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E-215 Single stent assisted coiling for wide neck bifurcation aneurysms: a multi-center core lab validated analysis demonstrating safety and efficacy
ConclusionThis study represents the first multi-center, core-lab validated data of the safety and efficacy of the L-stenting single stent technique for wide-neck bifurcation aneurysms. Further prospective studies in larger cohorts are necessary to compare the efficacy and safety of this treatment to other endovascular techniques for treatment of wide neck bifurcation aneurysms.Disclosures N. Siddiqui: None. R. De Leacy: None.
Source: Journal of NeuroInterventional Surgery - July 23, 2022 Category: Neurosurgery Authors: Siddiqui, N., De Leacy, R. Tags: SNIS 19th annual meeting electronic poster abstracts Source Type: research

A 90-Day Prognostic Model Based on the Early Brain Injury Indicators after Aneurysmal Subarachnoid Hemorrhage: the TAPS Score
This study aimed to establish a new scoring model based on the early brain injury (EBI) indicators to predict the 90-day functional outcomes in patients with aneurysmal subarachnoid hemorrhage (aSAH). We retrospectively enrolled 825 patients and prospectively enrolled 108 patients with aSAH who underwent surgical clipping or endovascular coiling (derivation cohort = 640; validation cohort = 185; prospective cohort = 108) in our institute. We established a logistic regression model based on independent risk factors associated with 90-day unfavorable outcomes. The discrimination of the prognostic model was assessed by the ar...
Source: Cell Research - May 14, 2022 Category: Cytology Authors: Runting Li Fa Lin Yu Chen Junlin Lu Heze Han Li Ma Yahui Zhao Debin Yan Ruinan Li Jun Yang Shihao He Zhipeng Li Haibin Zhang Kexin Yuan Ke Wang Qiang Hao Xun Ye Hao Wang Hongliang Li Linlin Zhang Guangzhi Shi Jianxin Zhou Yang Zhao Yukun Zhang Youxiang Li Source Type: research

Combined standard bypass and parent artery occlusion for management of giant and complex internal carotid artery aneurysms
Conclusions The combined approach of STA-MCA bypass surgery followed by parent artery occlusion achieves high aneurysm occlusion and low morbidity rates in the management of giant and complex ICA aneurysms. This combined indirect approach represents a viable alternative to flow diversion in patients with cranial nerve compression syndromes or matricidal aneurysms, and may serve as a backup strategy in cases of peri-interventional complications or lack of suitable endovascular access.
Source: Journal of NeuroInterventional Surgery - May 13, 2022 Category: Neurosurgery Authors: Dodier, P., Wang, W.-T., Hosmann, A., Hirschmann, D., Marik, W., Frischer, J. M., Gruber, A., Rössler, K., Bavinzski, G. Tags: Hemorrhagic stroke Source Type: research

Intracranial hematoma following ruptured anterior communicating artery aneurysms: risk factors, outcome, and prognostic factors after management of coiling first
Conclusion A posterior orientation of ruptured AcomA aneurysms was associated with the incidence of ICHs. Coiling first with surgical management if necessary seems to be an acceptable treatment for ruptured AcomA aneurysms with ICHs. The clinical outcome was associated with the clinical neurological status on admission.
Source: Journal of NeuroInterventional Surgery - April 19, 2022 Category: Neurosurgery Authors: Ni, H., Zhao, L.-B., Liu, S., Jia, Z.-Y., Cao, Y.-Z., Shi, H.-B. Tags: Hemorrhagic stroke Source Type: research

Basilar artery trunk aneurysm: clinical and angiographic outcomes of endovascular treatment
Conclusions EVT might be a feasible option for this rare disease entity. Unfavorable angiographic outcome might be expected in a large/giant aneurysm or a long lesion. It can be difficult to treat BA trunk aneurysms by EVT, needing multiple procedures or various techniques due to diverse clinical and angiographic features.
Source: Journal of NeuroInterventional Surgery - February 16, 2022 Category: Neurosurgery Authors: Sim, S. Y., Chung, J., Choi, J. H., Kim, M. J., Shin, Y. S., Lim, Y. C. Tags: Hemorrhagic stroke Source Type: research

Endovascular treatment of vertebral artery dissecting aneurysms : a 20-year institutional experience
Conclusion Endovascular FDD treatment of VADAs appears to be associated with lower retreatment and complication rates than stenting/coiling, although further study is required for confirmation. Endovascular treatment of unruptured VADAs was safe and was associated with favorable angiographic and neurological outcomes.
Source: Journal of NeuroInterventional Surgery - February 16, 2022 Category: Neurosurgery Authors: Catapano, J. S., Ducruet, A. F., Cadigan, M. S., Farhadi, D. S., Majmundar, N., Nguyen, C. L., Baranoski, J. F., Cole, T. S., Wilkinson, D. A., Fredrickson, V. L., Srinivasan, V. M., Albuquerque, F. C. Tags: Hemorrhagic stroke Source Type: research

Endovascular treatment of infectious intracranial aneurysms complicating infective endocarditis: a series of 31 patients with 55 aneurysms
ConclusionEVT of IIAs by occlusion of the parent artery is effective in preventing rupture and carries no significant neurological risk.
Source: Neuroradiology - January 27, 2022 Category: Radiology Source Type: research

