Journal of NeuroInterventional Surgery This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Micro-guidewire electrocoagulation for the treatment of intracranial aneurysms that are inaccessible by microcatheterization: a case series and review of the literature
Conclusions Endovascular electrocoagulation is practicable and effective for the treatment of aneurysms that are inaccessible by a microcatheter during short-term observation. Studies on larger populations are needed to further confirm the safety and long-term outcomes for this technique. (Source: Journal of NeuroInterventional Surgery)
Source: Journal of NeuroInterventional Surgery - November 16, 2023 Category: Neurosurgery Authors: Lu, G.-D., Zhao, L.-B., Jia, Z.-Y., Liu, S. Tags: New devices New devices and techniques Source Type: research

Double stent-retriever as the first-line approach in mechanical thrombectomy: a randomized in vitro evaluation
Conclusions This randomized in vitro evaluation demonstrates that the front-line double-SR technique is more effective than single-SR in achieving FPR when treating MCA bifurcation occlusions that present saddle thrombus. (Source: Journal of NeuroInterventional Surgery)
Source: Journal of NeuroInterventional Surgery - November 16, 2023 Category: Neurosurgery Authors: Li, J., Tiberi, R., Canals, P., Vargas, D., Castano, O., Molina, M., Tomasello, A., Ribo, M. Tags: New devices New devices and techniques Source Type: research

Overcoming roadblocks in clinical innovation via high fidelity simulation: use of a phantom simulator to achieve FDA and IRB approval of a clinical trial of fetal embolization of vein of Galen malformations
Conclusions A phantom simulator for fetal intervention of VOGM produces lifelike results during trial interventions, removing obstacles to feasibility and safety evaluations, typically precluded by non-availability of appropriate animal models. The study provides a proof of concept for potentially wider applications of medical simulation to enable novel procedural advancements in neurointerventions. (Source: Journal of NeuroInterventional Surgery)
Source: Journal of NeuroInterventional Surgery - November 16, 2023 Category: Neurosurgery Authors: Orbach, D. B., Wilkins-Haug, L. E., Benson, C. B., Rangwala, S. D., Pak, C., Saffarzadeh, M., Weinstock, P. Tags: New devices New devices and techniques Source Type: research

Percutaneous cervical sympathetic block to treat cerebral vasospasm and delayed cerebral ischemia: a review of the evidence
Delayed cerebral ischemia (DCI) affects 30% of patients following aneurysmal subarachnoid hemorrhage (aSAH) and is a major driver of morbidity, mortality, and intensive care unit length of stay for these patients. DCI is strongly associated with cerebral arterial vasospasm, reduced cerebral blood flow and cerebral infarction. The current standard treatment with intravenous or intra-arterial calcium channel antagonist and balloon angioplasty or stent has limited efficacy. A simple treatment such as a cervical sympathetic block (CSB) may be an effective therapy but is not routinely performed to treat vasospasm/DCI. CSB consi...
Source: Journal of NeuroInterventional Surgery - November 16, 2023 Category: Neurosurgery Authors: Bombardieri, A. M., Albers, G. W., Rodriguez, S., Pileggi, M., Steinberg, G. K., Heit, J. J. Tags: New devices New devices and techniques Source Type: research

Development of a clot-adhesive coating to improve the performance of thrombectomy devices
Conclusion Our results suggest that clot retrieval devices coated with DNA-binding compounds can considerably improve the outcome of the MT procedures in stroke patients. (Source: Journal of NeuroInterventional Surgery)
Source: Journal of NeuroInterventional Surgery - November 16, 2023 Category: Neurosurgery Authors: Skarbek, C., Anagnostakou, V., Procopio, E., Epshtein, M., Raskett, C. M., Romagnoli, R., Iviglia, G., Morra, M., Antonucci, M., Nicoletti, A., Caligiuri, G., Gounis, M. J. Tags: Open access, New devices New devices and techniques Source Type: research

