Evolution of a multidisciplinary cerebrovascular center: lessons learned.

abstract：BACKGROUND:Mechanical thrombectomy using a stent retriever has become the standard of care for acute large-vessel occlusions in the anterior circulation. Clots that are refractory to single stent retriever thrombectomy remain a challenge for neurointerventionalists. OBJECTIVE:To assess the efficacy and safety of doubl...

journal_title：Journal of neurointerventional surgery

authors： Aydin K,Barburoglu M,Oztop Cakmak O,Yesilot N,Vanli ENY,Akpek S

更新日期：2019-03-01 00:00:00

abstract：:Idiopathic intracranial hypertension (IIH) is characterized by headache, papilledema, visual field changes and tinnitus with elevated cerebral spinal fluid opening pressures on lumbar puncture. Left untreated, this condition can lead to permanent visual loss. Previous treatment modalities include medical management, t...

journal_title：Journal of neurointerventional surgery

authors： Puffer RC,Mustafa W,Lanzino G

更新日期：2013-09-01 00:00:00

abstract：BACKGROUND:The efficacy of acute ischemic stroke treatment is affected by thrombus composition and age, yet no diagnostic method capable of quantitative thrombus characterization currently exists. This in vitro study evaluates the use of R2* , quantitative susceptibility mapping (QSM), and proton density fat fraction (...

journal_title：Journal of neurointerventional surgery

authors： Christiansen SD,Liu J,Boffa MB,Drangova M

更新日期：2019-11-01 00:00:00

abstract：BACKGROUND:Elevated systolic blood pressure (SBP) in the acute phase after endovascular therapy (EVT) is associated with worse outcome. However, the association between systolic blood pressure reduction (SBPr) and the outcome of EVT is not well understood. OBJECTIVE:To determine the association between SBPr and clinic...

journal_title：Journal of neurointerventional surgery

authors： Anadani M,de Havenon A,Yaghi S,Mehta T,Arora N,Starosciak AK,De Los Rios La Rosa F,Siegler J,Mistry AM,Chitale R,Spiotta AM,Tsivgoulis G,Khatri P,Mistry EA

更新日期：2020-09-03 00:00:00

abstract：BACKGROUND:Coil occlusion has become the standard treatment for many ruptured aneurysms. However, specific aneurysm structures pose technical difficulties and may require the use of adjunctive neck-bridging devices, which necessitate the use of dual antiplatelet therapy. The hydrophilic polymer coating (pHPC, phenox) i...

journal_title：Journal of neurointerventional surgery

authors： Aguilar Perez M,AlMatter M,Hellstern V,Wendl C,Ganslandt O,Bäzner H,Henkes H

更新日期：2020-09-01 00:00:00

abstract：OBJECTIVE:Severe angiographic vasospasm (aVSP) is a risk factor for poor functional outcome following subarachnoid hemorrhage. We investigated the impact of angiographic surveillance and intensive endovascular treatment using transluminal balloon angioplasty (TBA) and/or verapamil infusion for severe aVSP through compa...

journal_title：Journal of neurointerventional surgery

authors： Mortimer AM,Steinfort B,Faulder K,Bradford C,Finfer S,Assaad N,Harrington T

更新日期：2015-12-01 00:00:00

abstract：BACKGROUND:Axium MicroFX coils contain polymer (polyglycolic/polylactic acid, PGLA) microfilaments designed to significantly impact intra-aneurysmal flow and to encourage aneurysm thrombosis. To provide preliminary evaluation of the safety and suggested efficacy of the MicroFX design, we performed a multicenter prospec...

journal_title：Journal of neurointerventional surgery

authors： Fargen KM,Blackburn S,Carpenter JS,Jabbour P,Mack WJ,Rai AT,Siddiqui AH,Turner RD,Mocco J

更新日期：2014-09-01 00:00:00

abstract：BACKGROUND:Treatment of dural arteriovenous fistula involving the transverse-sigmoid region with cortical reflux is complex and treatment options may require sacrifice of the fistulous segment of the sinus. OBJECTIVE:To review our results in this subset of patients and describe current endovascular decision-making and...

