Diagnosis and surgical therapy of spontaneous intracranial hypotension
Interv Neuroradiol. 2023 Nov 22:15910199231215115. doi: 10.1177/15910199231215115. Online ahead of print.ABSTRACTSpontaneous intracranial hypotension (SIH) is a serious medical condition caused by loss of cerebrospinal fluid at the level of the spine, which, when not treated, may cause substantial long-term disability and increase morbidity. The following video summarizes the necessary steps for successful diagnosis and treatment of SIH, starting with a brain and spine magnetic resonance imaging, followed by dynamic myelography. Because an epidural bloodpatch did not provide a lasting relief, the patient underwent surgery ...
Source: Interventional Neuroradiology - November 22, 2023 Category: Radiology Authors: Tomas Klail Christopher M Jesse Ralph T Sch är Levin H äni Andreas Raabe Christoph J Schankin Eike I Piechowiak Tomas Dobrocky Source Type: research

Predictors of devastating functional outcome despite successful basilar thrombectomy
CONCLUSION: We have identified presenting stroke severity, lower glucose, and proximal basilar occlusion as predictors of devastating neurological outcome in successful basilar thrombectomy patients. These factors may be used in medical decision making or for patient selection in future clinical trials.PMID:37990546 | DOI:10.1177/15910199231216516 (Source: Interventional Neuroradiology)
Source: Interventional Neuroradiology - November 22, 2023 Category: Radiology Authors: Rahul R Karamchandani Sagar Satyanarayana Hongmei Yang Jeremy B Rhoten Dale Strong Jonathan D Clemente Gary Defilipp Nikhil M Patel Joe D Bernard William R Stetler Jonathan M Parish Andrew U Hines Harsh N Patel Anna Maria Helms Lauren Macko Laura Williams Source Type: research

Transradial versus transfemoral approach in cerebral angiography: A meta-analysis
CONCLUSION: These findings suggest, despite the ultimate decision regarding the choice of access method might be influenced by the physician's experience and personal preference, the data distinctly lean toward transradial approach as the preferable option for cerebral angiography. The advantages of transradial approach, highlighted by its lower complication rates, especially major complications, suggest that its adoption could contribute to enhanced patient safety and procedural outcomes.PMID:37936392 | DOI:10.1177/15910199231212520 (Source: Interventional Neuroradiology)
Source: Interventional Neuroradiology - November 8, 2023 Category: Radiology Authors: S ávio Batista Leonardo de Barros Oliveira Jordana Borges Camargo Diniz Agostinho Camara Pinheiro Henrique Maia Matheus Duarte Filipi Fim Andre ão Lucca Biolcati Palavani Raphael Bertani Jos é Alberto Almeida Filho Raphael Muszkat Besborodco Ricardo Ha Source Type: research

Distal versus conventional transradial access for diagnostic cerebral angiography and neurointerventional procedures: A systematic review and meta-analysis
CONCLUSION: Our findings suggest that the dTRA approach is a safe and effective alternative to the cTRA approach in patients undergoing cerebral angiography and neurointerventions.PMID:37936400 | DOI:10.1177/15910199231210411 (Source: Interventional Neuroradiology)
Source: Interventional Neuroradiology - November 8, 2023 Category: Radiology Authors: Atakan Orscelik Yigit Can Senol Hassan Kobeissi Sherief Ghozy Cem Bilgin Santhosh Arul Ramanathan Kadirvel Waleed Brinjikji David F Kallmes Source Type: research

Unfavorable clinical outcomes in patients with good collateral scores following endovascular treatment for acute ischemic stroke of the anterior circulation: The UNCLOSE study
CONCLUSIONS: Despite good collaterals, defined through the American Society for Interventional and Therapeutic Neuroradiology/Society of Interventional Radiology scale, poor outcomes occurred in almost half of the patients. Patients with good collaterals not receiving intravenous thrombolysis were significantly associated with unfavorable outcomes, whereas first pass effect was not significantly correlated with clinical outcome in this specific cohort of patients. Different methods to assess collaterals should also be investigated.PMID:37936414 | DOI:10.1177/15910199231212519 (Source: Interventional Neuroradiology)
Source: Interventional Neuroradiology - November 8, 2023 Category: Radiology Authors: Arturo Consoli Marco Pileggi Atm Hasibul Hasan Mohammad H Rahman Alice Venier Alessandro Sgreccia Silvia Pizzuto Oguzhan Coskun Federico Di Maria Luca Scarcia Bertrand Lapergue Georges Rodesch Serge Bracard Bailiang Chen Source Type: research