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Journals Journal of Neurointerventional...

Journal of Neurointerventional Surgery

https://read.qxmd.com/read/38631905/a-core-lab-adjudicated-analysis-of-single-stent-assisted-coiling-of-wide-neck-bifurcation-aneurysms
#21
JOURNAL ARTICLE
Aliya Siddiqui, Kyle M Fargen, Justin E Vranic, Aman B Patel, Christopher S Ogilvy, Ajith J Thomas, Justin R Mascitelli, Johanna T Fifi, J Mocco, Reade Andrew De Leacy
BACKGROUND AND PURPOSE: Core-lab adjudicated data regarding the efficacy of the single-stent assisted aneurysm coiling technique 'L-stenting' are lacking. We present a multicenter, core-lab adjudicated study evaluating the safety and effectiveness of single-stent assisted coiling in the treatment of wide-neck bifurcation aneurysms (WNBAs). METHODS: Consecutive patients who underwent L-stenting for WNBAs at three academic institutions between 2015 and 2019 were included in this retrospective study...
April 17, 2024: Journal of Neurointerventional Surgery
https://read.qxmd.com/read/38631904/outcomes-of-heparin-induced-thrombocytopenia-type-ii-in-aneurysmal-subarachnoid-hemorrhage-patients-a-us-nationwide-analysis
#22
JOURNAL ARTICLE
Galadu Subah, Sabrina Zeller, Nitesh Damodara, Michael Fortunato, Jenna Garrett, Shoaib Syed, Anaz Uddin, Issac Pak, Eric Feldstein, Stephan Mayer, Chirag D Gandhi, Fawaz Al-Mufti
BACKGROUND: Despite the widespread use of heparin during and following endovascular procedures in the management of aneurysmal subarachnoid hemorrhage (SAH) patients, limited research has explored the incidence and impact of heparin-induced thrombocytopenia (HIT) on SAH. METHODS: Descriptive statistics, multivariate regressions, and propensity score-matching were employed to compare clinical characteristics, comorbidities, interventions, complications, and outcomes of HIT in SAH patients identified within the US National Inpatient Sample database from 2010 to 2019...
April 17, 2024: Journal of Neurointerventional Surgery
https://read.qxmd.com/read/38609175/long-term-neuropsychiatric-complications-of-aneurysmal-subarachnoid-hemorrhage-a-narrative-review
#23
REVIEW
Jose Danilo Bengzon Diestro, Manav Vyas, Youngkyung Jung, Teruko Kishibe, Carl Leochico, Adrian Espiritu, Maria Kristina Dorotan, Nico Dimal, Abdelsimar Tan Omar, April Sienes, Gustavo Saposnik, Thomas R Marotta, Atif Zafar, Vitor Mendes Pereira, Julian Spears
This review focuses on the often-neglected long-term neuropsychiatric consequences of aneurysmal subarachnoid hemorrhage (aSAH), beyond traditional randomized trial outcomes of mortality and retreatment. While current guidelines recommend screening for these sequalae, it may not be routinely practiced. This review will underscore the prevalence and management of common neuropsychiatric sequalae, including anxiety, depression, cognitive dysfunction, headaches, seizures, and sexual dysfunction, all of which can significantly impact the quality of life of survivors of aSAH...
April 12, 2024: Journal of Neurointerventional Surgery
https://read.qxmd.com/read/38609174/prospective-evaluation-to-characterize-the-real-world-performance-of-the-embovac-aspiration-catheter-for-neurothrombectomy-a-post-market-clinical-follow-up-trial
#24
JOURNAL ARTICLE
Mariangela Piano, Olav Jansen, Gaultier Marnat, Benjamin Gory, Hannes Nordmeyer, Bernd Eckert, Alessandro Pedicelli, Christophe Cognard, Christian Loehr, Matteo Zanoni, Axel Schaefer, Antonio Macera, Jens Fiehler, Karen Doyle, Kyriakos Lobotesis
BACKGROUND: A direct aspiration first pass technique (ADAPT) is an effective alternative to stent retriever thrombectomy for patients with large vessel occlusion (LVO). The PERFECT study evaluated direct aspiration with the EMBOVAC large bore aspiration catheter in patients with LVO strokes. METHODS: PERFECT was a prospective, post-market, single-arm, multicenter, observational study of patients enrolled across 11 European centers between October 2020 and July 2022...
