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Source: Journal of NeuroInterventional Surgery

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Total 1766 results found since Jan 2013.

P174/304 CGuard stent in emergent settings- is the dual-layer stent safe? A multicenter study
ConclusionIn this multicenter study, the use of CGuard for emergent carotid artery stenting, particularly in tandem occlusions, was safe and resulted in lower rates of in-stent occlusions.Disclosure of InterestThe authors stated explicitly that there are no conflicts of interest in connection with this abstract.
Source: Journal of NeuroInterventional Surgery - August 21, 2023 Category: Neurosurgery Authors: Zidan, M., Voss, Y. L., Wolf, M., Christiane, K. F., Paech, D., Radbruch, A., Nordmeyer, H., Dorn, F. Tags: 2.3 ISCHEMIC - Treatment Source Type: research

P175/308 Analysis of demographic, procedural and imaging data of patients with acute arteriosclerotic tandem lesion: Age and stroke severity matters most for clinical outcome
ConclusionEVT for TL is safe and effective. Lower age and shorter procedural time both correlate with successful outcomes, but the fact that stroke severity, neurological issues and diabetes are linked to higher mortality shows the connotation of comorbidities with long-term survival.Disclosure of InterestAll authors: Nothing to disclose
Source: Journal of NeuroInterventional Surgery - August 21, 2023 Category: Neurosurgery Authors: Huber, C., Gruber, P., Berberat, J., Sassenburg, R., Pflugi, S., Anon, J., Diepers, M., Andereggen, L., Kahles, T., Nedeltchev, K., Remonda, L. Tags: 2.3 ISCHEMIC - Treatment Source Type: research

P176/321 Using the onyx resolute stent for large vessel occlusions and underlying intracranial atherosclerotic disease
ConclusionOnyx Resolute might be indicated for ICAD in LVO settings. Its stiff system needs better tools to be able to navigate tortuous anatomyDisclosure of InterestThe authors have nothing to disclose.
Source: Journal of NeuroInterventional Surgery - August 21, 2023 Category: Neurosurgery Authors: Thind, S., Morsi, R. Z., Kothari, S., Desai, H., Penagos, J. C., Tarabichi, A., Prabhakaran, S., Kass-Hout, T. Tags: 2.3 ISCHEMIC - Treatment Source Type: research

P177/324 To bridge or not to bridge in ICA occlusion, that is the question: single-centre 9-year experience
ConclusionWe observed no significant difference in clinical outcome at 3 months after treatment between patients treated with MT alone versus MT+BT.Disclosure of InterestNothing to disclose
Source: Journal of NeuroInterventional Surgery - August 21, 2023 Category: Neurosurgery Authors: Lauer, D., Sulzenko, J., Koznar, B., Kucera, D., Peisker, T., Vasko, P., Mikulenka, P., Malikova, H., Stetkarova, I., Widimsky, P. Tags: 2.3 ISCHEMIC - Treatment Source Type: research

Rethinking the role of CT perfusion in the management of emergent large vessel ischemic stroke
The treatment of emergent large vessel occlusion (ELVO) was revolutionized by endovascular thrombectomy (EVT). The identification of eligible patients for EVT has sparked significant interest in determining the neuroimaging modality that offers optimal results. The American Stroke Association recommend the use of both non-contrast CT and CT angiogram for patients coming in the early window (0–6 hours).1 In the late window (6–24 hours) the randomized trials, DAWN and DEFUSE 3, showed clinical benefit utilized some form of quantitative estimation of the core infarct.2 3 Consequently the society recommends automat...
Source: Journal of NeuroInterventional Surgery - August 17, 2023 Category: Neurosurgery Authors: Diestro, J. D. B. Tags: Editor ' s column Source Type: research

