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Intracranial hematoma following ruptured anterior communicating artery aneurysms: risk factors, outcome, and prognostic factors after management of coiling first
Conclusion A posterior orientation of ruptured AcomA aneurysms was associated with the incidence of ICHs. Coiling first with surgical management if necessary seems to be an acceptable treatment for ruptured AcomA aneurysms with ICHs. The clinical outcome was associated with the clinical neurological status on admission.
Source: Journal of NeuroInterventional Surgery - April 19, 2022 Category: Neurosurgery Authors: Ni, H., Zhao, L.-B., Liu, S., Jia, Z.-Y., Cao, Y.-Z., Shi, H.-B. Tags: Hemorrhagic stroke Source Type: research

Basilar artery trunk aneurysm: clinical and angiographic outcomes of endovascular treatment
Conclusions EVT might be a feasible option for this rare disease entity. Unfavorable angiographic outcome might be expected in a large/giant aneurysm or a long lesion. It can be difficult to treat BA trunk aneurysms by EVT, needing multiple procedures or various techniques due to diverse clinical and angiographic features.
Source: Journal of NeuroInterventional Surgery - February 16, 2022 Category: Neurosurgery Authors: Sim, S. Y., Chung, J., Choi, J. H., Kim, M. J., Shin, Y. S., Lim, Y. C. Tags: Hemorrhagic stroke Source Type: research

Endovascular treatment of vertebral artery dissecting aneurysms : a 20-year institutional experience
Conclusion Endovascular FDD treatment of VADAs appears to be associated with lower retreatment and complication rates than stenting/coiling, although further study is required for confirmation. Endovascular treatment of unruptured VADAs was safe and was associated with favorable angiographic and neurological outcomes.
Source: Journal of NeuroInterventional Surgery - February 16, 2022 Category: Neurosurgery Authors: Catapano, J. S., Ducruet, A. F., Cadigan, M. S., Farhadi, D. S., Majmundar, N., Nguyen, C. L., Baranoski, J. F., Cole, T. S., Wilkinson, D. A., Fredrickson, V. L., Srinivasan, V. M., Albuquerque, F. C. Tags: Hemorrhagic stroke Source Type: research

Periprocedural safety of saccular aneurysm embolization with the Penumbra SMART Coil System: a SMART registry subset analysis
Conclusion The low rates of thromboembolic complications and RRP events demonstrate the adequate safety profile of the SMART Coil System to treat cerebral aneurysms in routine clinical practice. Trial registration number NCT02729740.
Source: Journal of NeuroInterventional Surgery - January 18, 2022 Category: Neurosurgery Authors: Starke, R. M., Park, M. S., Bellon, R., Bohnstedt, B., Schirmer, C. M., De Leacy, R., Fiorella, D., Yoo, A. J., Spiotta, A. M., On behalf of the SMART Registry Investigators Tags: Open access, Hemorrhagic stroke Source Type: research

Immediate post-operative aneurysm occlusion after endovascular treatment of intracranial aneurysms with coiling or balloon-assisted coiling in a prospective multicenter cohort of 1189 patients: Analysis of Recanalization after Endovascular Treatment of intracranial Aneurysm (ARETA) Study
Conclusions Immediately after aneurysm coiling, including BAC, adequate aneurysm occlusion was obtained in 92.2%. Age <70 years, aneurysm size <10 mm, and narrow neck were factors associated with adequate occlusion. Trial registration number NCT01942512, http://www.clinicaltrials.gov.
Source: Journal of NeuroInterventional Surgery - September 15, 2021 Category: Neurosurgery Authors: Pierot, L., Barbe, C., Herbreteau, D., Gauvrit, J.-Y., Januel, A.-C., Bala, F., Ricolfi, F., Desal, H., Velasco, S., Aggour, M., Chabert, E., Sedat, J., Trystram, D., Marnat, G., Gallas, S., Rodesch, G., Clarencon, F., Papagiannaki, C., White, P., Spelle, Tags: Hemorrhagic stroke Source Type: research

EP12 pCONUS 2 HPC in the treatment of wide necked intracranial aneurysms- medium term results
Conclusions pCONUS 2 and pCONUS 2-HPC have good medium-term safety profiles with no procedure-related mortality and acceptable morbidity. Good occlusion rates was noted at 6-months (85.7%) and 2 years (87.5%).ReferencesAguilar-Pérez M, Kurre W, Fischer S, Bäzner H, Henkes H. Coil occlusion of wide-neck bifurcation aneurysms assisted by a novel intra-to extra-aneurysmatic neck-bridging device (pCONus): initial experience. American Journal of Neuroradiology 2014;35(5):965–971.Phenox GmbH, 2018. pCONUS bifurcation aneurysm implant instructions for use. [Online]. [Accessed 17/05/2020]. Available from: base...
Source: Journal of NeuroInterventional Surgery - August 24, 2021 Category: Neurosurgery Authors: Yeomans, J., Sastry, A. Tags: Haemorrhagic Source Type: research

EP13 pCONUS-2 HPC in the treatment of ruptured wide necked intracranial aneurysms with single antiplatelet use- short term results
Conclusions pCONUS 2-HPC with single antiplatelet loading dose is feasible with no immediate complications in our series.ReferencePhenox GmbH, 2018. pCONUS bifurcation aneurysm implant instructions for use. [Online]. [Accessed 17/05/2020]. Available from: base.euro-pharmat.com/PDF/15004–43521–8.pdfDisclosureNothing to disclose
Source: Journal of NeuroInterventional Surgery - August 24, 2021 Category: Neurosurgery Authors: Yeomans, J., Sastry, A. Tags: Haemorrhagic Source Type: research

