⚡ New #OpenAccess in JNIS The THUNDER study evaluates computer-assisted vacuum thrombectomy with modulated aspiration for LVO stroke. 📊 87.5% mTICI 2b–3 ⚡ 64.8% first-pass mTICI 2b–3 ⏱️ 20 min median to revascularization 🧠 sICH 0.9% 🔗 bit.ly/3Sh933M @CharlesMatouk @donfreimd

Does bigger bore always mean better thrombectomy performance? The first multicenter real-world experience with SOFIA 88 highlights the importance of catheter deliverability, with 82.7% target access and 97.5% final successful reperfusion. 🔓 Open Access: bit.ly/4hWPzMc

Can a liquid embolic adapt as it flows? First-in-human results with NeoCast, a solvent-free, non-adhesive, shear-responsive embolic biomaterial: 🧠 100% target-vessel occlusion 🎯 89±7% tumor devascularization ✅ No non-target embolization ✅ No microcatheter entrapment A promising first step for next-generation liquid embolics. 🔗 bit.ly/4z4jvfx

Can we reduce radiation in cerebral FDCT without compromising what we see? 🧠☢️ Adding a 0.1 mm copper filter reduced radiation exposure by 25.9% while preserving image quality and intracranial hemorrhage detection. A simple modification with meaningful dose-saving potential. 🔗 bit.ly/3ShO54R

Radial or femoral for stroke thrombectomy? In >6,300 patients, TRA and TFA achieved similar recanalization and functional outcomes. But the trade-off matters: ⬇️ Access-site complications with TRA: 3.4% vs 7.5% ⬆️ Access failure: 6.99% vs 2.18% 🔓 bit.ly/4z4Mdgr

What can 7 prospective trials tell us about WEB treatment? 🧠 The WISE Study pooled the largest prospectively collected, adjudicated WEB dataset to date. At 1 year: 🔹 82.8% adequate occlusion 🔹 2.5% retreatment 🔹 0.5% treatment-related morbidity 🔹 No treated aneurysm ruptures 🔓 Open Access: bit.ly/4wRm7fo

Why do some aneurysms remain patent after flow diversion? 🧠 In 185 aneurysms, branch involvement was the strongest predictor of incomplete occlusion. But not all branches behaved alike—accounting for collateral circulation improved prediction scores. 🔗 bit.ly/3TKoAtm #JNIS #FlowDiversion #Aneurysm #Neurointervention

When CSF disappears into the venous system, how do you find the fistula? 💧🧠 A comprehensive JNIS review of CSF–venous fistulas takes us from pathophysiology to localization and treatment: 🔎 Decubitus DSM & CTM 🩸 Percutaneous therapies 🧭 Transvenous embolization 🧠 Surgery & post-treatment care A practical roadmap for a rapidly evolving field. 📖 Read the full review: bit.ly/4fV6QCP #JNIS #CSFLeak #Neurointervention #SIH

🎙️ New JNIS Podcast Is bigger always better in aspiration thrombectomy? Dr. Michael Chen talks with Dr. Marc Ribo about super-large-bore catheters in LVO stroke: high thrombus access, promising reperfusion—but FPE remains ~55%. ▶️ Apple: apple.co/4ylWkMN ▶️ Spotify: bit.ly/4ymirTf ▶️ Web: bit.ly/4qRczyz 📖 Read the paper: bit.ly/46ACDEO #JNIS #Stroke #Thrombectomy