Abstract:
PURPOSE:Against the background of the increasing dilemma in the scientific community regarding protected versus unprotected carotid artery stent (CAS) placement and the disputed points in interpreting the results of scientific studies as well as the difficulty in conducting such randomized controlled studies, this article gives a review of experiences with carotid stent placement without the use of protection devices. METHODS:This series comprised 133 consecutive patients with 136 carotid stenoses of which 128 carotid arteries (94%) were either symptomatic (93 out of 136 = 68.4%) or had a greater than 70% stenosis (35 out of 136 = 25.7%) and 8 out of 136 were asymptomatic and had stenoses between 50% and 70%. Patients underwent neurologic and sonographic evaluation before the procedure and during follow-up (mean 18 months). RESULTS:Primary stent placement was carried out in 110 out of 136 lesions and predilatation was necessary before stent deployment in 26 lesions,. Neurologic periprocedural complications included 3 disabling and 1 non-disabling strokes. During the follow-up period there were 6 deaths all unrelated to the carotid disease and no major strokes. The degree of stenosis decreased from a mean of 81% to a mean of 12.3% immediately after the procedure, 22 patients were defined as restenosis of which 9 were symptomatic. CONCLUSIONS:Carotid stent placement without the use of distal protection devices was found to be a safe and effective procedure with a relatively low incidence of periprocedural complications.
journal_name
Clin Neuroradioljournal_title
Clinical neuroradiologyauthors
Mansour OY,Weber J,Niesen W,Schumacher M,Berlis Adoi
10.1007/s00062-011-0057-6subject
Has Abstractpub_date
2011-06-01 00:00:00pages
65-73issue
2eissn
1869-1439issn
1869-1447journal_volume
21pub_type
杂志文章abstract:PURPOSE:Brain arteriovenous malformations (bAVM) are the main cause of pediatric intracerebral hemorrhage (pICH). Embolization with Onyx (ev3, Irvine, CA, USA) in children with ruptured bAVM has been infrequently reported. The aim of this study was to assess the safety and efficacy profile of Onyx embolization as first...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-019-00861-6
更新日期:2019-12-04 00:00:00
abstract:BACKGROUND AND PURPOSE:Extracranial internal carotid artery (ICA) dissection is an important cause of ischemic stroke in younger adults. The optimal medical and surgical strategies for managing these lesions have not been well established. We report a case series of extracranial ICA reconstruction using overlapping flo...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-018-0707-z
更新日期:2019-12-01 00:00:00
abstract::The report concerns a 44-year-old female patient with incidental left middle cerebral artery aneurysm. After endovascular therapy by coiling, a hemiparesis was observed following extubation. Disturbance of speech and disorientation added later. An infarct of the lenticular nucleus was found. The angiography showed an ...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-010-0007-8
更新日期:2010-06-01 00:00:00
abstract:PURPOSE:Acute basilar artery occlusion is associated with high rates of major morbidity and mortality. In rare cases, the underlying pathology is a high-grade stenosis of the basilar artery. We report on a series of seven cases with occluded high-grade basilar artery stenosis who received endovascular therapy at our ce...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-014-0303-9
更新日期:2015-09-01 00:00:00
abstract:OBJECTIVE:To illustrate the added value of flat-detector computed tomography angiography with intravenous contrast media injection (intravenous FDCTA) in the evaluation of complex A1/A2/AcomA aneurysms. PATIENTS AND METHODS:We retrospectively reviewed 15 patients with ruptured aneurysms. In each patient, an intravenou...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-017-0592-x
更新日期:2018-12-01 00:00:00
abstract::The technology available for the endovascular treatment of intracranial aneurysms is rapidly evolving. Both current and future devices are described. This includes, among others, UNO for parent vessel occlusion, the Medina device for saccular filling, the Comaneci device for remodeling, pCONus for assisted coil occlus...
journal_title:Clinical neuroradiology
pub_type: 杂志文章,评审
doi:10.1007/s00062-015-0403-1
更新日期:2015-10-01 00:00:00
abstract:BACKGROUND:Temporary balloon test occlusion (BTO) might be performed prior to procedures in which occlusion of the internal carotid artery (ICA) might be necessary. We tested the hypothesis that parametric color coding (PCC) of angiographic series (digital subtraction angiography (DSA)) along with the assessment of cer...
