Pediatric Case - Ep.2/2 - SLICE Worldwide 2022
2022 - Stroke management
5 / 14 episodes
Medtronic by Dr. Jan Gralla - SLICE Worldwide 2022
Stryker by Pr. Marcus Möhlenbruch - SLICE Worldwide 2022
Vincent COSTALAT , Demetrius Lopes , CHRISTOPHE COGNARD , Tudor Jovin , Mayank Goyal
Difficult Access - SLICE Worldwide 2022
Shani Avnery Kalmanovich , Vincent COSTALAT , Demetrius Lopes , Eitan Abergel , CHRISTOPHE COGNARD , Francisco José Mont' Alverne
Pediatric Case - Ep.1/2 - SLICE Worldwide 2022
Shani Avnery Kalmanovich , Vincent COSTALAT , Marc Ribo , Demetrius Lopes , Eitan Abergel , CHRISTOPHE COGNARD , Francisco José Mont' Alverne
Bifurcation MCA Occlusion - SLICE Worldwide 2022
Shani Avnery Kalmanovich , Vincent COSTALAT , Wim van Zwam , Demetrius Lopes , Eitan Abergel , CHRISTOPHE COGNARD , Francisco José Mont' Alverne , Johanna Fifi
Pediatric Case - Ep.2/2 - SLICE Worldwide 2022
Vincent COSTALAT , Federico Cagnazzo , Demetrius Lopes , Tudor Jovin , Mayank Goyal , Johanna Fifi
Network Optimization - Ep.1/2 - SLICE Worldwide 2022
Vincent COSTALAT , Federico Cagnazzo , Tudor Jovin , Johanna Fifi
Network Optimization - Ep.2/2 - SLICE Worldwide 2022
Vincent COSTALAT , Demetrius Lopes , Tudor Jovin , Mayank Goyal , Raul Nogueira , Johanna Fifi
Minor stroke patients - Ep.1/3 - SLICE Worldwide 2022
Vincent COSTALAT , Demetrius Lopes , Tudor Jovin , Mayank Goyal , Raul Nogueira , Johanna Fifi
Minor stroke patients - Ep.3/3 - SLICE Worldwide 2022
Vincent COSTALAT , Demetrius Lopes , Tudor Jovin , Mayank Goyal , Raul Nogueira , Johanna Fifi
Minor stroke patients: how to face an ICAD? - Ep.2/3 - SLICE Worldwide 2022
Shani Avnery Kalmanovich , Vincent COSTALAT , Federico Cagnazzo , Marc Ribo , Eitan Abergel , CHRISTOPHE COGNARD , Ameer Hassan , Tudor Jovin , Ronen Levite , Benjamin THEVENIN
Malignant venous thrombosis - Ep.1/2 - SLICE Worldwide 2022
Shani Avnery Kalmanovich , Vincent COSTALAT , Federico Cagnazzo , Marc Ribo , Eitan Abergel , CHRISTOPHE COGNARD , Ameer Hassan , Tudor Jovin , Ronen Levite , Benjamin THEVENIN
Malignant venous thrombosis - Ep.2/2 - SLICE Worldwide 2022
Vincent COSTALAT
Focus On: Indian Stroke Care System - SLICE Worldwide 2022
Stroke Game
How to choose adequate devices for Childhood stroke ?
Acute ischemic stroke in childhood is a rare condition. Moreover, due to significant delays in diagnosis, treatment is frequently offered late. Knowledge about the effectiveness and safety of endovascular thrombectomy in children is limited. However, existing data suggest that it is feasible and safe. Given the condition’s rarity and the low number of thrombectomy procedures, practitioners may face this life-threatening situation without adequate pre-procedural experience.
Recommendations for interventionalists performing thrombectomy procedures in children:
- Local neuro-interventional protocols should include childhood stroke;
- Knowledge of devices that can be used for thrombectomy based on the age/ height of the child is of utmost importance; Since thrombectomy procedures are rare, ideally, childhood stroke protocols should include devices used based on the age of the patient (see Resources)
- Access should be restricted to the femoral artery; In smaller children, the use of radial introducer sheets is indicated due to their shorter length. In children under five years of age, the diameter of the femoral artery is a significant concern; 4f diagnostic catheters accommodate 0.21/0.17 microcatheters and permit deployment of low-profile stent retrievers;
- Echography-guided puncture permits the evaluation of the size of the femoral artery (the size depends on the child’s height). In older patients with development anomalies, it may be shorter than expected.
