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Unruptured aneurysms in the elderly: perioperative outcomes and cost analysis of endovascular coiling and surgical clipping.
CONCLUSIONS Intervention with CAC and CACo in the elderly is resource intensive and is associated with higher risk than in the nonelderly. Those deciding between intervention and conservative management should consider these risks and costs, especially the 2.2% postoperative mortality rate associated with CAC in the elderly population. Further comparative cost-effectiveness research is needed to weigh these costs and outcomes against those of conservative management. PMID: 29712518 [PubMed - in process]
Source: Neurosurgical Focus - May 1, 2018 Category: Neurosurgery Authors: Silva NA, Shao B, Sylvester MJ, Eloy JA, Gandhi CD Tags: Neurosurg Focus Source Type: research

Endovascular management of extracranial occlusions at the hyperacute phase of stroke with tandem occlusions
Conclusions ervical occlusion with coils and thrombectomy with stent-retrievers may be relevant to prevent early embolic recurrence in cervical occlusions with intraluminal thrombus. Stent-retrievers should be further assessed as a first-line approach, since delayed stroke may occur following occlusion with coils.
Source: Journal of Neuroradiology - November 11, 2017 Category: Radiology Source Type: research

Partial thrombosis of an anterior communicating artery aneurysm prior to endovascular coiling, with intra-procedural distal thrombus embolization.
We describe a case of partial thrombosis of a 7 mm anterior communicating artery aneurysm, which embolized to the right callosomarginal artery in the brief time interval between two sequential diagnostic angiograms performed as part of elective endovascular coiling, and before any instrumentation had been advanced into the intracranial circulation. To our knowledge, this is the first reported case of aneurysmal thrombus embolization observed angiographically in near real time. PMID: 28944708 [PubMed - as supplied by publisher]
Source: Interventional Neuroradiology - September 27, 2017 Category: Radiology Tags: Interv Neuroradiol Source Type: research

Validation of the Modified Raymond-Roy classification for intracranial aneurysms treated with coil embolization
Conclusions This study confirms that the MRRC enhances the predictive accuracy of the RROC.
Source: Journal of NeuroInterventional Surgery - August 11, 2016 Category: Neurosurgery Authors: Stapleton, C. J., Torok, C. M., Rabinov, J. D., Walcott, B. P., Mascitelli, J. R., Leslie-Mazwi, T. M., Hirsch, J. A., Yoo, A. J., Ogilvy, C. S., Patel, A. B. Tags: Hemorrhagic stroke Source Type: research

E-067 Endovascular Approach in the Repair of the Middle Cerebral Artery Aneurysm Including Those with Wide Neck and Complex in Morphology-A Case Series
ConclusionsEndovascular repair of the MCA aneurysm inclosing those with wide neck and complex are not only safe and feasible, but associated with high long-term functional outcome. Therefore, endovascular options must be offered to patients prior to surgical clipping of a MCA aneurysm. Further study may be warranted.DisclosuresY. Lodi: None. V. Reddy: None.
Source: Journal of NeuroInterventional Surgery - July 28, 2016 Category: Neurosurgery Authors: Lodi, Y., Reddy, V. Tags: Electronic poster abstracts Source Type: research

Extensive stretching of intracranial aneurysm coil causing TIAs
A 58-year-old man with a history of ruptured posterior cerebral artery aneurysm, repaired with coil embolization 5 years previously, presented with right hemi-numbness lasting 30 minutes. Cerebral MRI did not reveal acute stroke. CT angiogram showed a stretched wire complex extending through the posterior communicating artery, down the carotid artery, and into the most inferior visualized portion of descending aorta, terminating in a loosely coiled wire (figure, A and B). A transesophageal echocardiogram showed evidence of a possible thrombus on the coil in the aortic arch (figure, C and D; video on the Neurology® Web ...
Source: Neurology - November 2, 2015 Category: Neurology Authors: Itrat, A., Toth, G., Min, D., Hussain, M. S. Tags: Stroke prevention, Other cerebrovascular disease/ Stroke, All Cerebrovascular disease/Stroke, Embolism, Subarachnoid hemorrhage VIDEO NEUROIMAGES Source Type: research

Endovascular treatment of unruptured wide-necked intracranial aneurysms: comparison of dual microcatheter technique and stent-assisted coil embolization
Conclusions DMT and SAC are effective endovascular approaches for unruptured, wide-necked aneurysms; however, DMT may result in less morbidity. Further long-term studies are necessary to determine the optimal indications for these treatment options.
Source: Journal of NeuroInterventional Surgery - March 12, 2015 Category: Neurosurgery Authors: Starke, R. M., Durst, C. R., Evans, A., Ding, D., Raper, D. M. S., Jensen, M. E., Crowley, R. W., Liu, K. C. Tags: Hemorrhagic stroke Source Type: research

Treatment of ruptured blood blister-like aneurysms with flow diverter SILK stents
Conclusions Implantation of flow diverter stents seems to be a safe and feasible alternative for treatment of ruptured BBAs.
Source: Journal of NeuroInterventional Surgery - February 12, 2015 Category: Neurosurgery Authors: Aydin, K., Arat, A., Sencer, S., Hakyemez, B., Barburoglu, M., Sencer, A., Izgi, N. Tags: Hemorrhagic stroke Source Type: research

