keyword
https://read.qxmd.com/read/38214744/endovascular-treatment-of-brain-aneurysms-under-conscious-sedation-a-systematic-review-of-procedural-feasibility-and-safety
#21
REVIEW
Jhon E Bocanegra-Becerra, Katharina Kersting, Alin Maximilian Blega, Nolan Brown, Leonardo de Barros Oliveira, Rnad Alajarmeh, Sávio Batista, Jack Wellington, José Luis Acha Sánchez, Raphael Bertani
Over the last decades, minimally invasive techniques have revolutionized the endovascular treatment (EVT) of brain aneurysms. In parallel, the development of conscious sedation (CS), a potentially less harmful anesthetic protocol than general anesthesia (GA), has led to the course optimization of surgeries, patient outcomes, and healthcare costs. Nevertheless, the feasibility and safety of EVT of brain aneurysms under CS have yet to be assessed thoroughly. Herein, we systematically reviewed the medical literature about this procedure...
January 12, 2024: Neurosurgical Review
https://read.qxmd.com/read/38198119/covered-stent-assisted-coil-embolization-of-large-buhler-aneurysm-in-setting-of-chronic-celiac-trunk-occlusion
#22
JOURNAL ARTICLE
Pietro Quaretti, Riccardo Corti, Antonio Mauro D'Agostino, Antonio Bozzani, Lorenzo Paolo Moramarco, Nicola Cionfoli
BACKGROUND: The arc of Bühler (AOB) is a residual embryonal anastomosis between the celiac artery (CA) and the superior mesenteric artery (SMA). Although usually asymptomatic, it has clinical relevance when compensatory reverse flow between the SMA and the CA in response to celiac artery obstruction leads to aneurysm formation and bleeding. Endovascular coiling is the mainstay therapy because of the deep AOB retropancreatic location, which hinders open surgery. CASE PRESENTATION: We herein report a case of a 2...
January 10, 2024: CVIR Endovascular
https://read.qxmd.com/read/38197227/endovascular-strategies-and-outcomes-for-aberrant-splenic-artery-aneurysms
#23
JOURNAL ARTICLE
Gang Fang, Yige Lu, Lingwei Zou, Yuning Wang, Weiguo Fu, Zhihui Dong
OBJECTIVES: Aberrant splenic artery aneurysms (ASAAs) located at the splenomesenteric trunk (SMT) and the celiacomesenteric trunk have a close anatomical relationship with the superior mesenteric artery (SMA). The aim of this study was to review our institutional experience of endovascular treatment for ASAAs and evaluate the long-term outcomes. METHODS: A retrospective review of patients with ASAAs who underwent endovascular treatment between December 2006 and December 2022 was performed...
January 10, 2024: Journal of Endovascular Therapy
https://read.qxmd.com/read/38192126/assessing-the-efficacy-of-verifynow-platelet-function-testing-in-predicting-postoperative-hemorrhagic-complications-of-neuroendovascular-surgery-a-systematic-review-and-meta-analysis-part-2
#24
REVIEW
Devon L Mitchell, Laura Stone McGuire, Syed I Khalid, Ali Alaraj
BACKGROUND: Dual antiplatelet therapy is used to reduce the risk of thromboembolic complications in neuroendovascular surgery. However, the predictive utility of preoperative platelet-sensitivity testing for decreasing bleed risk in patients undergoing endovascular neurointervention remains unclear. OBJECTIVE: We conducted a systematic review and meta-analysis to illustrate the association between platelet response and risk of hemorrhagic complications from neuroendovascular surgery, examine the efficacy of the VerifyNow platelet reactivity unit (PRU) assay in predicting hemorrhagic outcomes, and assess whether a clinically useful threshold for platelet response can be defined to standardize guidelines...