- Recanalization in young children seems to be comparable to older ones.
- Most experts start with a simple aspiration. 5F aspiration catheters that go into 6F guiding catheters can be safely used if the femoral artery accommodates a 6F introducer;
- It is debated if stent retrievers are more dangerous in children, so if deemed necessary, they should be used in smaller children, low-profile (3mm), less traumatic stent-retrievers should probably be used;
(The complete document is in the resources section) - After five years of age, cranial vessels are nearly adult size, so using the usual endovascular armamentarium can be considered; However, in younger children, low-profile material is highly recommended;
- Pre-procedural planning, in case of doubt, permits measuring the size of the vessels on the magnetic resonance imaging (MRI) and comparing it with the size of the aspiration catheter;
- Ensure compatibility between devices before starting the procedure, as the guiding sheet will frequently be less than 8F/9F, unless the procedure is performed in adolescents;
- It is possible to advance from the short femoral sheet directly with an aspiration catheter;
- Compress manually without blocking the flow in the femoral artery;
Dedicated protocols, including potential devices used, should be set in place in thrombectomy-capable centers to reduce incertitude and delay during a potential emergency.
Device in use:
Chaperon™ by Microvention
Headway™ by Microvention
Sofia™ by Microvention
Envoy™ by Cerenovus
3MAX by Penumbra
pRESET lite by Phenox
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2022 - Stroke management
5 / 14 episodes
Medtronic by Dr. Jan Gralla - SLICE Worldwide 2022
Stryker by Pr. Marcus Möhlenbruch - SLICE Worldwide 2022
Vincent COSTALAT , Demetrius Lopes , CHRISTOPHE COGNARD , Tudor Jovin , Mayank Goyal
Difficult Access - SLICE Worldwide 2022
Shani Avnery Kalmanovich , Vincent COSTALAT , Demetrius Lopes , Eitan Abergel , CHRISTOPHE COGNARD , Francisco José Mont' Alverne
Pediatric Case - Ep.1/2 - SLICE Worldwide 2022
Shani Avnery Kalmanovich , Vincent COSTALAT , Marc Ribo , Demetrius Lopes , Eitan Abergel , CHRISTOPHE COGNARD , Francisco José Mont' Alverne
Bifurcation MCA Occlusion - SLICE Worldwide 2022
Shani Avnery Kalmanovich , Vincent COSTALAT , Wim van Zwam , Demetrius Lopes , Eitan Abergel , CHRISTOPHE COGNARD , Francisco José Mont' Alverne , Johanna Fifi
Pediatric Case - Ep.2/2 - SLICE Worldwide 2022
Vincent COSTALAT , Federico Cagnazzo , Demetrius Lopes , Tudor Jovin , Mayank Goyal , Johanna Fifi
Network Optimization - Ep.1/2 - SLICE Worldwide 2022
Vincent COSTALAT , Federico Cagnazzo , Tudor Jovin , Johanna Fifi
Network Optimization - Ep.2/2 - SLICE Worldwide 2022
Vincent COSTALAT , Demetrius Lopes , Tudor Jovin , Mayank Goyal , Raul Nogueira , Johanna Fifi
Minor stroke patients - Ep.1/3 - SLICE Worldwide 2022
Vincent COSTALAT , Demetrius Lopes , Tudor Jovin , Mayank Goyal , Raul Nogueira , Johanna Fifi
Minor stroke patients - Ep.3/3 - SLICE Worldwide 2022
Vincent COSTALAT , Demetrius Lopes , Tudor Jovin , Mayank Goyal , Raul Nogueira , Johanna Fifi
Minor stroke patients: how to face an ICAD? - Ep.2/3 - SLICE Worldwide 2022
Shani Avnery Kalmanovich , Vincent COSTALAT , Federico Cagnazzo , Marc Ribo , Eitan Abergel , CHRISTOPHE COGNARD , Ameer Hassan , Tudor Jovin , Ronen Levite , Benjamin THEVENIN
Malignant venous thrombosis - Ep.1/2 - SLICE Worldwide 2022
Shani Avnery Kalmanovich , Vincent COSTALAT , Federico Cagnazzo , Marc Ribo , Eitan Abergel , CHRISTOPHE COGNARD , Ameer Hassan , Tudor Jovin , Ronen Levite , Benjamin THEVENIN
Malignant venous thrombosis - Ep.2/2 - SLICE Worldwide 2022
Vincent COSTALAT
Focus On: Indian Stroke Care System - SLICE Worldwide 2022
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