Stent-assisted coil embolization on down-the-barrel view with spring-shaped microcatheter in patient with M1 ultrawide necked circumferential aneurysm.

Abstract:

:Herein, we describe a technique for stent-assisted coil embolization with a spring-shaped microcatheter in a patient with an M1 ultrawide-necked circumferential aneurysm in the middle cerebral artery (MCA). A 49-year-old man was referred for treatment of an incidentally detected M1 large-circumference aneurysm on magnetic resonance angiography. Subsequent digital subtraction angiography revealed an 18.2×16.5 mm ultrawide-necked circumferential aneurysm on the distal M1 portion of the left MCA, and we planned stent-assisted coil embolization using a spring-shaped microcatheter. After we deployed the stent, we performed coil embolization under the down-the-barrel view by pulling out the microcatheter little by little. Using this technique, we could fill the coil mass evenly into the aneurysmal sac around the stent. And there were no immediate or delayed complications after the procedure. Stent-assisted coiling using a spring-shaped microcatheter is a useful and safe technique for treating ultrawide-necked circumferential aneurysm or fusiform aneurysms.

journal_name

J Neurointerv Surg

authors

Kwak HS,Park JS,Koh EJ

doi

10.1136/neurintsurg-2017-013597.rep

subject

Has Abstract

pub_date

2018-06-01 00:00:00

pages

e13

issue

6

eissn

1759-8478

issn

1759-8486

pii

neurintsurg-2017-013597.rep

journal_volume

10

pub_type

杂志文章
  • Wall shear stress association with rupture status in volume matched sidewall aneurysms.

    abstract:OBJECTIVE:Flow induced tangential wall shear stress (WSS) is thought to be involved in aneurysm formation, growth, and rupture. Low WSS was previously associated with rupture, but definitive quantitative analyses remain scant as larger aneurysms are associated with lower WSS regardless of rupture status, and ruptured a...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2013-010871

    authors: Lauric A,Hippelheuser J,Cohen AD,Kadasi LM,Malek AM

    更新日期:2014-07-01 00:00:00

  • Incidence and morbidity of craniocervical arterial dissections in atraumatic subarachnoid hemorrhage patients who underwent aneurysmal repair.

    abstract:BACKGROUND:No studies have assessed the incidence of craniocervical arterial dissections (CCADs) and its association to mortality in hospitalized patients with a primary diagnosis of atraumatic subarachnoid hemorrhage (SAH) requiring aneurysmal repair. We hypothesize that the incidence of CCADs in these patients has in...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2014-011324

    authors: Carr K,Rincon F,Maltenfort M,Birnbaum L,Dengler B,Rodriguez M,Seifi A

    更新日期:2015-10-01 00:00:00

  • Republished: Intracranial pellet embolization: an endovascular endeavor.

    abstract::A 44-year-old man was referred to the neurointerventionalist 6 hours after sustaining a shotgun wound to the left chest, shoulder, and neck from 4 feet away. Physical examination of the chest showed a 5 cm × 5 cm gunshot entry wound on the anterior-superior aspect of the chest involving the supraclavicular and infracl...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2019-015301.rep

    authors: Hassan AE,Rabah RR,Tekle W

    更新日期:2020-02-01 00:00:00

  • Asymptomatic moderate carotid artery stenosis with intraplaque hemorrhage: onset of new ischemic stroke.

    abstract:BACKGROUND:The degree of stenosis of carotid arteries is recognized as an important risk factor for ischemic stroke. However, high-grade stenosis does not always cause cerebrovascular events, whereas low- to moderate-grade stenosis may often cause strokes. It has been reported that there is an association between carot...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2014-011317

    authors: Yamada K,Kawasaki M,Yoshimura S,Sasaki Y,Nakahara S,Sato Y

    更新日期:2016-02-01 00:00:00

  • Transient cranial neuropathies as sequelae of Onyx embolization of arteriovenous shunt lesions near the skull base: possible axonotmetic traction injuries.

    abstract:INTRODUCTION:Transarterial embolization with Onyx is a relatively safe and increasingly common method of treating cranial dural arteriovenous fistulas (DAVF) and arteriovenous malformations (AVM). Cranial neuropathy resulting from this procedure has been reported. CASE REPORTS:Three case histories are presented in two...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2012-010328

    authors: Nyberg EM,Chaudry MI,Turk AS,Turner RD

    更新日期:2013-07-01 00:00:00

  • Use of the pCONus HPC as an adjunct to coil occlusion of acutely ruptured aneurysms: early clinical experience using single antiplatelet therapy.