Decoding the data: a comment on the American Heart Association/American Stroke Association (AHA/ASA) 2023 Guideline for the Management of patients with Aneurysmal Subarachnoid Hemorrhage
Guideline summary The 2023 Guideline for the Management of Patients With Aneurysmal Subarachnoid Hemorrhage was recently released with endorsements from multiple societies, including the Society of NeuroInterventional Surgery.1 All who worked on this document should be congratulated for their work, as it provides many updates, and addresses new components of aneurysmal subarachnoid hemorrhage (aSAH) care. We encourage providers to thoroughly read the statement. While this Guideline statement is thorough, it is important to highlight opportunities for future research, and gaps in the literature, where rigorous adherence to ...
Source: Journal of NeuroInterventional Surgery - August 17, 2023 Category: Neurosurgery Authors: Fraser, J. F., Heit, J. J., Mascitelli, J. R., Tsai, J. P. Tags: Commentary Source Type: research

Modern endovascular management of chronic total carotid artery occlusion: technical results and procedural challenges
Conclusions In the modern endovascular era, revascularization of CTO is a feasible procedure in most cases, and it may be offered in selected patients. However, the high re-occlusion rate is still a limitation of the technique, underlining the need for more research on the technical procedural and periprocedural management.
Source: Journal of NeuroInterventional Surgery - August 17, 2023 Category: Neurosurgery Authors: Radu, R. A., Cagnazzo, F., Derraz, I., Dargazanli, C., Rapido, F., Lefevre, P.-H., Gascou, G., Costalat, V. Tags: New devices New devices and techniques Source Type: research

Retained radial catheters associated with variant radial anatomy in neurointerventional procedures
Conclusion Retained catheters for neurointerventional procedures performed via TRA are rare. However, this complication may be associated with variant radial anatomy. With the increased use of TRA for neurointerventional procedures, awareness of anatomical abnormalities that may lead to a retained catheter is necessary. We propose a simple protocol to avoid catheter entrapment, including in emergent situations such as TRA for stroke thrombectomy.
Source: Journal of NeuroInterventional Surgery - August 17, 2023 Category: Neurosurgery Authors: Catapano, J. S., Winkler, E. A., Srinivasan, V. M., Dishion, E. L., Rutledge, C., Baranoski, J. F., Cole, T. S., Rudy, R. F., Rumalla, K., Zomaya, M. P., Jadhav, A. P., Ducruet, A. F., Albuquerque, F. C. Tags: New devices New devices and techniques Source Type: research

Alberta Stroke Program Early CT Score and collateral status predict target mismatch in large vessel occlusion with delayed time windows
Conclusions NCCT ASPECTS had a strong correlation with CTP core volumes in patients with LVO-AIS in delayed time windows. Combining NCCT ASPECTS with sCTA-CS resulted in a more accurate prediction of target mismatch. If a CTP scan is not available, NCCT ASPECTS combined with sCTA-CS may guide clinicians in making treatment decisions.
Source: Journal of NeuroInterventional Surgery - August 17, 2023 Category: Neurosurgery Authors: Hang, Y., Wang, C. d., Ni, H., Cao, Y., Zhao, L. B., Liu, S., Shi, H.-B., Jia, Z. Tags: Ischemic stroke Source Type: research

Clinical evidence comparing bridging and direct endovascular thrombectomy: progress and controversies
This study aimed to analyze the progress and controversies in clinical evidence based on current meta-analyses. Three databases, including MEDLINE, EMBASE, and the Cochrane Library, were searched. Relevant data were extracted and reviewed from the pooled studies. The Assessment of Multiple Systematic Review (AMSTAR-2) was used for quality assessment. Twenty-five meta-analyses were finally included. There were 56% (14/25) from Asian countries, 20% (5/25) from North America, and 24% (6/25) from Europe. The majority (72%, 18/25) of evidence arose in a short period from 2020 to 2022 with the serial publication of four randomiz...
Source: Journal of NeuroInterventional Surgery - August 17, 2023 Category: Neurosurgery Authors: Bai, X., Fu, Z., Wang, X., Song, C., Xu, X., Li, L., Feng, Y., Dmytriw, A. A., Regenhardt, R. W., Sun, Z., Yang, B., Jiao, L. Tags: Ischemic stroke Source Type: research