First pass effect of mechanical thrombectomy for acute vertebrobasilar artery occlusion: data from the ANGEL-ACT registry
Conclusions FPE occurred in 24.4% of patients with VBAO in our cohort, which was associated with improved clinical outcomes compared with MPE and ICR. VBAO with underlying ICAD was less likely to achieve FPE. Trial registration number NCT03370939. (Source: Journal of NeuroInterventional Surgery)
Source: Journal of NeuroInterventional Surgery - November 16, 2023 Category: Neurosurgery Authors: Sun, D., Huo, X., Raynald, , Jia, B., Tong, X., Wang, A., Ma, N., Gao, F., Mo, D., Miao, Z., on behalf of ANGEL-ACT study group, Gui, Song, Peng, Wu, Zhao, Zhao, Zhou, Li, Jing, Yang, Liu, Zhao, Liu, Peng, Gao, Guo, Chen, Li, Cheng, Xu, Zhang, Zhang, Lu, Tags: Ischemic stroke Source Type: research

Reconstructive endovascular treatment for basilar artery trunk aneurysms: complications and clinical and angiography outcomes
Conclusion Reconstructive EVTs are a feasible and effective treatment for BTAs but are associated with a high risk of ischemic and hemorrhagic complications and a high mortality rate. Larger aneurysms may predict unfavorable clinical outcomes and aneurysm recurrence during follow-up. Hemorrhagic complications may predict unfavorable clinical outcomes, whereas immediate complete aneurysm occlusion may predict total occlusion during follow-up. (Source: Journal of NeuroInterventional Surgery)
Source: Journal of NeuroInterventional Surgery - November 16, 2023 Category: Neurosurgery Authors: Zhong, W., Zhang, T., Su, C., Zhou, D., Zhuang, J., Li, M., Xu, Y., Liu, M., Zhang, M., Wang, Y., Wang, D., Su, W. Tags: Open access, Hemorrhagic stroke Source Type: research

Long-term outcomes and dynamic changes of in-stent stenosis after Pipeline embolization device treatment of intracranial aneurysms
Conclusions ISS is a common, benign, and self-limiting complication of PED implantation in the Chinese population. (Source: Journal of NeuroInterventional Surgery)
Source: Journal of NeuroInterventional Surgery - November 16, 2023 Category: Neurosurgery Authors: Gui, S., Chen, X., Wei, D., Deng, D., You, W., Meng, X., Lv, J., Feng, J., Tang, Y., Yang, S., Chen, T., Liu, P., Ge, H., Jin, H., Liu, X., Jiang, Y., Feng, W., LI, Y. Tags: Open access, Hemorrhagic stroke Source Type: research

Safety and Efficacy of Flow Diverters for Treatment of Unruptured Anterior Communicating Artery Aneurysms: Retrospective Multicenter Study
Conclusions Our study suggests that flow diverters are a useful treatment for AComm aneurysms. Mid-term results indicated favorable aneurysm occlusion with a good safety profile. Additional prospective studies with longer follow-up periods and independent adjudication are warranted to better assess these results. (Source: Journal of NeuroInterventional Surgery)
Source: Journal of NeuroInterventional Surgery - November 16, 2023 Category: Neurosurgery Authors: Benalia, V. H. C., Cortez, G. M., Mounayer, C., Saatci, I., Cekirge, H. S., Kocer, N., Islak, C., Dabus, G., Brinjikji, W., Baltacioglu, F., Pereira, V. M., Nishi, H., Siddiqui, A. H., Monteiro, A., Lopes, D. K., Aghaebrahim, A., Sauvageau, E., Hanel, R. Tags: Hemorrhagic stroke Source Type: research

Safety and effectiveness of the Woven EndoBridge (WEB) system for the treatment of wide necked bifurcation aneurysms: final 5 year results of the pivotal WEB Intra-saccular Therapy study (WEB-IT)
Conclusions Five year follow-up data from the WEB-IT study demonstrated that the WEB device was safe and effective when used in the treatment of WNBAs. Aneurysm occlusion rates achieved at 1 year follow-up were durable, with rates of progressive thrombosis far exceeding rates of recurrence over time. (Source: Journal of NeuroInterventional Surgery)
Source: Journal of NeuroInterventional Surgery - November 16, 2023 Category: Neurosurgery Authors: Fiorella, D., Molyneux, A., Coon, A., Szikora, I., Saatci, I., Baltacioglu, F., Aziz-Sultan, M. A., Hoit, D., Delgado Almandoz, J. E., Elijovich, L., Cekirge, H. S., Byrne, J., Klisch, J., Arthur, A. S. Tags: Open access, Editor''s choice, Hemorrhagic stroke Source Type: research