Recurrent posterior circulation infarction caused by anomalous occipital bony process in a young patient
Conclusion: Arterial thromboembolism originating from the left vertebral artery compressed by the anomalous occipital bony process is a rare but not to be overlooked cause of posterior circulation infarction. When intractable to medical treatment, endovascular occlusion of the vertebral artery without flow disturbance to the posterior circulation may be a useful treatment option when surgical removal is not feasible.
Source: BMC Neurology - December 18, 2014 Category: Neurology Authors: Seung-Hoon SongHong RohHahn KimJin ChoiWon-Jin MoonWoo ChoeIleok Jung Source Type: research

Endovascular and Surgical Treatment of Unruptured MCA Aneurysms: Meta-Analysis and Review of the Literature.
Conclusions. This review weakly supports clipping as the preferred treatment of unruptured MCA aneurysms. Clinical outcomes did not differ significantly between the two groups. PMID: 24800103 [PubMed]
Source: Stroke Research and Treatment - December 2, 2014 Category: Neurology Tags: Stroke Res Treat Source Type: research

Timing and nature of in-house postoperative events following uncomplicated elective endovascular aneurysm treatment.
Conclusions The large majority of significant postprocedural events after uncomplicated endovascular aneurysm intervention occur within the first 4 hours; these events become less frequent with increasing time. Transfer to a floor bed after 4-12 hours for further observation is reasonable to consider in some patients. PMID: 25170666 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - August 29, 2014 Category: Neurosurgery Authors: Arias EJ, Patel B, Cross DT, Moran CJ, Dacey RG, Zipfel GJ, Derdeyn CP Tags: J Neurosurg Source Type: research

Early results of the Axium MicroFX for Endovascular Repair of IntraCranial Aneurysm (AMERICA) study: a multicenter prospective observational registry
Conclusions This prospective study of Axium MicroFX coils demonstrates excellent aneurysm occlusion rates. 52% of aneurysms were completely occluded post-procedure. Within the ruptured aneurysm group, post-procedure occlusion rates were 63.6%. Major AE rates were consistent with historical data.
Source: Journal of NeuroInterventional Surgery - August 6, 2014 Category: Neurosurgery Authors: Fargen, K. M., Blackburn, S., Carpenter, J. S., Jabbour, P., Mack, W. J., Rai, A. T., Siddiqui, A. H., Turner, R. D., Mocco, J. Tags: Hemorrhagic stroke Source Type: research

E-006 Familial Incidence of the Congenital Torcular Dural Arteriovenous Shunt
Purpose There are several hereditary disorders that are well known to be associated with arteriovenous malformations (AVMs) involving the central nervous system including Sturge-Weber, Klippel-Trenaunay-Weber, and Parkes-Weber syndromes as well as hereditary haemorrhagic telangiectasia and hereditary neurocutaneous angiomatosis. Furthermore, familial incidence of AVMs in the absence of congenital hereditary disorders also has been reported. Herein, we describe the occurrence of the giant torcular herophili (TH) dural arteriovenous fistula (AVF) in two pediatric cousins treated with endovascular embolization. Case report C...
Source: Journal of NeuroInterventional Surgery - July 26, 2014 Category: Neurosurgery Authors: Honarmand, A., Hurley, M., Daruwalla, V., Ansari, S., Shaibani, A. Tags: Electronic poster abstracts Source Type: research

E-064 Safety and Efficacy of Balloon-Assisted Coiling of Intracranial Aneurysms: A Single-Center Study
Conclusions In our single-center study, balloon-assisted coiling was not associated with serious complications. Minimal intra-operative thrombi which were formed resolved with almost no adverse events in patient. Further studies will need to be performed on long term outcomes of these patients, however, balloon-assisted coiling has emerged as an important adjunct in the endovascular treatment of aneurysms. Disclosures V. Ramakrishnan: None. S. Quadri: None. A. Sodhi: None. V. Cortez: None. M. Taqi: None.
Source: Journal of NeuroInterventional Surgery - July 26, 2014 Category: Neurosurgery Authors: Ramakrishnan, V., Quadri, S., Sodhi, A., Cortez, V., Taqi, M. Tags: Electronic poster abstracts Source Type: research

P-011 Early experience with TransForm™ Occlusion Balloon Catheter (OBC): A Single-Center Study
Conclusions In our single-center study, balloon remodeled coil embolization of aneurysm using TOBC was not associated with any serious complications. The balloon was trackable to intended site and the preparation time was relatively short. We believe that TOBC has good utility in treating broad-necked aneurysms and small aneurysms that are otherwise suboptimally managed by conventional deployment. Disclosures S. Quadri: None. V. Ramakrishnan: None. A. Sodhi: None. V. Cortez: None. M. Taqi: None.
Source: Journal of NeuroInterventional Surgery - July 26, 2014 Category: Neurosurgery Authors: Quadri, S., Ramakrishnan, V., Sodhi, A., Cortez, V., Taqi, M. Tags: Oral poster abstracts Source Type: research

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