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1. Complex intracranial aneurysms: a DELPHI study to define associated characteristics

Author

Diana, Francesco, Romoli, Michele, Raz, Eytan, Agid, Ronit, Albuquerque, Felipe C., Arthur, Adam S., Beck, Jürgen, Berge, Jerome, Boogaarts, Hieronymus D., Burkhardt, Jan-Karl, Cenzato, Marco, Chapot, René, Charbel, Fady T., Desal, Hubert, Esposito, Giuseppe, Fifi, Johanna T., Florian, Stefan, Gruber, Andreas, Hassan, Ameer E., Jabbour, Pascal, Jadhav, Ashutosh P., Korja, Miikka, Krings, Timo, Lanzino, Giuseppe, Meling, Torstein R., Morcos, Jaques, Mosimann, Pascal J., Nossek, Erez, Pereira, Vitor Mendes, Raabe, Andreas, Regli, Luca, Rohde, Veit, Siddiqui, Adnan H., Tanikawa, Rokuya, Tjoumakaris, Stavropoula I., Tomasello, Alejandro, Vajkoczy, Peter, Valvassori, Luca, Velinov, Nikolay, Walsh, Daniel, Woo, Henry, Xu, Bin, Yoshimura, Shinichi, van Zwam, Wim H., and Peschillo, Simone

Published
2024
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2. Radiological Outcome of Middle Meningeal Artery Embolization in Relation to Chronic Subdural Hematoma Cause and Architecture.

Author

Abdelghafar, Ahmed, Falzon, Andrew, Hendriks, Eef J., Radovanovic, Ivan, Andrade, Hugo, Schaafsma, Joanna D., and Mosimann, Pascal J.

Subjects
SUBDURAL hematoma, COMPUTED tomography, PSEUDOPOTENTIAL method, STATISTICAL correlation, COHORT analysis
Abstract

Background/Objectives: MMAE (middle meningeal artery embolization) has emerged as a potential effective treatment for cSDH (chronic subdural hematoma). In this study, MMAE efficiency with regards to cSDH cause and architecture was explored. The comparability of cSDH thickness and volume as parameters for cSDH pre- and post-MMAE assessment was also analyzed. Methods: In this retrospective cohort study, 52 consecutive cSDH patients treated with MMAE in a single tertiary center were included. The cohort was divided into two group pairs pertaining to cSDH cause (spontaneous or traumatic) and cSDH architecture (non-mature or mature). The radiological outcome was compared in each group before and after MMAE and between each group pair using CT imaging. A correlation analysis between cSDH thickness and volume before and after MMAE was also performed. Results: A statistically significant positive linear association between cSDH thickness and volume at admission and at each follow-up interval (1–3, 3–6, 6–12 months) was noticed. cSDH thickness and volume reduction in each group was statistically significant, except for a traumatic cSDH volume reduction at 6–12 months. There was no statistically significant difference between each group pair in the cSDH thickness and volume reduction difference at all the follow-up intervals. Conclusions: A comparable efficiency of MMAE may be achieved in non-mature and mature as well as in spontaneous and traumatic cSDH, with an advantage for spontaneous cSDH at 6–12 months follow-up compared to traumatic cSDH. Traumatic cSDH may require a relatively long-term follow-up post-MMAE. cSDH thickness and volume, as parameters for pre- and post-MMAE cSDH evaluation, appear similar. [ABSTRACT FROM AUTHOR]

Published
2024
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4. Effect of Pre- and In-Hospital Delay on Reperfusion in Acute Ischemic Stroke Mechanical Thrombectomy

Author

Kaesmacher, Johannes, Maamari, Basel, Meinel, Thomas R., Piechowiak, Eike I., Mosimann, Pascal J., Mordasini, Pasquale, Goeldlin, Martina, Arnold, Marcel, Dobrocky, Tomas, Boeckh-Behrens, Tobias, Berndt, Maria, Michel, Patrik, Requena, Manuel, Benali, Amel, Pierot, Laurent, Mendes Pereira, Vitor, Boulouis, Grégoire, Brehm, Alex, Sporns, Peter B., Ospel, Johanna M., Gralla, Jan, and Fischer, Urs

Published
2020
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5. Effect of Steady and Dynamic Blood Pressure Parameters During Thrombectomy According to the Collateral Status

