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Active Reperfusion Hemorrhage during Thrombectomy: Angiographic Findings and Real-Time Correlation with the CT “Spot Sign”
Conclusions: Active reperfusion hemorrhage involving perforator arteries was observed to correlate with the CT “spot sign” and to be associated with poor outcomes.Intervent Neurol 2018;7:370 –377
Source: Interventional Neurology - June 8, 2018 Category: Neurology Source Type: research

Second-Generation Hydrogel Coils for the Endovascular Treatment of Intracranial Aneurysms Clinical Sciences
Conclusions—Our results suggest that endovascular coil embolization with second-generation hydrogel coils may reduce the rate of unfavorable outcome events in patients with small- and medium-sized intracranial aneurysms.Clinical Trial Registration—URL: https://www.drks.de/drks_web/. Unique identifier: DRKS00003132.
Source: Stroke - February 26, 2018 Category: Neurology Authors: Christian A. Taschner, Rene Chapot, Vincent Costalat, Paolo Machi, Patrick Courtheoux, Xavier Barreau, Jerome Berge, Laurent Pierot, Krzysztof Kadziolka, Betty Jean, Raphael Blanc, Alessandra Biondi, Herve Brunel, Sophie Gallas, Ansgar Berlis, Denis Herbr Tags: Cerebral Aneurysm, Cerebrovascular Procedures Original Contributions Source Type: research

Carotid stump syndrome treated with endovascular coiling: A rare cause of stroke in young patients
Anshu Mahajan, Biplab Das, Gaurav Goel, Arun Garg, Harsh SapraNeurology India 2018 66(1):228-229
Source: Neurology India - January 11, 2018 Category: Neurology Authors: Anshu Mahajan Biplab Das Gaurav Goel Arun Garg Harsh Sapra Source Type: research

Predictors of Outcome in Aneurysmal Subarachnoid Hemorrhage Patients Clinical Sciences
Background and Purpose—The mortality and morbidity after aneurysmal subarachnoid hemorrhage has improved because of better diagnosis, early treatment to secure the aneurysm, and better management of disease-specific complications. With these improvements in care, it is not clear if the previously identified independent predictors of a negative outcome have changed. The aim of this study was to identify the independent predictors of an unfavorable outcome (Glasgow Outcome Score 1, 2, and 3) in aneurysmal subarachnoid hemorrhage patients.Methods—Univariate and multivariate analysis of prospectively collected data on pati...
Source: Stroke - October 23, 2017 Category: Neurology Authors: James P. Galea, Louise Dulhanty, Hiren C. Patel Tags: Cerebral Aneurysm, Cerebrovascular Disease/Stroke Original Contributions Source Type: research

Optional Endovascular Therapy of Dissecting Posterior Cerebral Artery Aneurysm
We present here three cases collected from Maison Blanche Hospital (Intervention Neuroradiology Department, CHU Reims, France) during 2011-2012; they were females, at a young age and the affected side was on the right. The first case was affected at the P2-P3 segment, the aneurysm was fusiform in shape and she presented with ischemic stroke, while the second and third cases were affected at the P2 segment, the aneurysms being saccular in shape; one of them presented with subarachnoid hemorrhage with a history of migraine and the other patient presented with ischemic stroke. All of them had no history of trauma, hypertensio...
Source: Interventional Neurology - June 16, 2017 Category: Neurology Source Type: research

Safety of Eptifibatide in Subarachnoid Hemorrhage Patients Requiring Antiplatelet Agents. (P2.285)
Conclusions:Our results indicate that administering IV Eptifibatide to prevent thrombotic complications after endovascular coil embolization in selected patients with aneurysmal subarachnoid hemorrhage is safe. Multicenter prospective trials are warranted to corroborate our findings.Disclosure: Dr. Mehta has nothing to disclose. Dr. Song has nothing to disclose. Dr. DeCarvalho has nothing to disclose. Dr. Z Arango has nothing to disclose. Dr. Kulhari has nothing to disclose. Dr. Kirmani has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Mehta, S., Song, Y.-B., DeCarvalho, B., Arango, A. Z., Kulhari, A., Kirmani, J. F. Tags: Subarachnoid Hemorrhage, Intracranial Aneurysm, and Other Cerebrovascular Malformations Source Type: research

Trends and Predictors of Utilization of Endovascular Coiling vs Microsurgical Clipping of Ruptured Intracranial Aneurysms (P2.292)
Conclusions:Study highlights significant increase in utilization rates of coiling over the past eleven years for RIA in USA.Disclosure: Dr. Balasetti has nothing to disclose. Dr. Patel has nothing to disclose. Dr. Jani has nothing to disclose. Dr. To has nothing to disclose. Dr. Fessler has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Balasetti, V., Patel, U., Jani, V., To, C. Y., Fessler, R. Tags: Subarachnoid Hemorrhage, Intracranial Aneurysm, and Other Cerebrovascular Malformations Source Type: research

Endovascular treatment of pediatric intracranial aneurysms: A systematic review and meta-analysis (P2.295)
Conclusions:In general, pediatric patients who undergo endovascular treatment for intracranial aneurysms have a favorable prognosis and excellent survival. There are no differences between coiling, stent-assisted coiling, and flow diversion with respect to periprocedural complications and long-term outcomes.Disclosure: Dr. Bond has nothing to disclose. Dr. Bond has nothing to disclose. Dr. Ilorah has nothing to disclose. Dr. Kattah has received personal compensation for activities with Pfizer as a consultant. Dr. Kattah has received personal compensation in an editorial capacity as an editor for E-Medicine.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Bond, B., Bond, K., Ilorah, C., Kattah, J. Tags: Subarachnoid Hemorrhage, Intracranial Aneurysm, and Other Cerebrovascular Malformations Source Type: research