January 8, 2024: Interventional Neuroradiology
https://read.qxmd.com/read/38192110/safety-and-efficacy-of-dual-antiplatelet-drugs-for-stent-assisted-embolization-on-risk-of-stroke-and-prognosis-in-patients-with-ruptured-intracranial-aneurysms-one-center-results-of-ciap-5-clinical-trial
#25
JOURNAL ARTICLE
Simin Wang, Tongyu Zhang, Lei Du, Peng Hu, Ming Ye, Liyong Sun, Tao Hong, Guilin Li, Peng Zhang, Hongqi Zhang, Chuan He
BACKGROUND: Although stent-assisted coiling embolization (SAC) has been associated with a higher risk of ischemic and hemorrhagic complications, the use of SAC continues to rise for treating ruptured intracranial aneurysms (RIAs). This study aims to assess the safety and effectiveness of dual antiplatelet therapy (DAPT) in the context of RIAs. METHODS: We conducted a retrospective analysis at a single center, involving patients with aneurysmal subarachnoid hemorrhage (aSAH) between May 1, 2017 and December 31, 2021...
January 8, 2024: Interventional Neuroradiology
https://read.qxmd.com/read/38191058/vertebral-artery-access-considerations-in-coil-embolization-of-small-superior-cerebellar-artery-aneurysm
#26
JOURNAL ARTICLE
Hidetoshi Matsukawa, M-Mahdi Sowlat, Guilherme Porto, Alejandro M Spiotta, Mithun G Sattur
BACKGROUND: Coiling of small superior cerebellar artery (SCA) aneurysms (sSCAAs) is challenging. We aimed to describe anatomical considerations in the vertebral and basilar artery (VA and BA) morphology for decision-making in coiling of sSCAAs. METHODS: 11 patients with sSCAAs (<5mm) treated at our institution between April 2015 and Februrary 2022 were included to show our concept of deciding access routes in coiling of sSCAAs. The access route was decided based on VA characteristics, BA curvature, and aneurysm laterality...
January 6, 2024: World Neurosurgery
https://read.qxmd.com/read/38186294/assessing-the-efficacy-of-verifynow-platelet-function-testing-in-predicting-postoperative-thromboembolic-complications-of-neuroendovascular-surgery-a-systematic-review-and-meta-analysis-part-1
#27
REVIEW
Devon L Mitchell, Laura Stone McGuire, Syed I Khalid, Ali Alaraj
BACKGROUND: Despite the heavily debated use of routine platelet-function testing, the VerifyNow Platelet Reactivity Unit (PRU) assay has been increasingly adopted as standard of care for assessing risk of postoperative thromboembolic complications of neuroendovascular surgery. OBJECTIVE: We conducted a systematic review and meta-analysis to examine the relationship between platelet response and risk of ischemic events from neuroendovascular surgery, assess the efficacy of point-of-care platelet-function testing in predicting thromboembolic outcomes, and assess whether a clinically useful threshold for platelet response can be defined in order to standardize guidelines...
January 8, 2024: Interventional Neuroradiology
https://read.qxmd.com/read/38173241/periprocedural-thromboembolic-complications-of-leo-baby-stent-in-endovascular-treatment-of-intracranial-aneurysms-experience-in-149-patients
#28
JOURNAL ARTICLE
Yunan Shen, Heng Ni, Zhenyu Jia, Yuezhou Cao, Guangdong Lu, Xinglong Liu, Bin Wang, Chun Zhou, Haibin Shi, Sheng Liu, Linbo Zhao
OBJECTIVE: To report periprocedural thromboembolic complications of LEO Baby stent-assisted coiling of wide-necked intracranial aneurysms and to analyze the possible influencing factors. METHODS: We retrospectively identified 149 patients with aneurysms who underwent LEO Baby stent-assisted embolization between October 2018 and March 2022. Clinical and radiographic data of patients were reviewed to determine whether a thromboembolic event had occurred. Multivariate logistic analysis was performed to identify significant factors associated with thromboembolic events...