Author

Maïer, Benjamin, Dargazanli, Cyril, Bourcier, Romain, Kyheng, Maëva, Labreuche, Julien, Mosimann, Pascal J., Puccinelli, Francesco, Taylor, Guillaume, Le Guen, Morgan, Riem, Romuald, Desilles, Jean-Philippe, Boisseau, William, Fahed, Robert, Redjem, Hocine, Smajda, Stanislas, Ciccio, Gabriele, Escalard, Simon, Blanc, Raphaël, Piotin, Michel, Lapergue, Betrand, and Mazighi, Mikael

Published
2020
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7. Endovascular Stroke Treatment and Risk of Intracranial Hemorrhage in Anticoagulated Patients

Author

Meinel, Thomas R., Kniepert, Joachim U., Seiffge, David J., Gralla, Jan, Jung, Simon, Auer, Elias, Frey, Sebastién, Goeldlin, Martina, Mordasini, Pasquale, Mosimann, Pascal J., Nogueira, Raul G., Haussen, Diogo C., Rodrigues, Gabriel M., Uphaus, Timo, L’Allinec, Vincent, Krajíčková, Dagmar, Alonso, Angelika, Costalat, Vincent, Hajdu, Steven D., Olivé-Gadea, Marta, Maegerlein, Christian, Pierot, Laurent, Schaafsma, Joanna, Suzuki, Kentaro, Arnold, Marcel, Heldner, Mirjam R., Fischer, Urs, and Kaesmacher, Johannes

Published
2020
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12. Role of Conventional Dynamic Myelography for Detection of High-Flow Cerebrospinal Fluid Leaks

Author

Piechowiak, Eike I., Pospieszny, Katarzyna, Haeni, Levin, Jesse, Christopher M., Peschi, Giovanni, Mosimann, Pascal J., Kaesmacher, Johannes, Mordasini, Pasquale, Raabe, Andreas, Ulrich, Christian T., Beck, Jürgen, Gralla, Jan, and Dobrocky, Tomas

Subjects
Conventional dynamic myelography, Cerebrospinal Fluid Leak, Spontaneous intracranial hypotension, Intracranial Hypotension, Humans, Original Article, CSF leak, Middle Aged, Myelography, Spine, Retrospective Studies
Abstract

Background Spinal imaging is essential to identify and localize cerebrospinal fluid (CSF) leaks in spontaneous intracranial hypotension (SIH) patients when targeted treatment is necessary. Purpose Provide an in-depth presentation of the conventional dynamic myelography (CDM) technique for localizing spinal CSF leaks in SIH patients. Material and Methods Consecutive SIH patients with a CSF leak confirmed on CDM and postmyelography computed tomography (CT) investigated at our institution between 2013 and 2019 were retrospectively analyzed. Intraoperative reports were reviewed to confirm the accuracy of CDM. Results In total, 62 patients (mean age 45 years) were included; 48 with a ventral dural tear, 12 with a meningeal diverticulum, and in 2 patients positive for spinal longitudinal extradural CSF collection the site remained unclear. The leak was identified during the first and the second CDM in 43 and 17 patients, respectively. The use of CDM correctly identified the site of the CSF leak in all but one patient undergoing surgical closure (45/46, 98%). The mean fluoroscopy time was 7.8 min (range 1.8–14.4 min) with a radiation dose for a single examination of 310 mGy (range 28–1237 mGy). Conclusion The CDM procedure has a high accuracy for spinal CSF leak localization including dural tears and spinal nerve diverticula. It is the technique with the highest temporal resolution, is robust to breathing artifacts, allows great flexibility regarding patient positioning, compares favorably to other dynamic examinations with respect to the radiation dose and does not require general anesthesia. For CSF venous fistulas, however, other dynamic examinations, such as digital subtraction myelography, seem more appropriate. Video online The online version of this article contains 4 videos. The article and the videos are online available (10.1007/s00062-020-00943-w). The videos can be found in the article back matter as “Electronic Supplementary Material”.

