keyword
https://read.qxmd.com/read/38476428/reverse-y-stenting-in-the-management-of-vertebrobasilar-junction-fenestrated-aneurysm-a-novel-technique
#21
JOURNAL ARTICLE
Manoj Kumar Nayak, Biswajit Sahoo, Anshu Mahajan, Suprava Naik, Nerbadyswari Deep Bag, Biswamohan Mishra, Chinmaya Dash
Fenestrated aneurysm at vertebrobasilar junction (VBJ) is very rare and can occur due to non-fusion of longitudinal neural axis forming basilar artery in the early stage of embryonic life. Due to defects in tunica media and weakness in its wall, these fenestrations are more likely to develop an aneurysm. Various treatment strategies are required for the management of these types of aneurysms including simple coiling, stent-assisted coiling, balloon remodeling technique, and more recently kissing flow diverters...
2024: Journal of Neurosciences in Rural Practice
https://read.qxmd.com/read/38469588/treatment-and-outcome-analysis-of-patients-with-ruptured-distal-anterior-cerebral-artery-aneurysms-a-multicenter-real-world-study
#22
JOURNAL ARTICLE
Xiaowei Zhu, Zhen He, Zhuolin Wu, Yang Li, Yan Zhao, Bangyue Wang, Nai Zhang, Qiang Huang, Tao Yang, Minghao Yang, Jia Li, Xinyu Yang, Yanzhou Wang, Zhongyuan Zhang
OBJECTIVE: To reveal the safety and efficacy of clipping and coiling in patients with ruptured distal anterior cerebral artery aneurysms (DACAA) and to calculate the risk factors affecting the two-year survival rate in follow-up patients. METHODS: A retrospective study was conducted on the data of 140 patients (21 were lost to follow-up) with DACAA rupture who were treated by neurosurgery at 12 medical centers over a 2-year period, from January 2017 to December 2020...
2024: Frontiers in Neurology
https://read.qxmd.com/read/38468580/factors-predicting-the-cost-of-endovascular-management-of-intracranial-aneurysms
#23
JOURNAL ARTICLE
Traki Mazouni, Emna Bokri, Faouzi Azzouz, Skander Sammoud, Nadia Hammami, Nesrine Hasni
INTRODUCTION: The management of intracranial aneurysms has evolved in the recent years, and endovascular coiling has become the first treatment option in many countries. In Tunisia, this neuroendovascular treatment meets a progressive but slow development, slowed down, by the economic component. AIM: This study aimed to evaluate the global cost of endovascular treatment of cerebral aneurysms and determine the factors influencing the variation of direct medical cost...
November 5, 2023: La Tunisie Médicale
https://read.qxmd.com/read/38467051/compatibility-of-the-semijailing-technique-with-extremely-soft-i-ed-coils-for-ruptured-blood-blister-like-and-dissecting-aneurysms-patient-series
#24
JOURNAL ARTICLE
Hiroki Takahashi, Toshinori Matsushige, Yukishige Hashimoto, Takeshi Hara, Masahiro Hosogai, Shohei Kobayashi, Nobutaka Horie
BACKGROUND: Optimal treatment options for ruptured blood blister-like aneurysms (BBAs) and dissecting aneurysms (DAs) have not yet been established. Endovascular treatment may achieve vessel reconstruction with the preservation of antegrade blood flow; however, securing curative hemostasis at the fragile rupture point remains a major concern. OBSERVATIONS: Two ruptured BBAs and two ruptured DAs treated by stent-assisted coiling with the semijailing technique in the last 2 years are described herein...
