keyword
https://read.qxmd.com/read/37316195/predictors-of-aneurysm-occlusion-after-treatment-with-flow-diverters-a-systematic-literature-review
#21
JOURNAL ARTICLE
Lukas Meyer, Christian Paul Stracke, Maxim Bester, Kevin M Kallmes, Kamil Zeleňák, Aymeric Rouchaud, Mario Martínez-Galdámez, Pascal Jabbour, Thanh N Nguyen, Adnan H Siddiqui, Jens Fiehler, Susanne Gellissen
BACKGROUND: Flow diverters (FDs) have become an integral part of treatment for brain aneurysms. AIM: To summarize available evidence of factors associated with aneurysm occlusion (AO) after treatment with a FD. METHODS: References were identified using the Nested Knowledge AutoLit semi-automated review platform between January 1, 2008 and August 26, 2022. The review focuses on preprocedural and postprocedural factors associated with AO identified in logistic regression analysis...
June 14, 2023: Journal of Neurointerventional Surgery
https://read.qxmd.com/read/37313741/missing-a-blood-blister-like-aneurysm-in-the-setting-of-aneurysmal-subarachnoid-hemorrhage-in-a-patient-harboring-multiple-aneurysms
#22
JOURNAL ARTICLE
Beate Kranawetter, Mohammad Hazaymeh, Dorothee Mielke, Veit Rohde, Tammam Abboud
No abstract text is available yet for this article.
June 14, 2023: Stroke; a Journal of Cerebral Circulation
https://read.qxmd.com/read/37214329/a-rare-case-of-spontaneous-thrombosis-in-saccular-cerebral-aneurysm-in-a-patient-with-subarachnoid-hemorrhage
#23
Ineke Rosalia Mahreni, Achmad Firdaus Sani, Dedy Kurniawan
Cerebral aneurysm is a known cause of spontaneous subarachnoid hemorrhage (SAH). Furthermore, this condition is often asymptomatic, but the occurrence of a rupture can lead to fatal complications. The incidence of spontaneous thrombosis in saccular aneurysm is rare, with an incidence rate of 1%-2%. The most common sites include the middle cerebral artery (MCA) (41%), posterior communicating artery (PCOMM) (15%), and posterior inferior cerebellar artery (PICA) (11%). A head computed tomography angiography (CTA) with contrast is a common diagnostic tool for detecting SAH in the temporoparietal area, hippocampal gyrus, and right fissure of Sylvie...
July 2023: Radiology Case Reports
https://read.qxmd.com/read/37128887/endovascular-treatment-of-ruptured-blister-aneurysm-with-flow-diverter-stents-in-pregnancy
#24
JOURNAL ARTICLE
Aviraj Satish Deshmukh, Christine Hawkes, Brian van Adel, Almunder Algird, Bill Hao Wang
No abstract text is available yet for this article.
May 2, 2023: Canadian Journal of Neurological Sciences. le Journal Canadien des Sciences Neurologiques
https://read.qxmd.com/read/37127038/the-first-decade-of-flow-diversion-for-intracranial-aneurysms-with-the-pipeline-embolization-device
#25
JOURNAL ARTICLE
Andre Monteiro, Jaims Lim, Manhal Siddiqi, Brianna M Donnelly, Wasiq Khawar, Ammad Baig, Ryan C Turner, Mehdi Bouslama, Kunal P Raygor, Pui Man Rosalind Lai, Steven B Housley, Jason M Davies, Kenneth V Snyder, Adnan H Siddiqui, Elad I Levy
OBJECTIVE: Flow diverter devices have revolutionized the treatment of intracranial aneurysms (IAs) since their approval in 2011 and have continued to evolve. The devices have been widely adopted across institutions and centers over the past decade; however, long-term follow-up after treatment with the Pipeline embolization device (PED) is not well described in the literature. The authors' institution was among the first to begin using PEDs, allowing them to report their series of patients treated with flow diverters ≥ 10 years ago...
