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Specialty: Neurosurgery
Condition: Thrombosis
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Total 559 results found since Jan 2013.
P-012 Longer Working Length of the Solitaire Retrieval Device Improves Revascularization
ConclusionsThe Solitaire 4 x 40 device showed a statistical trend for achieving better recanalization compared to the shorter devices. However due to our small sample size of patients undergoing treatment with the 4 x 40, further investigation is warranted to determine whether this result is maintained in larger sample size such as the STRATUS registry.DisclosuresW. Holloway: None. I. Akhtar: None. J. Halpin: None. C. Martin: None. N. Akhtar: None.
Source: Journal of NeuroInterventional Surgery - July 28, 2016 Category: Neurosurgery Authors: Holloway, W., Akhtar, I., Halpin, J., Martin, C., Akhtar, N. Tags: Oral poster abstracts Source Type: research
E-084 Long-Term Clinical Outcomes in Patients with Acute Ischemic Strokes Treated with Mechanical Thrombectomy who had Moderate or Moderate Severe Disability at 90 Days
ConclusionAmong patients with AIS treated with MT who had moderate or moderate severe disability at 90 days, a considerable minority (30%) demonstrated a reduction in long-term disability with continued outpatient rehabilitation.DisclosuresJ. Delgado Almandoz: 2; C; Medtronic Neurovascular, Penumbra, Inc. S. Hochsprung: None. Y. Kayan: 2; C; Medtronic Neurovascular, Penumbra, Inc. J. Fease: None. J. Scholz: None. A. Milner: None. P. Roohani: None. M. Mulder: None. T. Hehr: None. R. Tarrel: None. D. Chappuis: None. M. Young: None.
Source: Journal of NeuroInterventional Surgery - July 28, 2016 Category: Neurosurgery Authors: Delgado Almandoz, J., Hochsprung, S., Kayan, Y., Fease, J., Scholz, J., Milner, A., Roohani, P., Mulder, M., Hehr, T., Tarrel, R., Chappuis, D., Young, M. Tags: Electronic poster abstracts Source Type: research
Completely Thrombosed Aneurysms of the Posterior Cerebral Artery: A Comprehensive Review
Conclusions CTPCAAs are characterized by young age at presentation, male predominance, proximal location on PCA, and tendency to cause PCA occlusion. The PCAA clinical presentation depends on the mechanism of complete thrombosis. SAH and stroke-like syndrome CTPCAAs harbor a less organized thrombus than tumor-like CTPCAAs, which makes the aneurysm more prone to hemorrhagic/ischemic complications. Thus clinical presentation may indicate the clinical evolution in CTPCAAs. The management of CTPCAAs varied according to the patient's clinical condition and the risk evaluation for future complications derived from the aneurysm...
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - June 6, 2017 Category: Neurosurgery Authors: Ros de San Pedro, Javier Cuartero P érez, Beatriz Tags: Review Article Source Type: research
P2Y12 hyporesponse (PRU>200) is not associated with increased thromboembolic complications in anterior circulation Pipeline
Conclusions
P2Y12 hyporesponse (PRU>200) is not associated with increased periprocedural complications in a contemporary series of patients undergoing anterior circulation PED placement. Titration of antiplatelet medications to P2Y12 >200 remains unindicated and may increase the risk of hemorrhagic complications.
Source: Journal of NeuroInterventional Surgery - September 12, 2017 Category: Neurosurgery Authors: Bender, M. T., Lin, L.-M., Colby, G. P., Lubelski, D., Huang, J., Tamargo, R. J., Coon, A. L. Tags: Clinical neurology Source Type: research
A review of the diagnosis and management of vertebral basilar (posterior) circulation disease.
Authors: Ausman JI, Liebeskind DS, Gonzalez N, Saver J, Martin N, Villablanca JP, Vespa P, Duckwiler G, Jahan R, Niu T, Salamon N, Yoo B, Tateshima S, Buitrago Blanco MM, Starkman S
Abstract
We have reviewed the English literature published in the last 70 years on Diseases of the Vertebral Basilar Circulation, or Posterior Circulation Disease (PCD). We have found that errors have been made in the conduct and interpretation of these studies that have led to incorrect approaches to the management of PCD. Because of the difficulty in evaluating the PC, the management of PCD has been incorrectly applied from anterior c...
Source: Surgical Neurology International - June 24, 2018 Category: Neurosurgery Tags: Surg Neurol Int Source Type: research
Single center experience with the new generation derivo embolization device for ruptured and unruptured intracranial aneurysms.