journal_title：Journal of neurointerventional surgery

authors： Carlson AP,Alaraj A,Amin-Hanjani S,Charbel FT,Aletich V

更新日期：2013-11-01 00:00:00

abstract：OBJECTIVE:To audit our institutional mechanical thrombectomy (MT) outcomes for acute anterior circulation stroke and examine the influence of workflow time metrics on patient outcomes. METHODS:A database of 100 MT cases was maintained throughout May 2010-February 2015 as part of a statewide service provided across two...

journal_title：Journal of neurointerventional surgery

authors： Kabra R,Phillips TJ,Saw JL,Phatouros CC,Singh TP,Hankey GJ,Blacker D,Ghia D,Prentice D,McAuliffe W

更新日期：2017-06-01 00:00:00

abstract：BACKGROUND:Mechanical thrombectomy using stentrievers is the standard of care for emergent large vessel occlusion stroke. Data on the use of stentrievers in smaller caliber vessels are sparse. OBJECTIVE:To present our initial experience with the Mindframe Capture LP device, which was designed for mechanical thrombecto...

journal_title：Journal of neurointerventional surgery

authors： Cerejo R,John S,Bauer A,Hussain MS,Bain M,Rasmussen P,Hui F,Masaryk T,Toth G

更新日期：2016-11-01 00:00:00

abstract：:The purpose of this publication is to provide a comprehensive review on the techniques and tools used for vascular access in neurointerventional procedures. Using published literature, we reviewed data on access methods, sites, tools, and techniques for neurointerventions. Recommendations are provided based on quality...

journal_title：Journal of neurointerventional surgery

authors： Starke RM,Snelling B,Al-Mufti F,Gandhi CD,Lee SK,Dabus G,Fraser JF,Society of NeuroInterventional Surgery.

更新日期：2020-08-01 00:00:00

abstract：:Treatment with a pipeline embolization device (PED) is widely accepted as an excellent option for patients harboring giant, wide neck, saccular intracranial aneurysms. It has been shown to be safe and very effective. We describe a previously unreported case of a large middle cerebral artery aneurysm, related to the ca...

journal_title：Journal of neurointerventional surgery

authors： Trivelato FP,Ulhôa AC,Rezende MT,Castro-Afonso LH,Abud DG

更新日期：2019-09-01 00:00:00

abstract：BACKGROUND:Spinal digital subtraction angiography (DSA) is the gold standard for diagnosis of spinal dural arterial venous fistulas (SDAVFs), but can require extensive time, radiation exposure and contrast dose. We hypothesize that contrast-enhanced time-resolved MR angiography (CE-TR MRA) will have utility for the non...

journal_title：Journal of neurointerventional surgery

authors： Saindane AM,Boddu SR,Tong FC,Dehkharghani S,Dion JE

更新日期：2015-02-01 00:00:00

abstract：BACKGROUND AND AIM:During endovascular procedures for acute ischemic stroke, catheter access to the occluded vessel may be technically difficult or impossible. The aim of this study was to access the impact of difficult catheter access to target the carotid artery on clinical outcome. METHODS:Anterior circulation stro...

journal_title：Journal of neurointerventional surgery

authors： Ribo M,Flores A,Rubiera M,Pagola J,Mendonca N,Rodriguez-Luna D,Piñeiro S,Meler P,Alvarez-Sabin J,Molina CA

更新日期：2013-05-01 00:00:00

abstract：BACKGROUND:Surgical clipping and endovascular coiling yield similar functional outcomes for the treatment of saccular aneurysms of the anterior communicating (ACOM) artery. However, surgical treatment may be associated with greater rates of cognitive impairment due to injury of adjacent structures. We aimed to quantify...

journal_title：Journal of neurointerventional surgery

authors： Mortimer AM,Steinfort B,Faulder K,Erho T,Scherman DB,Rao PJ,Harrington T

