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By Haytham Haytham 1234567890
R Jabbarli, A-M Bohrer, D Pierscianek, D Müller, K H Wrede, P Dammann, N El Hindy, N Özkan, U Sure, O Müller
BACKGROUND AND PURPOSE: Acute hydrocephalus is an early and common complication of aneurysmal subarachnoid hemorrhage (SAH). However, considerably fewer patients develop chronic hydrocephalus requiring shunt placement. Our aim was to develop a risk score for early identification of patients with shunt dependency after SAH. METHODS: Two hundred and forty-two SAH individuals who were treated in our institution between January 2008 and December 2013 and survived the initial impact were retrospectively analyzed...
May 2016: European Journal of Neurology: the Official Journal of the European Federation of Neurological Societies
Vinodh T Doss, Nitin Goyal, William Humphries, Dan Hoit, Adam Arthur, Lucas Elijovich
BACKGROUND: Residual aneurysm after microsurgical clipping carries a risk of aneurysm growth and rupture. Digital subtraction angiography (DSA) remains the standard to determine the adequacy of clipping. Intraoperative indocyanine green (ICG) angiography is increasingly utilized to confirm optimal clip positioning across the neck and to evaluate the adjacent vasculature. OBJECTIVE: We evaluated the correlation between ICG and DSA in clipped intracranial aneurysms...
July 2015: Interventional Neurology
Kevin S Chen, Thomas J Wilson, William R Stetler, Matthew C Davis, David A Giles, Elyne N Kahn, Neeraj Chaudhary, Joseph J Gemmete, B Gregory Thompson, Aditya S Pandey
The aim of the current study is to describe the complication rates and clinical outcomes in patients who either underwent repeat intervention or conservative management with radiographic surveillance when presenting with aneurysmal recurrence after endovascular treatment. Since publication of the international subarachnoid aneurysm trial (ISAT), an increasing number of patients are treated with endovascular therapy. However, recurrence after endovascular therapy continues to pose a challenge, and there is minimal evidence to guide its management...
December 2015: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
Alex M Mortimer, Celia Bradford, Brendan Steinfort, Ken Faulder, Nazih Assaad, Timothy Harrington
BACKGROUND: Endovascular coiling (EVC) has been shown to yield superior clinical outcomes to surgical clipping (SC) in the treatment of ruptured cerebral aneurysms. The reasons for these differences remain obscure. We aimed to assess outcomes of EVC and SC relative to baseline physiological derangement. METHODS: This was an exploratory analysis of prospectively collected trial data. Physiological derangement was assessed using the Acute Physiology and Chronic Health Evaluation II (APACHE II) scoring system...
February 2016: Journal of Neurointerventional Surgery
Benjamin Gory, Francis Turjman
BACKGROUND: Aneurysm recanalization remains a limitation of endovascular treatment. A new type of bioactive coil, the polyglycolic/polylactic acid-covered platinum microfilaments Nexus coil (ev3/Covidien, Irvine, CA, USA), has been proposed. The objective is to evaluate the safety and short-term and mid-term efficacy of Nexus coils in the endovascular treatment of intracranial aneurysms. METHODS: The ENDECOR (European Nexus Detachable Coil Registry) is the first prospective, consecutive, multicenter non-randomized registry...
May 2014: Acta Neurochirurgica
William R Stetler, Thomas J Wilson, Wajd N Al-Holou, Neeraj Chaudhary, Joseph J Gemmete, B Gregory Thompson, Aditya S Pandey
BACKGROUND: Endovascular treatment of small intracranial aneurysms has historically been technically challenging and has been associated with high rates of complications and intraprocedural rupture. In this study, we compared complication and recurrence rates for treatment of small aneurysms (≤ 4 mm) versus large aneurysms in the context of the advent of improvements in endovascular techniques and technologies. METHODS: A retrospective cohort study was performed to include all patients who underwent coiling of an intracranial aneurysm between 2005 and 2012...
April 2015: Journal of Neurointerventional Surgery
Dale Ding
No abstract text is available yet for this article.
January 2014: Clinical Neurology and Neurosurgery
Laurent Pierot, Ajay K Wakhloo
No abstract text is available yet for this article.
July 2013: Stroke; a Journal of Cerebral Circulation
Reza Mohammadian, Mohamad Asgari, Neda Sattarnezhad, Reza Mansourizadeh, Farideh Mohammadian, Mohammad Shimia, Mahnaz Talebi, Ali Meshkini, Morteza Amirkolahy
INTRODUCTION: Endovascular treatment of aneurysms has been introduced as a less invasive method for decreasing the rate of aneurysm rerupture and subsequent subarachnoid hemorrhage. The outcome and complication rate for endovascular treatment of very small (≤3 mm) and very large (15-25 mm) intracranial aneurysms has been controversial. Here we report our experience with endovascular coiling of very small and very large ruptured aneurysms of the anterior cerebral circulation. METHODS: Patients were included in the study if the maximum dimension of the intracranial ruptured aneurysm was reported to be ≤3 mm or 15-25 mm and if the aneurysm was within the anterior cerebral circulation...
2013: Cerebrovascular Diseases
L Pierot, C Cognard, R Anxionnat, F Ricolfi
BACKGROUND AND PURPOSE: Recanalization is 1 drawback of the EVT of intracranial aneurysms. An analysis of the factors affecting the midterm anatomic results after EVT of ruptured intracranial aneurysms in a large multicenter series (CLARITY) is presented. MATERIALS AND METHODS: Of the 782 patients initially included in the CLARITY trial, 649 would theoretically undergo midterm follow-up examinations. Finally, 517/649 (79.7%) completed a midterm follow-up examination...
September 2012: AJNR. American Journal of Neuroradiology
L Pierot, C Cognard, F Ricolfi, R Anxionnat
BACKGROUND AND PURPOSE: The efficacy of the endovascular treatment in providing stable occlusion of intracranial aneurysms is still controversial and should be precisely analyzed. A first step is to carefully study immediate anatomical results. CLARITY (Clinical and Anatomical Results in the Treatment of Ruptured Intracranial Aneurysms) is a prospective multicenter consecutive series including patients treated by coiling for ruptured aneurysms. Immediate anatomic results are presented...
May 2010: AJNR. American Journal of Neuroradiology
T Koivisto, R Vanninen, H Hurskainen, T Saari, J Hernesniemi, M Vapalahti
BACKGROUND AND PURPOSE: This prospective study was conducted to compare the outcomes of surgical clipping and endovascular treatment in acute (<72 hours) aneurysmal subarachnoid hemorrhage (SAH). METHODS: One hundred nine consecutive patients were randomly assigned to either surgical (n=57) or endovascular (n=52) treatment. Clinical and neuropsychological outcome was assessed at 3 and 12 months after treatment; MRI of the brain was performed at 12 months. Follow-up angiography was scheduled after clipping and 3 and 12 months after endovascular treatment...
October 2000: Stroke; a Journal of Cerebral Circulation
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