly exclude most of #stroke cases who'd less likely benefit?
CV Section SVIN European Stroke Org Get Ahead of Stroke Mission Thrombectomy

Enjoyed 2nd day at the 15th Iranian Stroke Congress.

This am I talked about thrombectomy and how restrictive the current guidelines are to choose patients, presented rationale on why and how we can relax inclusion.

But somehow, my last slide (below) drew a lot of attention... pic.twitter.com/tGBgz7uYVR

Excited to join the 15th Iranian Stroke Congress. Running a bit late as had to first run morning report and visit patients.

Three days in 3-4 parallel halls, packed with excellent talks.

SVIN YoungNIR Get Ahead of Stroke European Stroke Org Stroke Prevention Mission Thrombectomy CV Section