Abstract：
BACKGROUND:Idiopathic intracranial hypertension is a disease of raised intra-cranial pressure of unknown etiology. Lateral cerebral venous sinus stenosis (VSS) has been increasingly reported in these patients, and stenting has emerged as an alternative treatment for medically refractory symptoms. Treatment efficacy on meta-analysis appears promising, but identifying which patients are likely to benefit most, and which are likely to require repeat procedures, is currently unclear. METHODS:We retrospectively reviewed a prospectively collected database of 79 patients treated with venous sinus stenting at a single academic center with minimum follow-up of 18 months. We extracted baseline clinical data, as well as manometry at lumbar puncture and during angiography, and used logistic regression to identify parameters that could predict stent failure. RESULTS:Retreatment rate after successful VSS was 13.9%. Lumbar puncture opening pressure (OP) was shown to significantly predict treatment failure (ß=0.06; OR=1.064 (1.003-1.135); P=0.039). This effect remained significant when age, sex and body mass index were added to the model (ß=0.06; OR=1.066 (1.002-1.140); P=0.043). OP was correlated with venous sinus manometry readings in the superior sagittal and transverse sinus pre-stent placement, as well trans-stenotic gradient (P<0.001). CONCLUSIONS:Higher lumbar puncture OP was associated with an increased risk of stent failure in transverse sinus stenting for idiopathic intracranial hypertension, although the performance of this model as a linear discriminator was poor. Further studies are required to better assess which patients are at greatest risk of treatment failure.
journal_name
J Neurointerv Surgjournal_title
Journal of neurointerventional surgeryauthors
Kahan J,Sundararajan S,Brown K,Dinkin M,Oliveira C,Patsalides Adoi
10.1136/neurintsurg-2020-016550subject
Has Abstractpub_date
2020-09-07 00:00:00eissn
1759-8478issn
1759-8486pii
neurintsurg-2020-016550pub_type
杂志文章abstract：BACKGROUND:Chronic subdural hematoma (CSDH) is a common condition requiring surgical treatment; however, recurrence occurs in 15% of cases at 1 year. Middle meningeal artery (MMA) embolization has recently emerged as a promising treatment to prevent CSDH recurrence. OBJECTIVE:To investigate the effect of MMA embolizat...
journal_title：Journal of neurointerventional surgery
pub_type： 杂志文章,随机对照试验
doi：10.1136/neurintsurg-2019-015421
更新日期：2020-07-01 00:00:00
abstract：OBJECTIVE:To elucidate the early detachment of the Solitaire stent during mechanical thrombectomy, we tested the stent in vitro under various conditions and evaluated with microscopy. METHODS:A total of five stents were tested. Using a dynamic mechanical analysis machine, we calculated the tensile force needed for sep...
journal_title：Journal of neurointerventional surgery
pub_type： 杂志文章
doi：10.1136/neurintsurg-2013-010942
更新日期：2015-02-01 00:00:00
abstract：BACKGROUND AND PURPOSE:The rabbit small clot embolic model for large vessel occlusion (LVO) is well established, yet has limitations. Blind introduction of autologous thrombus often fails to completely occlude a target vessel and, when successful, the precise timing of occlusion and revascularization is difficult to co...
journal_title：Journal of neurointerventional surgery
pub_type： 杂志文章
doi：10.1136/neurintsurg-2013-011063
更新日期：2015-05-01 00:00:00
abstract：:Patients with cavernous carotid fistulas (CCFs) can present with pituitary hypoperfusion and hypopituitarism; however, there are no previous reports of pituitary or hormonal abnormalities developing after CCF embolisation in an asymptomatic patient. We describe a patient with no hormonal abnormalities who developed sy...
journal_title：Journal of neurointerventional surgery
pub_type： 杂志文章
doi：10.1136/neurintsurg-2015-012104.rep
更新日期：2017-01-01 00:00:00
abstract：BACKGROUND:Trials of endovascular thrombectomy (EVT) mostly excluded patients with large core strokes so the safety and efficacy of EVT is not well established in such patients. Moreover, the definition of large core and its measurement differ between semi-quantitative (ASPECTS) and quantitative (core volume) imaging m...
journal_title：Journal of neurointerventional surgery
pub_type： 杂志文章,评审
doi：10.1136/neurintsurg-2019-015509
更新日期：2020-12-01 00:00:00
abstract：:: Vessel wall magnetic resonance imaging (MRI) is a novel imaging technique that allows the intracranial vessel walls to be imaged directly. This state-of the art imaging modality may potentially change the way aneurysms are evaluated and managed. In this short review we discuss the current knowledge with illustrative...