May 2023: Neurosurgical Focus
https://read.qxmd.com/read/37127036/safety-and-efficacy-of-the-pipeline-flex-embolization-device-with-shield-technology-for-the-acute-treatment-of-ruptured-internal-carotid-artery-pseudoaneurysms-a-multi-institution-case-series
#26
JOURNAL ARTICLE
Michael T Bounajem, Evan Joyce, Jonathan P Scoville, Joshua Seinfeld, Jessa Hoffman, Jonathan A Grossberg, Vanesha Waiters, Andrew C White, John Nerva, Jan-Karl Burkhardt, Daniel A Tonetti, Kareem El Naamani, M Reid Gooch, Pascal Jabbour, Stavropoula Tjoumakaris, Santiago Ortega Gutierrez, Michael R Levitt, Michael Lang, William J Ares, Sohum Desai, Justin R Mascitelli, Craig J Kilburg, Karol P Budohoski, William T Couldwell, Bradley A Gross, Ramesh Grandhi
OBJECTIVE: Ruptured blister, dissecting, and iatrogenic pseudoaneurysms are rare pathologies that pose significant challenges from a treatment standpoint. Endovascular treatment via flow diversion represents an increasingly popular option; however, drawbacks include the requirement for dual antiplatelet therapy and the potential for thromboembolic complications, particularly acute complications in the ruptured setting. The Pipeline Flex embolization device with Shield Technology (PED-Shield) offers reduced material thrombogenicity, which may aid in the treatment of ruptured internal carotid artery pseudoaneurysms...
May 2023: Neurosurgical Focus
https://read.qxmd.com/read/37127034/fred-jr-stent-for-acute-flow-diversion-in-ruptured-cerebral-aneurysms-arising-from-small-caliber-vessels-a-clinical-case-series
#27
JOURNAL ARTICLE
Omer Doron, Rachel McLellan, Justin E Vranic, Robert W Regenhardt, Christopher J Stapleton, Aman B Patel
OBJECTIVE: Treatment of ruptured aneurysms arising from small-caliber (< 2.5 mm) or distal vessels beyond the circle of Willis is considered challenging with all treatment modalities. Recently, the Flow Re-Direction Endoluminal Device Junior (FRED Jr) stent, designed for flow diversion in small arteries, was approved in the United States for the treatment of nonruptured aneurysms. Here, the authors report their experience using this device in the setting of subarachnoid hemorrhage (SAH)...
May 2023: Neurosurgical Focus
https://read.qxmd.com/read/37116787/high-flow-bypass-and-trapping-of-a-ruptured-internal-carotid-artery-blister-aneurysm-operative-principles-and-key-lessons
#28
Arnau Benet, Kosumo Noda, Rokuya Tanikawa
Blood blister-like aneurysms (BBAs) are infrequent but challenging small aneurysms with fragile domes consisting of a thin adventitia layer.1 Flow diversion and microsurgical trapping are acceptable treatment options. While endovascular treatment is becoming the first choice in developed countries, it is prohibitive in most developing countries, where microsurgical treatment is the only feasible option. Microsurgical treatment offers superior obliteration rates at similar neurologic outcomes than endovascular treatment...
April 26, 2023: World Neurosurgery
https://read.qxmd.com/read/37075893/long-term-outcomes-of-ruptured-blood-blister-like-aneurysms-with-multiple-%C3%A2-2-overlapping-stents-and-coiling-a-single-center-experience
#29
JOURNAL ARTICLE
Yong Cheol Lim, Jihye Song
OBJECTIVE: To evaluate the long-term feasibility of multiple overlapping stents (≥2) with or without coiling for treating blood blister-like aneurysms (BBAs) METHODS: BBAs treated with stent-assisted coiling (SAC) or stent-only therapy (SOT) were included. BBAs with atypical anatomical locations, other endovascular or surgical techniques performed, and delayed treatment (>48 h) were excluded. Medical records of patients and procedures were retrospectively reviewed. RESULTS: Seventeen patients with BBAs were identified, and 15 were treated with SAC and 2 with SOT...
April 17, 2023: World Neurosurgery
https://read.qxmd.com/read/37065507/neurological-involvement-immune-response-and-biomarkers-in-kawasaki-disease-along-with-its-pathogenesis-therapeutic-and-diagnostic-updates
#30
REVIEW
Omniat Amir, Priyadarshi Prajjwal, Pugazhendi Inban, Srikanth Gadam, Soumya Aleti, Rayyan Rafik Sunasra, Karan Gupta, Mustafa Elhag, Mohammed Mahmoud, Omklthoum Alsir
Kawasaki disease is an acute, febrile disease that is not typically fatal if treated and affects infants and children more commonly. More than 80% of the afflicted patients are under the age of four. This disease most commonly affects coronary arteries. In a minority of cases, Aneurysms can burst or produce thrombosis, and they can cause infarction. The distinctive redness in the palms and soles of the feet might result from a delayed-type hypersensitivity reaction to a cross-reactive or recently discovered antigen (s)...