    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

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2019-015746

    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

  • Factors associated with successful revascularization using the aspiration component of ADAPT in the treatment of acute ischemic stroke.

    abstract:INTRODUCTION:ADAPT (a direct aspiration first pass technique) has been shown to be fast, cost-effective, and associated with excellent angiographic and clinical outcomes in the treatment of acute ischemic stroke (AIS). OBJECTIVE:To identify any and all preoperative factors that are associated with successful revascula...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2016-012439

    authors: Mascitelli JR,Kellner CP,Oravec CS,De Leacy RA,Oermann EK,Yaeger K,Paramasivam S,Fifi JT,Mocco J

    更新日期:2017-07-01 00:00:00

  • Ultrasound for the evaluation of stenosis after flow diversion.

    abstract:BACKGROUND AND PURPOSE:Flow diversion is a relatively new strategy used to treat complex cerebral aneurysms. The optimal method for radiographic follow-up of patients treated with flow diverters has not been established. The rate and clinical implications of in-stent stenosis for these devices is unclear. We evaluate t...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2017-013049

    authors: McDougall CM,Khan K,Saqqur M,Jack A,Rempel J,Derksen C,Xi Y,Chow M

    更新日期:2018-03-01 00:00:00

  • CT perfusion-guided patient selection for endovascular treatment of acute ischemic stroke is safe and effective.

    abstract:BACKGROUND:Traditional treatment in acute ischemic stroke is based on time criteria when administering intravenous and intra-arterial therapies. However, recent evidence suggests that image-based criteria may be useful for selecting patients for intra-arterial interventions. The use of CT perfusion (CTP)-based criteria...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2011-010067

    authors: Turk A,Magarik JA,Chaudry I,Turner RD,Nicholas J,Holmstedt CA,Chalela J,Hays A,Lazaridis C,Jauch E,Chimowitz M,Turan T,Adams R

    更新日期:2012-07-01 00:00:00

  • Percutaneous sacroplasty.

    abstract::The recognition of sacral insufficiency fractures continues to be poor, and diagnosis is often delayed resulting in significant morbidity. Percutaneous sacroplasty is an image guided procedure that is safe and potentially effective for treating the pain and disability related to these fractures. Several cohort studies...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章,评审

    doi:10.1136/neurintsurg-2011-010136

    authors: Gupta AC,Yoo AJ,Stone J,Barr JC,Brook A,Tutton S,Ortiz O,Hirsch AE,Larvie M,Frey ME,Jayaraman MV,Hirsch JA

    更新日期:2012-09-01 00:00:00

  • The value of protective head cap and glasses in neurointerventional radiology.

    abstract:BACKGROUND:Protection of the head and eyes of the neurointerventional radiologist is a growing concern, especially after recent reports on the incidence of brain cancer among these personnel, and the revision of dose limits to the eye lens. The goal of this study was to determine typical occupational dose levels and to...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2015-011703

    authors: Sans Merce M,Korchi AM,Kobzeva L,Damet J,Erceg G,Marcos Gonzalez A,Lovblad KO,Mendes Pereira V

    更新日期:2016-07-01 00:00:00

  • The bihemispheric posterior interior cerebellar artery: anatomic variations and clinical relevance in 11 cases.

    abstract:PURPOSE:Although the anatomic course of the posterior interior cerebellar artery (PICA) is variable, it is thought to be very rare for the artery to cross midline, with an estimated incidence of 0.1%. Bihemispheric PICA crosses midline and typically serves both PICA territories. METHODS:We present 11 cases of bihemisp...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2012-010527

    authors: Carlson AP,Alaraj A,Dashti R,Aletich VA

    更新日期:2013-11-01 00:00:00

  • Cerebral vasospasm patterns following aneurysmal subarachnoid hemorrhage: an angiographic study comparing coils with clips.

    abstract:BACKGROUND AND PURPOSE:Cerebral vasospasm following aneurysmal subarachnoid hemorrhage (aSAH) results in significant morbidity due to ischemia. Subarachnoid hematoma evacuation during aneurysm clipping reduces the incidence of vasospasm. However, studies comparing endovascular coiling with open clipping have reported s...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2014-011374

    authors: Jones J,Sayre J,Chang R,Tian J,Szeder V,Gonzalez N,Jahan R,Vinuela F,Duckwiler G,Tateshima S

    更新日期:2015-11-01 00:00:00

  • Comparison of clinical outcomes in patients with acute ischemic strokes treated with mechanical thrombectomy using either Solumbra or ADAPT techniques.

    abstract:PURPOSE:To compare rates of symptomatic intracranial hemorrhage (SICH) and good clinical outcome at 90 days in patients with ischemic strokes from anterior circulation emergent large vessel occlusions (ELVO) treated with mechanical thrombectomy using either Solumbra or A Direct Aspiration first-Pass Thrombectomy (ADAPT...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2015-012122

    authors: Delgado Almandoz JE,Kayan Y,Young ML,Fease JL,Scholz JM,Milner AM,Hehr TH,Roohani P,Mulder M,Tarrel RM

