Video Atlas of Acute Ischemic Stroke Intervention.

• Author: Mokin, Maxim.
• TeilnehmendeR: Levy, Elad I.; Siddiqui, Adnan H.
• Place / Publishing House: NEW YORK : : Thieme Medical Publishers, Incorporated,, 2022.; Ã2022.
• Year of Publication: 2022
• Edition: 1st ed.
• Language: English
• Physical Description: 1 online resource (216 pages)

The go-to resource for managing a full spectrum of clinical scenarios in acute ischemic stroke Ever-evolving technological advances have created a daunting number of emergent neurointerventional protocols and therapies for treating acute ischemic stroke. This has created an urgent need for reader-friendly, hands-on resources. Video Atlas of Acute Ischemic Stroke Intervention edited by renowned neuroinventional stroke experts Maxim Mokin, Elad I. Levy, Adnan H. Siddiqui, and esteemed contributors fills a void in education and knowledge with interactive, case-based guidance on mastering challenging stroke interventions. The atlas leverages current knowledge and decades of experience in acute stroke treatment and device innovations to familiarize clinicians at various career stages with a wide repertoire of techniques available in the neurointerventional suite. The book focuses on technical aspects of interventional stroke procedures including pitfalls and complications, an overview of the most useful tools of the trade, and discussion of pre- and post-procedural care. Eighteen chapters provide comprehensive coverage on the most common endovascular treatment approaches for acute stroke--aspiration and stent-retriever thrombectomy of proximal, distal, and tandem occlusions. Several cases focus on recognition and management of complications that clinicians may encounter during emergent procedures. Topics include the importance of arterial access, unmet need in current devices, and methods for overcoming these challenges. Key Highlights Thirty-eight individually narrated, high-definition videos describe angiographic and procedural cases, step by step High-quality illustrations emphasize and delineate key aspects of complex procedures Firsthand tips and tricks enhance the ability to manage highly challenging and less common pathologies,

including arterial dissection, atherosclerosis, and venous strokes This must-have resource will benefit all practitioners involved in the interventional care of patients with acute ischemic stroke.

Table of Contents

Video Atlas of Acute Ischemic Stroke Intervention -- MedOne Access Information -- Title Page -- Copyright -- Dedication -- Contents -- Videos -- Foreword -- Preface -- Acknowledgments -- Contributors -- 1 Clinical and Imaging Evaluation -- 1.1 Clinical Evaluation -- 1.2 Imaging Evaluation -- 1.3 Pearls and Pitfalls -- 2 Arterial Access -- 2.1 Anatomical and Imaging Aspects -- 2.2 Technique and Key Steps-FA Access -- 2.3 Technique and Key Steps-RA Access -- 2.4 Technique and Key Steps-Alternative Access -- 2.5 Pearls and Pitfalls -- 2.6 Cases with Videos and Images -- 2.6.1 Case 2.1 RA Loop -- 3 Challenging Access -- 3.1 Anatomical and Imaging Aspects -- 3.2 Technique and Key Steps -- 3.3 Pearls and Pitfalls -- 3.4 Cases with Videos and Images -- 3.4.1 Case 3.1 Balloon Guide Catheter Anchoring Technique -- 3.4.2 Case 3.2 ICA Loop and "Soft" Long Guide Sheath -- 4 Common Carotid Artery Occlusion -- 4.1 Anatomical and Imaging Aspects -- 4.2 Carotid Stent Selection -- 4.3 Pearls and Pitfalls -- 4.4 Cases with Videos and Images -- 4.4.1 Case 4.1 Covered Stents in CCA Origin Occlusion -- 4.4.2 Case 4.2 Common Carotid Artery Occlusion with a Long Lesion: A Two-Stent Construct -- 4.4.3 Case 4.3 Covered Stent Placement Through Brachial Access for Brachiocephalic Artery Occlusion -- 5 Internal Carotid Artery Occlusion -- 5.1 Anatomical and Imaging Aspects -- 5.2 Carotid Stent Selection -- 5.3 Technique and Key Steps -- 5.4 Pearls and Pitfalls -- 5.5 Cases with Videos and Images -- 5.5.1 Case 5.1 Balloon Guide Catheter and Distal Filter for Cervical ICA Occlusion -- 5.5.2 Case 5.2 Mo.Ma Device for ICA Occlusion -- 5.5.3 Case 5.3 Unprotected Stenting and Distal Embolization -- 6 Internal Carotid Artery Dissection -- 6.1 Anatomical and Imaging Aspects -- 6.2 Carotid Stent Selection -- 6.3 Technique and Key Steps -- 6.4 Pearls and Pitfalls.

