Welcome to the WCN 2021 Interactive Program

The congress will officially run on Central European Time (CET) - Rome Time 
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    Please note that all sessions will run at their scheduled time and be followed by a LIVE Q&A/Discussion at the end

     The viewing of sessions, cannot be accessed from this conference calendar. All sessions are accessible via the Virtual Platform

Displaying One Session

Scientific Session: MT (Main Topics)
Session Time
17:10 - 18:40
Room
Main Topic A
Chair(s)
  • Sheila C. Martins (Brazil)
Scientific Session: MT (Main Topics)

OVERVIEW OF IMAGING CHOICES FOR THROMBECTOMY PATIENTS

Session Type
Scientific Session: MT (Main Topics)
Date
06.10.2021, Wednesday
Session Time
17:10 - 18:40
Room
Main Topic A
Lecture Time
17:10 - 17:33
Presenter
  • Marc Fisher (United States of America)

Abstract

Abstract Body

Neuroimaging Predictors for the Outcome of Acute Interventions-Marc Fisher, M.D. Boston MA USA

Brain imaging plays a key role in the diagnosis and management of acute ischemic stroke. All patients are imaged with either CT or MRI to exclude a hemorrhage and vessel imaging is necessary to identify patients with large vessel occlusion that are candidates for thrombectomy. The extent of ischemic injury early after stroke onset can also be estimated by various CT and MRI approaches. On routine CT imaging, the ASPECTS score provides information about the extent of ischemic injury and is widely used to identify thrombectomy candidates in the early time window after stroke onset. CT perfusion (CTP) provides a more focused estimate of the ischemic core and penumbra. In the early and late time window thrombectomy trials, CTP was valuable for selecting patients that had favorable outcomes. Both the ASPECTS score and CTP have accuracy problems that impact upon their utility. MRI provides a more accurate assessment of the ischemic core and penumbra, but is less widely available in most countries. Diffusion-weighted MRI (DWI) provides a reasonably accurate assessment of the extent of ischemic injury early after stroke onset and it has proven to be valuable for patient selection for thrombolysis and thrombectomy, especially when compared to FLAIR imaging or the patient’s clinical status. Perfusion MRI combined with DWI is helpful for distinguishing ischemic penumbra from core. The mismatch between DWI and perfusion MRI lesion volumes was utilized for patient selection in some thrombectomy clinical trials.

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Scientific Session: MT (Main Topics)

ENDOVASCULAR VERSUS BEST MEDICAL THERAPY

Session Type
Scientific Session: MT (Main Topics)
Date
06.10.2021, Wednesday
Session Time
17:10 - 18:40
Room
Main Topic A
Lecture Time
17:33 - 17:56
Presenter
  • Sheila C. Martins (Brazil)
Scientific Session: MT (Main Topics)

ENDOVASCULAR INTERVENTIONS IN SMALL STROKES

Session Type
Scientific Session: MT (Main Topics)
Date
06.10.2021, Wednesday
Session Time
17:10 - 18:40
Room
Main Topic A
Lecture Time
17:56 - 18:19
Presenter
  • Jan Gralla (Switzerland)

Abstract

Abstract Body

ENDOVASCULAR INTERVENTIONS IN SMALL STROKES

Small Strokes can be defined according to the the size of the affected vessel or the severity of the neurological deficit at presentation. In endovascular interventions, both, small vessel occlusions and patients presenting with minor neurological deficits, present difficult clinical scenarios. This is partially because the potential benefits over risks decrease, if the territory and clinical deficit at stake becomes smaller and smaller. Nevertheless small strokes can cause relevant neurological deficits and a considerable proportion of patients with small strokes do not regain functional independence.

Hence, effective treatment regimens for these patients are urgently needed. The talk will cover etiology, outcomes and interventions in patient presenting with small vessel occlusions and/or minor neurological deficits. Special emphasis will be laid on factors to consider in the decision-making process and a detailed description of recent evaluations of endovascular techniques, including intra-arterial thrombolysis, small aspiration catheters and dedicated stent-retrievers systems.

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Scientific Session: MT (Main Topics)

LIVE Q&A

Session Type
Scientific Session: MT (Main Topics)
Date
06.10.2021, Wednesday
Session Time
17:10 - 18:40
Room
Main Topic A
Lecture Time
18:19 - 18:40