An Appraisal of the 2018 Guidelines for the Early Management of Patients with Acute Ischemic Stroke
Intervent Neurol 2019;8:55 –59 (Source: Interventional Neurology)
Source: Interventional Neurology - December 4, 2018 Category: Neurology Source Type: research
Bailout Strategies and Complications Associated with the Use of Flow-Diverting Stents for Treating Intracranial Aneurysms
Background: Flow-diverting stents (FDS) have revolutionized the endovascular management of unruptured, complex, wide-necked, and giant aneurysms. There is no consensus on management of complications associated with the placement of these devices. This review focuses on the management of complications of FDS for the treatment of intracranial aneurysms.Summary: We performed a systematic, qualitative review using electronic databases MEDLINE and Google Scholar. Complications of FDS placement generally occur during the perioperative period.Key Message: Complications associated with FDS may be divided into periprocedural compli...
Source: Interventional Neurology - October 16, 2018 Category: Neurology Source Type: research
Acknowledgement to Reviewers
Intervent Neurol 2018;7:556 (Source: Interventional Neurology)
Source: Interventional Neurology - October 9, 2018 Category: Neurology Source Type: research
Contents Vol. 7, 2018
Intervent Neurol 2018;7:I –VI (Source: Interventional Neurology)
Source: Interventional Neurology - October 9, 2018 Category: Neurology Source Type: research
Does the Addition of Non-Approved Inclusion and Exclusion Criteria for rtPA Impact Treatment Rates? Findings in Australia, the UK, and the USA
Conclusions: Non-standard criteria for rtPA eligibility were evident in all three countries and could, in part, explain comparably low use of rtPA. Differences in the use of standard criteria may signify practitioner intolerance for those derived from original efficacy studies that are no longer relevant.Intervent Neurol 2019;8:1 –12 (Source: Interventional Neurology)
Source: Interventional Neurology - October 5, 2018 Category: Neurology Source Type: research
Recanalization of Tandem Vertebrobasilar Occlusions with Contralateral Vertebral Occlusion or Hypoplasia via either Direct Passage or the SHERPA Technique
Conclusion: Recanalization of tandem vertebrobasilar occlusions with contralateral occlusion or hypoplasia is feasible. Intracranial recanalization is facilitated by the passage of a long 6F sheath into V2, and retrograde delineation of an occluded vertebral origin with a microwire may serve as a crucial adjunct.Intervent Neurol 2019;8:13 –19 (Source: Interventional Neurology)
Source: Interventional Neurology - October 5, 2018 Category: Neurology Source Type: research
In vitro Remote Aspiration Embolectomy for the Treatment of Acute Ischemic Stroke
Conclusions: In a noncollapsible system, remote aspiration can be successfully achieved even in the setting of prominent branch arteries by using relatively large aspiration catheters. Proximal flow arrest may facilitate successful remote aspiration for some catheter sizes.Intervent Neurol 2019;8:20 –26 (Source: Interventional Neurology)
Source: Interventional Neurology - October 5, 2018 Category: Neurology Source Type: research
Endovascular Reperfusion for Acute Isolated Cervical Carotid Occlusions: The Concept of “Hemodynamic Thrombectomy”
Conclusions: The endovascular recanalization of isolated cervical carotid occlusions presenting with acute ischemic stroke symptoms is feasible. Because isolated cervical carotid occlusions are associated with hemodynamic ischemic symptoms, if carotid recanalization cannot be achieved, stenting other cervical arteries ’ stenoses, with a focus on intracranial flow improvement, appears to be a reasonable strategy. Large controlled studies are necessary to assess the safety and efficacy of recanalization of acute isolated cervical carotid occlusions.Intervent Neurol 2019;8:27 –37 (Source: Interventional Neurology)
Source: Interventional Neurology - October 5, 2018 Category: Neurology Source Type: research
Aortic Arch Variants: A Practical Guide to Safe and Timely Catheterization
Conclusion: Familiarity with more and less common arch variants, along with low threshold for performance of pigtail aortic arch angiography and comfort in use of general purpose and recurved catheters, will ensure success in the vast majority of encountered variations.Intervent Neurol 2018;7:544 –555 (Source: Interventional Neurology)
Source: Interventional Neurology - September 17, 2018 Category: Neurology Source Type: research
Regional Contributions to Poststroke Disability in Endovascular Therapy
Conclusions: For both right and left hemisphere, preservation of the high cortical regions was more strongly associated with improved outcomes compared to the deep regions. Our findings support taking into consideration the location and relative weightings of the involved ASPECTS regions when evaluating a patient for EST.Intervent Neurol 2018;7:533 –543 (Source: Interventional Neurology)
Source: Interventional Neurology - September 7, 2018 Category: Neurology Source Type: research
Comparison of Subacute Vascular Damage Caused by ADAPT versus Stent Retriever Devices after Thrombectomy in Acute Ischemic Stroke: Histological and Ultrastructural Study in an Animal Model
Conclusions: Both techniques caused damage to the vessel wall. The main damages were localized at the level of the tunica media and adventitia, instead of the tunica intima as in the acute phase. Further investigation is required to better understand whether these alterations could have chronic consequences.Intervent Neurol 2018;7:501 –512 (Source: Interventional Neurology)
Source: Interventional Neurology - September 2, 2018 Category: Neurology Source Type: research
Ghost Infarct Core and Admission Computed Tomography Perfusion: Redefining the Role of Neuroimaging in Acute Ischemic Stroke
Conclusions: CTP CBF #x3c; 30% may overestimate infarct core volume, especially in patients imaged in the very early time window and with fast complete reperfusion. Therefore, the CTP CBF technique may exclude patients who would benefit from endovascular treatment.Intervent Neurol 2018;7:513 –521 (Source: Interventional Neurology)
Source: Interventional Neurology - September 2, 2018 Category: Neurology Source Type: research
2D Parametric Parenchymal Blood Flow as a Predictor of the Hemorrhagic Events after Endovascular Treatment of Acute Ischemic Stroke: A Single-Center Retrospective Study
Conclusions: Elevated parametric parenchymal blood flow wash-in rates after thrombectomy may be associated with increased risk of hemorrhagic events.Intervent Neurol 2018;7:522 –532 (Source: Interventional Neurology)
Source: Interventional Neurology - September 2, 2018 Category: Neurology Source Type: research
Isolated Intraventricular Hemorrhage Associated with Cerebral Vasospasm and Delayed Cerebral Ischemia following Arteriovenous Malformation Rupture
Background: Although it is well characterized in aneurysmal subarachnoid hemorrhage, vasospasm is exceedingly rare following cerebral arteriovenous malformation (AVM) rupture. Subsequently, this complication is poorly characterized with regard to delayed cerebral ischemia (DCI). We review cases of ruptured AVM to assess the frequency and severity of vasospasm on cerebral angiography, and DCI.Summary: We reviewed our institutional database of acute intracranial hemorrhages between 2005 and 2014. We identified patients with cerebral AVM rupture and evidence of vasospasm, which was confirmed with digital subtraction angiograp...
Source: Interventional Neurology - July 31, 2018 Category: Neurology Source Type: research
Stent Survival and Stent-Adjacent Stenosis Rates following Venous Sinus Stenting for Idiopathic Intracranial Hypertension: A Systematic Review and Meta-Analysis
Conclusion: Stent-adjacent stenosis is an important complication following venous stenting in patients with DVSS and IIH. Further studies are needed to identify determinants of stent-adjacent stenosis and stent nonsurvival.Intervent Neurol 2018;7:490 –500 (Source: Interventional Neurology)
Source: Interventional Neurology - July 31, 2018 Category: Neurology Source Type: research