April 12, 2024: Journal of Neurointerventional Surgery
https://read.qxmd.com/read/38604767/evaluation-of-chatgpt-in-knowledge-of-newly-evolving-neurosurgery-middle-meningeal-artery-embolization-for-subdural-hematoma-management
#25
JOURNAL ARTICLE
Stefan W Koester, Joshua S Catapano, Joelle N Hartke, Robert F Rudy, Tyler S Cole, Anant Naik, Ethan A Winkler, Christopher S Graffeo, Visish M Srinivasan, Ashutosh P Jadhav, Andrew F Ducruet, Michael T Lawton, Felipe C Albuquerque
No abstract text is available yet for this article.
April 11, 2024: Journal of Neurointerventional Surgery
https://read.qxmd.com/read/38604766/arteriovenous-shunts-of-the-cervical-spine-patient-demographics-presentation-patterns-of-high-risk-venous-drainage-and-updated-classification
#26
JOURNAL ARTICLE
Masis Isikbay, M Travis Caton, Raghav Mattay, Woody Han, Daniel L Cooke, Daniel Raper, Ethan A Winkler, Luis Savastano, Kazim H Narsinh, Steven W Hetts, Matthew Robert Amans
BACKGROUND: Intracranial dural arteriovenous (AV) fistula classifications focus on presence/absence of retrograde flow in the cortical veins of the brain as this angiographic finding portends a worse prognosis. However, prior categorization systems of AV shunts in the spine do not incorporate these features. We propose an updated classification for spinal shunting lesions that terms any shunting lesion with retrograde flow in any cortical vein of the brain or spinal cord medullary vein as "high risk"...
April 11, 2024: Journal of Neurointerventional Surgery
https://read.qxmd.com/read/38604765/population-based-estimates-suggest-middle-meningeal-artery-embolization-for-subdural-hematomas-could-significantly-expand-the-scope-of-neurovascular-therapies
#27
JOURNAL ARTICLE
Ansaar T Rai, Abdulrahman A Halak, Dhairya A Lakhani, Abdul R Tarabishy, Adnan H Siddiqui
BACKGROUND: This study quantifies the impact of middle meningeal artery embolization (MMAE) for subdural hematomas (SDHs) by estimating a target population. METHODS: A population-based study at a tertiary hospital, the main SDH facility for a four-county population, used primary ICD-10 codes over 3 years to collate SDH hospitalizations. Clinical and imaging data confirmed traumatic versus non-traumatic and acute versus non-acute (mixed or chronic) SDH. The MMAE-eligible population included patients with non-traumatic, non-acute SDH aged ≥18 years plus patients with 'traumatic' but non-acute SDH aged ≥60 years presenting with a fall...
April 11, 2024: Journal of Neurointerventional Surgery
https://read.qxmd.com/read/38594068/response-to-plunge-with-caution-safeguarding-patients-in-mechanical-thrombectomy
#28
LETTER
Michael T Froehler, Bryan C Good
No abstract text is available yet for this article.
April 9, 2024: Journal of Neurointerventional Surgery
https://read.qxmd.com/read/38594067/-an-eye-for-an-eye-therapeutic-strategy-for-cavernous-sinus-dural-arteriovenous-fistula-a-single-center-experience
#29
JOURNAL ARTICLE
Liang Xu, Jingwei Zheng, Chenhan Ling, Xianyi Chen, Bing Fang, Cong Qian, Jing Xu, Jun Yu
BACKGROUND: In cavernous sinus dural arteriovenous fistulas (CS-DAVF), ophthalmological symptoms are usually the main clinical presentation, caused by abnormal drainage of the superior ophthalmic vein (SOV). Early opacification of the SOV during cerebral angiography inevitably signifies the fistula's shunt point at the confluence of the SOV and CS. We aimed to leverage this anatomical feature to achieve precise embolization, thereby enhancing the embolization success rate and preventing CS-related symptoms and complications resulting from overpacking...