Published
2020

13. Mechanical thrombectomy for acute ischemic stroke in COVID-19 patients: multicenter experience in 111 cases

Author

Styczen, Hanna, Maus, Volker, Goertz, Lukas, Koehrmann, Martin, Kleinschnitz, Christoph, Fischer, Sebastian, Moehlenbruch, Markus, Muehlen, Iris, Kallmuenzer, Bernd, Dorn, Franziska, Lakghomi, Asadeh, Gawlitza, Matthias, Kaiser, Daniel, Klisch, Joachim, Lobsien, Donald, Rohde, Stefan, Ellrichmann, Gisa, Behme, Daniel, Thormann, Maximilian, Flottmann, Fabian, Winkelmeier, Laurens, Gizewski, Elke R., Mayer-Suess, Lukas, Boeckh-Behrens, Tobias, Riederer, Isabelle, Klingebiel, Randolf, Berger, Bjoern, Schlunz-Hendann, Martin, Grieb, Dominik, Khanafer, Ali, de Rochemont, Richard du Mesnil, Arendt, Christophe, Altenbernd, Jens, Schlump, Jan-Ulrich, Ringelstein, Adrian, Sanio, Vivian Jean Marcel, Loehr, Christian, Dahlke, Agnes Maria, Brockmann, Carolin, Reder, Sebastian, Sure, Ulrich, Li, Yan, Muehl-Benninghaus, Ruben, Rodt, Thomas, Kallenberg, Kai, Durutya, Alexandru, Elsharkawy, Mohamed, Stracke, Paul, Schumann, Mathias Gerhard, Bock, Alexander, Nikoubashman, Omid, Wiesmann, Martin, Henkes, Hans, Mosimann, Pascal J., Chapot, Rene, Forsting, Michael, Deuschl, Cornelius, Styczen, Hanna, Maus, Volker, Goertz, Lukas, Koehrmann, Martin, Kleinschnitz, Christoph, Fischer, Sebastian, Moehlenbruch, Markus, Muehlen, Iris, Kallmuenzer, Bernd, Dorn, Franziska, Lakghomi, Asadeh, Gawlitza, Matthias, Kaiser, Daniel, Klisch, Joachim, Lobsien, Donald, Rohde, Stefan, Ellrichmann, Gisa, Behme, Daniel, Thormann, Maximilian, Flottmann, Fabian, Winkelmeier, Laurens, Gizewski, Elke R., Mayer-Suess, Lukas, Boeckh-Behrens, Tobias, Riederer, Isabelle, Klingebiel, Randolf, Berger, Bjoern, Schlunz-Hendann, Martin, Grieb, Dominik, Khanafer, Ali, de Rochemont, Richard du Mesnil, Arendt, Christophe, Altenbernd, Jens, Schlump, Jan-Ulrich, Ringelstein, Adrian, Sanio, Vivian Jean Marcel, Loehr, Christian, Dahlke, Agnes Maria, Brockmann, Carolin, Reder, Sebastian, Sure, Ulrich, Li, Yan, Muehl-Benninghaus, Ruben, Rodt, Thomas, Kallenberg, Kai, Durutya, Alexandru, Elsharkawy, Mohamed, Stracke, Paul, Schumann, Mathias Gerhard, Bock, Alexander, Nikoubashman, Omid, Wiesmann, Martin, Henkes, Hans, Mosimann, Pascal J., Chapot, Rene, Forsting, Michael, and Deuschl, Cornelius

Abstract

Background Data on the frequency and outcome of mechanical thrombectomy (MT) for large vessel occlusion (LVO) in patients with COVID-19 is limited. Addressing this subject, we report our multicenter experience. Methods A retrospective cohort study was performed of consecutive acute stroke patients with COVID-19 infection treated with MT at 26 tertiary care centers between January 2020 and November 2021. Baseline demographics, angiographic outcome and clinical outcome evaluated by the modified Rankin Scale (mRS) at discharge and 90 days were noted. Results We identified 111 out of 11 365 (1%) patients with acute or subsided COVID-19 infection who underwent MT due to LVO. Cardioembolic events were the most common etiology for LVO (38.7%). Median baseline National Institutes of Health Stroke Scale score and Alberta Stroke Program Early CT Score were 16 (IQR 11.5-20) and 9 (IQR 7-10), respectively. Successful reperfusion (mTICI >= 2b) was achieved in 97/111 (87.4%) patients and 46/111 (41.4%) patients were reperfused completely. The procedure-related complication rate was 12.6% (14/111). Functional independence was achieved in 20/108 (18.5%) patients at discharge and 14/66 (21.2%) at 90 days follow-up. The in-hospital mortality rate was 30.6% (33/108). In the subgroup analysis, patients with severe acute COVID-19 infection requiring intubation had a mortality rate twice as high as patients with mild or moderate acute COVID-19 infection. Acute respiratory failure requiring ventilation and time interval from symptom onset to groin puncture were independent predictors for an unfavorable outcome in a logistic regression analysis. Conclusion Our study showed a poor clinical outcome and high mortality, especially in patients with severe acute COVID-19 infection undergoing MT due to LVO.