March 11, 2024: J Neurosurg Case Lessons
https://read.qxmd.com/read/38467048/combination-of-neuroendoscopic-hematoma-evacuation-and-endovascular-coil-embolization-for-a-ruptured-anterior-choroidal-artery-aneurysm-in-patients-with-moyamoya-disease-illustrative-cases
#25
JOURNAL ARTICLE
Kohei Uemasu, Hiroyuki Koizumi, Daisuke Yamamoto, Sumito Sato, Hideto Komai, Madoka Inukai, Takuichiro Hide, Yasushi Asari, Toshihiro Kumabe
BACKGROUND: The treatment strategy for hemorrhagic moyamoya disease (MMD) due to a ruptured aneurysm at the distal portion of the anterior choroidal artery remains controversial. The authors successfully treated the ruptured aneurysm with neuroendoscopic hematoma evacuation, followed by endovascular coil embolization. OBSERVATIONS: The authors encountered two patients with massive hemorrhagic MMD whose MMD had already been diagnosed and who had a periventricular anastomosis due to a ruptured aneurysm of the distal portion of the anterior choroidal artery involving the periventricular anastomosis...
March 11, 2024: J Neurosurg Case Lessons
https://read.qxmd.com/read/38467046/infantile-traumatic-pericallosal-aneurysm-illustrative-case
#26
JOURNAL ARTICLE
Zachary S Hubbard, Conor M Cunningham, Brian F Saway, Matthew J Triano, Aaron T Miller, Guilherme Porto, Libby Kosnik Infinger, Alejandro M Spiotta
BACKGROUND: Traumatic aneurysms are a rare sequela of nonaccidental head trauma in infants. The rate of nonaccidental trauma (NAT) in the pediatric population is increasing; therefore, traumatic aneurysms are an important consideration in the evaluation of pediatric patients with abusive head trauma. OBSERVATIONS: A 24-day-old infant with no significant past medical or birth history presented with twitching and poor oral intake for 1 day. The patient was found to have bilateral subdural hematomas, multifocal contusions, and traumatic subarachnoid hemorrhage...
March 11, 2024: J Neurosurg Case Lessons
https://read.qxmd.com/read/38458249/cytotoxic-lesions-of-the-corpus-callosum-associated-with-aneurysmal-subarachnoid-hemorrhage-may-influence-shunt-dependent-chronic-hydrocephalus
#27
JOURNAL ARTICLE
Ryotaro Suzuki, Tomoji Takigawa, Masaya Nagaishi, Akio Hyodo, Kensuke Suzuki
BACKGROUND: Cytotoxic lesions of the corpus callosum (CLOCCs) are occasionally associated with aneurysmal subarachnoid hemorrhage (aSAH). The effects of aSAH on clinical outcomes in such cases are unclear. The present study aimed to investigate the frequency and characteristics of CLOCCs associated with aSAH to ascertain the predictors of shunt-dependent chronic hydrocephalus (SDCH) after aSAH. METHODS: We retrospectively investigated cases of aSAH treated by coil embolization...
March 6, 2024: World Neurosurgery
https://read.qxmd.com/read/38457581/the-ct-guided-percutaneous-drainage-of-pancreatic-pseudocyst-accompanied-by-pseudoaneurysm-a-case-report
#28
JOURNAL ARTICLE
Qimin Yang, Bing Li, Bai Jin Tao Sun, Xiangkai Zhong, Zhiqiang Qiu, Hanfeng Yang
RATIONALE: This case report discusses the CT-guided percutaneous drainage of a pancreatic pseudocyst accompanied by a pseudoaneurysm. Pancreatic pseudocysts can erode the peripancreatic artery and produce pseudoaneurysms. This is rare, but it can be life-threatening. PATIENT CONCERNS: The case presented involves a 58-year-old female who was diagnosed with pancreatic cancer and underwent surgical treatment. She presented with hematochezia, dizziness, and hypodynamic findings with no obvious cause...
