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P067/132 Cerebral vasospasm treatment using comaneci device - registry study
ConclusionThe Comaneci device has the potential to serve as a first-line device for providing therapeutic benefit to patients with SAH and vasospasm. However, future prospective trials are required.Disclosure of InterestNothing to disclose
Source: Journal of NeuroInterventional Surgery - August 21, 2023 Category: Neurosurgery Authors: Hensler, J., Larsen, N., Christian, R., Nordmeyer, H., Breyer, T., Hesselmann, V., Jan, H., Jansen, O. Tags: 1.1 HAEMORRHAGIC - Aneurysms Source Type: research

P165/237 Development and Validation of a novel stenosis model for percutaneous transluminal angioplasty training
ConclusionThe authors propose a novel ICA stenosis simulation model for training of PTA.The model provides a realistic and replicable method for standardized procedural training.Disclosure of InterestNothing to disclose
Source: Journal of NeuroInterventional Surgery - August 21, 2023 Category: Neurosurgery Authors: Ramdani, N., Anna, K., Tuan, N., Jonte, S., Dieter, K., Fabian, F., Lukas, M., Jens, F., Maxim, B., Helena, G. Tags: 2.3 ISCHEMIC - Treatment Source Type: research

O-004 A propensity score-matched comparative study of balloon guide catheters vs conventional guide catheters for mechanical thrombectomy with stenting in tandem strokes: comparison of 1st-pass effect, symptomatic ICH, and 90-day functional outcomes
ConclusionBGCs used for concurrent MT-carotid revascularization with flow arrest were safe and resulted in superior clinical and angiographic outcomes in tandem stroke patients.Abstract O-004 Table 1Multivariate logistic regression analysis performed after propensity score matching to compare procedural parameters and angiographic and clinical outcomes between balloon guide catheter and conventional guide catheter groupsDisclosures A. Baig: None. M. Waqas: None. R. Turner: None. C. Kuo: None. B. Donnelly: None. P. Lai: None. K. Raygor: None. M. Bouslama: None. J. Lim: None. J. Neumaier: None. J. Cappuzzo: None. J. Davies: ...
Source: Journal of NeuroInterventional Surgery - July 30, 2023 Category: Neurosurgery Authors: Baig, A., Waqas, M., Turner, R., Kuo, C., Donnelly, B., Lai, P., Raygor, K., Bouslama, M., Lim, J., Neumaier, J., Cappuzzo, J., Davies, J., Snyder, K., Siddiqui, A., Levy, E. Tags: SNIS 20th annual meeting oral abstracts Source Type: research

O-063 First U.S. multicenter experience using the pipeline flex embolization device with shield technology for treatment of intracranial aneurysms
ConclusionOur study is the first to report the early experience with the newly FDA-approved PED Flex with Shield technology amongst US centers. Our results are comparable with non-US, international studies showing a high technical success rate and safe peri-procedural angiographic and patient outcome. Longer follow-up will be needed to provide more robust data on angiographic and patient outcomes.Disclosures A. Kuhn: None. J. Singh: None. A. Abdelsalam: None. V. Saini: None. J. Burks: None. G. Cortez: None. R. Abbas: None. M. Pervez: None. H. Saei: None. S. Burke: None. M. Salem: None. J. Vivanco-Suarez: None. R. Kutcher-D...
Source: Journal of NeuroInterventional Surgery - July 30, 2023 Category: Neurosurgery Authors: Kuhn, A., Singh, J., Abdelsalam, A., Saini, V., Burks, J., Cortez, G., Abbas, R., Pervez, M., Saei, H., Burke, S., Salem, M., Vivanco-Suarez, J., Kutcher-Diaz, R., Bounajem, M., Naragum, V., Massari, F., Marwah, S., Gounis, M., Hassan, A., Malek, A., Dabu Tags: SNIS 20th annual meeting oral abstracts Source Type: research

First clinical multicenter experience with the new Pipeline Vantage flow diverter
Conclusions The new PV FD is safe and feasible for the treatment of intracranial aneurysms. The short-term occlusion rates are promising but need further assessment in prospective long-term follow-up studies.
Source: Journal of NeuroInterventional Surgery - December 14, 2022 Category: Neurosurgery Authors: Vollherbst, D. F., Cekirge, H. S., Saatci, I., Baltacioglu, F., Onal, B., Koc, O., Rautio, R., Sinisalo, M., Tomasello, A., Vega, P., Martinez-Galdamez, M., Lynch, J., Mendes Pereira, V., Bendszus, M., Möhlenbruch, M. A. Tags: New devices New devices and techniques Source Type: research