CONCLUSIONS: Treatment of complex RIAs and UIAs with the new generation Derivo appeared to be safe and effective in this single centre case series for ruptured and unruptured intracranial aneurysms. Immediate DSA revealed a significant flow modulation; and 6-month follow-up showed a high occlusion rate.
PMID: 31079436 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgical Sciences - May 15, 2019 Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research
Safety of Prophylactic Heparin in the Prevention of Venous Thromboembolism After Spontaneous Intracerebral Hemorrhage: A Meta-analysis
Conclusion Prophylactic heparin was associated with a nonsignificant increase in any hematoma enlargement and mortality, a nonsignificant reduction in extracranial hemorrhage, and a nonsignificant increase in the incidence of major disability in patients with sICH. It is probably safe to administer heparin to prevent VTE in patients with sICH. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents | Abstract | Full text
Source: Journal of Neurological Surgery Part A: Central European Neurosurgery - January 20, 2020 Category: Neurosurgery Authors: Pan, Xi Li, Jihui Xu, Lan Deng, Shengming Wang, Zhi Tags: Review Article Source Type: research
P-007 Safety and efficacy of endovascular thrombectomy for distal vessel occlusion (DLV): single center experience
ConclusionThis single center, consecutive real-world experience demonstrates that thrombectomy in DVO stroke patients is safe and leads to high rate of successful recanalization. Further studies are warranted to evaluate the efficacy of thrombectomy in DVO in comparison to best medical management.Disclosures S. Majidi: None. S. Matsoukas: None. R. De Leacy: None. T. Oxley: None. H. Shoirah: None. T. Shigematsu: None. C. Kellner: None. J. Fifi: None. J. Mocco: None.
Source: Journal of NeuroInterventional Surgery - July 26, 2021 Category: Neurosurgery Authors: Majidi, S., Matsoukas, S., De Leacy, R., Oxley, T., Shoirah, H., Shigematsu, T., Kellner, C., Fifi, J., Mocco, J. Tags: Oral poster abstracts Source Type: research
E-131 Optical coherence tomography-guided endovascular treatment of symptomatic non-stenotic carotid disease
ConclusionSyNC is increasingly being recognized as a potential etiology in cryptogenic ischemic strokes. Plaques can be evaluated through imaging modalities such as OCT providing insight towards targeted therapy for patients.Disclosures S. Madhani: None. S. Oushy: None. N. Borg: None. E. Scharf: None. L. Savastano: None.
Source: Journal of NeuroInterventional Surgery - July 23, 2022 Category: Neurosurgery Authors: Madhani, S., Oushy, S., Borg, N., Scharf, E., Savastano, L. Tags: SNIS 19th annual meeting electronic poster abstracts Source Type: research
E-237 A 911 continuation of care protocol reduces door in, door out time for transfer patients with emergent large vessel occlusion
ConclusionUtilizing the 911 COC process for EMS transport of patients eligible for MT reduced DIDO time at the sending hospital, which may contribute to improved functional outcome.Disclosures R. Shaw: None. H. Rho: None. N. Sangha: None. J. Saver: 4; C; BrainQ, Clinical Trial Steering Committee. 6; C; Abbott, Clinical Trial Steering Committee, Medtronic, Clinical Trial Steering Committee, BrainsGate, Clinical Trial Steering Committee, Boehringer-Ingelheim (Prevention Only), Clinical Trial Steering Committee, Cerenovus, Clinical Trial Steering Committee, Phagenesis, Clinical Trial Steering Committee. C. Liang: None.
Source: Journal of NeuroInterventional Surgery - July 23, 2022 Category: Neurosurgery Authors: Shaw, R., Rho, H., Sangha, N., Saver, J., Liang, C. Tags: SNIS 19th annual meeting electronic poster abstracts Source Type: research
O18 Causes and impact of incomplete reperfusion in eTICI 2b: insights from the ESCAPE-NA1 trial
ConclusionIncomplete reperfusion was most often caused by multiple small non-MT-accessible occlusions and was associated with development of infarct on follow-up imaging in more than half of the patients.ReferencesTung EL, Mctaggart RA, Baird GL, et al. Rethinking Thrombolysis in Cerebral Infarction 2b: which Thrombolysis in Cerebral Infarction Scales Best Define Near Complete Recanalization in the Modern Thrombectomy Era? Stroke; A Journal of Cerebral Circulation 2017;48(9):2488–93.Kaesmacher J, Ospel JM, Meinel TR, et al. Thrombolysis in Cerebral Infarction 2b Reperfusions: To Treat or to Stop? Stroke 3461–34...
