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Groin complications in endovascular mechanical thrombectomy for acute ischemic stroke: a 10-year single center experience
Conclusions These findings suggest that concerns for groin complications should not preclude the use of BGCs and large-bore sheaths in mechanical thrombectomy for acute ischemic stroke.
Source: Journal of NeuroInterventional Surgery - May 12, 2016 Category: Neurosurgery Authors: Shah, V. A., Martin, C. O., Hawkins, A. M., Holloway, W. E., Junna, S., Akhtar, N. Tags: Open access, Ischemic stroke Source Type: research

O-035 The Dotter Technique Revisited: Early Experience using this Technique for Treating Tandem Lesions in Acute Stroke
Conclusion The Dotter Stroke technique is a safe alternative to carotid stenting, and may be useful in patients at increased risk for haemorrhage. In this small series, a post-Dotter stenosis >75% is associated with re-occlusion, and stenting should be performed to prevent re-occlusion. No re-occlusion was identified at 30 days with post-Dotter stenosis <= 65%. Disclosures B. Woodward: None. E. Nyberg: None. S. Wegryn: None.
Source: Journal of NeuroInterventional Surgery - July 26, 2014 Category: Neurosurgery Authors: Woodward, B., Nyberg, E., Wegryn, S. Tags: Oral abstracts Source Type: research

Endovascular reconstruction for progressively worsening carotid artery dissection
Conclusions Endovascular stent reconstruction for the treatment of selected patients with progressively worsening carotid dissection despite medical management is feasible with acceptable immediate and long-term clinical and radiographic outcomes. To be able to draw more robust conclusions, further evaluation with larger number of patients and longer follow-up is needed.
Source: Journal of NeuroInterventional Surgery - December 11, 2014 Category: Neurosurgery Authors: Asif, K. S., Lazzaro, M. A., Teleb, M. S., Fitzsimmons, B.-F., Lynch, J., Zaidat, O. Tags: Ischemic stroke Source Type: research

Endovascular thrombectomy in the setting of aortic dissection
Conclusions These three cases suggest that endovascular thrombectomy is feasible and can be done safely and efficaciously in patients with aortic dissections and those with Marfan syndrome, although the risks and benefits should be considered as part of any decision-making process. Given that endovascular therapy for acute stroke is now in many situations part of standard care, further studies will be necessary to delineate more precise inclusion and exclusion criteria.
Source: Journal of NeuroInterventional Surgery - December 13, 2016 Category: Neurosurgery Authors: Reznik, M. E., Espinosa-Morales, A. D., Jumaa, M. A., Zaidi, S., Ducruet, A. F., Jadhav, A. P. Tags: Ischemic stroke Source Type: research

E-124 Timing surgery and hemorrhagic complications in endocarditis with concomitant cerebral complications
ConclusionsPatients with radiographic evidence of ischemic stroke from septic emboli can safely undergo valvular surgery for IE without increased risk of symptomatic hemorrhage. We advocate for baseline CTA screening to evaluate for IIA in patients who present with a primary diagnosis of IE and propose a management algorithm.Disclosures B. Lucke-Wold: None.
Source: Journal of NeuroInterventional Surgery - July 23, 2022 Category: Neurosurgery Authors: Lucke-Wold, B. Tags: SNIS 19th annual meeting electronic poster abstracts Source Type: research

Stenting the carotid artery from radial access using a Simmons guide catheter
Conclusion Transradial carotid stenting using the described lower profile technique provides another effective option in the array of surgical procedures for the treatment of carotid artery stenosis. Relative procedural and fluoroscopy times may initially be longer compared with transfemoral carotid stenting for experienced CAS operators, although absolute differences are small.
Source: Journal of NeuroInterventional Surgery - January 18, 2022 Category: Neurosurgery Authors: Heck, D., Jost, A., Howard, G. Tags: New devices New devices and techniques Source Type: research

E-108 Ruptured intracranial aneurysm presenting as isolated acute subdural hemorrhage
ConclusionIn rare cases, ruptured intracranial aneurysms can be associated with isolated subdural hemorrhage. Common treatment options include endovascular coiling and microsurgical clipping. However, endovascular repair is often preferred especially when the patient may not be able to tolerate a surgical procedure, as was the case with this patient. In this case, the patient presented with stroke-like symptoms and was found to have a subdural hemorrhage. After emergent craniotomy to evacuate the hematoma, successful endovascular coiling was performed, and the patient was stabilized for further management>Disclosures D....
Source: Journal of NeuroInterventional Surgery - July 23, 2022 Category: Neurosurgery Authors: Babici, D., Johansen, P., Newman, S., Packer, E., Snelling, B. Tags: SNIS 19th annual meeting electronic poster abstracts Source Type: research

Is aneurysm repair justified for the patients aged 80 or older after aneurysmal subarachnoid hemorrhage?
Conclusions Better prognosis was obtained when ruptured aneurysm was repaired in the elderly than it was treated conservatively. From the results of this study, we should not hesitate to offer the definitive surgery for the elderly with aSAH.
Source: Journal of NeuroInterventional Surgery - October 7, 2014 Category: Neurosurgery Authors: Sadamasa, N., Koyanagi, M., Fukuda, H., Chin, M., Handa, A., Yamagata, S. Tags: Hemorrhagic stroke Source Type: research

Early results of the Axium MicroFX for Endovascular Repair of IntraCranial Aneurysm (AMERICA) study: a multicenter prospective observational registry
Conclusions This prospective study of Axium MicroFX coils demonstrates excellent aneurysm occlusion rates. 52% of aneurysms were completely occluded post-procedure. Within the ruptured aneurysm group, post-procedure occlusion rates were 63.6%. Major AE rates were consistent with historical data.
Source: Journal of NeuroInterventional Surgery - August 6, 2014 Category: Neurosurgery Authors: Fargen, K. M., Blackburn, S., Carpenter, J. S., Jabbour, P., Mack, W. J., Rai, A. T., Siddiqui, A. H., Turner, R. D., Mocco, J. Tags: Hemorrhagic stroke Source Type: research

