Stroke Game 1 ep.2/2: Pediatric Case - SLICE Worldwide 2022

WORLDWIDE 2022

9 / 14 episodes

01
4.5

Symposium 1: Medtronic by Dr. Jan Gralla - SLICE Worldwide 2022

02

SYMPOSIUM 2: Stryker by Prof. Marcus Möhlenbruch - SLICE Worldwide 2022

03
Vincent COSTALAT , Demetrius Lopes , CHRISTOPHE COGNARD , Tudor Jovin , Mayank Goyal

Best Technique 2: Difficult Access - SLICE Worldwide 2022

04
Shani Avnery Kalmanovich , Vincent COSTALAT , Marc Ribo , Demetrius Lopes , Eitan Abergel , CHRISTOPHE COGNARD , Francisco José Mont' Alverne

Best Technique 1: Bifurcation MCA Occlusion - SLICE Worldwide 2022

05
Vincent COSTALAT

Focus On: Indian Stroke Care System - SLICE Worldwide 2022

06
Shani Avnery Kalmanovich , Vincent COSTALAT , Federico Cagnazzo , Marc Ribo , Eitan Abergel , CHRISTOPHE COGNARD , Ameer Hassan , Tudor Jovin , Ronen Levite , Benjamin THEVENIN

Innovation 2 episode 1/2: Malignant venous thrombosis - SLICE Worldwide 2022

07
Shani Avnery Kalmanovich , Vincent COSTALAT , Federico Cagnazzo , Marc Ribo , Eitan Abergel , CHRISTOPHE COGNARD , Ameer Hassan , Tudor Jovin , Ronen Levite , Benjamin THEVENIN

Innovation 2 episode 2/2: Malignant venous thrombosis - SLICE Worldwide 2022

08
Shani Avnery Kalmanovich , Vincent COSTALAT , Demetrius Lopes , Eitan Abergel , CHRISTOPHE COGNARD , Francisco José Mont' Alverne

Stroke Game 1 ep.1/2: Pediatric Case - SLICE Worldwide 2022

Shani Avnery Kalmanovich , Vincent COSTALAT , Wim van Zwam , Demetrius Lopes , Eitan Abergel , CHRISTOPHE COGNARD , Francisco José Mont' Alverne , Johanna Fifi

Stroke Game 1 ep.2/2: Pediatric Case - SLICE Worldwide 2022

10
Vincent COSTALAT , Federico Cagnazzo , Demetrius Lopes , Tudor Jovin , Mayank Goyal , Johanna Fifi

Innovation 1 épisode 1/2: Network Optimization - SLICE Worldwide 2022

11
Vincent COSTALAT , Federico Cagnazzo , Tudor Jovin , Johanna Fifi

Innovation 1 épisode 2/2: Network Optimization - SLICE Worldwide 2022

12
Vincent COSTALAT , Demetrius Lopes , Tudor Jovin , Mayank Goyal , Raul Nogueira , Johanna Fifi

Stroke Game 2 ep.1/3: Minor stroke patients - SLICE Worldwide 2022

13
Vincent COSTALAT , Demetrius Lopes , Tudor Jovin , Mayank Goyal , Raul Nogueira , Johanna Fifi

Stroke Game 2 ep.3/3: Minor Stroke - SLICE Worldwide 2022

14
Vincent COSTALAT , Demetrius Lopes , Tudor Jovin , Mayank Goyal , Raul Nogueira , Johanna Fifi

Stroke Game 2 ep.2/3: How to face an ICAD? - 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:

  1. Local neuro-interventional protocols should include childhood stroke;
  2. 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)
  3. 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;
    Doctor Vincent Costalat's quotation:
  4. 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. 
  5. Recanalization in young children seems to be comparable to older ones. 
  6. 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; 
  7. 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; Compability between neurovascular devices based on age of the child. Common Femoral Artery
    (The complete document is in the resources section)
  8. 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; 
  9. 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;
  10. 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; 
  11. It is possible to advance from the short femoral sheet directly with an aspiration catheter; 
  12. 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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WORLDWIDE 2022

9 / 14 episodes

01
4.5

Symposium 1: Medtronic by Dr. Jan Gralla - SLICE Worldwide 2022

02

SYMPOSIUM 2: Stryker by Prof. Marcus Möhlenbruch - SLICE Worldwide 2022

03
Vincent COSTALAT , Demetrius Lopes , CHRISTOPHE COGNARD , Tudor Jovin , Mayank Goyal

Best Technique 2: Difficult Access - SLICE Worldwide 2022

04
Shani Avnery Kalmanovich , Vincent COSTALAT , Marc Ribo , Demetrius Lopes , Eitan Abergel , CHRISTOPHE COGNARD , Francisco José Mont' Alverne

Best Technique 1: Bifurcation MCA Occlusion - SLICE Worldwide 2022

05
Vincent COSTALAT

Focus On: Indian Stroke Care System - SLICE Worldwide 2022

06
Shani Avnery Kalmanovich , Vincent COSTALAT , Federico Cagnazzo , Marc Ribo , Eitan Abergel , CHRISTOPHE COGNARD , Ameer Hassan , Tudor Jovin , Ronen Levite , Benjamin THEVENIN

Innovation 2 episode 1/2: Malignant venous thrombosis - SLICE Worldwide 2022

07
Shani Avnery Kalmanovich , Vincent COSTALAT , Federico Cagnazzo , Marc Ribo , Eitan Abergel , CHRISTOPHE COGNARD , Ameer Hassan , Tudor Jovin , Ronen Levite , Benjamin THEVENIN

Innovation 2 episode 2/2: Malignant venous thrombosis - SLICE Worldwide 2022

08
Shani Avnery Kalmanovich , Vincent COSTALAT , Demetrius Lopes , Eitan Abergel , CHRISTOPHE COGNARD , Francisco José Mont' Alverne

Stroke Game 1 ep.1/2: Pediatric Case - SLICE Worldwide 2022

Shani Avnery Kalmanovich , Vincent COSTALAT , Wim van Zwam , Demetrius Lopes , Eitan Abergel , CHRISTOPHE COGNARD , Francisco José Mont' Alverne , Johanna Fifi

Stroke Game 1 ep.2/2: Pediatric Case - SLICE Worldwide 2022

10
Vincent COSTALAT , Federico Cagnazzo , Demetrius Lopes , Tudor Jovin , Mayank Goyal , Johanna Fifi

Innovation 1 épisode 1/2: Network Optimization - SLICE Worldwide 2022

11
Vincent COSTALAT , Federico Cagnazzo , Tudor Jovin , Johanna Fifi

Innovation 1 épisode 2/2: Network Optimization - SLICE Worldwide 2022

12
Vincent COSTALAT , Demetrius Lopes , Tudor Jovin , Mayank Goyal , Raul Nogueira , Johanna Fifi

Stroke Game 2 ep.1/3: Minor stroke patients - SLICE Worldwide 2022

13
Vincent COSTALAT , Demetrius Lopes , Tudor Jovin , Mayank Goyal , Raul Nogueira , Johanna Fifi

Stroke Game 2 ep.3/3: Minor Stroke - SLICE Worldwide 2022

14
Vincent COSTALAT , Demetrius Lopes , Tudor Jovin , Mayank Goyal , Raul Nogueira , Johanna Fifi

Stroke Game 2 ep.2/3: How to face an ICAD? - SLICE Worldwide 2022

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