Published
2022

14. Safety and efficacy of intra-arterial fibrinolytics as adjunct to mechanical thrombectomy : a systematic review and meta-analysis of observational data

Author

Kaesmacher, Johannes, Meinel, Thomas Raphael, Kurmann, Christoph, Zaidat, Osama O., Castonguay, Alicia C., Zaidi, Syed F., Mueller-Kronast, Nils, Kappelhof, Manon, Dippel, Diederik W. J., Soudant, Marc, Bracard, Serge, Hill, Michael D., Goyal, Mayank, Strbian, Daniel, Heiferman, Daniel M., Ashley, William, Anadani, Mohammad, Spiotta, Alejandro M., Dobrocky, Tomas, Piechowiak, Eike, Arnold, Marcel, Goeldlin, Martina, Seiffge, David, Mosimann, Pascal J., Mordasini, Pasquale, Gralla, Jan, Fischer, Urs, Neurologian yksikkö, and HUS Neurocenter

Subjects
VESSEL OCCLUSION STROKES, THROMBOLYSIS, TENECTEPLASE, FEASIBILITY, thrombectomy, ENDOVASCULAR TREATMENT, MANAGEMENT, 3112 Neurosciences, REPERFUSION, ACUTE ISCHEMIC-STROKE, HEMORRHAGIC TRANSFORMATION, stroke, 3124 Neurology and psychiatry
Abstract

Background Achieving the best possible reperfusion is a key determinant of clinical outcome after mechanical thrombectomy (MT). However, data on the safety and efficacy of intra-arterial (IA) fibrinolytics as an adjunct to MT with the intention to improve reperfusion are sparse. Methods We performed a PROSPERO-registered (CRD42020149124) systematic review and meta-analysis accessing MEDLINE, PubMed, and Embase from January 1, 2000 to January 1, 2020. A random-effect estimate (Mantel-Haenszel) was computed and summary OR with 95% CI were used as a measure of added IA fibrinolytics versus control on the risk of symptomatic intracranial hemorrhage (sICH) and secondary endpoints (modified Rankin Scale

Published
2021

16. Safety and efficacy of intra-arterial fibrinolytics as adjunct to mechanical thrombectomy:A systematic review and meta-analysis of observational data

Author

Kaesmacher, Johannes, Meinel, Thomas Raphael, Kurmann, Christoph, Zaidat, Osama O., Castonguay, Alicia C., Zaidi, Syed F., Mueller-Kronast, Nils, Kappelhof, Manon, DIppel, DIederik W.J., Soudant, Marc, Bracard, Serge, Hill, Michael D., Goyal, Mayank, Strbian, Daniel, Heiferman, Daniel M., Ashley, William, Anadani, Mohammad, Spiotta, Alejandro M., Dobrocky, Tomas, Piechowiak, Eike I., Arnold, Marcel, Goeldlin, Martina, Seiffge, David, Mosimann, Pascal J., Mordasini, Pasquale, Gralla, Jan, Fischer, Urs, Kaesmacher, Johannes, Meinel, Thomas Raphael, Kurmann, Christoph, Zaidat, Osama O., Castonguay, Alicia C., Zaidi, Syed F., Mueller-Kronast, Nils, Kappelhof, Manon, DIppel, DIederik W.J., Soudant, Marc, Bracard, Serge, Hill, Michael D., Goyal, Mayank, Strbian, Daniel, Heiferman, Daniel M., Ashley, William, Anadani, Mohammad, Spiotta, Alejandro M., Dobrocky, Tomas, Piechowiak, Eike I., Arnold, Marcel, Goeldlin, Martina, Seiffge, David, Mosimann, Pascal J., Mordasini, Pasquale, Gralla, Jan, and Fischer, Urs

Abstract

Background Achieving the best possible reperfusion is a key determinant of clinical outcome after mechanical thrombectomy (MT). However, data on the safety and efficacy of intra-arterial (IA) fibrinolytics as an adjunct to MT with the intention to improve reperfusion are sparse. Methods We performed a PROSPERO-registered (CRD42020149124) systematic review and meta-analysis accessing MEDLINE, PubMed, and Embase from January 1, 2000 to January 1, 2020. A random-effect estimate (Mantel-Haenszel) was computed and summary OR with 95% CI were used as a measure of added IA fibrinolytics versus control on the risk of symptomatic intracranial hemorrhage (sICH) and secondary endpoints (modified Rankin Scale ≤2, mortality at 90 days). Results The search identified six observational cohort studies and three observational datasets of MT randomized-controlled trial data reporting on IA fibrinolytics with MT as compared with MT alone, including 2797 patients (405 with additional IA fibrinolytics (100 urokinase (uPA), 305 tissue plasminogen activator (tPA)) and 2392 patients without IA fibrinolytics). Of 405 MT patients treated with additional IA fibrinolytics, 209 (51.6%) received prior intravenous tPA. We did not observe an increased risk of sICH after administration of IA fibrinolytics as adjunct to MT (OR 1.06, 95% CI 0.64 to 1.76), nor excess mortality (0.81, 95% CI 0.60 to 1.08). Although the mode of reporting was heterogeneous, some studies observed improved reperfusion after IA fibrinolytics. Conclusion The quality of evidence regarding peri-interventional administration of IA fibrinolytics in MT is low and limited to observational data. In highly selected patients, no increase in sICH was observed, but there is large uncertainty.