    更新日期:2016-11-01 00:00:00

  • Risk of distal embolization with stent retriever thrombectomy and ADAPT.

    abstract:BACKGROUND:There is a discrepancy in clinical outcomes and the achieved recanalization rates with stent retrievers in the endovascular treatment of ischemic stroke. It is our hypothesis that procedural release of embolic particulate may be one contributor to poor outcomes and is a modifiable risk. The goal of this stud...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2014-011491

    authors: Chueh JY,Puri AS,Wakhloo AK,Gounis MJ

    更新日期:2016-02-01 00:00:00

  • Conscious sedation versus general anaesthesia during mechanical thrombectomy for stroke: a propensity score analysis.

    abstract:BACKGROUND:Debate exists as to whether patients with acute ischemic stroke who are undergoing mechanical thrombectomy should receive general anaesthesia or conscious sedation during the procedure. Using a multihospital administrative database, we compared outcomes and complications of patients receiving mechanical thro...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2014-011373

    authors: McDonald JS,Brinjikji W,Rabinstein AA,Cloft HJ,Lanzino G,Kallmes DF

    更新日期:2015-11-01 00:00:00

  • Angiographic detection of cerebral cavernous malformations with C-arm cone beam CT imaging in three patients.

    abstract::Cerebral cavernous malformations (CMs) are typically not seen during conventional digital subtraction angiography (DSA) and are therefore classically referred to as angiographically occult malformations. We present three cases in which DSA with selective intra-arterial contrast injection in the common carotid artery a...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2013-010650.rep

    authors: Radvany MG,Rigamonti D,Gailloud P

    更新日期:2014-03-01 00:00:00

  • Solitaire salvage: a stent retriever-assisted catheter reduction technical report.

    abstract::The endovascular management of giant aneurysms often proves difficult with standard techniques. Obtaining distal access to allow catheter reduction is often key to approaching these aneurysms, but several anatomic challenges make this task unsafe and not feasible. Obtaining distal anchor points and performing catheter...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2014-011336.rep

    authors: Parry PV,Morales A,Jankowitz BT

    更新日期:2016-07-01 00:00:00

  • Mechanical thrombectomy of M1 and M2 middle cerebral artery occlusions.

    abstract:BACKGROUND:Over half of patients who receive intravenous tissue plasminogen activator for middle cerebral artery division (MCA-M2) occlusion do not recanalize, leaving a large percentage of patients who may need mechanical thrombectomy (MT). However, the outcomes of MT for M2 occlusion have not been well characterized....

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1136/neurintsurg-2017-013159

    authors: Salahuddin H,Ramaiah G,Slawski DE,Shawver J,Buehler M,Zaidi SF,Jumaa M

    更新日期:2018-04-01 00:00:00

  • Endovascular management of intracranial blister aneurysms: spectrum and limitations of contemporary techniques.

    abstract:BACKGROUND:Intracranial blister aneurysms are rare lesions that are notoriously more difficult to treat than typical saccular aneurysms. High complication rates associated with surgery have sparked considerable interest in endovascular techniques, though not well-studied, to treat blister aneurysms. OBJECTIVE:To evalu...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2014-011443

    authors: Ashour R,Dodson S,Aziz-Sultan MA

    更新日期:2016-01-01 00:00:00

  • Towards the Clinical utility of CFD for assessment of intracranial aneurysm rupture - a systematic review and novel parameter-ranking tool.

    abstract:BACKGROUND:Intracranial aneurysms (IAs) are vascular dilations on cerebral vessels that affect between 1%-5% of the general population, and can cause life-threatening intracranial hemorrhage when ruptured. Computational fluid dynamics (CFD) has emerged as a promising tool to study IAs in recent years, particularly for ...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2018-014246

    authors: Liang L,Steinman DA,Brina O,Chnafa C,Cancelliere NM,Pereira VM

    更新日期:2019-02-01 00:00:00

  • Optical coherence tomography of the intracranial vasculature and Wingspan stent in a patient.

    abstract::A 67-year-old man with medically refractory vertebrobasilar insufficiency and short segment occlusions of the intracranial vertebral arteries was treated with angioplasty and stent placement. Fifteen hours after the procedure the patient developed symptoms of posterior fossa ischemia and repeat angiography showed thro...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2014-011114.rep

    authors: Given CA 2nd,Ramsey CN 3rd,Attizzani GF,Jones MR,Brooks WH,Bezerra HG,Costa MA

    更新日期:2015-06-01 00:00:00

  • Venous collateral drainage patterns predict clinical worsening in dural venous sinus thrombosis.