Source: Journal of NeuroInterventional Surgery - August 29, 2022 Category: Neurosurgery Authors: Cimflova, P., Kappelhof, M., Singh, N., Sehgal, A., Ospel, J., Bala, F., Almekhlafi, M., Tymianski, M., Hill, M., Goyal, M. Tags: 14th Congress of the European Society of Minimally Invasive Neurological Therapy 2022 Meeting Abstracts Source Type: research
O23 Mechanical thrombectomy using a modified ADAPT (a direct aspiration first pass technique) in a patient with m1-occlusion and concomitant mca-aneurysm
We present a case in which a patient with a right-sided MCA M1 occlusion (NIHSS 30) and concomitant mediabifurcation aneurysm was fully recanalized (TICI 3) using a modified ADAPT technique, without prior passage of the thrombus as previously described by Turc et al.2. To us, the avoidance of blind aneurysm passage by microwire and microcatheter appears to be a major advantage of the method used. Instead, the aspiration catheter was advanced via a 0.035 Terumo guide wire for proximal stabilization. Thrombus was aspirated with proximally inflated BGC and repeated imaging series up to visualization of the aneurysm neck. Thus...
Source: Journal of NeuroInterventional Surgery - August 29, 2022 Category: Neurosurgery Authors: Demerath, T., Elbaz, A., Urbach, H., Taschner, C. Tags: 14th Congress of the European Society of Minimally Invasive Neurological Therapy 2022 Meeting Abstracts Source Type: research
P61 Double stent-retriever as first-line approach in mechanical thrombectomy - a randomized in vitro evaluation
ConclusionsUnder certain anatomical conditions, the double-SR technique combined with distal aspiration may induce a higher%FPE than single-SR. The perks of using double-SR as the primary approach are highlighted when treating saddle occlusions.ReferencesKlisch J, Sychra V, Strasilla C, et al. Double solitaire mechanical thrombectomy in acute stroke: effective rescue strategy for refractory artery occlusions? Ajnr Am J Neuroradiol 2015;36:552–6. Doi:10.3174/Ajnr.A4133Asadi H, Brennan P, Martin A, Looby S, O’hare A, Thornton J. Double stent-retriever technique in endovascular treatment of middle cerebral artery ...
Source: Journal of NeuroInterventional Surgery - August 29, 2022 Category: Neurosurgery Authors: Li, J., Tiberi, R., Vargas, D., Tomasello, A., Ribo, M., on behalf of the FLOWCAT Research Team Tags: 14th Congress of the European Society of Minimally Invasive Neurological Therapy 2022 Meeting Abstracts Source Type: research
P89 "Not only Carotid: two unusual cases of treatment of steno-obstructions
ConclusionsThe persistence of fetal anastomosis between carotid and basilar artery would represent a posterior cerebral circulation risk for ischemia and embolic infarction; in these cases the menagement of carotid steno-obstructions is challenging and requires special considerations.ReferencesJin X, Sun L, Feng Z, Li X, et. al. Persistent Hypoglossal Artery as a Potential Risk Factor for Simultaneous Carotid and Vertebrobasilar Infarcts. Front Neurol. 2018 Oct 11;9:837.Burgard M, Psathas E, Mordasini P, et. al. Symptomatic Internal Carotid Artery Stenosis in the Presence of a Persistent Primary Hypoglossal Artery. Vascula...
Source: Journal of NeuroInterventional Surgery - August 29, 2022 Category: Neurosurgery Authors: Corraine, S., Ledda, V., Schirru, F., Erta, M., Ferrari, A., Fusaro, F., Comelli, S. Tags: 14th Congress of the European Society of Minimally Invasive Neurological Therapy 2022 Meeting Abstracts Source Type: research
Periprocedural cerebrovascular complications and 30-day outcomes of endovascular treatment for intracranial vertebral artery dissecting aneurysms
CONCLUSIONS: Hyperlipidemia, IS history, and SAH were independent predictors for overall periprocedural cerebrovascular complications of endovascular treatment for IVADAs, but aneurysmal height was an independent protective factor. SAH and preprocedural mRS score > 2 were independent risk factors for perforator occlusion stroke. Preprocedural mRS score > 2 and periprocedural complications were independent risk factors for 30-day unfavorable clinical outcomes.PMID:36401540 | DOI:10.3171/2022.10.JNS221953
Source: Journal of Neurosurgery - November 19, 2022 Category: Neurosurgery Authors: Jiangli Han Fei Liu Jigang Chen Xin Tong Mingyang Han Fei Peng Hao Niu Lang Liu Aihua Liu Source Type: research