April 9, 2024: Journal of Neurointerventional Surgery
https://read.qxmd.com/read/38594066/plunge-with-caution-safeguarding-patients-in-mechanical-thrombectomy
#30
LETTER
Jonathan Cortese, Esref Alperen Bayraktar, Jiahui Li, David F Kallmes
No abstract text is available yet for this article.
April 9, 2024: Journal of Neurointerventional Surgery
https://read.qxmd.com/read/38580442/spontaneous-delayed-migration-or-shortening-after-pipeline-embolization-device-treatment-of-intracranial-aneurysm-incidence-management-and-risk-factors
#31
JOURNAL ARTICLE
Linggen Dong, Chao Wang, Dachao Wei, Qichen Peng, Xinzhi Wu, Xiheng Chen, Mingtao Li, Tong Li, He Liu, Yang Zhao, Ran Duan, Weitao Jin, Yukun Zhang, Yang Wang, Ming Lv
BACKGROUND: Studies reporting spontaneous delayed migration or shortening (SDMS) after treatment with the Pipeline Embolization Device (PED) are limited. This study aimed to evaluate the incidence of SDMS after PED treatment, propose management strategies, and identify the risk factors contributing to its occurrence. METHODS: We retrospectively reviewed consecutive patients with an intracranial aneurysm (IA) treated with PEDs at three institutions. SDMS was classified as type I or II based on whether the PED covered the aneurysm neck...
April 5, 2024: Journal of Neurointerventional Surgery
https://read.qxmd.com/read/38580441/real-time-artificial-intelligence-assisted-carotid-artery-stenting-a-preliminary-experience
#32
JOURNAL ARTICLE
Yuya Sakakura, Kenichi Kono, Takeshi Fujimoto
BACKGROUND: Neurointerventionalists must pay close attention to multiple devices on multiple screens simultaneously, which can lead to oversights and complications. Artificial intelligence (AI) has potential application in recognizing and monitoring these devices on fluoroscopic imaging. METHODS: We report out preliminary experience with a real time AI assistance software, Neuro-Vascular Assist (iMed technologies, Tokyo, Japan), in six patients who underwent carotid artery stenting...
April 5, 2024: Journal of Neurointerventional Surgery
https://read.qxmd.com/read/38479798/early-technique-switch-following-failed-passes-during-mechanical-thrombectomy-for-ischemic-stroke-should-the-approach-change-and-when
#33
JOURNAL ARTICLE
Pedro N Martins, Raul G Nogueira, Mohamed A Tarek, Jaydevsinh N Dolia, Sunil A Sheth, Santiago Ortega-Gutierrez, Sergio Salazar-Marioni, Ananya Iyyangar, Milagros Galecio-Castillo, Aaron Rodriguez-Calienes, Aqueel Pabaney, Jonathan A Grossberg, Diogo C Haussen
BACKGROUND: Fast and complete reperfusion in endovascular therapy (EVT) for ischemic stroke leads to superior clinical outcomes. The effect of changing the technical approach following initially unsuccessful passes remains undetermined. OBJECTIVE: To evaluate the association between early changes to the EVT approach and reperfusion. METHODS: Multicenter retrospective analysis of prospectively collected data for patients who underwent EVT for intracranial internal carotid artery, middle cerebral artery (M1/M2), or basilar artery occlusions...