January 3, 2024: Interventional Neuroradiology
https://read.qxmd.com/read/38171613/the-pegasus-hpc-stent-system-for-stent-assisted-coiling-of-cerebral-aneurysms-a-multicenter-case-series
#29
JOURNAL ARTICLE
Donald Lobsien, Markus Holtmannspoetter, Florian Eff, Ansgar Berlis, Christoph Johannes Maurer, Daniel Behme, Elie Diamandis, Matthias Gawlitza, David Fiorella, Ciro Princiotta, Luigi Cirillo, Massimo Dall'Olio, Peter Keston, Joachim Klisch, Alberto Nania
BACKGROUND: Stent-assisted coiling (SAC) is a well-established method for treatment of wide-necked intracranial aneurysms. In this multicenter, retrospective case series we evaluated SAC with a new low-profile, laser-cut stent with an antithrombogenic hydrophilic polymer coating (pEGASUS-HPC) for the treatment of intracranial aneurysms. METHODS: Patients treated with pEGASUS-HPC SAC for one or more intracranial aneurysms were retrospectively included. Clinical, imaging, and procedural parameters as well as clinical and imaging follow-up data were recorded...
January 3, 2024: Journal of Neurointerventional Surgery
https://read.qxmd.com/read/38171604/double-microcatheter-reduction-using-partially-deployed-atlas-stents-in-treating-a-large-dysplastic-mca-bifurcation-aneurysm-with-y-stent-assisted-coiling
#30
JOURNAL ARTICLE
Michael Gaub, Jonathan Leary, Lee A Birnbaum, Fadi Al Saiegh, Justin R Mascitelli
Treatment of large dysplastic middle cerebral artery (MCA) aneurysms can be challenging.1 2 Catheterization of M2 branches at hyperacute angles often requires an 'around the world' approach/microcatheter reduction, which can be accomplished with rapid pull,3 balloon anchor,4 and stent anchor5 techniques. In this video video 1, Atlas stents (Stryker) are used for double microcatheter reduction along with Y stent assisted coil embolization (Video 1). Steps include (1) catheterization of the more difficult M2 branch with 'around the world' maneuver; (2) reduction/stent deployment; (3) similar catheterization of the second M2 branch; (4) microcatheter reduction/stent deployment; (5) coil embolization (jailed)...
January 3, 2024: Journal of Neurointerventional Surgery
https://read.qxmd.com/read/38166773/aneurysmal-subarachnoid-hemorrhage-complicating-spinal-subarachnoid-hematoma-causing-acute-cauda-equina-syndrome-a-case-report
#31
JOURNAL ARTICLE
Heng Ni, Yu Zheng, Shanshan Lu, Zhenyu Jia, Haibin Shi, Sheng Liu, Linbo Zhao
BACKGROUND: Spinal subarachnoid hematoma (SSH) is a known but rare entity that can cause cauda equina compression. The occurrence of SSH associated with aneurysmal subarachnoid hemorrhage has rarely been described in the literature. CASE PRESENTATION: A 56-year-old woman presented with subarachnoid hemorrhage secondary to a ruptured middle cerebral artery aneurysm and was managed with coiling embolization without stent assistance. There was no history of either lumbar puncture or the use of anticoagulants...
January 2, 2024: BMC Neurology
https://read.qxmd.com/read/38166487/woven-endobridge-versus-stent-assisted-coil-embolization-for-the-treatment-of-ruptured-wide-necked-aneurysms-a-multicentric-experience
#32
JOURNAL ARTICLE
Aaron Rodriguez-Calienes, Juan Vivanco-Suarez, Yujing Lu, Milagros Galecio-Castillo, Bradley Gross, Mudassir Farooqui, Oktay Algin, Chaim Feigen, David J Altschul, Santiago Ortega-Gutierrez
BACKGROUND: The potentially higher risk of hemorrhagic complications is of concern in stent-assisted coiling (SAC) of ruptured wide-necked intracranial aneurysms (IAs). The Woven EndoBridge (WEB) is considered an appealing alternative since antiplatelet therapy is not required. Herein, we aimed to compare the safety and effectiveness of WEB vs. SAC for the treatment of ruptured wide-necked IAs. METHODS: This was an international cross-sectional study of consecutive patients treated for ruptured wide-neck IAs with WEB or SAC at four high-volume neurovascular centers between 2019 and 2022...