    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

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2016-012941

    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

  • Real-world stent retriever thrombectomy for acute ischemic stroke beyond 6 hours of onset: analysis of the NASA and TRACK registries.

    abstract:BACKGROUND:The DEFUSE 3 and DAWN trials have shown the benefit of thrombectomy beyond 6 hours of stroke symptom onset in carefully selected patients. OBJECTIVE:To evaluate the real-world outcomes of stent retriever thrombectomy beyond 6 hours of stroke onset using combined individual patient data from the North Americ...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2018-014272

    authors: Mokin M,Abou-Chebl A,Castonguay AC,Nogueira RG,English JD,Farid H,Gupta R,Martin C,Holloway WE,Haussen DC,Mueller-Kronast N,Zaidat OO,NASA and TRACK investigators.

    更新日期:2019-04-01 00:00:00

  • Solitaire FR thrombectomy system: immediate results in 56 consecutive acute ischemic stroke patients.

    abstract:BACKGROUND AND PURPOSE:Prompt recanalization of cerebral arteries in patients diagnosed with acute ischemic stroke is known to be associated with a better clinical outcome. The aim of this study was to present our initial experience regarding the efficacy and safety of the Solitaire FR as a revascularization device. M...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/jnis.2010.004051.rep

    authors: Machi P,Costalat V,Lobotesis K,Lima Maldonado I,Vendrell JF,Riquelme C,Bonafé A

    更新日期:2018-07-01 00:00:00

  • Endovascular treatment for ruptured and unruptured vertebral artery dissecting aneurysms: a meta-analysis.

    abstract:BACKGROUND:Different endovascular modalities have been applied to the treatment of vertebral artery dissecting aneurysms, the most commonly used being internal trapping and stent-assisted coiling, although the ideal treatment remains controversial. OBJECTIVE:To perform a meta-analysis to study clinical outcomes of pat...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章,meta分析

    doi:10.1136/neurintsurg-2016-012309

    authors: Guan J,Li G,Kong X,He C,Long J,Qin H,Zhang H,Wang R

    更新日期:2017-06-01 00:00:00

  • Cerebral aneurysm treatment trends in National Inpatient Sample 2007-2016: endovascular therapies favored over surgery.

    abstract:BACKGROUND:Flow modulation is the newest endovascular technique for treatment of cerebral aneurysms. OBJECTIVE:To investigate changes in aneurysm treatment practice patterns in the USA. METHODS:From the 2007 to 2016, the National Inpatient Sample databases, hospital discharges associated with unruptured aneurysms (UA...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2019-015702

    authors: Wang AS,Campos JK,Colby GP,Coon AL,Lin LM

    更新日期:2020-10-01 00:00:00

  • Impact of WASID and Wingspan on the frequency of intracranial angioplasty and stenting at a high volume tertiary care hospital.

    abstract:BACKGROUND AND PURPOSE:The impact of the Warfarin and Aspirin for Symptomatic Intracranial Disease (WASID) data is described in combination with the commercial release of the Wingspan stenting system on the frequency of neurointervention for the treatment of symptomatic intracranial atherosclerotic disease (ICAD) in a ...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/jnis.2009.000497

    authors: Moskowitz SI,Kelly ME,Obuchowski N,Fiorella D

    更新日期:2009-12-01 00:00:00

  • Impact of single phase CT angiography collateral status on functional outcome over time: results from the MR CLEAN Registry.

    abstract:BACKGROUND:Collateral status modified the effect of endovascular treatment (EVT) for stroke in several randomized trials. We assessed the association between collaterals and functional outcome in EVT treated patients and investigated if this association is time dependent. METHODS:We included consecutive patients from ...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1136/neurintsurg-2018-014619

    authors: Jansen IG,Mulder MJ,Goldhoorn RB,Boers AM,van Es AC,Yo LS,Hofmeijer J,Martens JM,van Walderveen MA,van der Kallen BF,Jenniskens SF,Treurniet KM,Marquering HA,Sprengers ME,Schonewille WJ,Bot JC,Lycklama A Nijeholt GJ,Lin

    更新日期:2019-09-01 00:00:00

  • Incidence and mechanisms of stroke after permanent carotid artery occlusion following temporary occlusion testing.

    abstract:BACKGROUND AND PURPOSE:Patients who require sacrifice of the internal carotid artery (ICA) have a substantial risk of stroke, despite preoperative testing with temporary balloon occlusion (TBO). The purpose of this study is to examine the incidence and mechanisms of stroke after permanent carotid artery occlusion in th...

    journal_title:Journal of neurointerventional surgery

    pub_type: 杂志文章

    doi:10.1136/neurintsurg-2014-011207

    authors: Whisenant JT,Kadkhodayan Y,Cross DT 3rd,Moran CJ,Derdeyn CP

    更新日期:2015-06-01 00:00:00