April 4, 2024: Journal of Neurointerventional Surgery
https://read.qxmd.com/read/38569886/safety-and-efficacy-of-coated-flow-diverters-in-the-treatment-of-ruptured-intracranial-aneurysms-a-retrospective-multicenter-study
#34
JOURNAL ARTICLE
Lukas Goertz, Sophia Hohenstatt, Dominik F Vollherbst, Charlotte Sabine Weyland, Omid Nikoubashman, Hanna Styczen, Christian Gronemann, Daniel Weiss, Marius Kaschner, Muriel Pflaeging, Eberhard Siebert, David Zopfs, Jonathan Kottlors, Lenhard Pennig, Marc Schlamann, Georg Bohner, Thomas Liebig, Bernd Turowski, Franziska Dorn, Cornelius Deuschl, Martin Wiesmann, Markus A Möhlenbruch, Christoph Kabbasch
BACKGROUND: This multicenter study evaluated the safety and efficacy of coated flow diverters (cFDs) for the treatment of ruptured intracranial aneurysms. METHODS: Consecutive patients treated with different cFDs for ruptured aneurysms under tirofiban at eight neurovascular centers between 2016 and 2023 were retrospectively analyzed. The majority of patients were loaded with dual antiplatelet therapy after the treatment. Aneurysm occlusion was determined using the O'Kelly-Marotta (OKM) grading scale...
April 3, 2024: Journal of Neurointerventional Surgery
https://read.qxmd.com/read/38569885/clinical-presentation-and-treatment-of-26-spinal-epidural-arteriovenous-fistulas-a-single-center-experience
#35
JOURNAL ARTICLE
Charles Beaman, Amir Molaie, Yasmin Ghochani, Keiko Fukuda, Catherine Peterson, Naoki Kaneko, May Nour, Viktor Szeder, Geoffrey P Colby, Satoshi Tateshima, Reza Jahan, Gary Duckwiler
BACKGROUND: Spinal epidural arteriovenous fistulas (SEDAVFs) are rarely diagnosed vascular malformations that can cause spinal cord compression and congestive myelopathy. METHODS: This is a single-center, retrospective case series of patients with SEDAVFs who underwent observation or treatment at UCLA medical center between 1993 and 2023. RESULTS: Between 1993 and 2023 a total of 26 patients at UCLA were found to have a SEDAVF. The median age at treatment was 59 years (range 4 months to 91 years)...
April 3, 2024: Journal of Neurointerventional Surgery
https://read.qxmd.com/read/38538057/comparison-of-rescue-intracranial-stenting-versus-best-medical-treatment-alone-in-acute-refractory-large-vessel-occlusion-study-protocol-for-the-pistar-multicenter-randomized-trial
#36
JOURNAL ARTICLE
Kévin Premat, Agnès Dechartres, Amandine Baptiste, Alexis Guedon, Mikael Mazighi, Laurent Spelle, Christian Denier, Titien Tuilier, Hassan Hosseini, Bertrand Lapergue, Federico Di Maria, Nicolas Bricout, Hilde Henon, Benjamin Gory, Sébastien Richard, Cyril Chivot, Audrey Courselle, Stéphane Velasco, Mathias Lamy, Vincent Costalat, Caroline Arquizan, Gaultier Marnat, Igor Sibon, Stephanie Lenck, Eimad Shotar, Julien Allard, Nader Sourour, Vincent Degos, Sonia Alamowitch, Frédéric Clarençon
BACKGROUND: Mechanical thrombectomy (MT) has become a standard treatment for acute ischemic strokes (AIS). However, MT failure occurs in approximately 10-30% of cases, leading to severe repercussions (with mortality rates up to 40% according to observational data). Among the available rescue techniques, rescue intracranial stenting (RIS) appears as a promising option. OBJECTIVE: This trial is poised to demonstrate the superiority of RIS in addition to the best medical treatment (BMT) in comparison with BMT alone, in improving the functional outcomes at 3 months for patients experiencing an AIS due to a large vessel occlusion refractory to MT (rLVO)...
