Filtered By:
Source: Journal of Neurosurgery
Education: Study

This page shows you your search results in order of date. This is page number 20.

Order by Relevance | Date

Total 456 results found since Jan 2013.

Predicting neuroimaging eligibility for extended-window endovascular thrombectomy
CONCLUSIONS: Despite the limited sample size, compared with perfusion-based examinations, the clinical variables identified in this study accurately predicted which stroke patients would have salvageable penumbra (C statistic 71%-86%) in a range of clinical scenarios and treatment cutoffs. This prediction improved (C statistic 85%-86%) when utilized in patients with confirmed LVO or a less stringent tissue mismatch (TM < 1.2) cutoff. Larger patient registries should be used to validate and improve the predictive ability of these models.PMID:33636705 | DOI:10.3171/2020.8.JNS20386
Source: Journal of Neurosurgery - February 26, 2021 Category: Neurosurgery Authors: Adam de Havenon Kole Mickolio Steven O'Donnell Greg Stoddard J Scott McNally Matthew Alexander Philipp Taussky Al-Wala Awad Source Type: research

Feasibility and safety of the strategy of first stenting without retrieval using Solitaire FR as a treatment for emergent large-vessel occlusion due to underlying intracranial atherosclerosis.
CONCLUSIONS: This study's findings suggest that FRESH, rather than rescue stenting, could be a treatment option for ICAS-related ELVO. PMID: 33513579 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - January 29, 2021 Category: Neurosurgery Authors: Kim JH, Jung YJ, Chang CH Tags: J Neurosurg Source Type: research

A comparison of radial versus femoral artery access for acute stroke interventions.
CONCLUSIONS: Acute stroke intervention performed via transradial access is feasible and effective, with no significant difference in procedural and clinical outcomes compared with traditional transfemoral access. Larger studies are required to further validate the efficacy and limitations of transradial access for neurointerventional procedures. PMID: 33186909 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - November 13, 2020 Category: Neurosurgery Authors: Khanna O, Velagapudi L, Das S, Sweid A, Mouchtouris N, Al Saiegh F, Avery MB, Chalouhi N, Schmidt RF, Sajja K, Gooch MR, Tjoumakaris S, Rosenwasser RH, Jabbour PM Tags: J Neurosurg Source Type: research

Readmission following extracranial-intracranial bypass surgery in the United States: nationwide rates, causes, risk factors, and volume-driven outcomes.
CONCLUSIONS: Readmission rates for patients after EC-IC bypass are comparable with those after other common cranial procedures and are primarily driven by preexisting comorbidities, socioeconomic status, and treatment at low-volume centers. Periprocedural complications, including stroke, graft failure, and wound complications, occurred at the expected rates, consistent with those in prior clinical series. The centralization of care may significantly reduce perioperative complications, readmissions, and hospital resource utilization. PMID: 33157529 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - November 6, 2020 Category: Neurosurgery Authors: Rumalla K, Srinivasan VM, Gaddis M, Kan P, Lawton MT, Burkhardt JK Tags: J Neurosurg Source Type: research

Comparison of robotic-assisted carotid stenting and manual carotid stenting through the transradial approach.
CONCLUSIONS: The authors' results suggest that RA TR CAS is feasible, safe, and effective. Neurovascular-specific engineering and software modifications are needed prior to complete remote control. Remote control has important implications regarding patient access to lifesaving procedures for conditions such as stroke and aneurysm rupture as well as operative precision. Future clinical investigations among larger cohorts are needed to demonstrate reliable performance and patient benefit. PMID: 32858520 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - August 27, 2020 Category: Neurosurgery Authors: Weinberg JH, Sweid A, Sajja K, Gooch MR, Herial N, Tjoumakaris S, Rosenwasser RH, Jabbour P Tags: J Neurosurg Source Type: research

Endarterectomy for symptomatic internal carotid artery web.
CONCLUSIONS: CEA is a safe and feasible treatment for symptomatic carotid webs and should be considered a viable alternative to CAS in this patient population. PMID: 32858515 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - August 27, 2020 Category: Neurosurgery Authors: Haynes J, Raz E, Tanweer O, Shapiro M, Esparza R, Zagzag D, Riina HA, Henderson C, Lillemoe K, Zhang C, Rostanski S, Yaghi S, Ishida K, Torres J, Mac Grory B, Nossek E Tags: J Neurosurg Source Type: research

Letter to the Editor. Reporting continuous variables and statistical significance in a study of 30-day hospital readmissions after mechanical thrombectomy for acute ischemic stroke.
PMID: 32823259 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - August 20, 2020 Category: Neurosurgery Authors: Li S, Xu Q, Yin C Tags: J Neurosurg Source Type: research