journal_title:Clinical neuroradiology
pub_type: 临床试验,杂志文章
doi:10.1007/s00062-013-0208-z
更新日期:2013-12-01 00:00:00
abstract:PURPOSE:The aim of this study was a comparison of the diagnostic value of time-of-flight magnetic resonance angiography (TOF-MRA) and contrast-enhanced (CE) MRA in the setting of acute stroke MRI. The hypothesis was that CE-MRA has at least the same diagnostic value as the commonly used TOF-MRA. MATERIALS AND METHODS:...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-010-0039-0
更新日期:2011-04-01 00:00:00
abstract:PURPOSE:Primary spinal extradural Ewing's sarcoma (PSEES) or primitive neuroectodermal tumor (PNET) is uncommon. The present study summarizes the magnetic resonance (MR) imaging appearance of PSEES. METHODS:Literature search from 1994 to 2012 with our representative case presentation. RESULTS:Twenty-one patients, 12 ...
journal_title:Clinical neuroradiology
pub_type: 杂志文章,评审
doi:10.1007/s00062-013-0222-1
更新日期:2013-06-01 00:00:00
abstract:PURPOSE:Angiographic assessment of carotid cavernous fistulas (CCFs) can be complex. Our purpose was to examine whether the use of parametric color coding in the postprocessing of DSA series is advantageous in the evaluation of CCFs. METHODS:We enrolled 16 patients with angiographically proven CCFs. Endovascular treat...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-012-0184-8
更新日期:2013-06-01 00:00:00
abstract:PURPOSE:Internal jugular vein (IJV) narrowing superiorly is likely relatively frequent. IJV narrowing has been proposed as a potential pathophysiologic component for multiple sclerosis (MS). Our purpose was to investigate the prevalence of incidental superior IJV narrowing in patients imaged with neck computed tomograp...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-013-0232-z
更新日期:2014-06-01 00:00:00
abstract::Correction to: Clin Neuroradiol 2019 https://doi.org/10.1007/s00062-019-00793-1The original version of this article unfortunately contained some mistakes. The Institutional Review Board number was given wrongly in the Methods/Participants section and in the Compliance with ethical guidelines/Ethical. ...
journal_title:Clinical neuroradiology
pub_type: 已发布勘误
doi:10.1007/s00062-020-00877-3
更新日期:2020-03-01 00:00:00
abstract:PURPOSE:Hereditary spastic paraplegia (HSP) and hereditary spastic ataxia (HSA) are a heterogeneous group of genetic disorders characterized by progressive lower limb spasticity resulting from pyramidal tract dysfunction. By identifying critical imaging findings within the clinical context of spasticity, radiologists a...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-018-0665-5
更新日期:2019-06-01 00:00:00
abstract:PURPOSE:The aim of this study was to compare the diagnostic accuracy of 3D time-of-flight (TOF-MRA) and contrast-enhanced (CE-MRA) magnetic resonance angiography at 3 T for detection and quantification of proximal high-grade stenosis using multidetector computed tomography angiography (MDCTA) as reference standard. ME...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-013-0279-x
更新日期:2015-03-01 00:00:00
abstract:PURPOSE:Carotid artery stenting (CAS) has been proven to decrease the risk of stroke in symptomatic patients with moderate/high-grade carotid stenosis; however, there is an increased periprocedural risk of stroke with CAS compared to carotid endarterectomy. The goal of this article is to report the utilization of endov...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-019-00799-9
更新日期:2020-09-01 00:00:00
abstract:PURPOSE:Tethered cord syndrome (TCS) is a clinical entity in which symptoms are induced through excessive tension on the spinal cord. The radiological method of choice to confirm TCS is magnetic resonance imaging (MRI), however limitations exist especially in patients with no underlying spinal dysraphism. MATERIALS AN...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-010-0049-y
更新日期:2011-04-01 00:00:00
abstract:BACKGROUND AND PURPOSE:The estimates on the risk of rupture of intracranial aneurysms remain a controversial topic. Circumferential aneurysmal wall enhancement (CAWE) on vessel wall magnetic resonance imaging (MRI) has been described in unstable aneurysms. Sentinel headaches and third nerve palsy are possible symptoms ...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-017-0598-4
更新日期:2018-12-01 00:00:00
abstract:PURPOSE:The aim of the study was to examine the effects of mechanical thrombectomy using the Solitaire stent in patients with thromboembolic occlusions of the intracranial carotid artery bifurcation (carotid T) or middle cerebral artery (MCA) and to compare the results with a historical cohort treated with local intraa...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-011-0099-9
更新日期:2012-06-01 00:00:00
abstract:BACKGROUND AND PURPOSE:As magnetic resonance imaging (MRI) signs of normal pressure hydrocephalus (NPH) may precede clinical symptoms we sought to evaluate an algorithm that automatically detects this pattern. METHODS:A support vector machine (SVM) was trained in 30 NPH patients treated with ventriculoperitoneal shunt...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-020-00993-0
更新日期:2021-01-26 00:00:00
abstract:BACKGROUND AND PURPOSE:A new curative embolization technique with Onyx for selected small- and medium-sized superficially located brain arteriovenous malformations (AVMs) was developed, which consists of obliteration of the nidus, including incremental occlusion of the draining veins. We report our first clinical resul...