更新日期：2016-03-01 00:00:00

abstract：BACKGROUND:Endovascular recanalization for medically refractory non-acute middle cerebral artery (MCA) occlusion remains a clinical dilemma, and limited data are available. We report the multicenter clinical results of endovascular recanalization for symptomatic non-acute MCA occlusion and propose a new angiographic cl...

journal_title：Journal of neurointerventional surgery

authors： Gao F,Guo X,Han J,Sun X,Zhou Z,Miao Z

更新日期：2020-10-29 00:00:00

abstract：BACKGROUND:Stenting of symptomatic intracranial atherosclerosis remains under investigation, yet this option to potentially avert subsequent stroke has been offered at select centers under humanitarian device exemption and off-label use for several years. METHODS:Retrospective case series of consecutive patients under...

journal_title：Journal of neurointerventional surgery

authors： Tarlov N,Jahan R,Saver JL,Sayre JW,Ali LK,Kim D,Duckwiler GR,Tateshima S,Viñuela F,Liebeskind DS

更新日期：2012-01-01 00:00:00

abstract：OBJECTIVE:Despite promising initial results, current knowledge regarding the use of the Low-profile Visualized Intraluminal Support (LVIS) device to treat wide-necked intracranial aneurysms is still limited. Our aim is to evaluate the feasibility, efficacy, and safety of the LVIS device in stent-assisted coiling of int...

journal_title：Journal of neurointerventional surgery

authors： Zhang X,Zhong J,Gao H,Xu F,Bambakidis NC

更新日期：2017-06-01 00:00:00

abstract：:Intracranial dural arteriovenous fistulas with retrograde leptomeningeal or cortical drainage are considered aggressive. Conventional treatment in these cases is possible surgically or with endovascular arterial injections of Onyx or cyanoacrylate, but there are still some cases where distal navigation is not possible...

journal_title：Journal of neurointerventional surgery

authors： Saura P,Saura J,Pérez-Higueras A,Martínez-Galdámez M

更新日期：2014-09-01 00:00:00

abstract：OBJECTIVES:Endovascular therapy of acute ischemic stroke is evolving towards thrombectomy devices for vessel recanalization. High rates of revascularization have been reported in stroke device trials. However, the discrepancy between recanalization and outcomes raises the question whether patients with irreversible isc...

journal_title：Journal of neurointerventional surgery

authors： Rai AT,Raghuram K,Domico J,Hobbs G,Carpenter J

更新日期：2013-03-01 00:00:00

abstract：:The efficacy and safety of transvenous embosurgery for sigmoid sinus dural arteriovenous fistula (DAVF) using the internal jugular vein approach is well known. Embosurgery of cavernous sinus DAVF has also been described utilizing a superior ophthalmic vein approach. The first report of a sigmoid sinus DAVF endosurgica...

journal_title：Journal of neurointerventional surgery

authors： Patel DV,Rangaswamy R,Lesley WS,Hester JL,McDonald DK,Tsai JH

更新日期：2011-09-01 00:00:00

abstract：BACKGROUND:Dural venous sinus thrombosis (DVST) is an increasingly recognized cause of a wide array of neurological symptoms, with outcomes that range from complete recovery to death. The condition of approximately 23% of patients with DVST will worsen after initial presentation, as a result of restricted venous outflo...

journal_title：Journal of neurointerventional surgery

authors： Sheth SA,Trieu H,Liebeskind DS,Saver JL,Szeder V,Jahan R,Tateshima S,Duckwiler G

更新日期：2018-02-01 00:00:00

abstract：BACKGROUND AND PURPOSE:Symptomatic intracranial atherosclerosis has been associated with a high rate of recurrent stroke. The safety of treatment of more distal atheromatous lesions with angioplasty has not been systematically reported. METHODS:We retrospectively reviewed our institutional database for all patients tr...

