login
  Password reminder
NeuroNews
Contact the editor Visit NeuroNews Twitter feed Visit NeuroNews Facebook page
 

“The brain is not the heart, but we wish to carry out the same mechanical recovery in brain vessels”


Thursday, 17 May 2012 10:40
Mario Muto
Mario Muto


Mario Muto, Neuroradiology, Antonio Cardarelli Hospital, Naples, Italy, and course director of the Naples Stroke Meeting (18–19 June 2012) tells NeuroNews about the importance of cooperation between diagnostic neurologists and interventional neuroradiologists and that better clinical results can be obtained when medical and endovascular therapy are combined.


As the course director, can you please tell NeuroNews readers what the broad goals of the Naples Stroke meeting are?

There are many differences in the numbers of acute ischaemic stroke patients treated and variations in the type of treatment they receive, from country to country and city to city, and this depends mostly on the different organisation models. Neurologists play a key role in admitting and managing acute ischaemic stroke patients, and for this reason, it is also important to show them the improvements seen in endovascular treatment.


What are the three most important things that a delegate will learn about the latest developments in stroke from the scientific programme of the meeting?


Delegates will learn about the importance of i) the organisation model ii) the importance of co-operation between diagnostic neurologists and interventional neuroradiologists and iii) that better clinical results can be obtained when medical and endovascular therapy are combined.


You are co-ordinating a session on hands-on training on the different devices for endovacular stroke treatment. What are the strengths and weaknesses of the following devices: Trevo; Solitaire; Penumbra, New Catch and Revive?


The concept behind these devices is often similar (with the exception of Penumbra in which there is the additional association of thrombo-aspiration) but probably the radial force of each system is different. Training with these devices and taking into account the learning curve are also important. So far, the experience reported by different centres has evolved along with the improvement of technology, so that the capacity to capture the thrombus has changed in the years. The radial force of the system is important to keep the thrombus within the net of the stent. It is not possible to say in an absolute way at this point if one stent retriever system is superior to another one.


In your view, what are the three interesting papers which have been published recently which have changed stroke management?


There are several published papers and also trials that are still ongoing (such as the Mr CLEAN, Synthesis, IMS III, EFMINT, River III) which have demonstrated, or are setting out to demonstrate, better results of stroke therapy with medical and endovascular therapy, but we lack an accepted randomised controlled trial. Such a trial that is not so easy to organise and perform on this topic.


What is your key message to neurointerventionists in the field regarding endovascular stroke treatment?


We know that the brain is not the heart, but the aspiration to carry out the same mechanical recovery for vessels in the brain is really high.




Add New Comment

Most popular


New device allows brain to bypass spinal cord and move paralysed limbs
Friday, 27 Jun 2014
For the first time ever, a paralysed man has moved his fingers and hand with his own thoughts after an electronic neural bypass for spinal cord injuries that reconnects the brain directly to muscles, ... New device allows brain to bypass spinal cord and move paralysed limbs

ROADSTER trial studying new path to carotid revascularisation completes patient enrolment
Friday, 18 Jul 2014
The trial was the first of its kind to study the treatment of carotid artery stenosis by placing a stent via direct access to the common carotid artery in the neck in an entirely new minimally ... ROADSTER trial studying new path to carotid revascularisation completes patient enrolment

Covidien announces European launch of Pipeline Flex embolisation device
Friday, 27 Jun 2014
The minimally-invasive flow diversion device for unruptured brain aneurysms is designed for more accurate, controlled placement. Covidien announces European launch of Pipeline Flex embolisation device

Features


Neuro-oncologic treatment for glioblastoma
Monday, 21 Jul 2014
Malignant gliomas are the most common type of primary malignant brain tumour, accounting for 80% of patients and an annual incidence of 5.26 per 100,000 population, or 17,000 new cases diagnosed per ... Neuro-oncologic treatment for glioblastoma

Early brain stimulation may help stroke survivors recover language function
Monday, 21 Jul 2014
Dieter Heiss, who presented on early brain stimulation for stroke patients at the 8th World Congress on Controversies in Neurology (CONy), 8–11 May, Berlin, Germany, writes for NeuroNews on how this ... Early brain stimulation may help stroke survivors recover language function

Profiles


Mauricio Castillo
Monday, 14 Jul 2014
Mauricio Castillo is a professor of Radiology and chief, Division of Neuroradiology, University of N... Mauricio Castillo

William T Couldwell
Thursday, 24 Apr 2014
William T Couldwell is professor of neurosurgery in the Department of Neurological Surgery, U... William T Couldwell

Cardiac Rhythm News Vascular News Cardiovascular News Interventional News Spinal News NeuroNews
BIBA Medical BIBA MedTech Insights CX Symposium ilegx
 
Password Reminder

BIBA Medical, 526 Fulham Road, Fulham, London, SW6 5NR.
TEL: +44 (0)20 7736 8788 FAX: +44 (0)20 7736 8283 EMAIL: 
info@bibamedical.com
© BIBA Medical Ltd is a company registered in England and Wales with company number 2944429.
VAT registration number 730 6811 50.
Site Map | Terms and Conditions