JNIS Podcast

The recommendations of the report of the Society of Neurointerventional Surgery (SNIS) Standards and Guidelines Committee for endovascular strategies for cerebral venous thrombosis are discussed in this podcast. Editor-in-Chief of JNIS, Felipe de Albuquerque, talks to Justin Fraser (Department of Neurological Surgery, University of Kentucky, Lexington, USA) on behalf of the Society of NeuroInterve...

M2 occlusions can present with serious neurological deficits, resulting in large infarcts and significant morbidity and mortality. The paper discussed in this podcast concludes that patients with M2 occlusions and higher baseline deficits (NIHSS score ≥9) may benefit from endovascular therapy, thus potentially expanding the category of acute ischemic strokes amenable to intervention. Listen to the...

The use of balloon guide catheters (BGCs) during mechanical thrombectomy for acute ischemic stroke is associated with superior clinical and angiographic outcomes, concludes a systematic review and meta-analysis recently published by JNIS and discussed in this podcast. Waleed Brinjikji (Departments of Radiology and Neurosurgery of the Mayo Clinic, Rochester, Minnesota, USA) tells the Editor-in-Chie...

A low baseline Alberta Stroke Programme Early CT Score (ASPECTS) is strongly associated with low rates of favorable outcome in patients with acute stroke. The study discussed in this podcast evaluated the efficacy and safety of revascularization therapy in patient with ASPECTS ≤5 in anterior circulation infarct, concluding that revascularization therapy contributed to a favorable clinical outcome...

In this podcast, the Editor-in-Chief of JNIS Felipe Albuquerque speaks to Raul Nogueira (Department of Neurology, Emory University School of Medicine/Marcus Stroke & Neuroscience Center, Atlanta, Georgia, USA). He is the co-author of the study "Too good to intervene? Thrombectomy for large vessel occlusion strokes with minimal symptoms: an intention-to-treat analysis". Read the full paper publ...

Diagnosing with clinical scales or imaging? The transfer decision process of patients with large vessel occlusion (LVO) stroke to receive thrombectomy is discussed in this podcast. The Editor-in-Chief of JNIS Felipe Albuquerque speaks to Michael Chen (Department of Neurological Surgery, Rush University Medical Center, Chicago, USA) about his co-authored study ‘Predictors of false-positive stroke t...

JNIS Associate Editor Joshua Hirsch is joined by Shazam Hussain (Cerebrovascular Center, Cleveland Clinic, Ohio, USA) and David Fiorella (Department of Neurosurgery, Stony Brook University, New York, USA) to discuss the June 2017's editorial in the Journal of Neurointerventional Surgery. In this commentary, they analyse the conclusions of the study “Public Health Urgency Created by the Success of...

The direct aspiration first pass technique (ADAPT) has been introduced as a simple and fast method for achieving good angiographic and clinical outcomes using large bore aspiration catheters for the treatment of acute ischemic stroke (AIS). A study recently published in JNIS by Dr Turk et al. conclude that ADAPT is an effective method to achieve good clinical and angiographic outcomes, and serves...

The impact of recent guidelines for endovascular management of emergent large vessel occlusion (ELVO) awarding top tier evidence to the same selective criteria in recent trials is discussed in this podcast. The Editor-in-Chief of JNIS Felipe Albuquerque talks to the two main authors of the study, "Implications of limiting mechanical thrombectomy to patients with emergent large vessel occlusion mee...

In this podcast about the healthcare policy, Associate Editor of JNIS and Chair of the SNIS Health Care policy and Economic committee Josh Hirsch is joined by co-authors Andrew Rosenkrantz, from the Department of Radiology, NYU Langone Medical Center, and by Gregory Nicola, from the Hackensack Radiology Group, to discuss MACRA Quality Payment Program episodic care payments, costs of care and impli...

In this introductory podcast of Felipe Albuquerque, the new Editor-in-Chief of JNIS talks with Ryan McTaggart, who co-authored the study, "Decreasing procedure times with a standardized approach to emergent large vessel occlusion (ELVO) cases". The study was run at the single comprehensive stroke center at the Rhode Island Hospital and concluded that a standardized approach to the equipment used a...

In this farewell podcast of the JNIS Editor-in-Chief, Robert Tarr talks vertebral augmentation practice with Associate Editor Joshua Hirsch and Ronil Chandra. Dr J A Hirsch, from the Massachusetts General Hospital, Harvard Medical School, USA, and Dr R V Chandra, from the Interventional Neuroradiology Service, Monash University, Melbourne, Australia, are the leading authors of the study "Analysis...