Counterpoint: The important educational value of live surgical broadcasts
"Live cases are to recorded cases what theater is to cinema: two complementary forms of expression" Neurointerventional training and education, like most surgical and interventional disciplines in their original and most effective forms, is an apprenticeship for an extended period. The requisites vary by geography; but in essence, committed physicians enter a period of ‘fellowship’ during which they observe, participate, and perform actual procedures alongside experienced mentors as they conduct their business of providing clinical care to patients. Essentially, they learn through ‘live cases’ where...
Source: Journal of NeuroInterventional Surgery - November 16, 2023 Category: Neurosurgery Authors: Lopes, D. K., Hanel, R. A., Levy, E. I., Cekirge, H. S., Lylyk, P., Saatci, I., Liu, J., Kocer, N., Mounayer, C., Kizilkilic, O., Moret, J., Spelle, L., Chapot, R., Islak, C., Goel, G., Yang, P., Berdikhojayev, M., Orlov, K., Siddiqui, A. H. Tags: Commentary Source Type: research

Point: Rethinking live surgical broadcasts
Introduction The authors maintain that live surgical broadcasts (LSBs) are unnecessary, risky, and ethically dubious. According to both preliminary data and common-sense ethics, LSBs should be avoided and—where there is pedagogical value—replaced with pre-recorded case demonstrations. At the core of medical pedagogy is observation. As the adage goes: see one, do one, teach one. From the budding medical student rotating throughout the hospital to the veteran surgeon demonstrating a cutting-edge procedure to a resident, observation is both widespread and effective. We espouse no doubt about the efficacy or legiti...
Source: Journal of NeuroInterventional Surgery - November 16, 2023 Category: Neurosurgery Authors: Kobeissi, Y., Kobeissi, H., Kallmes, D. F. Tags: Commentary Source Type: research

Can cerebral angiography be performed outside the hospital?
Cerebral angiography was pioneered by Portuguese neurologist and Nobel Prize awardee Egas Moniz at the University of Lisbon in 1927. It is remarkable to consider that it took almost 50 years for computed tomography (CT) scans to provide an alternative imaging option for cerebral vessels. Indeed, present day cerebral angiography has evolved1 from those early days of ‘encephalographie arterielle’ (arterial encephalography) utilizing direct puncture and/or surgical exposure with sodium iodide as a radiopaque agent. Moniz would likely be astounded by how safe and precise an imaging technique it has become. The evol...
Source: Journal of NeuroInterventional Surgery - November 16, 2023 Category: Neurosurgery Authors: Altschul, D. Tags: Editor ' s column Source Type: research

Angiographic collateral venous phase: a novel landmark for leptomeningeal collaterals evaluation in acute ischemic stroke
Conclusions The presence of CVP improves the angiographic assessment of collateral circulation. CVP could be proposed as a new imaging landmark to better understand the functionality of collaterals. (Source: Journal of NeuroInterventional Surgery)
Source: Journal of NeuroInterventional Surgery - November 2, 2023 Category: Neurosurgery Authors: Consoli, A., Pizzuto, S., Sgreccia, A., Di Maria, F., Coskun, O., Rodesch, G., Lapergue, B., Felblinger, J., Chen, B., Bracard, S. Tags: Ischemic stroke Source Type: research

Risk factors and predictors of intracranial hemorrhage after mechanical thrombectomy in acute ischemic stroke: insights from the Stroke Thrombectomy and Aneurysm Registry (STAR)
Conclusions This study identified ICH risk factors after AIS thrombectomy using real-world data. There was a propensity towards a reduced sICH risk with direct aspiration. Procedural complications and ethnicity were predictors congruent between categories of any ICH, sICH, PH1, and PH2. Further investigation of technique and ethnicity effects on ICH and outcomes after AIS thrombectomy is warranted. (Source: Journal of NeuroInterventional Surgery)
Source: Journal of NeuroInterventional Surgery - November 2, 2023 Category: Neurosurgery Authors: Ironside, N., Chen, C.-J., Chalhoub, R. M., Wludyka, P., Kellogg, R. T., Al Kasab, S., Ding, D., Maier, I., Rai, A., Jabbour, P., Kim, J.-t., Wolfe, S. Q., Starke, R. M., Psychogios, M.-N., Shaban, A., Arthur, A. S., Yoshimura, S., Grossberg, J. A., Alawi Tags: Ischemic stroke Source Type: research