January 2, 2024: Interventional Neuroradiology
https://read.qxmd.com/read/38161602/positional-relationship-between-two-microcatheters-according-to-the-navigation-sequence-within-the-curved-vessel-in-neuroendovascular-procedures
#33
REVIEW
Tomotaka Ohshima, Shigeru Miyachi
In neuroendovascular treatment, there are many opportunities to guide multiple catheters into the intracranial blood vessels. We report the relationship between two microcatheters according to the guiding order with experimental in vitro studies. We hypothesize that in a bent blood vessel such as a paraclinoid region of the internal carotid artery, the catheter that was first guided tended to pass through the inside, and the catheter that was guided later tended to pass through the outside. The in vitro verification was performed using a microcatheter and a balloon catheter in a silicone vascular aneurysmal model...
December 2023: Asian Journal of Neurosurgery
https://read.qxmd.com/read/38155430/the-enterprise-stent%C3%A2-still-useful-after-all-these-years
#34
JOURNAL ARTICLE
Kareem El Naamani, Amit Syal, Nicholas C Field, Eric M Teichner, Marc Ghanem, Nabeel A Herial, Stavropoula I Tjoumakaris, Pascal Jabbour, Robert H Rosenwasser, Alexandra R Paul, M Reid Gooch
BACKGROUND: The Enterprise stent (Codman Neuro, Massachusetts, USA) received Food and Drug Administration (FDA) approval in 2007 for stent-assisted coiling (SAC). Since its introduction, newer stents and devices for aneurysm treatment have been developed resulting in a shift in the utilization of this stent from SAC to other off-label indications. OBJECTIVE: To describe our experience with the Enterprise stent being used for SAC and other off-label indications. METHODS: This is a multi-center retrospective review of the use of the Enterprise stent between 2018 and 2023...
December 28, 2023: Interventional Neuroradiology
https://read.qxmd.com/read/38152542/endovascular-treatment-of-anterior-communicating-artery-aneurysms-a-single-center-experience-from-a-developing-country
#35
JOURNAL ARTICLE
Sajjad Saghebdoust, Amir Reza Barani, Mohammad Ali Abouei Mehrizi, Mehran Ekrami, Amir Valinezhad Lajimi, Gholamreza Termechi
Objective  In recent years, endovascular methods have been developed to treat intracranial aneurysms. To date, results of endovascular treatment (EVT) for anterior communicating aneurysms (ACoAs) have never been investigated in Iran. Thus, we sought to assess the mid-term angiographic and clinical outcomes of patients with ACoAs who underwent EVT in a tertiary center. Materials and Methods  Electronic health documents of patients with ACoAs who underwent EVT from March 2019 to July 2021 were retrospectively reviewed...
September 2023: Asian Journal of Neurosurgery
https://read.qxmd.com/read/38125959/a-case-of-microguidewire-and-neuroform-atlas-stent-entanglement-resulting-in-extraction-difficulty
#36
Taro Yanagawa, Aoto Shibata, Shinya Tabata, Shunsuke Ikeda, Toshiki Ikeda
OBJECTIVE: The trans-cell technique in stent-assisted coil embolization is a common treatment method for intracranial aneurysm. However, despite the frequency of its use, reports discussing its complications and their management are few. We describe a case of stent and microguidewire entanglement, which could not be removed, during treatment using the trans-cell technique. We discuss the mechanism of the entanglement and its management. CASE PRESENTATION: A woman in her 40s was found to have an unruptured cerebral aneurysm with a maximum diameter of 5...