March 8, 2024: Medicine (Baltimore)
https://read.qxmd.com/read/38455861/rapidly-growing-distal-choroidal-artery-aneurysm-re-rupture-following-revascularization-for-hemorrhagic-moyamoya-disease-a-case-report
#29
Jeong Taek Yoon, Kyung Mi Lee, Jiwook Ryu, Ju In Park
Intracranial hemorrhage is the leading cause of neurological deficits and poor prognosis in adult patients with Moyamoya disease (MMD). Intracranial hemorrhage is occasionally accompanied by MMD-associated aneurysm and requires additional treatment. To date, direct or indirect bypass surgery or endovascular treatment, such as coil embolization, has been adopted and has achieved successful outcomes. The rapid growth of MMD-associated aneurysms and rebleeding after direct bypass surgery via superficial temporal artery-middle cerebral artery (STA-MCA) anastomosis has rarely been reported...
March 2024: Clinical Case Reports
https://read.qxmd.com/read/38453409/initial-experiences-with-the-trenza-embolization-device-for-the-treatment-of-wide-neck-intracranial-aneurysms-a-12-patient-case-series
#30
JOURNAL ARTICLE
Rahul Raj, Jussi Numminen
The Trenza embolization device is a frame coil implant with flow-disruption properties and is a new alternative to treat challenging mid-to-large-sized broad-neck bifurcation or sidewall aneurysms. We conducted an observational single-center retrospective study of 12 consecutive patients treated for 10 unruptured and 2 ruptured 6- to 12-mm broad-neck bifurcation or sidewall aneurysms with the Trenza device during 2022-2023. The median patient age was 64 years (interquartile range, 59-70 years), 58% were women, the median largest aneurysm diameter was 9...
March 7, 2024: AJNR. American Journal of Neuroradiology
https://read.qxmd.com/read/38451476/off-the-shelf-synthetic-biodegradable-grafts-transform-in-situ-into-a-living-arteriovenous-fistula-in-a-large-animal-model
#31
JOURNAL ARTICLE
Paul J Besseling, Wojciech Szymczyk, Martin Teraa, Raechel J Toorop, Dan Jing Wu, Rob C H Driessen, Arturo M Lichauco, Henk M Janssen, Melanie van de Kaa, Krista den Ouden, Petra M de Bree, Joost O Fledderus, Carlijn V C Bouten, Gert J de Borst, Patricia Y W Dankers, Marianne C Verhaar
Current vascular access options require frequent interventions. In situ tissue engineering may overcome these limitations by combining the initial success of synthetic grafts with the long-term advantages of autologous vessels by using biodegradable grafts that transform into autologous vascular tissue at the site of implantation. Scaffolds(6mm-Ø) made of supramolecular polycarbonate-bisurea(PC-BU), with a polycaprolactone(PCL) anti-kinking-coil, were implanted between the carotid artery and jugular vein in goats...
March 7, 2024: Advanced Healthcare Materials
https://read.qxmd.com/read/38451269/safety-and-efficacy-of-lvis-jr-stent-assisted-coiling-of-intracranial-aneurysms-in-small-diameter-parent-arteries-a%C3%A2-single-center-experience
#32
JOURNAL ARTICLE
Shuailong Shi, Shuhai Long, Fangfang Hui, Qi Tian, Zhuangzhuang Wei, Ji Ma, Jie Yang, Ye Wang, Xinwei Han, Tengfei Li
OBJECTIVE: To investigate the safety and efficacy of LVIS Jr stent-assisted coiling (SAC) of intracranial aneurysms (IAs) in small-diameter parent arteries and determine the factors influencing incomplete aneurysm occlusion. MATERIAL AND METHODS: Clinical and imaging data of 130 patients with IAs in small-diameter parent arteries that were treated with LVIS Jr SAC were retrospectively analyzed. Stent apposition was evaluated by high-resolution flat detector CT, and aneurysm embolization density was evaluated using 2D-DSA...