Hospital utilization, length stay and inhospital mortality in patients with subarachnoid hemorrhage among different racial groups (P2.300)
Conclusions:There are significant differences in hospital utilization, in hospital mortality, LOS and disposition among different racial groups. Interestingly minorities have higher utilization and lower inhospital mortality compared to Whites. Further studies needs to be warranted.Disclosure: Dr. Maud has nothing to disclose. Dr. Qureshi has nothing to disclose. Dr. Afzal has nothing to disclose. Dr. Qureshi has nothing to disclose. Dr. Piriyawat has nothing to disclose. Dr. Khatri has nothing to disclose. Dr. Rodriguez has nothing to disclose. Dr. Cruz-Flores has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Maud, A., Qureshi, M., Afzal, M.-R., Qureshi, I., Piriyawat, P., Khatri, R., Rodriguez, G., Cruz-Flores, S. Tags: Subarachnoid Hemorrhage, Intracranial Aneurysm, and Other Cerebrovascular Malformations Source Type: research

Diffusion Tensor Imaging of Corticospinal Tract Recovery after Intra-arterial Mesenchymal Stem Cell Infusion in a Canine Stroke Model (P1.266)
Conclusions:Serial DTI-DTT imaging after IA MSCs therapy in large animal stroke model appears to have a trend towards higher change in FA. These findings could support further development of DTI-DTT biomarkers to measure neurologic recovery in experimental models as well as early clinical trials of novel stroke therapies.Disclosure: Dr. Guada has nothing to disclose. Dr. Pattany has nothing to disclose. Dr. Ramdas has nothing to disclose. Dr. Atchaneeyasakul has nothing to disclose. Dr. Saigal has nothing to disclose. Dr. Yavagal has received personal compensation for activities with Medtronic and Guidepoint as a consultant.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Guada, L., Pattany, P., Ramdas, K., Atchaneeyasakul, K., Saigal, G., Yavagal, D. Tags: Genetic Stroke Syndromes, Biomarkers, and Translational/Basic Research Source Type: research

Development and Feasibility of a Canine Endovascular Reversible Middle Cerebral Artery Occlusion Stroke Model: a Novel anterior circulation approach (P1.267)
Conclusions:Here we report the successful development of an endovascular reversible MCAo model in the canine by an anterior circulation approach. A learning curve is seen in the successful implementation of this model, as shown by our results.Disclosure: Dr. Guada has nothing to disclose. Dr. Ramdas has nothing to disclose. Dr. Atchaneeyasakul has nothing to disclose. Dr. Watanabe has nothing to disclose. Dr. Sidani has nothing to disclose. Dr. Yavagal has received personal compensation for activities with Medtronic and Guidepoint as a consultant.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Guada, L., Ramdas, K., Atchaneeyasakul, K., Watanabe, M., Sidani, C., Yavagal, D. Tags: Genetic Stroke Syndromes, Biomarkers, and Translational/Basic Research Source Type: research

Stent salvage for coil protrusion of ruptured intracranial aneurysm
We report endovascular stent deployment specifically to treat this complication.
Source: Journal of Stroke and Cerebrovascular Diseases - March 18, 2017 Category: Neurology Authors: Dong-Jun Lim, Sung-Won Jin, Sung-Kon Ha, Won-Hyoung Kim Source Type: research

Innovations in Endovascular Treatment Strategies for Large Carotid Cavernous Aneurysms —The Safety and Efficacy of a Flow Diverter
The efficacy for the treatment of large carotid cavernous aneurysms (CCAs) was compared between conventional endovascular treatments, stent-assisted coiling (SAC), parent artery occlusion (PAO), and the flow diverter (FD).
Source: Journal of Stroke and Cerebrovascular Diseases - February 23, 2017 Category: Neurology Authors: Shigeru Miyachi, Hiroyuki Ohnishi, Ryo Hiramatsu, Takashi Izumi, Noriaki Matsubara, Toshihiko Kuroiwa Source Type: research

Stable incidence but declining case-fatality rates of subarachnoid hemorrhage in a population
Conclusions: Although the incidence of SAH remained stable in this population-based region, 5-day, 30-day, and 90-day case-fatality rates declined significantly. Advances in surgical and medical management, along with systems-based changes such as the emergence of neurocritical care units, are potential explanations for the reduced case-fatality.
Source: Neurology - November 20, 2016 Category: Neurology Authors: Mackey, J., Khoury, J. C., Alwell, K., Moomaw, C. J., Kissela, B. M., Flaherty, M. L., Adeoye, O., Woo, D., Ferioli, S., De Los Rios La Rosa, F., Martini, S., Khatri, P., Broderick, J. P., Zuccarello, M., Kleindorfer, D. Tags: Outcome research, Subarachnoid hemorrhage ARTICLE Source Type: research

Blood Flow Into Basilar Tip Aneurysms: A Predictor for Recanalization After Coil Embolization Clinical Sciences
Conclusions— The proportion of the aneurysmal inflow rate to the basilar artery flow rate, influenced by the basilar bifurcation configuration, was an independent and significant predictor for recanalization after coil embolization in basilar tip aneurysms.
Source: Stroke - September 25, 2016 Category: Neurology Authors: Sugiyama, S.-i., Niizuma, K., Sato, K., Rashad, S., Kohama, M., Endo, H., Endo, T., Matsumoto, Y., Ohta, M., Tominaga, T. Tags: Cerebral Aneurysm, Cerebrovascular Procedures Clinical Sciences Source Type: research

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