journal_title:Clinical neuroradiology
pub_type: 临床试验,杂志文章
doi:10.1007/s00062-012-0149-y
更新日期:2012-06-01 00:00:00
abstract::The value of magnetic resonance (MR) imaging for the clinical management of brain tumour patients has greatly increased in recent years through the introduction of functional MR sequences. Previously, MR imaging for brain tumours relied for the most part on contrast-enhanced T1-weighted MR sequences but today with the...
journal_title:Clinical neuroradiology
pub_type: 杂志文章,评审
doi:10.1007/s00062-015-0439-2
更新日期:2015-10-01 00:00:00
abstract:PURPOSE:The aim of this study was to compare a recently established whole brain MR spectroscopic imaging (wbMRSI) technique using spin-echo planar spectroscopic imaging (EPSI) acquisition and the Metabolic Imaging and Data Analysis System (MIDAS) software package with single voxel spectroscopy (SVS) technique and LCMod...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-018-00757-x
更新日期:2020-06-01 00:00:00
abstract:PURPOSE:To review the fundamental principles of susceptibility-weighted imaging (SWI) and quantitative susceptibility mapping (QSM), and to discuss recent clinical developments. METHODS:SWI is a magnetic resonance imaging method that takes advantage of magnitude signal loss and phase information to reveal anatomic and...
journal_title:Clinical neuroradiology
pub_type: 杂志文章,评审
doi:10.1007/s00062-015-0432-9
更新日期:2015-10-01 00:00:00
abstract::Conventional magnetic resonance (MR) imaging of space-occupying lesions may answer most of the questions concerning the diagnosis and subsequent treatment strategies if patient age, clinical and paraclinical findings are considered as well. However, crucial and relevant differential diagnoses require additional MR met...
journal_title:Clinical neuroradiology
pub_type: 杂志文章,评审
doi:10.1007/s00062-011-0073-6
更新日期:2011-09-01 00:00:00
abstract:PURPOSE:We aimed to compare images obtained with an Enhanced 3D multi-echo GRE T2*-weighted angiography (ESWAN) sequence with those obtained with a susceptibility-weighted imaging-spoiled gradient-recalled echo (SWI-SPGR) sequence and a two-dimensional (2D) T2*-weighted gradient-recalled echo (GRE) sequence for the des...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-012-0185-7
更新日期:2013-06-01 00:00:00
abstract:PURPOSE:Diagnosis of cortical vein thrombosis (CVT) on the basis of clot hyperintensity on diffusion-weighted imaging (DWI) has been reported as limited. Our aim was to evaluate different DWI findings of CVT either in isolated form or in combination with sinus thrombosis. METHODS:In this review-board-approved study, p...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-014-0301-y
更新日期:2015-09-01 00:00:00
abstract:OBJECTIVE:Tinnitus is defined as an imaginary subjective perception in the absence of an external sound. Convergent evidence proposes that tinnitus perception includes auditory, attentional and emotional components. The aim of this study was to investigate the thalamic, auditory and limbic interactions associated with ...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-015-0473-0
更新日期:2017-06-01 00:00:00
abstract:PURPOSE:Patients with transient global amnesia (TGA) present with a characteristic clinical syndrome although other differential diagnoses have to be considered. Diffusion-weighted imaging (DWI) represents a highly specific diagnostic tool in the context of TGA; however, standard clinical DWI often fails to detect the ...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-012-0140-7
更新日期:2012-12-01 00:00:00
abstract:PURPOSE:Claustrophobic reactions in patients undergoing magnetic resonance imaging (MRI) have a significant impact on the workflow, patient acceptance and ultimately the costs involved in obtaining a diagnostic scan. The purpose of this study was to determine if the use of a wide, short bore MRI scanner could reduce th...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-011-0075-4
更新日期:2011-09-01 00:00:00
abstract:PURPOSE:To elucidate the imaging findings of congenital oculomotor nerve palsy by evaluating the oculomotor nerve and extraocular muscles on magnetic resonance (MR) imaging in a relatively large series of 14 patients with congenital oculomotor nerve palsy. METHODS:Ophthalmologic examination of 14 consecutive patients ...
journal_title:Clinical neuroradiology
pub_type: 杂志文章
doi:10.1007/s00062-019-00781-5
更新日期:2020-06-01 00:00:00