E-100 Endovascular management of refractory nasopharyngeal and oropharyngeal bleeding: Case series
ConclusionEndovascular treatment of oronasal bleeding is safe and effective at achieving hemostasis but associated with an 18.2% rebleeding rate.Disclosures H. Hoffman: None. G. Gould: None.
Source: Journal of NeuroInterventional Surgery - July 26, 2021 Category: Neurosurgery Authors: Hoffman, H., Gould, G. Tags: Electronic poster abstracts Source Type: research

E-035 Safety and Efficacy of Stent-Assisted Coiling of Ruptured Wide Neck Aneurysms in Comparison to Balloon Assisted Coiling in Acute Subarachnoid Hemorrhage
ConclusionIn this study, we observed that SAC is as safe as BAC for acute treatment of RWA, with better aneurysm occlusion rates, less re-treatment and without an increase in hemorrhagic complications. Further studies are warranted to validate these findings in a prospective randomized manner before widespread application in the management of patients with acute aneurysmal subarachnoid hemorrhage.Disclosures S. Dandapat: None. A. Wallace: None. G. Lopez: None. Y. Kayan: None. A. Mendez Ruiz: None. A. Copelan: None. A. Dajles: None. A. Mendez Ruiz: None. C. Zevallos: None. D. Quispe-Orozco: None. M. Farooqui: None. J. Delga...
Source: Journal of NeuroInterventional Surgery - July 26, 2021 Category: Neurosurgery Authors: Dandapat, S., Wallace, A., Lopez, G., Kayan, Y., Mendez Ruiz, A., Copelan, A., Dajles, A., Mendez Ruiz, A., Zevallos, C., Quispe-Orozco, D., Farooqui, M., Delgado Almandoz, J., Ortega-Gutierrez, S. Tags: Electronic poster abstracts Source Type: research

Single-stage endovascular treatment of multiple intracranial aneurysms with combined endovascular techniques: is it safe to treat all at once?
Conclusions Single-stage endovascular treatment of multiple aneurysms with combined endovascular techniques is technically feasible and increases the treatment possibility of all detected aneurysms. However, the safety of the procedure is controversial due to relatively high complication rates. In particular, in patients with bilateral internal carotid artery aneurysms, staged therapy may be used instead of simultaneous treatment with flow diverters to avoid thromboembolic events.
Source: Journal of NeuroInterventional Surgery - October 13, 2017 Category: Neurosurgery Authors: Andic, C., Aydemir, F., Kardes, O., Gedikoglu, M., Akin, S. Tags: Hemorrhagic stroke Source Type: research

Efficacy of endovascular treatment and feasibility of stent-assisted coiling in the presence of severe and symptomatic vasospasm
Conclusions Endovascular treatment of intracranial aneurysms during severe and symptomatic vasospasm is safe and effective. Stent-assisted coiling in the presence of severe vasospasm is also feasible in wide-necked aneurysms with the additional benefits of mechanical vasodilation.
Source: Journal of NeuroInterventional Surgery - October 13, 2017 Category: Neurosurgery Authors: Andic, C., Kardes, O., Durdag, E., Gedikoglu, M., Akin, S. Tags: Hemorrhagic stroke Source Type: research

Initial experience with SOFIA as an intermediate catheter in mechanical thrombectomy for acute ischemic stroke
Conclusions Mechanical and aspiration thrombectomy with SOFIA is safe and effective with high revascularization rates. Its trackability, stability, and luminal size make SOFIA suitable for stroke intervention.
Source: Journal of NeuroInterventional Surgery - October 13, 2017 Category: Neurosurgery Authors: Wong, J. H. Y., Do, H. M., Telischak, N. A., Moraff, A. M., Dodd, R. L., Marks, M. P., Ingle, S. M., Heit, J. J. Tags: New devices Source Type: research

Stroke prevention by endovascular treatment of carotid and vertebral artery dissections
Conclusions Patients with CAD and VAD differ significantly in presentation, indications for treatment, and treatment methods. Endovascular treatment of CAD and VAD has low procedural morbidity and is associated with a low incidence of future stroke.
Source: Journal of NeuroInterventional Surgery - September 12, 2017 Category: Neurosurgery Authors: Moon, K., Albuquerque, F. C., Cole, T., Gross, B. A., McDougall, C. G. Tags: Ischemic stroke Source Type: research

E-027 Matricidal cavernous aneurysms: a multicenter case series
Conclusion Matricidal aneurysms require careful consideration and planning. The restricted anatomy of the cavernous sinus can make successful execution of endovascular interventions difficult. Direct elastic compression of the parent artery does not respond to angioplasty and stenting the way that atherosclerotic stenosis does. Because of this, planning for possible parent vessel sacrifice is important. Abstract E-027 Table 1 Intended Treatments and Outcomes n Intended Treatment Failed Treatment (rate) All Patients 37 10 (27%) Flow Diversion 18 5 (28%) Parent Vessel Sacrifice 11 With Bypass 4 2 (50%) Without Bypass 7 0 ...
Source: Journal of NeuroInterventional Surgery - July 23, 2017 Category: Neurosurgery Authors: Roberts, M., Nickele, C., Welch, B., Ban, V., Ringer, A., Kim, L., Levitt, M., Lanzino, G., Kan, P., Shallwani, H., Siddiqui, A., Elijovich, L., Arthur, A. Tags: Electronic Poster Abstracts Source Type: research

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