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Mechanical thrombectomy in acute ischemic stroke with tandem occlusions: impact of extracranial carotid lesion etiology on endovascular management and outcome
CONCLUSIONS: ECL etiology impacts both EVT approach and clinical outcome in patients with TOs. Patients with CD-related TO achieved higher 3-month functional independence rates than patients with CA-related TOs. A retrograde approach can be desirable for both CA- and CD-related TOs, and emergency stenting is likely better justified in CA-related TOs.PMID:34198245 | DOI:10.3171/2021.4.FOCUS21111
Source: Neurosurgical Focus - July 1, 2021 Category: Neurosurgery Authors: Valerio Da Ros Jacopo Scaggiante Francesca Pitocchi Fabrizio Sallustio Simona Lattanzi Giuseppe Emmanuele Umana Bipin Chaurasia Monica Bandettini di Poggio Gianpaolo Toscano Claudia Rolla Bigliani Maria Ruggiero Nicol ò Haznedari Alessandro Sgreccia Gius Source Type: research

Treatment and outcomes of ARUBA-eligible patients with unruptured brain arteriovenous malformations at a single institution.
Conclusions The risk of stroke or death and degree of clinical impairment among treated patients was lower than reported in ARUBA. The authors found no significant difference in outcomes between observed and treated ARUBA-eligible patients at UCSF. Results in ARUBA-eligible patients managed outside that trial led to an entirely different conclusion about AVM intervention, due to the primary role of surgery, judicious surgical selection with established outcome predictors, and technical expertise developed at high-volume AVM centers. PMID: 25175446 [PubMed - in process]
Source: Neurosurgical Focus - September 1, 2014 Category: Neurosurgery Authors: Rutledge WC, Abla AA, Nelson J, Halbach VV, Kim H, Lawton MT Tags: Neurosurg Focus Source Type: research

Methodological assessment of guidelines for the diagnosis and management of cerebral vasospasm using the AGREE-II tool
CONCLUSIONS: These findings support the idea that improvement of currently existing guidelines is feasible in the following domains: the rigor of guidelines and recommendations development, clinical applicability, editorial independence, and stakeholder involvement. Furthermore, periodic updating of published guidelines requires improvement in the future.PMID:35231886 | DOI:10.3171/2021.12.FOCUS21649
Source: Neurosurgical Focus - March 1, 2022 Category: Neurosurgery Authors: Anastasia Tasiou Alexandros G Brotis Christos Tzerefos Xanthoula Lambrianou Kostas N Fountas Source Type: research

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