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Direct puncture of the superior ophthalmic vein for carotid cavernous fistulas: a 21-year experience
Conclusion Direct SOV cannulation to treat CCFs is safe and effective. Although it is typically used after other endovascular approaches have failed, SOV access for CCF treatment may be warranted as a first-line treatment for select patients.
Source: Journal of NeuroInterventional Surgery - September 15, 2023 Category: Neurosurgery Authors: Catapano, J. S., Srinivasan, V. M., De La Pena, N. M., Singh, R., Cole, T. S., Wilkinson, D. A., Baranoski, J. F., Rutledge, C., Pacult, M. A., Winkler, E. A., Jadhav, A. P., Ducruet, A. F., Albuquerque, F. C. Tags: Hemorrhagic stroke Source Type: research

Relationship between cerebral vasospasm vascular territory and functional outcome after aneurysmal subarachnoid hemorrhage
Conclusions In aneurysmal SAH, left-sided vasospasm is associated with worse discharge functional status. At 6 months, both ACA and BA vasospasm are associated with unfavorable functional status.
Source: Journal of NeuroInterventional Surgery - September 15, 2023 Category: Neurosurgery Authors: Cole, T. S., Rudy, R. F., Faridmoayer, E., Gandhi, S., Cavallo, C., Catapano, J. S., Jadhav, A. P., Lawton, M. T., Albuquerque, F. C., Ducruet, A. F. Tags: Hemorrhagic stroke Source Type: research

Endovascular treatment of wide-necked intracranial aneurysms using the Nautilus Intrasaccular System: initial case series of 41 patients at a single center
Conclusion This study demonstrates good safety and effectiveness using the Nautilus Intrasaccular System to treat both ruptured and unruptured intracranial aneurysms. Larger studies are needed to confirm these findings.
Source: Journal of NeuroInterventional Surgery - September 15, 2023 Category: Neurosurgery Authors: Sirakov, A., Bhogal, P., Sirakova, K., Penkov, M., Minkin, K., Ninov, K., Hristov, H., Hadzhiyanev, A., Karakostov, V., Sirakov, S. Tags: Open access, New devices New devices and techniques Source Type: research

Preprocedural determination of an occlusion pathomechanism in endovascular treatment of acute stroke: a machine learning-based decision
Conclusions An ML-PM could accurately determine an occlusion pathomechanism with common preprocedural findings. A decision flowchart consisting of the four most influential findings was clinically applicable and superior to single common preprocedural findings for determining an occlusion pathomechanism.
Source: Journal of NeuroInterventional Surgery - August 29, 2023 Category: Neurosurgery Authors: Baek, J.-H., Kim, B. M., Kim, D. J., Heo, J. H., Nam, H. S., Kim, Y. D., Rho, M. H., Chung, P.-W., Won, Y. S., Chung, Y. Tags: Ischemic stroke Source Type: research

Stroke imaging modality for endovascular therapy in the extended window: systematic review and meta-analysis
Conclusions Our study suggests that, in anterior circulation LVO, the rates of functional independence may be similar when patients are selected using ADVI or NCCT for EVT in the extended time window. A simplified triage protocol does not seem to increase mortality or sICH. Protocol registration number (PROSPERO ID: CRD42021236092).
Source: Journal of NeuroInterventional Surgery - August 29, 2023 Category: Neurosurgery Authors: Sequeiros, J. M., Rodriguez-Calienes, A., Chavez-Malpartida, S. S., Moran-Marinos, C., Alvarado-Gamarra, G., Malaga, M., Quincho-Lopez, A., Hernadez-Fernandez, W., Pacheco-Barrios, K., Ortega-Gutierrez, S., Hoit, D., Arthur, A. S., Alexandrov, A. V., Alva Tags: Ischemic stroke Source Type: research

P064/122 Treatment of intracranial aneurysms with flow diversion in a real-world scenario - 10-year single center cohort
ConclusionOur series suggests that treatment with FD is feasible in a wide spectrum of cases, including aneurysms in different locations, sizes and morphology, ruptured and non-ruptured, reflecting a real-world scenario. Although available devices may differ, they seem to demonstrate comparable and adequate safety and effectiveness.Disclosure of InterestNothing to disclose
Source: Journal of NeuroInterventional Surgery - August 21, 2023 Category: Neurosurgery Authors: Maia, C., Cruz, L., Alves, M., Pamplona, J., Carvalho, R., Baptista, M., Camara, C. P. D., Pinheiro, C., Papoila, A., Lopes Dos Reis, J. J., Fragata, I. Tags: 1.1 HAEMORRHAGIC - Aneurysms Source Type: research

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

P077/180 Silk vista baby flow diverter stent for unruptured distal brain aneurysms: a Brazilian retrospective observational study
ConclusionThe SVB has high rates of technical success and an acceptable safety profile. Distal aneurysms may occlude slower due to relative oversizing of the devices and coils could help to improve the occlusion rate.Disclosure of InterestNothing to disclose
Source: Journal of NeuroInterventional Surgery - August 21, 2023 Category: Neurosurgery Authors: Silva, J. M., Soares, G. M., Altikes, M., Junior, J. P., Coelho, A., Rezende, A. Tags: 1.1 HAEMORRHAGIC - Aneurysms Source Type: research