P-008 Loading Doses of Aspirin and Clopidogrel Prior to Enterprise Stent-assisted Repair of Intracranial Aneurysm-A Single Center Experience
Conclusions Using loading doses of aspirin and clopidogrel in Enterprise stent-assisted repair of intracranial aneurysm is not only safe and feasible but associated with good clinical outcome. Therefore, loading doses of aspirin and clopidogrel is an alternative option for patients who are candidates for stent-assisted repair of intracranial aneurysm. Disclosures Y. Lodi: None. V. Reddy: None. A. Devasenapathy: None. J. Chou: None. K. Shehades: None. K. Sethi: None. D. Galyon: None. S. Bajwa: None.
Source: Journal of NeuroInterventional Surgery - July 26, 2014 Category: Neurosurgery Authors: Lodi, Y., Reddy, V., Devasenapathy, A., Chou, J., Shehades, K., Sethi, K., Galyon, D., Bajwa, S. Tags: Oral poster abstracts Source Type: research

E-007 Unusual Two Cases of Dissecting Cervical Internal Carotid Artery Pseudo-aneurysm with Symptomatic Intracranial Aneurysm
Conclusions In the evaluation of suspected intracranial aneurysm who present with headache with neck pain, a catheter cerebral angiogram not only will clearly define the correct morphology of intracranial aneurysm but also will appropriately identify the presence of life threatening cervical ICA abnormalities. Additionally, presence of an unusual cervical ICA anatomy with DP may warrant further evaluation of intracranial blood vessel of same territory. Using endovascular strategies, both extracranial and intracranial DP could be treated. However, long-term follow-up and outcome is unknown. Further studies are required. Di...
Source: Journal of NeuroInterventional Surgery - July 26, 2014 Category: Neurosurgery Authors: Lodi, Y., Reddy, V., Devasenapathy, A., Chou, J., Shehades, K., Sethi, K., Galyon, D., Bajwa, S. Tags: Electronic poster abstracts Source Type: research

E-009 Dissecting Ruptured and Symptomatic Intracranial Pseudo-aneurysm who Underwent Endovascular Repair-A Case Series
Conclusions Our series demonstrates that dissecting intracranial aneurysm is predominantly present in the Petro-Cavernous junction of the ICA. Most of them could be treated successfully with good clinical outcome using stent-assisted coiling, stent-remodeling or primary coiling. However, the recurrence rate is extremely common; therefore close early follow-up is necessary for all cases especially those located in Petro-cavernous junction of the ICA. Further long-term follow-up study is required. Disclosures Y. Lodi: None. V. Reddy: None. A. Devasenapathy: None. J. Chou: None. K. Shehades: None. K. Sethi: None. D. Galyon: ...
Source: Journal of NeuroInterventional Surgery - July 26, 2014 Category: Neurosurgery Authors: Lodi, Y., Reddy, V., Devasenapathy, A., Chou, J., Shehades, K., Sethi, K., Galyon, D., Bajwa, S. Tags: Electronic poster abstracts Source Type: research

Final results of the multicenter, prospective Axium MicroFX for Endovascular Repair of IntraCranial Aneurysm Study (AMERICA)
Conclusions In this prospective, multicenter series of 100 aneurysms treated with Axium MicroFX PGLA (polyglycolic/polylactic acid) coils, 3–6 month angiographic occlusion and clinical outcomes were excellent. This study suggests that Axium MicroFX PGLA coils are safe and effective in the treatment of intracranial aneurysms.
Source: Journal of NeuroInterventional Surgery - December 11, 2014 Category: Neurosurgery Authors: Fargen, K. M., Blackburn, S., Deshaies, E. M., Carpenter, J. S., Jabbour, P., Mack, W. J., Rai, A. T., Siddiqui, A. H., Turner, R. D., Mocco, J. Tags: Hemorrhagic stroke Source Type: research

Use of thromboelastography to tailor dual-antiplatelet therapy in patients undergoing treatment of intracranial aneurysms with the Pipeline embolization device
Conclusions Platelet function testing with TEG altered our DAT induction strategy in a significant number of cases. No hemorrhagic or disabling thromboembolic complications were seen in this series. Future studies should compare methods of platelet function testing and, possibly, no platelet function testing in neurovascular patients undergoing flow diversion and/or stent-assisted treatment of intracranial aneurysms.
Source: Journal of NeuroInterventional Surgery - May 14, 2015 Category: Neurosurgery Authors: McTaggart, R. A., Choudhri, O. A., Marcellus, M. L., Brennan, T., Steinberg, G. K., Dodd, R. L., Do, H. M., Marks, M. P. Tags: Hemorrhagic stroke Source Type: research

O-027 the barrel vrd™ vascular reconstruction device for the treatment of wide-neck bifurcation aneurysms
ConclusionsThe results demonstrate that the Barrel VRD device is new, effective tool for the endovascular treatment of wide neck bifurcation aneurysms. The main advantage of the Barrel VRD™ is to avoid the use of 2 stents in a Y-configuration for bifurcation aneurysm neck reconstruction.DisclosuresM. Piotin: 2; C; Covidien, Microvention, Stryker. 4; C; Lazarus Effect. J. Berge: None. F. Turjman: None. R. Blanc: None.
Source: Journal of NeuroInterventional Surgery - July 26, 2015 Category: Neurosurgery Authors: Piotin, M., Berge, J., Turjman, F., Blanc, R. Tags: SNIS 12th Annual Meeting Oral Abstracts Source Type: research

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