Stroke Interventions
Learn about stroke interventions with expert-led modules covering access, clot retrieval, posterior circulation, and special populations.
Tell me about how you choose your access site femoral vs radial
Do you use balloon guide or do you use a guide catheter? Do you use a balloon each time?
Is there any specific techniques on co aspiration that you use?
Tell us more about your catheter technique for aspiration and co-aspiration
Tell us more about your aspiration technique and tips for success
What do you do with an M3 clot and the patient is having a significant stroke?
Tell us more about your technique for ADAPT
What is the most important outcome factor in a trial that tells you it will change your practice?
CME/CE Reflection: Module I
In your opinion, what is the most effective method for pulling clot in a stroke?
What is your normal setup in terms of equipment for a standard large vessel occlusion?
Can you discuss some main factors that contribute to success in stroke thrombectomy?
How is the Nimbus different from a standard stent retriever?
What other tactical or patient specific elements can result in a challenging or unsuccessful thrombectomy?
Are you routinely doing angioplasty and stents for intracranial atherosclerotic lesions?
What is your endpoint in cases when you have trouble opening them up?
CME/CE Reflection: Module II
Tell us about your stroke team
What is your definition of a posterior circulation stroke?
How do basilar strokes typically present?
How do you approach these posterior circulation strokes when they present?
How important is age when determining how to treat these patients?
How do you approach when dealing with an isolated PCA occlusion?
For a posterior stroke what is your setup as far as guide catheter and sizing?
If there is stenosis or occlusion on the dominant vertebral artery, would you try to cross it or are you done?
What do you do if there is a proximal basilar occlusion?
Any words of advice on how to remain careful to not dissect the artery and lose access?
CME/CE Reflection: Module III
What is your approach when you see a patient in their 80s or 90s coming into the ER with a large vessel occlusion?
What do we know about risk factors for futile recanalization?
How does the approach for a thrombectomy change in a pediatric patient compared to the typical adult?
What are the techniques of thrombectomy in pediatric patients?
What is your approach for pregnant patients that come in with large vessel occlusions?
What are your thoughts on randomized controlled trials knowing many avoid certain patient populations?
CME/CE Reflection: Module IV