2023: Journal of neuroendovascular therapy
https://read.qxmd.com/read/38116780/endovascular-treatment-of-systematic-isolated-mesenteric-artery-dissection-with-a-patent-false-lumen-bare-stents-alone-versus-stent-assisted-coiling
#37
JOURNAL ARTICLE
Huan Wu, Bo Tang, Haolong Zhang, Kun Ran, Yikuan Chen, Hailong Luo
OBJECTIVES: Bare stent treatment and bare stent-assisted coiling treatment have not been directly compared in symptomatic isolated superior mesenteric artery dissection with a patent false lumen. Thus, we compared the early and mid-term outcomes of bare stent treatment and bare stent-assisted coiling treatment to determine the most effective remedy for patients with this condition. METHODS: Consecutive patients diagnosed with systematic isolated superior mesenteric artery dissection with a patent false lumen admitted to the study hospital between January 2016 and December 2021 were enrolled in this retrospective study...
2023: Science Progress
https://read.qxmd.com/read/38092021/development-of-a-bioresorbable-self-expanding-microstent-for-interventional-applications-an-innovative-approach-for-stent-assisted-coiling
#38
JOURNAL ARTICLE
Hagen Paetow, Felix Streckenbach, Christoph Brandt-Wunderlich, Wolfram Schmidt, Michael Stiehm, Sönke Langner, Daniel Cantré, Marc-André Weber, Klaus-Peter Schmitz, Stefan Siewert
OBJECTIVES:  Stent-assisted coiling prevents coil migration in broad-based intracranial aneurysms. So far, only permanent metal stents are approved for intracranial use. Bioresorbable stents allow a new therapeutic approach that may prevent the need for lifelong anticoagulation. We developed a neurovascular bioresorbable microstent (NBRS) and compared it in vitro to the commercial Neuroform EZ stent. MATERIALS AND METHODS:  The self-expanding NBRS design is oriented on the Neuroform EZ stent...
December 13, 2023: RöFo: Fortschritte Auf Dem Gebiete der Röntgenstrahlen und der Nuklearmedizin
https://read.qxmd.com/read/38065543/the-history-of-endovascular-stroke-treatment-from-local-intraarterial-fibrinolysis-to-stent-retriever-thrombectomy
#39
JOURNAL ARTICLE
Philipp Buecke, José Cohen, Joachim Klisch, Stephan Felber, Hansjörg Bäzner, Hans Henkes
BACKGROUND:  Acute thromboembolic occlusions of large intracranial arteries are associated with high rates of permanent disability and mortality. Intravenous thrombolysis (IVT) in these patients resulted in an inadequate rate of recanalization and has had limited clinical success. Various endovascular procedures have been attempted to remove intracranial thrombi and reopen occluded vessels. These technical innovations led to the publication of initial case reports, but the methods ultimately did not endure...
December 8, 2023: RöFo: Fortschritte Auf Dem Gebiete der Röntgenstrahlen und der Nuklearmedizin
https://read.qxmd.com/read/38047687/predictors-of-perioperative-complications-during-leo-baby-stent-treatment-for-acutely-ruptured-intracranial-aneurysms-a-retrospective-multicenter-study
#40
JOURNAL ARTICLE
Yazhou Yan, Zhengzhe Feng, Fangqi Liu, Yuxiang Chi, Haishuang Tang, Yina Wu, Jun Wang, Zhiqiang Yao, Qinghai Huang
BACKGROUND AND OBJECTIVES: Stent-assisted coiling (SAC) of acutely ruptured aneurysms has been controversial. Moreover, for aneurysms originating from small diameter vessels, the SAC presents more challenges. This study aimed to investigate the predictors of perioperative complications after SAC with Leo baby stent of acutely ruptured aneurysms. METHODS: We performed a retrospective multicenter analysis of 425 patients with acutely ruptured aneurysms treated with Leo baby...
December 4, 2023: Neurosurgery
keyword
keyword
105339
2
3
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.