journal_title：Journal of neurointerventional surgery
pub_type： 杂志文章,评审
doi：10.1136/neurintsurg-2015-012130
更新日期：2016-11-01 00:00:00
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
更新日期：2020-10-01 00:00:00
abstract：OBJECTIVE:To explore the impact of stroke severity and discharge disposition on 90-day outcomes in US patients enrolled in the SENTIS trial. METHODS:SENTIS is a previously published prospective randomized controlled trial. We analyzed the demographic information, National Institutes of Health Stroke Scores (NIHSS) on ...
journal_title：Journal of neurointerventional surgery
pub_type： 杂志文章
doi：10.1136/neurintsurg-2014-011132
更新日期：2015-05-01 00:00:00
abstract：:We report two cases of delayed post-embolectomy stenosis--that is, a new stenosis in the vascular bed of a previous endovascular embolectomy. The first case was discovered incidentally in a patient returning after embolectomy for evaluation of cerebral aneurysms. The second case was discovered on an MR angiogram obtai...
journal_title：Journal of neurointerventional surgery
pub_type： 杂志文章
doi：10.1136/neurintsurg-2014-011136.rep
更新日期：2015-05-01 00:00:00
abstract：OBJECTIVE:To evaluate the rate of neointimal development and thrombus formation of surface-modified flow diverters in single antiplatelet therapy (SAPT) using optical coherence tomography (OCT) in a porcine model. METHODS:We divided 10 experimental pigs into two groups. One group (n=6) received dual antiplatelet thera...
journal_title：Journal of neurointerventional surgery
pub_type： 杂志文章
doi：10.1136/neurintsurg-2018-013935
更新日期：2019-01-01 00:00:00
abstract：:Intravascular foreign bodies are a known complication of medical and dental procedures. Dental anesthetic needles may be broken off and retained in the oropharynx. These needles have occasionally been reported to migrate through the oral mucosa in to deeper structures. Here we present the case of a 57-year-old man who...
journal_title：Journal of neurointerventional surgery
pub_type： 杂志文章
doi：10.1136/neurintsurg-2016-012771.rep
更新日期：2017-07-01 00:00:00
abstract：PURPOSE:To determine if lumbar synovial cyst rupture in symptomatic patients results in improved clinical outcome when using direct tandem and/or coaxial percutaneous CT guided techniques. MATERIALS AND METHODS:20 patients with unilateral lower extremity radiculopathy and/or low back pain underwent CT guided percutane...
journal_title：Journal of neurointerventional surgery
pub_type： 杂志文章
doi：10.1136/neurintsurg-2013-010891
更新日期：2014-12-01 00:00:00
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
更新日期：2012-09-01 00:00:00
abstract：BACKGROUND:The transradial approach (TRA) reduces mortality, morbidity, access site complications, hospital cost, and length of stay while maximizing patient satisfaction. We aimed to assess the technical success and safety of TRA for elderly patients (aged ≥75 years). METHODS:A retrospective chart review and comparat...
journal_title：Journal of neurointerventional surgery
pub_type： 杂志文章
doi：10.1136/neurintsurg-2020-016140
更新日期：2020-12-01 00:00:00
abstract：BACKGROUND:Experience with the endovascular treatment of cerebral aneurysms by flow diverter devices (FDDs) is limited to four devices (Pipeline, Covidien; FRED, Microvention; Silk, Balt Extrusion; Surpass, Stryker), as reported in different studies. OBJECTIVE:To describe the initial experience and the technical innov...
journal_title：Journal of neurointerventional surgery
pub_type： 杂志文章
doi：10.1136/neurintsurg-2015-011743
更新日期：2016-02-01 00:00:00
abstract：:The statistics for stroke in the USA reads like a familiar ad slogan cited in most papers pertaining to acute ischemic stroke (AIS). Stroke is the third leading cause of death in the USA. While stroke ranks third among all causes of death, behind diseases of the heart and cancer, it is the leading cause of serious lon...
journal_title：Journal of neurointerventional surgery
pub_type： 杂志文章,评审
doi：10.1136/jnis.2009.000117
更新日期：2009-07-01 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
pub_type： 杂志文章
doi：10.1136/neurintsurg-2018-013829
更新日期：2019-01-01 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
pub_type： 杂志文章,评审
doi：10.1136/neurintsurg-2012-010468
更新日期：2013-09-01 00:00:00
abstract：BACKGROUND:Flow diversion is an established technique for treatment of cerebral aneurysms. The Pipeline embolization device (PED) is the only FDA-approved flow diverting stent in the USA. A second-generation device, PED Flex, has recently been released with modifications to the delivery system. Published reports of exp...