2023: F1000Research
https://read.qxmd.com/read/37034070/endovascular-intervention-vs-microsurgery-on-the-prognosis-of-anterior-circulation-blood-blister-like-aneurysm-a-cohort-study
#31
JOURNAL ARTICLE
Haibin Tan, Tian Zhang, Guangfu Huang, Zhili Li, Zhenyu Wang, Meixong Cheng, Ling Liu, Lingtong Liu
BACKGROUND: There are no universally acknowledged standardized treatment strategies for blood blister-like aneurysms (BBAs). This study compared the prognosis of patients with BBA who underwent craniotomy microsurgery vs. endovascular intervention. METHODS: This retrospective cohort study included patients with BBA treated between September 2009 and August 2020 at Sichuan Provincial People's Hospital affiliated to the Sichuan Academy of Medical Science. Patients were divided into the microsurgery and endovascular groups...
2023: Frontiers in Neurology
https://read.qxmd.com/read/36979245/flow-diverter-device-assisted-coiling-treatment-for-cerebral-blister-aneurysm-a-single-center-study
#32
JOURNAL ARTICLE
Wei Feng, Xinhua Tian, Junlong Kang, Zhaowei Han, E Chen
Although endovascular treatment is a promising approach, blood blister-like aneurysms (BBAs) still present treatment challenges. This study aimed to assess the effectiveness and safety of flow diverter device-assisted coiling (FDDAC) for the treatment of BBAs, which are broad based and friable with a high rebleeding risk. Eight patients (five females and three males) who presented with subarachnoid hemorrhages (SAH) due to BBA ruptures between May 2020 and May 2022 were retrospectively enrolled. All patients were treated by flow diverter device (Tubridge) adjunctive coil embolization using a semi-deploying technique...
March 3, 2023: Brain Sciences
https://read.qxmd.com/read/36961131/long-term-follow-up-of-surgical-management-of-blood-blister-like-aneurysms-at-non-branching-sites-of-the-internal-carotid-artery
#33
JOURNAL ARTICLE
Hyeon-Ju Kim, Jong-Myong Lee
To describe long-term follow-up of 25 patients who presented with subarachnoid hemorrhages due to blood blister-like aneurysms (BBAs) treated with direct clipping or clip reinforcement with or without direct neck repair. Between June 1993 and July 2009, 25 consecutive patients with ruptured BBAs of the supraclinoid internal carotid artery were retrospectively reviewed. The mean age of patients was 39.5 ± 11.3 years. The mean duration of clinical follow-up was 128.9 months (range, 85-196 months)...
March 24, 2023: Medicine (Baltimore)
https://read.qxmd.com/read/36937499/advantages-of-extradural-anterior-clinoidectomy-and-extradural-approach-with-dural-incision-for-blood-blister-aneurysm-or-pseudoaneurysm-in-the-internal-carotid-artery-two-case-reports
#34
Hideki Nakajima, Shigetoshi Shimizu, Takuro Tsuchiya, Hidenori Suzuki
Blood blister aneurysms (BBAs) or pseudoaneurysms (PAs) in the internal carotid artery (ICA) have fragile necks; therefore, conventional neck clipping is difficult. The standard treatment for BBAs or PAs is trapping with high or low flow bypass. However, there is no consensus on whether or not anterior clinoidectomy should be performed together. Two patients with ruptured ICA PA (anterior protrusion) or BBA (posterior protrusion) were presented to our hospital. Complete trapping was safely performed for both types of aneurysms via extradural anterior clinoidectomy and the extradural approach with dural incision...
2023: NMC Case Report Journal
https://read.qxmd.com/read/36895244/endovascular-treatment-of-a-ruptured-blister-like-aneurysm-at-an-azygos-anterior-cerebral-artery-a-case-report-and-review-of-the-literature
#35
Shirabe Matsumoto, Noriyuki Fumoto, Masahiko Tagawa, Hideo Tanaka
BACKGROUND: Endovascular treatment for a ruptured blister-like aneurysm (BLA) has recently become a hopeful approach. BLAs are usually located on the dorsal wall of the internal carotid artery, whereas one located on the azygos anterior cerebral artery (ACA) is so rare, it has never been reported. We report a case of a ruptured BLA arising at the distal bifurcation of an azygos ACA treated by stent-assisted coil embolization. CASE DESCRIPTION: A 73-year-old woman presented with a disturbance of consciousness...