March 7, 2024: Clinical Neuroradiology
https://read.qxmd.com/read/38447520/coiling-ruptured-aneurysms-arising-from-the-posterior-genu-of-the-cavernous-internal-carotid-artery-a-report-of-two-cases
#33
Zhuo Chen, Jinlu Yu
INTRODUCTION AND IMPORTANCE: Exceptionally, aneurysms from the posterior genu of the cavernous internal carotid artery (ICA) can rupture, resulting in subarachnoid hemorrhage (SAH). We reported such a case and provided another case with an unruptured aneurysm as a control to confirm the rarity of the ruptured aneurysm from the posterior genu of the cavernous ICA. CASE PRESENTATION: Case 1: This was a 46-year-old female with SAH. Computed tomography angiography (CTA) and digital subtraction angiography (DSA) confirmed that an aneurysm from the posterior genu of the right cavernous ICA had expanded into the intradural space and ruptured; the aneurysm was coiled completely...
March 5, 2024: International Journal of Surgery Case Reports
https://read.qxmd.com/read/38443187/clinical-and-angiographic-characteristics-of-ruptured-and-unruptured-distal-cerebral-aneurysms-a-review-of-a-large-series-of-cases-in-a-high-volume-center
#34
JOURNAL ARTICLE
Roberta Cao, Adonis Mattar, Esteban Torche, Roberto Riva, Morgane Laubacher, Ricardo Moreno-Gomez, Francis Turjman, Andrea Falini, Pietro Panni, Omer F Eker
OBJECTIVE: To evaluate clinical, angiographic features, and endovascular approach of ruptured and unruptured distal intracranial aneurysms (DIAs). METHODS: From January 2013 to February 2022, details of all consecutive intracranial aneurysms (IAs) treated endovascularly in our center were collected and retrospectively reviewed. IAs involving the anterior cerebral artery, middle cerebral artery, and posterior cerebral artery (distal to anterior communicating artery, limen insula, and P1 segment, respectively), and those distal to superior cerebellar artery, anterior-inferior cerebellar artery, and posterior inferior cerebellar artery's first segment were classified based on their etiology, location, size, and shape...
March 5, 2024: Journal of Neurointerventional Surgery
https://read.qxmd.com/read/38442485/combined-open-surgical-and-endovascular-management-of-a-giant-posterior-cerebral-artery-aneurysm-2-dimensional-operative-video
#35
JOURNAL ARTICLE
Wilson A M Fisher, Carlos A David
A 17-year-old female patient presented with worsening intractable headaches which were initially diagnosed as migraine headaches. The patient's headaches were refractory to medical management and continued to worsen in both severity and frequency. Computed tomography angiography and digital subtraction angiography demonstrated a giant posterior cerebral artery aneurysm with contributions from the internal carotid artery through the posterior communicating artery. During the surgical planning period, the patient continued to have worsening headaches, intractable nausea, vomiting, left upper extremity weakness, and associated visual obfuscations...
March 5, 2024: Operative Neurosurgery (Hagerstown, Md.)
https://read.qxmd.com/read/38440116/classification-and-hemodynamic-characteristics-of-delayed-intracerebral-hemorrhage-following-stent-assisted-coil-embolism-in-unruptured-intracranial-aneurysms
#36
JOURNAL ARTICLE
Zeng-Bao Wu, Xue-Yan Wan, Ming-Hui Zhou, Yan-Chao Liu, Ali Abdi Maalim, Zhuang-Zhuang Miao, Xiao Guo, Ying Zeng, Pu Liao, Li-Ping Gao, Jian-Ping Xiang, Hua-Qiu Zhang, Kai Shu, Ting Lei, Ming-Xin Zhu
BACKGROUND AND OBJECTIVE: Stent-assisted coil (SAC) embolization is a commonly used endovascular treatment for unruptured intracranial aneurysms (UIAs) but can be associated with symptomatic delayed intracerebral hemorrhage (DICH). Our study aimed to investigate the hemodynamic risk factors contributing to DICH following SAC embolization and to establish a classification for DICH predicated on hemodynamic profiles. METHODS: This retrospective study included patients with UIAs located in the internal carotid artery (ICA) treated with SAC embolization at our institution from January 2021 to January 2022...