journal_title：Journal of neurointerventional surgery
pub_type： 杂志文章
doi：10.1136/neurintsurg-2015-011894
更新日期：2016-07-01 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
pub_type： 杂志文章
doi：10.1136/neurintsurg-2014-011403
更新日期：2015-12-01 00:00:00
abstract：BACKGROUND AND PURPOSE:The number of citations that an article has received can be used to evaluate its impact on the scientific community. This study aimed to identify the 100 most cited articles in the field of neurointervention and to analyze their characteristics. MATERIALS AND METHODS:We selected the 669 journals...
journal_title：Journal of neurointerventional surgery
pub_type： 杂志文章
doi：10.1136/neurintsurg-2016-012399
更新日期：2017-05-01 00:00:00
abstract：BACKGROUND:Extensive lytic lesions of the vertebral body (VB) increase risk of fracture and instability and require stabilization of the anterior column. Vertebral augmentation is an accepted treatment option, but when osteolysis has extensively destroyed the VB cortical boundaries (a condition herein defined as 'extre...
journal_title：Journal of neurointerventional surgery
pub_type： 杂志文章
doi：10.1136/neurintsurg-2018-014231
更新日期：2019-03-01 00:00:00
abstract：:Pseudomonas aeruginosa meningitis is an uncommon complication of neurosurgical procedures or head trauma. Here, a case of infectious mid basilar artery aneurysm from Pseudomonas meningitis, and its angiographic remission from timely antibiotic therapy, is reported. ...
journal_title：Journal of neurointerventional surgery
pub_type： 杂志文章
doi：10.1136/jnis.2011.004747
更新日期：2012-05-01 00:00:00
abstract：BACKGROUND:The likelihood of retreatment in patients undergoing procedures for cerebral aneurysms (CAs) has an important role in deciding the optimal treatment type. Existing determinations of retreatment rates, particularly for unruptured CAs, may not represent current clinical practice. OBJECTIVE:To use population-l...
journal_title：Journal of neurointerventional surgery
pub_type： 杂志文章
doi：10.1136/neurintsurg-2018-014112
更新日期：2019-04-01 00:00:00
abstract：:Spinal arteriovenous malformations (sAVMs) are rare vascular lesions whose natural history remains incompletely defined. Several classification schemes for sAVMs have evolved based on an improved understanding of the anatomic characteristics as well as pathophysiologic behavior of these arteriovenous shunts. Advances ...
journal_title：Journal of neurointerventional surgery
pub_type： 杂志文章,评审
doi：10.1136/neurintsurg-2012-010487
更新日期：2013-11-01 00:00:00
abstract：BACKGROUND:Evaluation of flow diversion treatment of intracranial aneurysms is difficult owing to lack of knowledge of the target hemodynamic environment. OBJECTIVE:To identify hemodynamic conditions created after flow diversion that induce fast aneurysm occlusion. METHODS:Two groups of aneurysms treated with flow di...
journal_title：Journal of neurointerventional surgery
pub_type： 杂志文章
doi：10.1136/neurintsurg-2013-011080
更新日期：2015-04-01 00:00:00
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
更新日期：2018-07-01 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
pub_type： 杂志文章
doi：10.1136/neurintsurg-2014-011306
更新日期：2015-10-01 00:00:00
abstract：BACKGROUND:Open surgery and the retrograde endovascular approach via the distal left common carotid artery (LCCA) have some limitations in LCCA ostial stenosis treatment. The 'no touch' technique used in the renal artery was modified for this situation. METHODS:Fifteen selective LCCA stenosis patients were treated by ...
journal_title：Journal of neurointerventional surgery
pub_type： 杂志文章
doi：10.1136/neurintsurg-2016-012544
更新日期：2017-02-01 00:00:00
abstract：BACKGROUND AND PURPOSE:In recent years, implantation of flow diverters has emerged as an option for the endovascular treatment of intracranial aneurysms. One complication of treatment with flow diverters is the occurrence of in-stent stenosis, which has been reported to be partially reversible. The purpose of our study...
journal_title：Journal of neurointerventional surgery
pub_type： 杂志文章
doi：10.1136/neurintsurg-2018-013975
更新日期：2019-02-01 00:00:00