6.5 Cases with Videos and Images -- 6.5.1 Case 6.1 Stenting of Cervical Internal Carotid Artery (ICA) Dissection Under Flow Arrest -- 6.5.2 Case 6.2 Repair of a Long Dissection with Two Stents -- 7 Internal Carotid Artery Terminus Occlusion -- 7.1 Anatomical and Imaging Aspects -- 7.2 Technique and Key Steps -- 7.3 Pearls and Pitfalls -- 7.4 Cases with Videos and Images -- 7.4.1 Case 7.1 Balloon Guide Catheter and Stent Retriever -- 7.4.2 Case 7.2 Intracranial Stenting -- 8 Tandem Occlusion -- 8.1 Anatomical and Imaging Aspects -- 8.2 Technique and Key Steps -- 8.3 Pearls and Pitfalls -- 8.4 Cases with Videos and Images -- 8.4.1 Case 8.1 Tandem CCA and MCA Lesion and Aspiration Thrombectomy -- 8.4.2 Case 8.2 Tandem ICA Occlusion and Stent Retriever Thrombectomy -- 9 Proximal Middle Cerebral Artery Occlusion-Stent-Retriever Thrombectomy -- 9.1 Anatomical and Imaging Aspects -- 9.2 Technique and Key Steps -- 9.3 Pearls and Pitfalls -- 9.4 Cases with Videos and Images -- 9.4.1 Case 9.1 Long Sheath, Intermediate Catheter, and Stent Retriever for M1 Occlusion -- 9.4.2 Case 9.2 Balloon Guide Catheter, Intermediate Catheter, and Stent Retriever for M1 Occlusion -- 9.4.3 Case 9.3 Stent Retriever for M2 Occlusion and Vasospasm -- 9.4.4 Case 9.4 Multiple Passes with Stent Retriever and Failed Recanalization -- 10 Proximal Middle Cerebral Artery Occlusion-Aspiration -- 10.1 Anatomical and Imaging Aspects -- 10.2 Technique and Key Steps -- 10.3 Pearls and Pitfalls -- 10.4 Cases with Videos and Images -- 10.4.1 Case 10.1 Direct Aspiration with First-Pass Effect -- 10.4.2 Case 10.2 Direct Aspiration of M1 Followed by Stent Retriever for a More Distal Occlusion -- 10.4.3 Case 10.3 Aborted Stent-Retriever Attempt and Successful Aspiration Instead -- 10.4.4 Case 10.4 Aspiration Catheter Catches on Ophthalmic Artery -- Stent Retriever is Used.

10.4.5 Case 10.5 Direct Aspiration with Reocclusion, Underlying Atherosclerosis, and Rescue Intracranial Stenting -- 11 Proximal Middle Cerebral Artery Occlusion-Angioplasty and Stenting -- 11.1 Anatomical and Imaging Aspects -- 11.2 Technique and Key Steps -- 11.3 Pearls and Pitfalls -- 11.4 Cases with Videos and Images -- 11.4.1 Case 11.1 Failed Angioplasty and Successful Stenting of M2 Occlusion -- 11.4.2 Case 11.2 Fractional Flow Reserve and Primary Stenting of Critical MCA Stenosis -- 12 Distal Middle Cerebral Artery Occlusion -- 12.1 Anatomical and Imaging Aspects -- 12.2 Technique and Key Steps -- 12.3 Cases with Videos and Images -- 12.3.1 Case 12.1 Stent Retriever for M3 Occlusion -- 12.3.2 Case 12.2 Intra-arterial Thrombolysis for M3/4 Occlusion -- 13 Anterior Cerebral Artery Occlusion -- 13.1 Anatomical and Imaging Aspects -- 13.2 Technique and Key Steps -- 13.3 Cases with Videos and Images -- 13.3.1 Case 13.1 Direct Aspiration of A2 Occlusion -- 13.3.2 Case 13.2 Stent-Retriever Thrombectomy of A2 Occlusion -- 14 Vertebral Artery Occlusion -- 14.1 Anatomical and Imaging Aspects -- 14.2 Techniques and Key Steps -- 14.3 Pearls and Pitfalls -- 14.4 Cases with Videos and Images -- 14.4.1 Case 14.1 Vertebral Artery Origin Stenting and Ostial Balloon Angioplasty -- 15 Basilar Artery Occlusion-Mechanical Thrombectomy -- 15.1 Anatomical and Imaging Aspects -- 15.2 Techniques and Key Steps -- 15.3 Pearls and Pitfalls -- 15.4 Cases with Videos and Images -- 15.4.1 Case 15.1 Long Sheath, Intermediate Catheter, and Stent Retriever for BA Occlusion -- 16 Basilar Artery Occlusion-Angioplasty and Stenting -- 16.1 Anatomical and Imaging Aspects -- 16.2 Techniques and Key Steps -- 16.3 Pearls and Pitfalls -- 16.4 Cases with Videos and Images -- 16.4.1 Case 16.1 Angioplasty and Stenting of Flow-Limiting Vertebrobasilar Stenosis.

16.4.2 Case 16.2 Basilar Artery Submaximal Angioplasty -- 17 Cerebral Venous Sinus Thrombosis -- 17.1 Anatomical and Imaging Aspects -- 17.2 Techniques and Key Steps -- 17.3 Pearls and Pitfalls -- 17.4 Cases with Videos and Images -- 17.4.1 Case 17.1 Clot Disruption Using Balloon and Mechanical Thrombectomy -- 18 Management of Complications -- 18.1 Vessel Perforation -- 18.2 Dissection -- 18.3 Access-Site Complications -- 18.4 Reperfusion Hemorrhage -- 18.5 Reocclusion -- 18.6 In-Stent Thrombosis -- 18.7 Pearls and Pitfalls -- 18.8 Cases with Videos and Images -- 18.8.1 Case 18.1 Acute In-Stent Thrombosis -- 18.8.2 Case 18.2 MCA Perforation during Thrombectomy -- Index -- Additional MedOne Access Information.