Distribution of symptomatic cerebral vasospasm following subarachnoid hemorrhage assessed using cone-beam CT angiography
Conclusions Our study demonstrated that symptomatic cerebral vasospasm following aSAH did not involve arteries smaller than 900 µm, and frequently predominated in middle or distal segments. These results offer new insights into the potential management options for vasospasm using PBA.
Source: Journal of NeuroInterventional Surgery - October 14, 2022 Category: Neurosurgery Authors: Simonato, D., Borchert, R. J., Vallee, F., Joachim, J., Civelli, V., Cancian, L., Houdart, E., Labeyrie, M.-A. Tags: Hemorrhagic stroke Source Type: research

E-091 Intracranial atherosclerotic disease leads to poor mechanical thrombectomy outcomes in cocaine associated acute ischemic stroke with large vessel occlusions
Conclusion: In this case series, intracranial atherosclerosis secondary to cocaine use and vasospasm contributed to unsuccessful recanalization and reocclusion in patients undergoing MT with poor outcomes. Further studies are needed to ascertain strategies for improved outcomes in patients with LVO related to cocaine use.Disclosures M. Memon: None. M. Kushnirsky: None. S. Koch: None. D. Yavagal: None.
Source: Journal of NeuroInterventional Surgery - July 23, 2022 Category: Neurosurgery Authors: Memon, M., Kushnirsky, M., Koch, S., Yavagal, D. Tags: SNIS 19th annual meeting electronic poster abstracts Source Type: research

E-092 Use of balloon-guide catheters for concomitant mechanical thrombectomy and carotid revascularization with flow-arrest results in significantly lower sICH and better 90-day outcomes in tandem stroke patients
ConclusionUse of balloon-guide catheters for concomitant mechanical thrombectomy and carotid revascularization with flow-arrest results in significantly lower sICH and better 90-day outcomes in tandem stroke patients.Disclosures A. Baig: None. J. Neumaier: None. M. Waqas: None. A. Monteiro: None. J. Cappuzzo: None. W. Khawar: None. B. Donnelly: None. E. Levy: 2; C; : Claret Medical, GLG Consulting, Guidepoint Global, Imperial Care, Medtronic, Rebound, StimMed, Misionix, Mosiac, Clarion, IRRAS. 4; C; NeXtGen Biologics, RAPID Medical, Claret Medical, Cognition Medical, Imperative Care, Rebound Therapeutics, StimMed, Three Ri...
Source: Journal of NeuroInterventional Surgery - July 23, 2022 Category: Neurosurgery Authors: Baig, A., Neumaier, J., Waqas, M., Monteiro, A., Cappuzzo, J., Khawar, W., Donnelly, B., Levy, E., Siddiqui, A. Tags: SNIS 19th annual meeting electronic poster abstracts Source Type: research

E-139 Use of drug-eluding, balloon-expandable resolute onyx coronary stent as a new treatment strategy for vertebral artery ostial stenosis
ConclusionWe report the first clinical series investigating the use of drug-eluding, balloon-expandable Resolute Onyx coronary stent as a safe, efficacious, and durable treatment option for both symptomatic and asymptomatic vertebral ostial stenosis.Disclosures J. Lim: None. A. Baig: None. A. Aguirre: None. A. Monteiro: None. E. Levy: 2; C; : Claret Medical, GLG Consulting, Guidepoint Global, Imperial Care, Medtronic, Rebound, StimMed, Misionix, Mosiac, Clarion, IRRAS.. 4; C; NeXtGen Biologics, RAPID Medical, Claret Medical, Cognition Medical, Imperative Care, Rebound Therapeutics, StimMed, Three Rivers Medical. A. Siddiqu...
Source: Journal of NeuroInterventional Surgery - July 23, 2022 Category: Neurosurgery Authors: Lim, J., Baig, A., Aguirre, A., Monteiro, A., Levy, E., Siddiqui, A. Tags: SNIS 19th annual meeting electronic poster abstracts Source Type: research

O-007 First US multicenter experience using the pipeline flex embolization device with shield technology for treatment of intracranial aneurysms - periprocedural outcomes and early safety profile
ConclusionOur study is the first to report the early experience with the newly FDA-approved PED Flex with Shield technology amongst US centers. Our results are comparable with non-US, international studies showing a high technical success rate and safe peri-procedural angiographic and patient outcome. Long-term follow-up will be needed to provide more robust data on angiographic and patient outcomes.Disclosures A. Kuhn: None. J. Singh: None. A. Abdelsalam: None. V. Saini: None. J. Burks: None. G. Cortez: None. R. Abbas: None. M. Pervez: None. H. Saei: None. S. Burke: None. V. Naragum: None. F. Massari: None. S. Marwah: Non...
Source: Journal of NeuroInterventional Surgery - July 23, 2022 Category: Neurosurgery Authors: Kuhn, A., Singh, J., Abdelsalam, A., Saini, V., Burks, J., Cortez, G., Abbas, R., Pervez, M., Saei, H., Burke, S., Naragum, V., Massari, F., Marwah, S., Gounis, M., Hassan, A., Malek, A., Dabus, G., Linfante, I., Tjoumakaris, S., Jabbour, P., Hanel, R., S Tags: SNIS 19th annual meeting oral abstracts Source Type: research