Published
2021

18. Is Intracerebral Hemorrhage a Time-Dependent Phenomenon After Successful Combined Intravenous and Intra-Arterial Therapy?

Author

Mosimann, Pascal J., Sirimarco, Gaia, Meseguer, Elena, Serfaty, Jean-Michel, Laissy, Jean-Pierre, Labreuche, Julien, Lapergue, Bertrand, Gonzalez-Valcarcel, Jaime, Lavallée, Philippa C., Cabrejo, Lucie, Guidoux, Celine, Klein, Isabelle F., Olivot, Jean-Marc, Schouman-Claeys, Elisabeth, Amarenco, Pierre, and Mazighi, Mikael

Published
2013
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19. Pulsatile Flow-Induced Fatigue-Resistant Photopolymerizable Hydrogels for the Treatment of Intracranial Aneurysms

Author

Poupart, Oriane, primary, Conti, Riccardo, additional, Schmocker, Andreas, additional, Pancaldi, Lucio, additional, Moser, Christophe, additional, Nuss, Katja M., additional, Sakar, Mahmut S., additional, Dobrocky, Tomas, additional, Grützmacher, Hansjörg, additional, Mosimann, Pascal J., additional, and Pioletti, Dominique P., additional

Published
2021
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23. Outcome, efficacy and safety of endovascular thrombectomy in ischaemic stroke according to time to reperfusion: data from a multicentre registry

Author

Meinel, Thomas Raphael, primary, Kaesmacher, Johannes, additional, Mordasini, Pasquale, additional, Mosimann, Pascal J., additional, Jung, Simon, additional, Arnold, Marcel, additional, Heldner, Mirjam Rachel, additional, Michel, Patrik, additional, Hajdu, Steven D., additional, Ribo, Marc, additional, Requena, Manuel, additional, Maegerlein, Christian, additional, Friedrich, Benjamin, additional, Costalat, Vincent, additional, Benali, Amel, additional, Pierot, Laurent, additional, Gawlitza, Matthias, additional, Schaafsma, Joanna, additional, Pereira, Vitor Mendes, additional, Gralla, Jan, additional, and Fischer, Urs, additional

Published
2019
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24. Safety and Effectiveness of Neuro-thrombectomy on Single compared to Biplane Angiography Systems.

Author

Guenego, Adrien, Mosimann, Pascal J., Wintermark, Max, Heit, Jeremy J., Zuber, Kevin, Dobrocky, Tomas, Lotterie, Jean Albert, Nicholson, Patrick, Marcellus, David G., Olivot, Jean Marc, Gonzalez, Nestor, Blanc, Raphaël, Pereira, Vitor Mendes, Gralla, Jan, Kaesmacher, Johannes, Fahed, Robert, Piotin, Michel, Cognard, Christophe, The RADON Investigators, and Piechowiak, Eike

Subjects
*ANGIOGRAPHY, *FLUOROSCOPY, *THROMBOLYTIC therapy, *PATIENTS, *RADIATION exposure, *THROMBECTOMY
Abstract

An increasing number of centers not necessarily equipped with biplane (BP) angiosuites are performing mechanical thrombectomy (MT) in acute ischemic stroke patients. We assessed whether MT performed on single-plane (SP) is equivalent in terms of safety, effectiveness, radiation and contrast agent exposure. Consecutive patients treated by MT in four high volume centers between January 2014 and May 2017 were included. Demographic and MT characteristics were assessed and compared between SP and BP. Of 906 patients treated by MT, 576 (64%) were handled on a BP system. After multivariate analysis, contrast load and fluoroscopy duration were significantly lower in the BP group [100vs200mL, relative effect 0.85 (CI: 0.79–0.92), p = 0.0002; 22 vs 27 min, relative effect 0.84 (CI: 0.76–0.93), p = 0.0008, respectively]. There was no difference in recanalization (modified Thrombolysis-In-Cerebral-Infarction 2b-3), good clinical outcome (modified Rankin Scale 0–2), complications rates, procedure duration or radiation exposure. A three-vessel diagnostic angiogram performed prior to MT led to a significant increase in procedure duration (15% increase, p = 0.05), radiation exposure (33% increase, p < 0.0001) and contrast load (125% increase, p < 0.0001). Mechanical neuro-thrombectomy seems equally safe and effective on a single or biplane angiography system despite increased contrast load and fluoroscopy duration on the former. [ABSTRACT FROM AUTHOR]