2023: Surgical Neurology International
https://read.qxmd.com/read/36769737/endovascular-treatment-of-ruptured-blood-blister-like-aneurysms-using-the-lvis-evo-stents
#36
JOURNAL ARTICLE
Kinga Kubiak, Wojciech Poncyljusz
Blood blister-like aneurysms (BBAs) are rare cerebrovascular lesions that face serious challenges in surgical as well as endovascular treatment. In this paper, we present our experience in treating BBAs using the LVIS EVO stents. A total of 10 patients (mean age of 56.1 years) with 13 BBAs, who were admitted to our university hospital between April 2020 and November 2021 with a subarachnoid hemorrhage (SAH) due to aneurysm rupture, were treated using the LVIS EVO stents. Treatment of the BBAs consisted of stent-assisted coiling in four patients and stenting in six patients...
January 30, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/36753862/increased-prevalence-of-blister-aneurysm-formation-during-the-covid-19-pandemic
#37
JOURNAL ARTICLE
Joseph S Hudson, David J McCarthy, Ali Alattar, Zain Mehdi, Michael J Lang, Paul A Gardner, Georgios A Zenonos, Robert M Friedlander, Bradley A Gross
BACKGROUND: Intracranial blister aneurysms are a rare and an historically difficult to treat subset of aneurysms. They are distinct from typical saccular aneurysms with different pathophysiology and treatment options. METHODS: A prospectively maintained database of subarachnoid hemorrhage patients was queried for those presenting prior to the pandemic (2017-2019), and those presenting during the height of the pandemic in our locality (2021). Aneurysm characteristics and patient demographics associated with rupture risk/formation were collected...
February 3, 2023: Clinical Neurology and Neurosurgery
https://read.qxmd.com/read/36603337/characteristic-image-on-cerebral-angiography-in-ruptured-blood-blister-like-aneurysms
#38
JOURNAL ARTICLE
Naoki Kato, Takashi Izumi, Masahiro Nishihori, Shunsaku Goto, Yoshio Araki, Kinya Yokoyama, Ryuta Saito
OBJECTIVE: To evaluate the static and dynamic features of blood blister-like aneurysms (BBAs) using cerebral angiography to identify characteristic features to improve the diagnosis of these uncommon aneurysms. METHODS: Digital subtraction angiography (DSA) images were compared between patients with BBAs (n = 12, group A) and patients with unruptured paraclinoid aneurysms ≤ 5 mm in size treated by endovascular procedures (n = 12, group B)...
December 31, 2022: Clinical Neurology and Neurosurgery
https://read.qxmd.com/read/36442781/blood-blister-like-aneurysms-at-the-junction-of-the-internal-carotid-and-posterior-communicating-artery-characteristics-and-treatment-strategies
#39
JOURNAL ARTICLE
Toru Tateoka, Hideyuki Yoshioka, Kazuya Kanemaru, Takuma Wakai, Koji Hashimoto, Norito Fukuda, Hiroyuki Kinouchi
BACKGROUND: Blood blister-like aneurysms (BBAs) usually arise from the anterior walls of the internal carotid artery, and such lesions at the junction of the internal carotid artery and posterior communicating artery (PCoA) have not been reported to date. Here, we report our experiences of BBAs at PCoA. We studied their clinical and angiographical characteristics including the internal carotid-PCoA angle, an indicator of hemodynamic stress at the bifurcation. METHODS: Three patients with BBAs located at the origin of PCoA were studied...
November 25, 2022: World Neurosurgery
https://read.qxmd.com/read/36425265/treatment-of-a-ruptured-blister-aneurysm-of-the-left-internal-carotid-artery-with-telescoping-pipeline-flex-embolization-devices-with-shield-technology
#40
JOURNAL ARTICLE
Karol P Budohoski, Robert C Rennert, Vance Mortimer, William T Couldwell, Ramesh Grandhi
Ruptured blister aneurysms have significant rates of morbidity and mortality, but evidence of positive results with use of flow-diverting stents such as the Pipeline embolization device (PED) is growing. The authors describe the staged endovascular treatment of a ruptured left internal carotid artery blister aneurysm in a patient with a Hunt and Hess grade IV subarachnoid hemorrhage. PED placement was done via the common femoral artery using a triaxial delivery system. The telescoping stent technique performed over 48-72 hours achieved sufficient coverage of the aneurysm neck while limiting treatment time during the acute presentation and allowing interim dual antiplatelet treatment...
October 2022: Neurosurgical focus: Video
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