Onset-to-treatment time and aneurysmal regression predict improvement of cranial neuropathy after flow diversion treatment in patients with symptomatic internal carotid artery aneurysms
Conclusions The rate of cranial neuropathy symptom improvement after flow diversion increased over the first 12 months after treatment, but not thereafter. Treatment within 6 months of symptom onset and aneurysmal regression were predictors of symptom improvement.
Source: Journal of NeuroInterventional Surgery - August 17, 2023 Category: Neurosurgery Authors: Akiyama, R., Ishii, A., Kikuchi, T., Okawa, M., Yamao, Y., Abekura, Y., Ono, I., Sasaki, N., Tsuji, H., Imamura, H., Hatano, T., Sakai, N., Miyamoto, S. Tags: Open access, Hemorrhagic stroke Source Type: research

Flow diversion for compressive unruptured internal carotid artery aneurysms with neuro-ophthalmological symptoms: a systematic review and meta-analysis
Conclusion Flow diversion promotes recovery or improvement of compressive symptoms in a large proportion of patients but is associated with significant rates of morbidity and mortality. Transient and permanent NOS worsening is not uncommon. Early treatment is of utmost importance, as it increases the likelihood of symptom improvement more than 10-fold.
Source: Journal of NeuroInterventional Surgery - August 17, 2023 Category: Neurosurgery Authors: Kaiser, D. P. O., Cuberi, A., Linn, J., Gawlitza, M. Tags: Open access, Hemorrhagic stroke Source Type: research

Long-term outcomes of flow diversion for unruptured intracranial aneurysms: a systematic review and meta-analysis
Conclusion Flow diverters are safe and effective in short- and long-term follow-up and rarely cause serious delayed side effects.
Source: Journal of NeuroInterventional Surgery - August 17, 2023 Category: Neurosurgery Authors: Shehata, M. A., Ibrahim, M. K., Ghozy, S., Bilgin, C., Jabal, M. S., Kadirvel, R., Kallmes, D. F. Tags: Hemorrhagic stroke Source Type: research

Natural history, angiographic presentation and outcomes of anterior cranial fossa dural arteriovenous fistulas
Conclusion Most ACF-dAVFs have a symptomatic presentation. Drainage through cortical veins is a key angiographic feature of ACF-dAVFs that accounts for their malignant course. Microsurgery is the most effective treatment. Due to the high risk of bleeding, closure of ACF-dAVFs is indicated regardless of presentation.
Source: Journal of NeuroInterventional Surgery - August 17, 2023 Category: Neurosurgery Authors: Sanchez, S., Raghuram, A., Wendt, L., Hayakawa, M., Chen, C.-J., Sheehan, J. P., Kim, L. J., Abecassis, I. J., Levitt, M. R., Meyer, R. M., Guniganti, R., Kansagra, A. P., Lanzino, G., Giordan, E., Brinjikji, W., Bulters, D. O., Durnford, A., Fox, W. C., Tags: Hemorrhagic stroke Source Type: research

LB-004 Novel saccular endovascular aneurysm lattice (SEAL device) pre-seal it early clinical feasibility trial: procedural, 24-hours, and 3-month safety and effectiveness independent core lab adjudicated outcomes
ConclusionThe final procedural, 24-hour, and 3-month follow-up results of the PRE-SEAL-IT trial demonstrated promising occlusion rates at post-procedural, 24-hour, and 3 months follow-up with no safety concerns.DisclosuresB. Pabón: None. V. Torres: None. S. Zaidi: None. H. Salahuddin: None. M. Patiño: None. F. Peláez: None. J. Mútis: None. M. Cardozo: None. A. Hussain: None. I. Lutfi: None. M. Ali: None. S. Ahmed: None. E. Pereira: None. A. Badruddin: None. K. Woodward: None. T. Wolfe: None. C. Langerford: None. B. Jankowitz: None. V. Costalat: None. D. Altschell: None. M. Kaffashi: None. O. Zaidat: None.
Source: Journal of NeuroInterventional Surgery - August 3, 2023 Category: Neurosurgery Authors: Pabon, B., Torres, V., Zaidi, S., Salahuddin, H., Patino, M., Pelaez, F., Mutis, J., Cardozo, M., Hussain, A., Lutfi, I., Ali, M., Ahmed, S., Pereira, E., Badruddin, A., Woodward, K., Wolfe, T., Langerford, C., Jankowitz, B., Costalat, V., Altschell, D., Tags: SNIS 20th annual meeting late-breaking oral abstracts Source Type: research