 
            
              Laurens Winkelmeier
            
            @WinkelmeierMD
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              Neuroradiology @UKEHamburg
              
              Hamburg, Deutschland
            
            
              
              Joined February 2021
            
            
           Is TICI 3 associated with superior outcomes compared with TICI 2b in #Thrombectomy for large ischemic strokes (ASPECTS 3-5)? Results published @JNIS. Check it out ⬇️  https://t.co/AtbKCMnthE 
            @Fie0815 @FabianFlottmann @BroocksGabriel @MDoctoronboard #UKEHamburg #stroke
          
          
            
            jnis.bmj.com
              Background Landmark thrombectomy trials have provided evidence that selected patients with large ischemic stroke benefit from successful endovascular therapy, commonly defined as incomplete (modified...
            
                
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             RT @Fie0815: Warm welcome for the DGNR/OEGNR meeting in Salzburg. 🇦🇹 Attendee record expected. No wonder with @_AdnanSiddiqui as key note… 
          
                
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             Better done than perfect? Stop after TICI 2b 1st pass?TICI 2b 1st pass not worse than TICI 3 after 2nd or 3rd pass?  https://t.co/MdFtFktrxW  Another reperfusiology analysis from 🇩🇪 GSR (n=6,398) @AdamArthurMD @Cure4Stroke @TudorGJovin @MokinMax @_AdnanSiddiqui @WinkelmeierMD
          
          
                
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             New 🇩🇪 cSDH embolization data (n=718): 25% mRS 0-2 increase at FU.  https://t.co/6u94cX5sBe  76% shrink / 47% full resolution, 16% failure rate. Antithrombotics up failure risk (16% vs 9%). Thoughts? @_AdnanSiddiqui @Ansaar_Rai @JMoccoMD @eneri_neuro @MDoctoronboard
          
          
                
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             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
             https://t.co/aE9KLpRNf9 
          
          
                
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             🧵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. 
          
                
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             RCT @TENSIONstudy: 24h NIHSS score with higher impact on outcomes than 24h infarct volume  https://t.co/gdsaurqMCK  Topography, structural connectivity, selective neuronal loss❓ @_AdnanSiddiqui @VladimirKZagreb @CSI_Basel @CheesemakerMD @johanna_ospel
          
          
                
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             Check out the article ⬇️  https://t.co/x59eeRKAkz 
            #AHAJournals @mihill68 @mayank_G0 @clauszsimonsen @gaborpetzold @rablauenfeldt @BroocksGabriel @annehegeaamodt @MDoctoronboard @Fie0815 @ZelenakKamil @WinkelmeierMD
          
          
            
            ahajournals.org
              BACKGROUND: Recent randomized trials demonstrated the beneficial effect of endovascular therapy in patients with low Alberta Stroke Program Early CT Score. Despite large follow-up infarct volumes, a...
            
                
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             Thrombectomy With Low ASPECTS: The Roles of Infarct Volume and Postacute Neurological Status | Stroke  https://t.co/m9r24FnLHy 
          
          
                
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             LVO with NIHSS score 0-5: GA with better recanalization but poorer outcome⁉️  https://t.co/t052BEZQvh  GSR🇩🇪cohort: 582 pts. after propensity score matching. @AmeerEHassan @esmintsociety @DGNR_org @eneri_neuro @shazamhussain
          
          
                
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             General Anesthesia Versus Conscious Sedation in Thrombectomy Patients With Low NIHSS Anterior Circulation Stroke | Stroke  https://t.co/7ZN0SeTwpM 
          
          
                
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             Arterial Collaterals and Endovascular Treatment Effect in Acute Ischemic Stroke with Large Infarct: A Secondary Analysis of the TENSION Trial | Radiology  https://t.co/79Na0GEoHg 
          
          
                
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             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  https://t.co/OHVeFSKxxM 
            
            
                
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             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
             https://t.co/GIywRSM8ZZ 
          
          
            
            pubs.rsna.org
            
                
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             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
             https://t.co/5uMkKu3se8 
          
          
                
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             Secondary TENSION RCT analysis: EVT works with good and poor collaterals in large core stroke. No significant difference.  https://t.co/epl0bihgPB  Single-phase CTA scoring. @TENSIONstudy @CSI_Basel @MeyerL_MD @ikeafonso1 @FabianFlottmann @daigaole
          
          
                
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             💡Heard of the TENSION trial ❓ 🧠 TENSION showed benefit of thrombectomy up to 12hrs after a LARGE infarct using non-con CT only! New @radiology_rsna paper explores if arterial collaterals may be a modifier:   #RadInTraining  #TWEETORIAL @RITEditor @VChernyakMD A thread 🧵 
          
                
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             No overall better outcome of EVT vs. BMT in acute symptomatic ICA occlusions below CoW.  https://t.co/n5ik1ar3jz  Good outcome after EVT mainly decreased by periprocedural emboli downstream. @DGNR_org @esmintsociety @radiology_rsna @_AdnanSiddiqui @TudorGJovin @VladimirKZagreb
          
          
                
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            #STROKE January #EditorPick: Penumbral imaging could guide treatment decision-making in DMVOs, particularly in cases of suspected non- or co-dominant M2 vessel occlusions. #AHAJournals
             https://t.co/yepBoYHRIb 
          
          
                
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             HAST 2024 in Hamburg 🍔🇩🇪 Looking forward to summarizing latest EVT studies in stroke. Did I forget anything? @DGNR_org @UKEHamburg @MeyerL_MD @WinkelmeierMD
          
          
                
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