2024: Frontiers in Neurology
https://read.qxmd.com/read/38439698/clopidogrel-versus-newer-p2y12-inhibitors-in-the-dual-antiplatelet-therapy-for-stent-assisted-coil-embolization-of-intracranial-aneurysms-a-meta-analysis
#37
REVIEW
Sávio Batista, Raphael Camerotte, Agostinho C Pinheiro, Igor Costermani, Anthony Bishay, José Alberto Almeida Filho, Lucca B Palavani, Edmundo Damiani Bertoli, Raphael Bertani, Jason A Ellis, Yafell Serulle, Christian Ferreira
INTRODUCTION: Stent-assisted coil embolization (SACE) for cerebral aneurysms requires dual antiplatelet therapy (DAPT), commonly clopidogrel plus aspirin is preferable to ticagrelor or prasugrel plus aspirin. However, there are few studies assessing the safety of the association of ticagrelor or prasugrel plus aspirin. OBJECTIVES: Compare the safety of newer P2Y12 inhibitors with clopidogrel in patients that underwent a SACE for cerebral aneurysms. METHODS: In accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines, we searched PubMed and Embase for studies comparing newer P2Y12 inhibitors with clopidogrel in patients undergoing DAPT for SACE...
March 5, 2024: Interventional Neuroradiology
https://read.qxmd.com/read/38437678/rapid-presentation-of-a-de-novo-intracranial-aneurysm-illustrative-case
#38
JOURNAL ARTICLE
Anthony Diaz, Jimin Shin, Ketan R Bulsara
BACKGROUND: Intracranial aneurysms are prevalent, particularly with advancing age. De novo aneurysms, occurring independently from the initial lesion, pose a unique challenge because of their unpredictable nature. Although risk factors such as female sex, smoking history, and hypertension have been proposed, the mechanisms underlying de novo aneurysm development remain unclear. OBSERVATIONS: A 79-year-old female developed a de novo saccular aneurysm within a year after management of a ruptured vertebral artery dissecting aneurysm...
March 4, 2024: J Neurosurg Case Lessons
https://read.qxmd.com/read/38435491/comparison-between-onyx-and-coil-embolization-for-persistent-type-2-endoleaks-after-endovascular-aneurysm-repair
#39
JOURNAL ARTICLE
Min-Kyu Kim, Yang-Jin Park, Shin-Seok Yang, Dong-Ik Kim, Jun-Gon Kim, Dong-Ho Hyun, Kwang-Bo Park, Young-Soo Do, Young-Wook Kim
PURPOSE: Type 2 endoleaks (T2EL) are the most common form of endoleaks after endovascular aneurysm repair (EVAR). Several studies on the feasibility of embolization using ethylene vinyl alcohol copolymer (Onyx, Medtronic) for T2EL have been reported. The purpose of this study was to compare coil and Onyx embolization for T2EL treatment after EVAR. METHODS: Between August 2005 and July 2022, 46 patients underwent endovascular embolization for treatment of T2EL (15 Onyx and 31 coils)...
March 2024: Annals of Surgical Treatment and Research
https://read.qxmd.com/read/38433767/endovascular-intervention-to-treat-spontaneous-carotid-cavernous-fistula-in-a-patient-with-ehlers-danlos-syndrome-with-an-access-site-anatomical-variant
#40
Austin Jin Xian See, Abhishekh Hulegar Ashok, Yogish Joshi, Mathew Guilfoyle, Teik Choon See
Vascular Ehlers-Danlos Syndrome (vEDS) is a rare and potentially life-threatening inherited connective tissue disorder. Patients with vEDS can present with spontaneous arterial dissections and ruptured aneurysms. There are previous reports of large artery dissections and vessel rupture following conventional catheter diagnostic angiography. We present the case of a patient with vEDS who had a spontaneous carotid-cavernous fistula (CCF) and visceral aneurysms, associated with a normal variant of corona mortis...
March 2024: BJR Case Reports
keyword
keyword
74960
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.