P089/268 Safety and efficacy of the fourth-generation Acandis Acclino Flex Plus stent in managing complex intracranial aneurysms
ConclusionThe AFP stent demonstrated feasibility and favourable safety and efficacy in the treatment of complex aneurysms. These results support its clinical use and highlight the need for further studies to evaluate its performance in different aneurysm subsets and to determine its specific role in the endovascular treatment of aneurysms.Disclosure of InterestCK serves as consultants for Acandis GmbH (Pforzheim, Germany) and proctor for MicroVention Inc./Sequent Medical (Aliso Viejo, CA, USA). David Zopfs is on the speaker’s bureau of Philips (Amsterdam, the Netherlands) and lecturer for Amboss GmbH (Cologne, Germany).
Source: Journal of NeuroInterventional Surgery - August 21, 2023 Category: Neurosurgery Authors: Goertz, L., Zopfs, D., Schönfeld, M., Schlamann, M., Kabbasch, C. Tags: 1.1 HAEMORRHAGIC - Aneurysms Source Type: research

O06/60 Diagnosis of intracranial atherosclerosis related large vessel occlusion before endovascular treatment
ConclusionA combination of clinical and radiological variables available before EVT can accurately predict the presence of an ICAD-LVO. The ICAD-Scale could be useful to perform a rapid assessment of underlying etiology and suggest specific pathophysiology-based measures (adjunctive pharmacological treatment, angioplasty and/or intracranial stenting).Disclosure of InterestDr Molina reported receiving personal fees from AstraZeneca for consultant services outside the submitted work. Dr Tomasello reported receiving personal fees from Anaconda Biomed, Balt, Medtronic, Perflow, and Stryker outside the submitted work. Dr Ribo r...
Source: Journal of NeuroInterventional Surgery - August 21, 2023 Category: Neurosurgery Authors: Rodrigo-Gisbert, M., Garcia-Tornel, A., Requena, M., Rubiera, M., Lascuevas, M. D. D., Olive, M., Pinana, C., Rizzo, F., Muchada, M., Rodriguez-Villatoro, N., Rodriguez-Luna, D., Juega, J., Pagola, J., Hernandez, D., Molina, C. A., Tomasello, A., Ribo, M. Tags: 2.2 ISCHEMIC - Imaging Source Type: research

O16/158 Artificial Intelligence based nationwide centralised decision supporting system for improving stroke case efficiency in Hungary
ConclusionUsing AI based centralized stroke imaging network fast and reliable decision support can be provided to a large nationwide stroke care system. The system was installed with the support of an EU grant EFOP 5.2.6.Disclosure of InterestIstvan Szikora has a consulting agreement with Brainomix Ltd.Zoltan Chadaide is a former employee of Brainomix Ltd.Edvard Benes is owner and CEO of eRAD-BBThe system was built by the support of an EU grant EFOP 5.2.6.The other authors have no relevant conflict of interest.
Source: Journal of NeuroInterventional Surgery - August 21, 2023 Category: Neurosurgery Authors: Szikora, I., Magyar, B., Papai, G., Szudi, G., Kondor, M., Czencz, M., Nardai, S., Chadaide, Z., Benes, E., Ovary, C., Eross, L. Tags: 2.2 ISCHEMIC - Imaging Source Type: research

O23/195 Safety and effectiveness of SOFIA/SOFIA PLUS for direct aspiration as first-line treatment in patients with acute anterior ischemic stroke: results from the prospective, multicentric SESAME study
ConclusionPrimary aspiration with SOFIA catheter offers a safe and effective choice of therapy for the treatment of large vessel occlusions of the anterior circulation.Disclosure of InterestMM: grants/grants pending from MicroVention, money paid to the institution; SB: nothing to disclose; JF: nothing to disclose; GM: nothing to disclose; AP: nothing to disclose; AB: nothing to disclose; MS: nothing to disclose; RB: nothing to disclose; FC: nothing to disclose; MB: nothing to disclose; UN: nothing to disclose.
Source: Journal of NeuroInterventional Surgery - August 21, 2023 Category: Neurosurgery Authors: Moehlenbruch, M. A., Bonekamp, S., Fiehler, J., Marnat, G., Pitrone, A., Ansgar, B., Sonnberger, M., Bokkers, R. P., Clarencon, F., Bendszus, M., Neuberger, U. Tags: 2.3 ISCHEMIC - Treatment Source Type: research

P010/89 Endovascular treatment of carotid petrous segment giant saccular aneurysm presented with cerebral ischemia
ConclusionEndovascular treatment using flow diverter with additional coiling seems to be the first choice of treatment in selected patients with petrous segment carotid aneurysms.Disclosure of InterestNothing to disclose
Source: Journal of NeuroInterventional Surgery - August 21, 2023 Category: Neurosurgery Authors: Lazovic, L., Alsarraf, L., Andrejevic, A., Bosnjakovic, P. Tags: 4.3 CASE PROPOSAL - Acute ischemic stroke Source Type: research

P040/41 Imaging study in stroke diagnosis and treatment in a referral center Chile
ConclusionAs a conclusion, different topics of obtaining and observing images in Stroke are obtained. Either CT, MRA, Cerebral Angiography. Both nurses and technicians should know some generalities and topics of nomenclature, neuroanatomy, general and specific characteristics of each of the imaging techniques that we want to share for this ETMINT 2023 seminar.Disclosure of InterestNothing to disclose
Source: Journal of NeuroInterventional Surgery - August 21, 2023 Category: Neurosurgery Authors: Nunez, F. B. Tags: 4. Ischemic stroke Source Type: research

P041/42 Imaging study in stroke diagnosis and treatment in a referral center in Chile
ConclusionAs a conclusion, different topics of obtaining and observing images in Stroke are obtained. Either CT, MRA, Cerebral Angiography. Both nurses and technicians should know some generalities and topics of nomenclature, neuroanatomy, general and specific characteristics of each of the imaging techniques that we want to share for this ETMINT 2023 seminar.Disclosure of InterestNothing to disclose
Source: Journal of NeuroInterventional Surgery - August 21, 2023 Category: Neurosurgery Authors: Nunez, F. B. Tags: 4. Ischemic stroke Source Type: research

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