In this podcast, Andrew Kofke, from the Departments of Anesthesiology and Critical Care and Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, USA, reveals the details of his JNIS Editor's Choice paper published in the November 2016 issue. The study concludes that anesthetic techniques and associated physiology used in endovascular management of acute ischemic str...

In this podcast, the Editor-in-Chief of JNIS, Robert Tarr, is joined by Ali Alaraj, the corresponding author of the study, "Increased prevalence and rupture status of feeder vessel aneurysms in posterior fossa arteriovenous malformations". Dr Alaraj, from the Department of Neurosurgery, Neuropsychiatric Institute University of Illinois, Chicago, USA, explains why are posterior cranial fossa arteri...

In this podcast, the Editor-in-Chief of JNIS, Robert Tarr, is joined by David Fiorella, the corresponding author of the study, "Final results of the US humanitarian device exemption study of the low-profile visualized intraluminal support (LVIS) device". Dr Fiorella, from the Department of Neurological Surgery, Stony Brook University Medical Center, New York, concludes that the LVIS device facilit...

In this podcast, Dr Robert Tarr interviews Dr Matthew Gounis and Dr Ajit Puri on their latest study, "Grading of Regional Apposition after Flow-Diverter Treatment (GRAFT): a comparative evaluation of VasoCT and intravascular OCT". GRAFT is a semi-automated image post-processing software, which uses intuitive two-dimensional representations of wall apposition from either high-resolution contrast-en...

In this podcast, Dr Demetrius Lopes tells Robert Tarr, the Editor of JNIS, the details of the study "Arteriovenous malformation embocure score: AVMES". Demetrius Lopes, a neuroendovascular surgeon at Rush University Medical Center, Chicago, Illinois, USA, is the corresponding author of this study selected as Editor's choice for the July issue of JNIS, which is fully accessible here: http://jnis.bm...

In this podcast, the Editor of JNIS, Robert Tarr, talks to Christof Karmonik, from the Houston Methodist Research Institute, USA, about the details of the study "Three-dimensional printing of anatomically accurate patient specific intracranial aneurysm models". The research concluded that the 3D printed aneurysm models were accurate and able to be produced inhouse. Read the full paper here: http:/...

In this podcast, Dr David Liebeskind, explains the details of the paper "Early arrival at the emergency department is associated with better collaterals, smaller established infarcts and better clinical outcomes with endovascular stroke therapy: SWIFT study". Dr David Liebeskind, from the Neurovascular Imaging Research Core, UCLA Department of Neurology, Los Angeles, USA, is interviewed by Dr Robe...

With multiple RCTs demonstrating clear benefit of mechanical thrombectomy in ELVO, the question of best approach to patients eligible for simultaneous treatment with IV TPA and mechanical thrombectomy has been debated. Dr. Hirsch interviews Drs. Leslie-Mazwi and Weber after their instructive papers on this topic. Read the full papers: “Does the use of IV tPA in the current era of rapid and predict...

In this podcast, Dr Thomas Mattingly explains the details of this study conducted in swines and which gives insights into wether endovascular selective hypothermia can provide neuroprotection within time frames relevant to acute ischemic stroke treatment. Read the full article here: http://jnis.bmj.com/content/8/4.toc .

In this podcast, Italo Linfante, Miami Cardiac and Vascular Institute and Neuroscience Center, Baptist Hospital, Miami, USA, tells JNIS’ Editor Robert Tarr, the details of his study “Predictors of poor outcome despite recanalization: a multiple regression analysis of the NASA registry”. To access the full article, click here: http://goo.gl/wNEljN .

In this podcast we find the details of the study "An update to the Raymond-Roy Occlusion Classification of intracranial aneurysms treated with coil embolization". Professor Robert Tarr interviews Justin Mascitelli, the author of the article, which can be read here: http://goo.gl/9IEX8L.

In this podcast Dr Robert Tarr talks to Dr Michael Chen about his editors choice paper "Critical assessment of the morbidity associated with ruptured cerebral arteriovenous malformations". They discuss the reasons for undertaking the study, the controversy surrounding the ARUBA trial and the possibility of continuing the research with a larger sample size. Full paper>> http://jnis.bmj.com/co...

What understanding do we have of the rupture risk and healing following aneurysm treatment? Robert Tarr interviews Ram Kardivel, of the Neuroradiology Research Laboratory, Mayo Clinic, USA, on the main conclusions of her study "Gene expression comparison of flow diversion and coiling in an experimental aneurysm model". Read the full article here: goo.gl/WpaqXz