Laurens Winkelmeier @WinkelmeierMD
Neuroradiology @UKEHamburg Hamburg, Deutschland Joined February 2021-
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Following150
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📊TENSION trial results are reproducible in routine care 🇩🇪🧠German Stroke Registry data shows similar 90‑day results to the RCT, supporting wider adoption of thrombectomy for large‑infarct stroke journals.sagepub.com/doi/full/10.11… @WinkelmeierMD @Fie0815 @FabianFlottmann @MDoctoronboard
📊TENSION trial results are reproducible in routine care 🇩🇪🧠German Stroke Registry data shows similar 90‑day results to the RCT, supporting wider adoption of thrombectomy for large‑infarct stroke journals.sagepub.com/doi/abs/10.117… @WinkelmeierMD @Fie0815 @FabianFlottmann @MDoctoronboard
📊TENSION trial results are reproducible in routine care 🇩🇪🧠German Stroke Registry data shows similar 90‑day results to the RCT, supporting wider adoption of thrombectomy for large‑infarct stroke journals.sagepub.com/doi/abs/10.117… @WinkelmeierMD @Fie0815 @FabianFlottmann @MDoctoronboard
📊TENSION trial results are reproducible in routine care 🇩🇪🧠German Stroke Registry data shows similar 90‑day results to the RCT, supporting wider adoption of thrombectomy for large‑infarct stroke journals.sagepub.com/doi/abs/10.117… @WinkelmeierMD @Fie0815 @FabianFlottmann @MDoctoronboard
Better done than perfect? Stop after TICI 2b 1st pass?TICI 2b 1st pass not worse than TICI 3 after 2nd or 3rd pass? bit.ly/4oc53Mi Another reperfusiology analysis from 🇩🇪 GSR (n=6,398) @AdamArthurMD @Cure4Stroke @TudorGJovin @MokinMax @_AdnanSiddiqui @WinkelmeierMD
New 🇩🇪 cSDH embolization data (n=718): 25% mRS 0-2 increase at FU. bit.ly/47cysA8 76% shrink / 47% full resolution, 16% failure rate. Antithrombotics up failure risk (16% vs 9%). Thoughts? @_AdnanSiddiqui @Ansaar_Rai @JMoccoMD @eneri_neuro @MDoctoronboard @VladimirKZagreb @jildazz
Article Commentary: “General Anesthesia Versus Conscious Sedation in Thrombectomy Patients With Low NIHSS Anterior Circulation Stroke” In this #BloggingStroke post, Jason Vuong discusses #Stroke article by Heitkamp et al. #AHAJournals ahajournals.org/do/10.1161/blo…
🧵In an observational study based on the German Stroke Registry, the rate of successful recanalization was comparable between patients with anterior circulation LVO with low NIHSS on presentation undergoing EVT with local anesthesia/conscious sedation versus general anesthesia.
RCT @TENSIONstudy: 24h NIHSS score with higher impact on outcomes than 24h infarct volume bit.ly/3QMI2kz Topography, structural connectivity, selective neuronal loss❓ @_AdnanSiddiqui @VladimirKZagreb @CSI_Basel @CheesemakerMD @johanna_ospel
Thrombectomy With Low ASPECTS: The Roles of Infarct Volume and Postacute Neurological Status | Stroke ahajournals.org/doi/full/10.11…
LVO with NIHSS score 0-5: GA with better recanalization but poorer outcome⁉️bit.ly/3Rrrbnm GSR🇩🇪cohort: 582 pts. after propensity score matching. @AmeerEHassan @esmintsociety @DGNR_org @eneri_neuro @shazamhussain
General Anesthesia Versus Conscious Sedation in Thrombectomy Patients With Low NIHSS Anterior Circulation Stroke | Stroke ahajournals.org/doi/full/10.11…
Arterial Collaterals and Endovascular Treatment Effect in Acute Ischemic Stroke with Large Infarct: A Secondary Analysis of the TENSION Trial | Radiology pubs.rsna.org/doi/10.1148/ra…
These findings suggest that patients with large ischemic stroke manifesting within 12 hours after onset should undergo endovascular thrombectomy irrespective of single-phase CTA collateral status.
Arterial Collaterals and Endovascular Treatment Effect in Acute Ischemic Stroke with Large Infarct: A Secondary Analysis of the TENSION Trial | Radiology pubs.rsna.org/doi/10.1148/ra…
Don’t miss the companion editorial by @AnassBenomarMD & @RaymondJeanMD1: Another Step Toward Thrombectomy for All Patients with Severe Ischemic Stroke. 🧠🚑Dive into the latest insights on expanding thrombectomy access. #NeuroRadiology #Stroke pubs.rsna.org/doi/10.1148/ra…
In patients with large ischemic stroke, thrombectomy within 12 hours significantly reduces 90-day functional disability compared to medical treatment—regardless of collateral status on single-phase CTA. #Stroke #NeuroRadiology @WinkelmeierMD pubs.rsna.org/doi/10.1148/ra…
Secondary TENSION RCT analysis: EVT works with good and poor collaterals in large core stroke. No significant difference. bit.ly/3Qydcfc Single-phase CTA scoring. @TENSIONstudy @CSI_Basel @MeyerL_MD @ikeafonso1 @FabianFlottmann @daigaole
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