A5081357162- Acute Ischemic Stroke Management
- Cerebrovascular and Carotid Artery Diseases
- Venous Thromboembolism Diagnosis and Management
- Stroke Rehabilitation and Recovery
- Intracranial Aneurysms: Treatment and Complications
- Traumatic Brain Injury and Neurovascular Disturbances
- Vascular Procedures and Complications
- Vascular Malformations Diagnosis and Treatment
- Healthcare Systems and Practices
- Vascular Anomalies and Treatments
- Aortic aneurysm repair treatments
- Esophageal and GI Pathology
- Cerebral Venous Sinus Thrombosis
- Spine and Intervertebral Disc Pathology
- Neurological disorders and treatments
- Advanced MRI Techniques and Applications
- Central Venous Catheters and Hemodialysis
- Biliary and Gastrointestinal Fistulas
- Intracerebral and Subarachnoid Hemorrhage Research
- Obstructive Sleep Apnea Research
- Neurosurgical Procedures and Complications
- Moyamoya disease diagnosis and treatment
- Fetal and Pediatric Neurological Disorders
- Spinal Hematomas and Complications
- Abdominal vascular conditions and treatments
Hospital Clínico San Carlos
2020-2025
Eppendorf (Germany)
2025
Ramathibodi Hospital
2024
Mahidol University
2024
Comunidad de Madrid
2022
Hospital General Universitario Gregorio Marañón
2016-2018
For patients with symptomatic acute occlusions of the internal carotid artery below circle Willis, endovascular and best medical treatment were both effective safe therapeutic options.
Review of the experience a tertiary care centre for almost 10 years in CT diagnosis non-occlusive mesenteric ischaemia (NOMI). Analysis findings, correlation with clinical outcomes and evaluation usefulness measuring superior artery (SMA) diameter NOMI.106 patients were diagnosed NOMI biphasic examination from 2008 to 2017 our hospital. Clinical findings reviewed. In 55 patients, SMA was compared previous scan where not diagnosis, statistical analysis using paired t-test performed.81 (76%)...
Vessel perforation during thrombectomy is a severe complication and hypothesized to be more frequent medium vessel occlusion (MeVO) thrombectomy. The aim of this study was compare the incidence outcome patients with MeVO large (LVO) report on procedural steps that led perforation.
Mechanical thrombectomy techniques for intracranial medium vessel occlusions (MeVOs) have evolved in recent years, although the optimal approach is still unclear. The aim of this study was to investigate effectiveness and safety mechanical MeVOs using mini (0.017 inches microcatheter compatible) stent retrievers combined with low-profile (0.035 distal inner diameter) aspiration catheters through blind exchange/mini-pinning (BEMP) technique compared alone.Retrospective review a prospectively...
Background and purpose The first-pass effect (FPE), defined as a Expanded Treatment in Cerebral Ischaemia (eTICI) 2c/3 reperfusion, has emerged key metric of efficacy mechanical thrombectomy (MT) for acute ischaemic stroke. proximal balloon occlusion together with direct thrombus aspiration during stent retriever (PROTECT)-PLUS technique consists the use guide catheter combined MT approach involving contact retriever. aim this study is to assess effectiveness safety PROTECT-PLUS using distal...
To demonstrate, by a cost-effectiveness analysis, the efficiency of mechanical thrombectomy (MT) versus medical management (MM) in patients with low Alberta Stroke Program Early CT Score (ASPECTS) from RESCUE Study.A model was designed to project both direct costs and quality-adjusted life-years (QALYs) MT MM eight European countries (Spain, UK, France, Italy, Belgium, Germany, Sweden, Netherlands). Our created based on previously published health-economic data those countries. Procedure...
Background Although mechanical thrombectomy (MT) is an effective treatment for large vessel occlusion (LVO) with a high successful recanalization rate, MT failure (MTF) occurs in 10–15% of cases and associated unfavorable outcomes. However, little known about the clinical, technical, radiological reasons MTF. We investigated technical factors Methods conducted retrospective analysis consecutive patients anterior LVO prospectively included ongoing observational multicenter ROSSETTI registry....