Published
2020
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25. Predictors of Unexpected Early Reocclusion After Successful Mechanical Thrombectomy in Acute Ischemic Stroke Patients

Author

Mosimann, Pascal J., primary, Kaesmacher, Johannes, additional, Gautschi, Dominic, additional, Bellwald, Sebastian, additional, Panos, Leonidas, additional, Piechowiak, Eike, additional, Dobrocky, Tomas, additional, Zibold, Felix, additional, Mordasini, Pasquale, additional, El-Koussy, Marwan, additional, Wiest, Roland, additional, Bervini, David, additional, Wagner, Franca, additional, Arnold, Marcel, additional, Jung, Simon, additional, Galimanis, Aikaterini, additional, Gralla, Jan, additional, and Fischer, Urs, additional

Published
2018
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27. LVIS EVO stent-through-balloon after hydrocoil embolization of intracranial aneurysms: One-year results

Author

Mosimann, Pascal J, Yamac, Elif, Wallocha, Marta, Ayad, Ahmed, and Chapot, René

Abstract

Background and purpose To evaluate the durability and safety of complete intracranial aneurysm occlusion at one year using the low-profile braided intracranial LVIS EVO stent.Materials and methods This is a retrospective, monocentric, observational study of unruptured wide-necked intracranial aneurysms treated with the LVIS EVO stent-through-balloon technique after balloon-assisted hydrocoil embolization. Imaging and clinical data were assessed by two blinded independent neuroradiologists and neurologists, respectively. Primary endpoint was complete angiographic occlusion on day 0 and at 12 months. Secondary endpoints included clinical safety using the modified Rankin scale (mRS), ischemic and hemorrhagic adverse events, parent vessel stenosis > 50% or occlusion and retreatment rate.Results 103 aneurysms in 103 patients were included (53 years-old, 77% women). Mean aneurysm size and neck were 7 and 4 mm, respectively. Complete occlusion was 97% initially and 90% at 12 months, with pending follow up in 17.5% patients. Five patients (5%) with partially stented necks were retreated with a second stent in a T-configuration. Two stents failed to open initially and were immediately retrieved. Asymptomatic parent vessel occlusion and severe in-stent stenosis occurred in 1% and 3%, respectively. The 12-month procedure-related permanent neurological deficit and mortality rates (mRS 3–6) were 2% and 1%, respectively. There was one fatal bleeding but no large ischemic complications.Conclusion Delivering the LVIS EVO stent through a dual lumen balloon after balloon-assisted hydrocoil embolization yields a high and stable rate of complete aneurysm occlusion at one year with a reasonable immediate and delayed complication rate.

Published
2024
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28. Abstract T P50: ASTRAL-R score Predicts absence of Recanalization after Intravenous Thrombolysis in Acute Ischemic Stroke

Author

Vanacker, Peter, primary, Lambrou, Dimitris, additional, Heldner, Mirjam, additional, Seiffge, David, additional, Mueller, Hubertus, additional, Eskandari, Ashraf, additional, Ntaios, George, additional, Mosimann, Pascal J, additional, Sztajzel, Roman, additional, Mendes Pereira, Vitor, additional, Cras, Patrick, additional, Engelter, Stefan, additional, Lyrer, Philippe, additional, Fischer, Urs, additional, Arnold, Marcel, additional, and Michel, Patrik, additional

Published
2014
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31. Abstract T P50.

Author

Vanacker, Peter, Lambrou, Dimitris, Heldner, Mirjam, Seiffge, David, Mueller, Hubertus, Eskandari, Ashraf, Ntaios, George, Mosimann, Pascal J, Sztajzel, Roman, Mendes Pereira, Vitor, Cras, Patrick, Engelter, Stefan, Lyrer, Philippe, Fischer, Urs, Arnold, Marcel, and Michel, Patrik

Published
2014

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