Periprocedural safety of saccular aneurysm embolization with the Penumbra SMART Coil System: a SMART registry subset analysis
Conclusion The low rates of thromboembolic complications and RRP events demonstrate the adequate safety profile of the SMART Coil System to treat cerebral aneurysms in routine clinical practice. Trial registration number NCT02729740.
Source: Journal of NeuroInterventional Surgery - January 18, 2022 Category: Neurosurgery Authors: Starke, R. M., Park, M. S., Bellon, R., Bohnstedt, B., Schirmer, C. M., De Leacy, R., Fiorella, D., Yoo, A. J., Spiotta, A. M., On behalf of the SMART Registry Investigators Tags: Open access, Hemorrhagic stroke Source Type: research

Contralateral Transradial Access for Coil Embolization of Distal Anterior Cerebral Artery Aneurysm Associated With a Steep Ipsilateral A1-A2 Angle
Distal anterior cerebral artery (DACA) aneurysms, also known as pericallosal artery aneurysms, have a high rupture rate. They are more frequently associated with multiple cerebral aneurysms than other supratentorial aneurysms.1-3 More than half of ruptured DACA aneurysms result in intracerebral hemorrhage.4 Consequently, patients with DACA aneurysms have a higher morbidity and mortality rate than those with other supratentorial aneurysms.1-3 As neurointerventional devices and techniques have developed and improved, endovascular treatment of DACA aneurysms has begun to garner higher success rates and better clinical and angiographic outcomes.
Source: Journal of Stroke and Cerebrovascular Diseases - January 13, 2022 Category: Neurology Authors: Ken Yamazaki, Yoshiki Hanaoka, Jun-ichi Koyama, Daisuke Yamazaki, Yu Fujii, Toshihiro Ogiwara, Tetsuyoshi Horiuchi Tags: Case Report Source Type: research

Early Goal-directed Therapy During Endovascular Coiling Procedures Following Aneurysmal Subarachnoid Hemorrhage: A Pilot Prospective Randomized Controlled Study
Conclusions: A high proportion of aSAH patients presented at the coiling procedure with dehydration and a low cardiac output state; these derangements were more likely to be corrected if the GDT algorithm was used. Compared with standard therapy, use of the GDT algorithm resulted in earlier recognition and more consistent treatment of dehydration and hemodynamic derangement during endovascular coiling.
Source: Journal of Neurosurgical Anesthesiology - December 13, 2021 Category: Anesthesiology Tags: Clinical Investigations Source Type: research

Immediate post-operative aneurysm occlusion after endovascular treatment of intracranial aneurysms with coiling or balloon-assisted coiling in a prospective multicenter cohort of 1189 patients: Analysis of Recanalization after Endovascular Treatment of intracranial Aneurysm (ARETA) Study
Conclusions Immediately after aneurysm coiling, including BAC, adequate aneurysm occlusion was obtained in 92.2%. Age <70 years, aneurysm size <10 mm, and narrow neck were factors associated with adequate occlusion. Trial registration number NCT01942512, http://www.clinicaltrials.gov.
Source: Journal of NeuroInterventional Surgery - September 15, 2021 Category: Neurosurgery Authors: Pierot, L., Barbe, C., Herbreteau, D., Gauvrit, J.-Y., Januel, A.-C., Bala, F., Ricolfi, F., Desal, H., Velasco, S., Aggour, M., Chabert, E., Sedat, J., Trystram, D., Marnat, G., Gallas, S., Rodesch, G., Clarencon, F., Papagiannaki, C., White, P., Spelle, Tags: Hemorrhagic stroke Source Type: research

EP12 pCONUS 2 HPC in the treatment of wide necked intracranial aneurysms- medium term results
Conclusions pCONUS 2 and pCONUS 2-HPC have good medium-term safety profiles with no procedure-related mortality and acceptable morbidity. Good occlusion rates was noted at 6-months (85.7%) and 2 years (87.5%).ReferencesAguilar-Pérez M, Kurre W, Fischer S, Bäzner H, Henkes H. Coil occlusion of wide-neck bifurcation aneurysms assisted by a novel intra-to extra-aneurysmatic neck-bridging device (pCONus): initial experience. American Journal of Neuroradiology 2014;35(5):965–971.Phenox GmbH, 2018. pCONUS bifurcation aneurysm implant instructions for use. [Online]. [Accessed 17/05/2020]. Available from: base...
Source: Journal of NeuroInterventional Surgery - August 24, 2021 Category: Neurosurgery Authors: Yeomans, J., Sastry, A. Tags: Haemorrhagic Source Type: research

EP13 pCONUS-2 HPC in the treatment of ruptured wide necked intracranial aneurysms with single antiplatelet use- short term results
Conclusions pCONUS 2-HPC with single antiplatelet loading dose is feasible with no immediate complications in our series.ReferencePhenox GmbH, 2018. pCONUS bifurcation aneurysm implant instructions for use. [Online]. [Accessed 17/05/2020]. Available from: base.euro-pharmat.com/PDF/15004–43521–8.pdfDisclosureNothing to disclose
Source: Journal of NeuroInterventional Surgery - August 24, 2021 Category: Neurosurgery Authors: Yeomans, J., Sastry, A. Tags: Haemorrhagic Source Type: research

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