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Variability in Outcome After Elective Cerebral Aneurysm Repair in High-Volume Academic Medical Centers Clinical Sciences
Conclusions— There is notable interhospital heterogeneity in outcomes among even the largest volume unruptured intracranial aneurysm referral centers. Although further regionalization may be needed, mandatory participation in prospective, adjudicated registries will be necessary to reliably identify factors associated with superior outcomes.
Source: Stroke - April 28, 2014 Category: Neurology Authors: Zacharia, B. E., Bruce, S. S., Carpenter, A. M., Hickman, Z. L., Vaughan, K. A., Richards, C., Gold, W. E., Lu, J., Appelboom, G., Solomon, R. A., Connolly, E. S. Tags: Health policy and outcome research, Cerebral Aneurysm, AVM, & Subarachnoid hemorrhage Clinical Sciences Source Type: research

Extensive Proximal Migration of Posterior Communicating Artery Aneurysm Coil Presenting with a Transient Ischemic Attack (P5.127)
CONCLUSIONS: Stretched coils and retrained fragments are a rare complication of coil embolization. If retained fragments are present, patients should be maintained on lifelong antiplatelet agents, as embolic events can occur even years after the initial coiling, as illustrated by this case.Disclosure: Dr. Itrat has nothing to disclose. Dr. Cheng-Ching has nothing to disclose. Dr. Hussain has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Itrat, A., Cheng-Ching, E., Hussain, M. Tags: Cerebrovascular Disease and Interventional Neurology: Intracranial Aneurysms and Subarachnoid Hemorrhage Source Type: research

Endovascular Treatment of Sphenoid Wing Dural Arteriovenous Fistula with Pure Cortical Venous Drainage
We report the curative endovascular treatment of two sphenoid wing dAVFs with pure cortical venous drainage. One patient revealed complete obliteration of dAVF by a single session of transarterial embolization (TAE). As part of strategic TAE for this complex dAVF, we used a novel approach to create a complete flow-arrest condition in which coils and an occlusion balloon were combined. A liquid agent was then injected across the pathological fistula and into the parent venous apparatus, thereby occluding the lesion. The other patient was treated with percutaneous TVE after TAE was unsuccessful. With a specific strategy and ...
Source: Journal of Stroke and Cerebrovascular Diseases - March 3, 2014 Category: Neurology Authors: Hitoshi Fukuda, Kosuke Miyake, Takenobu Kunieda, Kenichi Murao Tags: Case Reports Source Type: research

Extending the Indications of Flow Diversion to Small, Unruptured, Saccular Aneurysms of the Anterior Circulation Clinical Sciences
Conclusions— The PED was associated with similar periprocedural risks, clinical outcomes, and angiographic results compared with stent-assisted coiling. These findings suggest that the indications of PED can be safely extended to small intracranial aneurysms that are amenable to conventional endovascular techniques. Larger studies with long-term follow-up are necessary to determine the optimal treatment that leads to the highest rate of obliteration and best clinical outcomes.
Source: Stroke - December 23, 2013 Category: Neurology Authors: Chalouhi, N., Starke, R. M., Yang, S., Bovenzi, C. D., Tjoumakaris, S., Hasan, D., Gonzalez, L. F., Rosenwasser, R., Jabbour, P. Tags: Clinical Sciences Source Type: research

Unruptured intracranial aneurysms: Comparison of perioperative complications, discharge disposition, outcome, and effect of calcification, between clipping and coiling: A single institution experience
Conclusion: With appropriate patient selection, the majority of the UIAs can be managed by either of the treatment modalities with very low mortality and morbidity. Both the treatment modalities should be employed synergistically.
Source: Neurology India - July 16, 2013 Category: Neurology Authors: Mayur SharmaBenjamin BrownVenkatesh MadhugiriHugo Cuellar-SaenzAshish SonigSudheer AmbekarAnil Nanda Source Type: research

Endovascular Treatment of Intracranial Aneurysms in Elderly Patients: A Systematic Review and Meta-Analysis Clinical Sciences
Conclusions— This study suggests that endovascular treatment of IAs in the elderly is associated with high long-term occlusion rates. Given the morbidity and mortality associated with endovascular treatment of IAs in the elderly, careful patient selection, especially in the case of patients with unruptured aneurysm, is recommended.
Source: Stroke - June 24, 2013 Category: Neurology Authors: Sturiale, C. L., Brinjikji, W., Murad, M. H., Lanzino, G. Tags: Cerebral Aneurysm, AVM, & Subarachnoid hemorrhage, Angiography Clinical Sciences Source Type: research

Clipping Versus Coiling for Ruptured Intracranial Aneurysms: A Systematic Review and Meta-Analysis Original Contributions
Conclusions— Coiling yields a better clinical outcome, the benefit being greater in those with a good preoperative grade than those with a poor preoperative grade. However, coiling leads to a greater risk of rebleeding. Well-designed randomized trials with special considerations to the aspect are needed.
Source: Stroke - December 24, 2012 Category: Neurology Authors: Li, H., Pan, R., Wang, H., Rong, X., Yin, Z., Milgrom, D. P., Shi, X., Tang, Y., Peng, Y. Tags: Cerebral Aneurysm, AVM, & Subarachnoid hemorrhage, Aneurysm, AVM, hematoma, Other Stroke Treatment - Surgical Original Contributions Source Type: research

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