Background Balloon guide catheter (BGC) in stent retriever based thrombectomy (BGC+SR) for patients with large vessel occlusion strokes (LVOS) improves outcomes. It is conceivable that the addition of a bore distal access (DAC) to BGC+SR leads higher efficacy. We aimed investigate whether combined BGC+DAC+SR approach angiographic and clinical outcomes compared alone anterior circulation LVOS. Methods Consecutive LVOS from June 2019 November 2020 were recruited ROSSETTI registry. Demographic,...
Background and purpose Preoperative embolization of carotid paragangliomas is a common procedure in interventional neuroradiology. Direct puncture has shown less morbidity mortality than endovascular higher percentage devascularization. We describe our experience using Squid® as the only embolic agent direct glomus embolization. Methods retrospectively reviewed pre-embolization imaging tests, emphasizing volume lesion, clinical history data, technical aspects procedure, well approximate...
The Stent retriever Assisted Vacuum-locked Extraction (SAVE) technique in mechanical thrombectomy consists of the simultaneous use a stent and distal aspiration catheter, with removal both as unit when performing pass. This is safe procedure that provides high rate first-pass reperfusion.1 In M1 segment middle cerebral artery (MCA) occlusions, portion clot extending to upper lower MCA branches, can be challenging since thrombus not fully trapped, risk migration branch which placed. these...
The thyrocervical trunk (TCT) is the second ascending branch of subclavian artery. It considered a 'border territory' between interventional vascular radiology and neuroradiology because it gives rise to branches both cervical upper limbs. We describe TCT anatomy, most frequent variants, expose eight endovascular procedures performed through trunk.A retrospective review all carried out in our tertiary care center from August 2014 January 2017 presented.A total including six preoperative...
Goyal et al described occlusions in M2/3, A2/3 and P2/3 as medium vessel (MeVOs); the only available controlled data of mechanical thrombectomy (MT) MeVOs is limited to middle cerebral artery M2 segment, suggesting that MT may be effective safe with high functional independence recanalization rates. The Stent retriever Assisted Vacuum-locked Extraction (SAVE) technique consists simultaneous use a stent distal aspiration catheter (DAC), removal both unit when performing pass; however, so far...
BACKGROUND: The double-stent retriever (SR) technique has been described as an effective rescue when single-SR fails to induce recanalization. We aimed assess the safety and efficacy of first-line double-SR in patients with stroke undergoing thrombectomy. METHODS: This was a multicenter, randomized, controlled, blinded adjudicated primary outcome study. Patients large vessel occlusion within 24 hours after onset thrombectomy were included. Upon confirmation on initial angiogram, randomly...
Background Efficient recanalization of occluded cerebral arteries is crucial in the treatment acute ischemic stroke. Double stent retrievers have shown potential to enhance rates on first pass. This study aims evaluate efficacy and safety double retriever technique predictors achieving first-pass effect patients with Methods prospective multicenter involved 209 from 16 comprehensive stroke centers Spain. Patients occlusions anterior circulation were treated using Aperio Hybrid retriever. The...
We report a case of premature neonate girl with scalp and skull defects brachydactyly the feet consistent an Adams-Oliver syndrome (AOS). The patient had central nervous system abnormalities, such as periventricular calcifications, hypoplastic corpus callosum, bilateral hemispheric corticosubcortical hemorrhagic lesions. A muscular ventricular septal defect portosystemic shunt were diagnosed. To our knowledge, this is first congenital supratentorial grey-white matter junction lesions without...
Orbital infarction syndrome (OIS) encompasses the ischaemic of all intraorbital and intraocular structures (optic nerve, extraocular muscles orbital fat) which leads to a painful loss visual acuity, ophthalmoparesis, chemosis, proptosis ptosis. The rich anastomotic vascularisation from internal carotid artery (ICA) external makes this disorder rare cause in stroke patients. We describe case woman who suffered an acute occlusion her right ICA developed OIS after mechanical thrombectomy.
The optimal endovascular treatment (EVT) technique for middle cerebral artery (MCA) M2 segment occlusions remains unknown. We aim to analyze whether reperfusion rate, procedure times, procedure-related complications, and clinical outcome differed between patients with isolated who underwent stent-retriever (SR) alone versus combined SR contact aspiration (CA) as a front-line EVT.Patients EVT MCA-M2 occlusion were recruited from the prospectively ongoing ROSSETTI registry. Patients divided...