Wrap-clipping as a rescue surgical technique for vessel perforation due to stent strut: a technical note

ConclusionsWrap-clipping is a useful procedure to repair the arterial injury due to the stent strut.
Source: Acta Neurochirurgica - Category: Neurosurgery Source Type: research

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The objective of this study was to investigate the influence of treatment modality on visual function. Methods A systematic literature analysis using the Ovid Medline and EMBASE electronic databases was performed, encompassing all English language studies (published between 1996 and 2016) reporting visual, clinical, and angiographic treatment outcomes for UPAs. Rates of visual morbidity (any new, permanent postoperative deficit in visual acuity or visual field, or worsening of a preoperative deficit), angiographic (recurrence, retreatment) and clinical outcomes (death and dependency, post-treatment subarachnoid hemorrhage...
Source: Journal of NeuroInterventional Surgery - Category: Neurosurgery Authors: Tags: Oral Poster Abstracts Source Type: research
CONCLUSIONS At a single tertiary academic center, the overall rebleeding rate was 7.6% (95% CI 4.7-10.5) for those presenting with ruptured aneurysms. Implementation of a 24-hour ultra-early aneurysm repair protocol would only result in, at most, a 0.3% (95% CI -0.3 to 0.9) reduction in the incidence of rebleeding. PMID: 28731402 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - Category: Neurosurgery Authors: Tags: J Neurosurg Source Type: research
Objective Treatment outcomes for unruptured anterior communicating artery (ACoA) aneurysms are not well established. We aimed to investigate the safety and effectiveness of microsurgical clipping (MC), endovascular coiling (EC), and stent assisted coiling (SAC) of unruptured ACoA aneurysms to aid pretreatment clinical decisions. Methods A systematic review of the literature was conducted using the Ovid Medline and EMBASE electronic databases, encompassing all English language studies reporting treatment outcomes for unruptured ACoA aneurysms published between 2005 and 2015. The analyses were directed towards patient focus...
Source: Journal of NeuroInterventional Surgery - Category: Neurosurgery Authors: Tags: Hemorrhagic stroke Source Type: research
CONCLUSIONS A positive smoking history is associated with a significantly increased risk of aneurysm recurrence in patients who have undergone endovascular repair of a cerebral aneurysm, compared with the risk in patients who have never smoked. PMID: 28644100 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - Category: Neurosurgery Authors: Tags: J Neurosurg Source Type: research
ConclusionsThese preliminary data support the hypothesis that glycocalyx injury occurs in SAH, and might contribute to DCI by regulating cerebral microthrombosis and delayed neuroinflammation.
Source: Neurocritical Care - Category: Neurology Source Type: research
Conclusions Repair of ruptured BA with PED may be a safe and durable option.
Source: Journal of NeuroInterventional Surgery - Category: Neurosurgery Authors: Tags: Hemorrhagic stroke Source Type: research
Discussion The authors suggest that patients with a ventral spinal CSF leak of long duration may be at risk of diffuse non-aneurysmal SAH.
Source: Cephalalgia - Category: Neurology Authors: Tags: Brief Reports Source Type: research
Conclusions: Cilostazol administration is effective in preventing sVS and improving outcomes without severe adverse events. A larger-scale study including more cases was necessary to confirm this efficacy of cilostazol.Cerebrovasc Dis 2016;42:97-105
Source: Cerebrovascular Diseases - Category: Neurology Source Type: research
Objective: To identify differences between patients with isolated subarachnoid hemorrhage (SAH) vs SAH and sickle cell disease (SCD). Introduction: Neurological complications of SCD occur in 1/3 of cases. Ischemic strokes are the most common complication (75[percnt]), followed by intracerebral hemorrhage (20[percnt]). SAH is rare. There are several case reports of patients with SCD and SAH. However, no studies have described the frequency of SAH related to SCD among all patients with SAH. We sought to compare the demographics of SAH in SCD versus non-SCD patients. Methods: We searched the 2005-2010 Nationwide Inpatient Sam...
Source: Neurology - Category: Neurology Authors: Tags: Health Disparities and Sex Differences in Stroke Source Type: research
DiscussionThis retrospective case series suggests that the presence of a protocol of 24-hour emergent aneurysm repair could have resulted in a 0.3% reduction in our institution’s rate of rebleeding. Potential explanations for the small risk reduction include the large number of patients that are transferred to our institution, as well as improvements in the neurosurgical ICU management of patients with unsecured aneurysms. It is unclear if such a protocol would positively impact neurological outcomes. The risks of implementing 24-hour aneurysm repair include provider fatigue and decreased availability of experienced ...
Source: Journal of NeuroInterventional Surgery - Category: Neurosurgery Authors: Tags: SNIS 12th Annual Meeting Oral Poster Abstracts Source Type: research
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