Wow, it's finally out and it's Nature!! Check out this Primer on #ChildhoodStroke in @DiseasePrimers nature.com/articles/s41572-0… @ESOstroke @esmintsociety @curekidstroke Thanks for all the support @KidStrokeMD @MPeyT1 @Fie0815

For the first time, the AHA/ASA Guidelines include pediatric stroke, a major step toward ensuring all stroke centers are prepared to care for children. Thanks to IPSO members Drs. Nestor Gonzalez, Peter Sporns, and Heather Fullerton for their contributions! @AHAScience

For the first time, the 2026 Guideline for the Early Management of Patients With Acute Ischemic Stroke include recommendations for interventional treatment in pediatric patients with AIS. Although much work remains to adapt prehospital and hospital stroke protocols for pediatric patients, expert consensus and recent studies highlight the importance of early stroke recognition in children and support the safety and potential benefit of endovascular interventions in select pediatric patients with AIS. These recommendations serve as a foundation for future recommendations and address the phases of pediatric acute stroke care. ✍🏼 @annealexandrov @AlexandraCzap @OanaDumitrascu5Koto @ashupjadhav @BarrowNeuro @SVINjournal @PoojaKhatriMD @wtkimberly @brianmacgrory @tmadsenem @eva_mistry @natperezossa @strokemaven @PSporns @stavtjoumakaris @WFNeurosurgery @shadiyaghi2

2026 Guideline for the Early Management of Patients With Acute Ischemic Stroke: A Guideline From the American Heart Association/American Stroke Association ahajournals.org/doi/10.1161/…

Every year in the United States, >600000 individuals have a first ischemic stroke and approximately 200000 more have a recurrent stroke. This guideline aims to incorporate this updated evidence in order to provide an up-to-date, comprehensive set of recommendations for the acute evaluation and management of patients with AIS. ✍🏼 @annealexandrov @AlexandraCzap @OanaDumitrascu5Koto @ashupjadhav @BarrowNeuro @SVINjournal @PoojaKhatriMD @wtkimberly @brianmacgrory @tmadsenem @eva_mistry @natperezossa @strokemaven @PSporns @stavtjoumakaris @WFNeurosurgery @shadiyaghi2

The 2026 Guideline for the Early Management of Patients With Acute Ischemic Stroke aims to cover the full course of the emergency evaluation and early management of the patient with AIS. This includes the earliest interaction with the health care system in the prehospital space, early evaluation and treatment, and in-hospital management of patients with AIS. 📷 Journey of a patient with AIS. ✍🏼 @annealexandrov @AlexandraCzap @OanaDumitrascu5Koto @ashupjadhav @BarrowNeuro @SVINjournal @PoojaKhatriMD @wtkimberly @brianmacgrory @tmadsenem @eva_mistry @natperezossa @strokemaven @PSporns @stavtjoumakaris @WFNeurosurgery @shadiyaghi2

Brain imaging is essential to exclude hemorrhage in adult and pediatric patients eligible for AIS reperfusion therapies. Although CT-based protocols are more efficient and generalizable, MRI-based protocols may be appropriate in high-resource settings and in pediatric populations if similar time to imaging can be achieved as with CT. 📷 ASPECTS: Alberta Stroke Program Early CT Score. ✍🏼 @annealexandrov @AlexandraCzap @OanaDumitrascu5Koto @ashupjadhav @BarrowNeuro @SVINjournal @PoojaKhatriMD @wtkimberly @brianmacgrory @tmadsenem @eva_mistry @natperezossa @strokemaven @PSporns @stavtjoumakaris @WFNeurosurgery @shadiyaghi2

🧵#STROKE Highlights for September are here: 🌟In a pooled case-control study across 45 centers, EVT in pediatric large-vessel stroke was linked to markedly better functional outcomes than BMT without higher bleeding risk.

Why EVT failed to demonstrate benefit in DMVO trials? @PSporns @WFITN_Society #INR #DMVO #Thrombectomy See more:journals.sagepub.com/doi/10.…

#STROKE: Pediatric patients with anterior circulation stroke and low ASPECTS who received thrombectomy had significantly better functional outcomes than those treated with medical management alone. #AHAJournals ahajrnls.org/44Y6siY

🚨 Game-changer in #PedsStroke! New paper shows mechanical thrombectomy > medical management in kids w/ acute ischemic stroke. Not on this one (ugh!) but love the brilliant team who made it happen ❤️ And @PSporns —your announcement was 🔥👏 #NeuroIR #Pediatrics #StrokeCare

For patients with symptomatic acute occlusions of the internal carotid artery below the circle of Willis, both endovascular and best medical treatments prove to be effective and safe options, offering promising outcomes. 🧠 @MeyerL_MD pubs.rsna.org/doi/10.1148/ra…

🧠 EVT for very distal VO using soft partial release of non-aggressive stent retrievers technique is safe and effective with acceptable risk of hemorrhage. @AndreKemmling @PSporns @Almohammadi_M #INR #MedTwitter #DVO #Stroke journals.sagepub.com/doi/10.…

🌟Join Us for the next ESO Educational Webinar Episode #17: "Paediatric #Stroke: Diagnostic Work-up and Hyperacute Treatments" ▶️ ow.ly/ReAe50TPxYs Speakers: @PSporns & Prof Maja Steinlin. Moderated by Anna Bersano & @vojtech_no #strokeeducation #ESOWebinar #stroketwitter

Computed tomography hypoperfusion-hypodensity mismatch vs. automated perfusion mismatch to identify stroke patients eligible for thrombolysis ⬇️⬇️⬇️ doi.org/10.3389/fneur.2023.1… @PSporns @AndreKemmling @MPeyT1 @WolfgangGKunzMD @Fie0815

Fantastic @TENSIONtrial results! Thrombectomy in stroke with extended lesion and extended time window resulted in better functional outcome using a simple diagnostic algorithm using predominantly plain CT!

@TENSIONstudy results at @WorldStrokeOrg conference: EVT superior to MM in NE-CT ASPECTS 3-5 pts<12h‼️(OR 2.58; 95%CI, 1.60 to 4.15; p<0.001). Surpising effect size - mRS0-3@90d: 31.5% EVT vs. 13.1% MM. @esmintsociety = project partner🇪🇺. @ESOstroke @WorldStrokeOrg @TudorGJovin

What‘s the best technique for distal occlusions? #MeVO #DMVO #Stroke We use the Quattro-technique⬇️ long sheath in ICA, large asp cath M1, small asp & stentriever at clot Details ➡️ link.springer.com/article/10… Credits @MPeyT1 What‘s your approach? @Fie0815 @daniel_kaiserMD

Persistent flow in #Web device after #aneurysm treatment is uncommon (~5%) but more likely after DAPT and Web undersizing Great multicenter study incl 600 aneurysms led by @aymeric87 @toobib3 @sfnr_jeni @gboulouis @FouziBala @mpey @Fie0815 @NimaE journals.sagepub.com/doi/10.…

Latest Content: bit.ly/3nGCm0l Meyer et al. present data comparing the effect of anesthetic strategies on outcomes for distal medium vessel occlusions including distal anterior and posterior cerebral arteries. #DMVO #thrombectomy @MeyerL_MD

Just out! Led by @MeyerL_MD Effect of anesthetic strategies on distal stroke thrombectomy in the anterior and posterior cerebral artery jnis.bmj.com/content/early/2… @leonardyeo1 @PSporns @BroocksGabriel @Fie0815