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Transvenous embolization of vein of galen aneurysmal malformations with coils as a final procedure for cure: A single-institution experience of 18 years
CONCLUSION: Transvenous coil embolization is a technically feasible but risky option, as a final-stage treatment for cure of VGAMs with restricted trans-arterial access. Although TVE with coils remains an effective therapeutic modality, we recommend continuing investigation of safer TVE techniques to achieve cure.PMID:36314435 | DOI:10.1177/15910199221135066
Source: Interventional Neuroradiology - October 31, 2022 Category: Radiology Authors: Stavros Matsoukas Tomoyoshi Shigematsu Maximilian J Bazil Johanna Fifi Alejandro Berenstein Source Type: research

Antiplatelet therapy for standalone coiling of ruptured intracranial aneurysms: a systematic review and meta-analysis
Conclusions Although this study showed no beneficial effect of AT on clinical outcomes, the results suggest that AT could be combined with standalone coiling to avoid thromboembolism during the perioperative period. A large prospective study and/or an additional meta-analysis would be required to further investigate how AT benefits standalone coil embolization in aSAH.
Source: Journal of NeuroInterventional Surgery - November 14, 2022 Category: Neurosurgery Authors: Takase, H., Tatezuki, J., Salem, M. M., Tayama, K., Nakamura, Y., Burkhardt, J.-K., Yamamoto, T. Tags: Hemorrhagic stroke Source Type: research

Evolution of transvenous embolization in vein of Galen malformation: case series and review of the literature
Conclusions TT TVE itself carries a high degree of risk and is most highly associated with long-term morbidities and mortality. Traditional transfemoral/transjugular TVE approaches are safe and effective in simple fistulas with a small venous pouch; however, we believe that the CPCT is the safest technique as a last-stage treatment for its security in avoiding reflux and obtaining occlusion of the small perforators.
Source: Journal of NeuroInterventional Surgery - May 16, 2023 Category: Neurosurgery Authors: Fifi, J. T., Bazil, M. J., Matsoukas, S., Shigematsu, T., Sorscher, M., Berenstein, A. Tags: Hemorrhagic stroke Source Type: research

E-025 The rate and predictors of 30-day readmission in patients treated for cerebral aneurysms: a large single-center study
ConclusionIn our study, risk factors for 30-day readmission were increasing BMI, cancer, increasing aneurysm width, and anticoagulation use. Future studies should focus on aneurysm dimensions and the use of blood thinners as the literature pertaining these predictors is still scarce.Abstract E-025 Table 1 Variables N(%) 30-day Readmission 36 (6.6) Cause of Readmission: Infection Stroke Re-Rupture Wound Dehiscence Seizures CSF Leak Hydrocephalus Headache Wound Area Swelling Groin Hematoma Pseudo meningocele 9 (25)11 (30.6)1 (2.8)1 (2.8)1 (2.8)1 (2.8)1 (2.8)7 (19.4)2 (5.6)1 (2.8)1 (2.8) Causes and Rate of ReadmissionAbstrac...
Source: Journal of NeuroInterventional Surgery - July 30, 2023 Category: Neurosurgery Authors: El Naamani, K., Hunt, A., Jain, P., Lawall, C., Yudkoff, C., El Fadel, O., Ghanem, M., Momin, A., Atallah, E., Abbas, R., Zakar, R., Tjoumakaris, S., Gooch, M., Herial, N., Zarzour, H., Schmidt, R., Rosenwasser, R., Jabbour, P. Tags: SNIS 20th annual meeting electronic poster abstracts Source Type: research

E-078 Advancement in coil technology for treatment of brain aneurysms
ConclusionThis study concludes that is SMART coil system is safe and efficacious for the use in Endovascular treatment of intracranial aneurysms. The smart coil system is promising in the treatment of wide spectrum of intracranial aneurysms. The result of follow up angiographic data should reflect the high packing density and will be published when completed.Disclosures S. Khairandish: None. S. Pakbaz: None. M. McManus: None. G. Ammirati: None.
Source: Journal of NeuroInterventional Surgery - July 30, 2023 Category: Neurosurgery Authors: Khairandish, S., Pakbaz, S., McManus, M., Ammirati, G. Tags: SNIS 20th annual meeting electronic poster abstracts Source Type: research

E-226 Endovascular treatment of pediatric arteriovenous shunts
ConclusionEndovascular treatment of pediatric arteriovenous shunts is extremely difficult and associated with high risks of complications. However, excellent clinical results can be achieved in specialized clinics. The choice of embolic agent should depend on the hemodynamic load of the pathological blood flow.Disclosures V. Berestov: None. K. Orlov: None. N. Strelnikov: None. A. Brusyanskaya: None. A. Somova: None.
Source: Journal of NeuroInterventional Surgery - July 30, 2023 Category: Neurosurgery Authors: Berestov, V., Orlov, K., Strelnikov, N., Brusyanskaya, A., Somova, A. Tags: SNIS 20th annual meeting electronic poster abstracts Source Type: research

E-262 Pipeline embolization device for the treatment of unruptured intracranial saccular aneurysms: a systematic review and meta-analysis of long-term outcomes
ConclusionThe PED is a safe and effective method to treat intracranial saccular aneurysms: The long-term complete occlusion rate is high (81%), with almost a quarter of the patients persist with residual filling. Even longer follow-ups are expected to show higher occlusion rates.Disclosures A. Ghaith: None. J. Rios-Zermeno: None. E. Greco: None. M. Bydon: None. R. Tawk: None.
Source: Journal of NeuroInterventional Surgery - July 30, 2023 Category: Neurosurgery Authors: Ghaith, A., Rios-Zermeno, J., Greco, E., Bydon, M., Tawk, R. Tags: SNIS 20th annual meeting electronic poster abstracts Source Type: research

Management of aneurysmal recurrence after Woven EndoBridge (WEB) treatment
Conclusion The retreatment rate after an initial WEB treatment seems to compare favorably with that of coiling. Endovascular treatment of recurrence following WEB implantation is feasible in most situations; it generally requires the use of a stent and leads to a high rate of satisfactory occlusion.
Source: Journal of NeuroInterventional Surgery - September 15, 2023 Category: Neurosurgery Authors: Caroff, J., Janot, K., Soize, S., Marnat, G., Cortese, J., Mihalea, C., Popescu, S. D., Ikka, L., Chalumeau, V., Gallas, S., Ozanne, A., Eltantawy, E., Grimaldi, L., Barreau, X., Herbreteau, D., Pierot, L., Spelle, L. Tags: Editor''s choice, Hemorrhagic stroke Source Type: research

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