March 27, 2024: Journal of Neurointerventional Surgery
https://read.qxmd.com/read/38538056/superior-cortical-venous-anatomy-for-endovascular-device-implantation-a-systematic-review
#37
REVIEW
Jamie Brannigan, Alexander McClanahan, Ferdinand Hui, Kyle M Fargen, Nandor Pinter, Thomas J Oxley
Endovascular electrode arrays provide a minimally invasive approach to access intracranial structures for neural recording and stimulation. These arrays are currently used as brain-computer interfaces (BCIs) and are deployed within the superior sagittal sinus (SSS), although cortical vein implantation could improve the quality and quantity of recorded signals. However, the anatomy of the superior cortical veins is heterogenous and poorly characterised. MEDLINE and Embase databases were systematically searched from inception to December 15, 2023 for studies describing the anatomy of the superior cortical veins...
March 27, 2024: Journal of Neurointerventional Surgery
https://read.qxmd.com/read/38538055/mechanical-thrombectomy-in-basilar-artery-occlusions-impact-of-first-line-strategy-as-a-function-of-the-occlusion-level
#38
JOURNAL ARTICLE
Louis Tournier, Jonathan Cortese, Arturo Consoli, Laurent Spelle, Gaultier Marnat, Mariana Sarov, Francois Zhu, Sebastien Soize, Julien Burel, Géraud Forestier, Simon Escalard, Raoul Pop, Baptiste Bonnet, Quentin Alias, Julien Ognard, Olivier Naggara, Maeva Kyheng, Bertrand Lapergue, Jildaz Caroff
BACKGROUND: Retrospective studies suggest the superiority of first-line contact aspiration (CA) thrombectomy over stent-retriever (SR) in basilar artery occlusions (BAO). We aimed to investigate the impact of first-line mechanical thrombectomy per the occlusion level, considering differences in stroke etiology prevalence between proximal and distal BAO. METHODS: A retrospective, multicentric analysis of the Endovascular Treatment in Ischemic Stroke Registry (ETIS) included consecutive BAO patients treated from January 2016 to May 2022...
March 27, 2024: Journal of Neurointerventional Surgery
https://read.qxmd.com/read/38538054/combined-effect-of-aspects-and-age-on-outcome-of-patients-with-large-core-infarction-treated-with-mechanical-thrombectomy
#39
JOURNAL ARTICLE
Zibao Li, Linyu Li, Zhouzhou Peng, Shoucai Zhao, Xianjun Huang, Shitao Fan, Xu Xu, Jinfu Ma, Chengsong Yue, Nizhen Yu, Changwei Guo, Jie Yang
BACKGROUND: Despite the remarkable effectiveness of endovascular treatment (EVT), recent randomized controlled trials indicate that up to half of patients with large core infarction have a very poor outcome (modified Rankin Scale score 5-6 at 90 days). This study investigates the combined effect of Alberta Stroke Program Early CT Score (ASPECTS) and age on very poor outcome in patients with large core infarction treated with EVT. METHODS: This subanalysis of the MAGIC registry, which is a prospective, multicenter cohort study of early treatment in acute stroke, focused on patients with ASPECTS ≤5 presenting within 24 hours of stroke onset and receiving CT followed by EVT from November 1, 2021 to February 8, 2023...
March 27, 2024: Journal of Neurointerventional Surgery
https://read.qxmd.com/read/38527796/effects-of-calcium-channel-blockers-on-perioperative-ischemic-events-in-hypertensive-patients-with-intracranial-aneurysms-undergoing-neurointervention
#40
JOURNAL ARTICLE
Qichen Peng, Yangyang Zhou, Chao Wang, Xuanping Xie, Linggen Dong, Yisen Zhang, Hongqi Zhang, Jun Wang, Liang Li, Pinyuan Zhang, Yuanli Zhao, Yang Wang, Fushun Xiao, Bin Luo, Wenqiang Li, Shiqing Mu
BACKGROUND: Although calcium channel blockers (CCBs) are useful in stroke prevention, their specific role in preventing stroke in hypertensive patients with intracranial aneurysms undergoing endovascular stent placement remains unclear. METHODS: We retrospectively examined 458 hypertensive patients with intracranial aneurysms who underwent stent treatment, drawn from a larger multicenter cohort comprising 1326 patients across eight centers. Patients were dichotomized into two groups according to use of a CCB...
March 25, 2024: Journal of Neurointerventional Surgery
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