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Angiographic outcome of intracranial aneurysms with neck remnant following coil embolization
Conclusions The angiographic outcome of aneurysms with neck remnant following coil embolization is similar to that of completely occluded aneurysms in that most remain stable and few recanalize. This understanding could potentially help the interventional neurosurgeon avoid complications such as coil herniation, vessel compromise, and stroke in selected cases. Further investigation with a larger patient population is warranted.
Source: Journal of NeuroInterventional Surgery - June 11, 2015 Category: Neurosurgery Authors: Mascitelli, J. R., Oermann, E. K., De Leacy, R. A., Moyle, H., Patel, A. B. Tags: Hemorrhagic stroke Source Type: research

Posterior circulation flow diversion: a single-center experience and literature review
Conclusions Flow diversion may be a possible treatment in carefully selected patients with high-risk atypical posterior circulation aneurysms, with poor natural history and no optimal treatment strategy. Symptomatic and fusiform large aneurysms appear to carry the highest risk. Further studies are necessary to assess the role of flow diversion in the posterior circulation.
Source: Journal of NeuroInterventional Surgery - July 14, 2015 Category: Neurosurgery Authors: Toth, G., Bain, M., Hussain, M. S., Moskowitz, S., Masaryk, T., Rasmussen, P., Hui, F. Tags: Hemorrhagic stroke Source Type: research

O-008 final revascularization and clinical outcome results from the multicenter trevo stent-retriever acute stroke (track) post-marketing registry
ConclusionThe investigator-initiated TRACK Registry demonstrates that the post-marketing TREVO stent-retriever performance in routine clinical practice is comparable to the TREVO-2 trial, with improved revascularization success, good outcome, and decreased mortality.DisclosuresO. Zaidat: 1; C; Stryker, Covidien. 2; C; Stryker, Covidien. A. Castonguay: None. R. Nogueira: None. P. Ramakrishnan: None. D. Haussen: None. A. Lima: None. J. English: None. H. Farid: None. E. Veznedaroglu: None. M. Binning: None. A. Puri: None. S. Hou: None. V. Janardhan: None.  N. Vora: None. R. Budzik: None. A. Alshekhlee: None. M. Abraham: ...
Source: Journal of NeuroInterventional Surgery - July 26, 2015 Category: Neurosurgery Authors: Zaidat, O., Castonguay, A., Nogueira, R., Ramakrishnan, P., Haussen, D., Lima, A., English, J., Farid, H., Veznedaroglu, E., Binning, M., Puri, A., Hou, S., Janardhan, V., Vora, N., Budzik, R., Alshekhlee, A., Abraham, M., Edgell, R., Taqi, M., Lin, E., K Tags: SNIS 12th Annual Meeting Oral Abstracts Source Type: research

E-003 delayed reocclusion of recanalized intracranial arteries after mechanical thrombectomy in acute stroke patients
ConclusionsWe reviewed these patients and found that delayed reocclusion of recanalized vessels were noted within 24 h after first mechanical thrombectomy. The factors contributed to these results are assumed as TICI grade before and after the first mechanical thrombectomy. But, further evaluation of factors such as NIHSS score, underlying disease, laboratory findings and follow-up angiogram are needed. Also, procedural complications as vasospasm, dissection and hemorrhage should be investigated.DisclosuresK. Jang: None. S. Park: None. D. Jang: None. B. Moon: None. Y. Han: None. Y. Park: None.
Source: Journal of NeuroInterventional Surgery - July 26, 2015 Category: Neurosurgery Authors: Jang, K., Park, S., Jang, D., Moon, B., Han, Y., Park, Y. Tags: SNIS 12th Annual Meeting Electronic Poster Abstracts Source Type: research

Flow diverter stents for unruptured saccular anterior circulation perforating artery aneurysms: safety, efficacy, and short-term follow-up
Conclusions Our preliminary results show that flow diversion technology is an effective and safe therapy for complex, hard-to-treat aneurysms in perforating arteries. Larger studies with long-term follow-up are needed to validate our promising results.
Source: Journal of NeuroInterventional Surgery - August 12, 2015 Category: Neurosurgery Authors: Kuhn, A. L., Hou, S. Y., Perras, M., Brooks, C., Gounis, M. J., Wakhloo, A. K., Puri, A. S. Tags: Hemorrhagic stroke Source Type: research

Endovascular revascularization results in IMS III: intracranial ICA and M1 occlusions
Conclusions Good clinical outcome was associated with good reperfusion for ICA and M1 occlusion. No significant differences in efficacy or safety among revascularization methods were demonstrated after adjustment. Lack of high-quality reperfusion, adverse events, and prolonged time to treatment contributed to lower-than-expected mRS 0–2 outcomes and study futility compared with IV rt-PA. Trial registration number NCT00359424.
Source: Journal of NeuroInterventional Surgery - October 14, 2015 Category: Neurosurgery Authors: Tomsick, T. A., Yeatts, S. D., Liebeskind, D. S., Carrozzella, J., Foster, L., Goyal, M., von Kummer, R., Hill, M. D., Demchuk, A. M., Jovin, T., Yan, B., Zaidat, O. O., Schonewille, W., Engelter, S., Martin, R., Khatri, P., Spilker, J., Palesch, Y. Y., B Tags: Ischemic stroke Source Type: research