E-153 Transfemoral flow-reversal using walrus balloon-guide catheter for carotid artery stenting technical description and single-center experience
ConclusionsIn our institution’s experience, this technique was safe, feasible and efficient, with 100% technical success and no periprocedural thromboembolic complications. More extensive studies are needed to establish the role of proximal protection with flow-reversal using modern BGCs.Disclosures J. Cappuzzo: None. A. Monteiro: None. M. Waqas: None. A. Baig: None. D. Popoola: None. F. Almayman: None. W. Khawar: None. Z. Farkash: None. A. Siddiqui: 2; C; Amnis Therapeutics, Apellis Pharmaceuticals, Inc., Boston Scientific, Canon Medical Systems USA, Inc., Cardinal Health 200, LLC, Cerebrotech Medical Systems, Inc.,...
Source: Journal of NeuroInterventional Surgery - July 23, 2022 Category: Neurosurgery Authors: Cappuzzo, J., Monteiro, A., Waqas, M., Baig, A., Popoola, D., Almayman, F., Khawar, W., Farkash, Z., Siddiqui, A., Levy, E., Snyder, K. Tags: SNIS 19th annual meeting electronic poster abstracts Source Type: research

E-187 Pipeline embolization stent for treatment of giant supraclinoid aneurysms: a case series
ConclusionThe Pipeline embolization device is a novel technique that can be utilized for treatment of giant cerebrovascular aneurysms with emerging evidence of immediate and long-term success. Further patient enrollment and clinical trials will be required to assess its efficacy in comparison to other endovascular and surgical approaches for the treatment of giant aneurysms.Disclosures M. Fana: None. O. Alsrouji: None. M. Rehman: None.
Source: Journal of NeuroInterventional Surgery - July 23, 2022 Category: Neurosurgery Authors: Fana, M., Alsrouji, O., Rehman, M. Tags: SNIS 19th annual meeting electronic poster abstracts Source Type: research

O-052 The pennsylvania post-market multicenter experience with flow re-direction endoluminal device (FRED)
ConclusionThe results of the early post-market experience with the FRED device show reasonable safety and adequate aneurysmal occlusion rates comparable to other flow diverters. However, more extensive multicenter studies with more extended follow-up data are needed to assess the long-term safety and durability of the device.Abstract O-052 Table 1Baseline descriptive statistics Number of patients n=61 Gender Male 11 (18%) Female 50 (82%) Age (Years: median; IQR) 58 (51 – 68) Multiple Intracranial Aneurysms 21 (34.4%) Family history of aneurysms 9 (14.8%) Smoking History Never smokers 26 (42.6%) Past smokers 13 (21.3...
Source: Journal of NeuroInterventional Surgery - July 23, 2022 Category: Neurosurgery Authors: Salem, M., Kvint, S., Hendrix, P., Al Saiegh, F., Gajjar, A., Goren, O., Gross, B., Jabbour, P., Lang, M., Schirmer, C., Tjoumakaris, S., Griessenauer, C., Burkhardt, J. Tags: SNIS 19th annual meeting oral abstracts Source Type: research

Association of residual stenosis after balloon angioplasty with vessel wall geometries in intracranial atherosclerosis
Conclusions Lower NWI and NWTI of the target artery on high-resolution MR-VWI were associated with low residual stenosis in patients with ICAD after PTBA.
Source: Journal of NeuroInterventional Surgery - July 14, 2022 Category: Neurosurgery Authors: Hou, Z., Zhang, Z., Yan, L., You, J., Wan, M., Song, J., Pan, Y., Hui, F., Miao, Z., Lou, X., Wang, Y., Jing, J., Ma, N. Tags: Ischemic stroke Source Type: research

Prophylactic administration of tirofiban for preventing thromboembolic events in flow diversion treatment of intracranial aneurysms
Conclusions The current study suggested that prophylactic administration of tirofiban combined with conventional oral DAT seems safe and efficient for preventing TEs during FD treatment of unruptured intracranial aneurysms. Balloon angioplasty and prolonged procedure are associated with a high risk of TEs.
Source: Journal of NeuroInterventional Surgery - August 13, 2021 Category: Neurosurgery Authors: Wu, Q., Shao, Q., Li, L., Liang, X., Chang, K., Li, T., He, Y. Tags: Hemorrhagic stroke Source Type: research

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