journal_title：Journal of neurointerventional surgery

authors： Hussain MS,Cheng-Ching E,Bain M,Spiotta AM,Sivapatham T,Hui F,Moskowitz SI,Gupta R

更新日期：2010-09-01 00:00:00

abstract：BACKGROUND:With increasing use of flow-diverting stents for the treatment of intracranial aneurysms, standardized methods and a common language to evaluate angiographic outcomes are needed. Multiple grading scales have been developed for this purpose but none has been widely adopted. OBJECTIVE:To analyze these scales ...

journal_title：Journal of neurointerventional surgery

authors： Mazur MD,Taussky P,Shah LM,Winegar B,Park MS

更新日期：2016-12-01 00:00:00

abstract：PURPOSE:This retrospective analysis was performed to evaluate whether large bore 9 F puncture sites can be safely closed with the 8 F AngioSeal STS device after endovascular stroke procedures in patients who did or did not receive recombinant tissue plasminogen activator (rt-PA). METHODS:Out of 161 consecutive endovas...

journal_title：Journal of neurointerventional surgery

authors： Janssen H,Killer-Oberpfalzer M,Lange R

更新日期：2019-01-01 00:00:00

abstract：BACKGROUND:Despite several retrospective studies analyzing the safety and efficacy of transradial access (TRA) versus transfemoral access (TFA) for cerebral angiography, this transition for neurointerventional procedures has been gradual. Nonetheless, based on our positive initial institutional experience with TRA for ...

journal_title：Journal of neurointerventional surgery

authors： Snelling BM,Sur S,Shah SS,Khandelwal P,Caplan J,Haniff R,Starke RM,Yavagal DR,Peterson EC

更新日期：2018-09-01 00:00:00

abstract：BACKGROUND AND PURPOSE:The Raymond-Roy grading scale is used for aneurysm coiling with only limited data on its validity. The scale was developed based on the extent of initial aneurysm occlusion from 1 to 3. However, the model usefulness in evaluating recurrence, retreatment, and rebleeding is unknown. Our goal was to...

journal_title：Journal of neurointerventional surgery

authors： Darflinger R,Thompson LA,Zhang Z,Chao K

更新日期：2016-05-01 00:00:00

abstract：INTRODUCTION:Atraumatic convexity subarachnoid hemorrhage is a subtype of spontaneous subarachnoid hemorrhage that often presents a diagnostic challenge. Common etiologies include cerebral amyloid angiopathy, vasculopathies, and coagulopathy; however, aneurysm is rare. Given the broad differential of causes of convexit...

journal_title：Journal of neurointerventional surgery

authors： Dakay K,Mahta A,Rao S,Reznik ME,Wendell LC,Thompson BB,Potter NS,Saad A,Gandhi CD,Santarelli J,Al-Mufti F,MacGrory B,Burton T,Jayaraman MV,McTaggart RA,Furie K,Yaghi S,Cutting S

更新日期：2019-12-01 00:00:00

abstract：BACKGROUND:Volume coils were developed to improve occlusion rates of intracranial aneurysms. Previous studies have shown increased packing density and comparable occlusion rates, but subgroup analyses of aneurysm size have not been carried out. OBJECTIVE:To evaluate the safety and efficacy of the Penumbra Coil 400 (PC...

journal_title：Journal of neurointerventional surgery

authors： Kaesmacher J,Müller-Leisse C,Huber T,Boeckh-Behrens T,Haller B,Shiban E,Friedrich B,Zimmer C,Dorn F,Prothmann S

更新日期：2016-10-01 00:00:00

abstract：BACKGROUND:Deconstructive approaches may be necessary to treat a variety of neurovascular pathologies. Recently, a new device has become available for endovascular arterial occlusion that may have unique applications in neurovascular disease. The Micro Vascular Plug (MVP, Reverse Medical, Irvine, California, USA) has b...

journal_title：Journal of neurointerventional surgery

authors： Beaty NB,Jindal G,Gandhi D

更新日期：2015-10-01 00:00:00