Utilization of Pipeline embolization device for treatment of ruptured intracranial aneurysms: US multicenter experience
Conclusions The PED can be utilized for ruptured aneurysms and is a good option for blister-type aneurysms. However, due to periprocedural complications, it should be reserved for lesions that are difficult to treat by conventional clipping or coiling.
Source: Journal of NeuroInterventional Surgery - October 14, 2015 Category: Neurosurgery Authors: Lin, N., Brouillard, A. M., Keigher, K. M., Lopes, D. K., Binning, M. J., Liebman, K. M., Veznedaroglu, E., Magarik, J. A., Mocco, J., Duckworth, E. A., Arthur, A. S., Ringer, A. J., Snyder, K. V., Levy, E. I., Siddiqui, A. H. Tags: Hemorrhagic stroke Source Type: research

Management of aneurysmal subarachnoid hemorrhage: a national survey of current practice
Conclusions At 6 months following publication of the NCEPOD report we found that in the majority of neurosurgical units, most of the key recommendations were being met. However, in the remainder there was variability in clinical practice.
Source: Journal of NeuroInterventional Surgery - November 13, 2015 Category: Neurosurgery Authors: Al-Helli, O., Bush, S., Ingale, H., McConachie, N. Tags: Hemorrhagic stroke Source Type: research

Comparative outcomes of carotid artery stenting for asymptomatic and symptomatic carotid artery stenosis: a single-center prospective study
Conclusions Periprocedural and long-term follow-up outcomes of CAS appear similar for ACS and SCS.
Source: Journal of NeuroInterventional Surgery - January 13, 2016 Category: Neurosurgery Authors: Mo, D., Wang, B., Ma, N., Gao, F., Miao, Z. Tags: Ischemic stroke Source Type: research

Y-stent assisted coiling of bifurcation aneurysms with Enterprise stent: long-term follow-up
Conclusions Y-stent assisted coiling has a high immediate occlusion rate and very good long-term stability. The procedure is relatively safe, although the complication and mortality rates are not negligible. Two Enterprise stents can be safely used for Y-stenting and, indeed, offer the advantage of easier catheterization, delivery and deployment into distal and tortuous vessels than open cell stents.
Source: Journal of NeuroInterventional Surgery - January 13, 2016 Category: Neurosurgery Authors: Limbucci, N., Renieri, L., Nappini, S., Consoli, A., Rosi, A., Mangiafico, S. Tags: Hemorrhagic stroke Source Type: research

Critical assessment of the morbidity associated with ruptured cerebral arteriovenous malformations
Conclusions Our assessment of morbidity associated with brain AVM rupture is higher than previously assumed and reported. These results should be further validated in a larger, more representative sample. An accurate understanding of the morbidity associated with AVM rupture is important as more patients with unruptured brain AVMs seek consultation.
Source: Journal of NeuroInterventional Surgery - January 13, 2016 Category: Neurosurgery Authors: Majumdar, M., Tan, L. A., Chen, M. Tags: Editor''s choice, Hemorrhagic stroke Source Type: research

Rapid learning curve for Solitaire FR stent retriever therapy: evidence from roll-in and randomised patients in the SWIFT trial
Conclusions Thrombectomy in AIS using the Solitaire stent retriever device can be performed safely and effectively when used by experienced neurointerventionalists without previous experience with the device. Trial registration number The SWIFT study is registered with ClinicalTrials.gov, number NCT 01054560.
Source: Journal of NeuroInterventional Surgery - March 15, 2016 Category: Neurosurgery Authors: Sheth, S. A., Jahan, R., Levy, E. I., Jovin, T. G., Baxter, B., Nogueira, R. G., Clark, W., Budzik, R., Zaidat, O. O., Saver, J. L., for the SWIFT Trialists Tags: Ischemic stroke Source Type: research

Endovascular parent vessel sacrifice in ruptured dissecting vertebral and posterior inferior cerebellar artery aneurysms: clinical outcomes and review of the literature
Conclusions In patients with good collateral circulation, endovascular sacrifice may be the preferred treatment for acutely ruptured dissecting aneurysms involving the distal vertebral artery.
Source: Journal of NeuroInterventional Surgery - July 13, 2016 Category: Neurosurgery Authors: Madaelil, T. P., Wallace, A. N., Chatterjee, A. N., Zipfel, G. J., Dacey, R. G., Cross, D. T., Moran, C. J., Derdeyn, C. P. Tags: Hemorrhagic stroke Source Type: research

E-033 SOFIA Plus Distal Access Catheter for Acute Stroke Intervention-Initial Single Center Experience
ConclusionIn our single center experience, the SOFIA plus catheter was technically feasible, safe to use, and achieved high recanalization rates in a timely manner.DisclosuresR. Cerejo: None. S. John: None. A. Bauer: None. G. Toth: None. M. Bain: None. M. Elgabaly: None. T. Masaryk: None. P. Rasmussen: None. M. Hussain: None.
Source: Journal of NeuroInterventional Surgery - July 28, 2016 Category: Neurosurgery Authors: Cerejo, R., John, S., Bauer, A., Toth, G., Bain, M., Elgabaly, M., Masaryk, T., Rasmussen, P., Hussain, M. Tags: Electronic poster abstracts Source Type: research

Bioactive versus bare platinum coils for the endovascular treatment of intracranial aneurysms: systematic review and meta-analysis of randomized clinical trials
Conclusions Bioactive coils ensure a higher rate of medium-term complete aneurysm occlusion while reducing the rate of residual neck aneurysms compared with bare coiling in the mid-term. Hydrogel coils reduce residual aneurysms compared with bare coils. While there is level 1a evidence to show more complete aneurysm occlusion, longer term follow-up is needed to determine if this translates into clinical significance.
Source: Journal of NeuroInterventional Surgery - August 11, 2016 Category: Neurosurgery Authors: Broeders, J. A., Ahmed Ali, U., Molyneux, A. J., Poncyljusz, W., Raymond, J., White, P. M., Steinfort, B. Tags: Hemorrhagic stroke Source Type: research

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