Direct carotid puncture for mechanical thrombectomy in acute ischemic stroke patients with prohibitive vascular access.
CONCLUSIONS: DCP for emergency MT in patients with anterior circulation AIS-LVO and prohibitive vascular access is safe and effective and is associated with higher recanalization rates, smaller infarct volumes, and improved functional outcome compared with patients with abMT after failed transfemoral access. DCP should be considered in this patient population. PMID: 32796146 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - August 13, 2020 Category: Neurosurgery Authors: Cord BJ, Kodali S, Strander S, Silverman A, Wang A, Chouairi F, Koo AB, Nguyen CK, Peshwe K, Kimmel A, Porto CM, Hebert RM, Falcone GJ, Sheth KN, Sansing LH, Schindler JL, Matouk CC, Petersen NH Tags: J Neurosurg Source Type: research

Direct versus indirect bypass procedure for the treatment of ischemic moyamoya disease: results of an individualized selection strategy.
CONCLUSIONS: The selective use of an indirect bypass procedure for iMMD did not decrease the perioperative stroke rate. Direct bypass provided a significantly higher degree of revascularization. The authors conclude that direct bypass is the treatment of choice for iMMD. PMID: 32534489 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - June 11, 2020 Category: Neurosurgery Authors: Nielsen TH, Abhinav K, Sussman ES, Han SS, Weng Y, Bell-Stephens T, CNRN, Heit JJ, Steinberg GK Tags: J Neurosurg Source Type: research

RECO Flow Restoration Device Versus Solitaire FR With the Intention for Thrombectomy Study (REDIRECT): a prospective randomized controlled trial.
CONCLUSIONS: The RECO stent retriever is effective and safe as a mechanical thrombectomy device for AIS due to LVO.Clinical trial registration no.: NCT01983644 (clinicaltrials.gov). PMID: 32502991 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - June 4, 2020 Category: Neurosurgery Authors: Cao J, Lin H, Lin M, Ke K, Zhang Y, Zhang Y, Zheng W, Chen X, Wang W, Zhang M, Xuan J, Peng Y, REDIRECT Trial Investigators Tags: J Neurosurg Source Type: research

Predictors of 30-day hospital readmission after mechanical thrombectomy for acute ischemic stroke.
CONCLUSIONS: The study data demonstrate that hypertension, length of hospital stay, and hemorrhagic conversion were predictors of 30-day hospital readmission in stroke patients after mechanical thrombectomy. Infection was the most common cause of 30-day readmission, followed by cardiac and cerebrovascular diagnoses. These results therefore may serve to identify patients within the stroke population who require increased surveillance following discharge to reduce complications and unplanned readmissions. PMID: 32357335 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - April 30, 2020 Category: Neurosurgery Authors: Mouchtouris N, Al Saiegh F, Valcarcel B, Andrews CE, Fitchett E, Nauheim D, Moskal D, Herial N, Jabbour P, Tjoumakaris SI, Sharan AD, Rosenwasser RH, Gooch MR Tags: J Neurosurg Source Type: research

An altered posterior question-mark incision is associated with a reduced infection rate of cranioplasty after decompressive hemicraniectomy.
CONCLUSIONS: The primary goal of this retrospective cohort analysis was to identify adjustable risk factors to prevent post-CP complications. In this analysis, a posterior question-mark incision proved beneficial regarding infection and CP failure. The authors believe that these findings are caused by the better vascularized skin flap due to preservation of the superficial temporal artery and partial preservation of the occipital artery. In this trial, the posterior question-mark incision was identified as an easily and costless adaptable technique to reduce CP failure rates. PMID: 32330877 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - April 23, 2020 Category: Neurosurgery Authors: Veldeman M, Daleiden L, Hamou H, Höllig A, Clusmann H Tags: J Neurosurg Source Type: research

Construction of a comprehensive endovascular test bed for research and device development in mechanical thrombectomy in stroke.
CONCLUSIONS: The test bed presented in this study is a low-cost, comprehensive, realistic, and versatile platform that enabled high-quality analysis of embolus-device interaction in multiple cerebrovascular phantoms and embolus analogs. PMID: 32244204 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - April 2, 2020 Category: Neurosurgery Authors: Reddy AS, Liu Y, Cockrum J, Gebrezgiabhier D, Davis E, Zheng Y, Pandey AS, Shih AJ, Savastano LE Tags: J Neurosurg Source Type: research

Spreading depolarization may represent a novel mechanism for delayed fluctuating neurological deficit after chronic subdural hematoma evacuation.
CONCLUSIONS: This is the first observation of SD occurring after cSDH evacuation. SD occurred at a rate of 15% and was associated with neurological deterioration. This may represent a novel mechanism for otherwise unexplained fluctuating neurological deficit after cSDH evacuation. This could provide a new therapeutic target, and SD-targeted therapies should be evaluated in prospective clinical trials. PMID: 32217801 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - March 26, 2020 Category: Neurosurgery Authors: Mohammad LM, Abbas M, Shuttleworth CW, Ahmadian R, Bhat A, Hill DA, Carlson AP Tags: J Neurosurg Source Type: research

Effects of case volume and comprehensive stroke center capabilities on patient outcomes of clipping and coiling for subarachnoid hemorrhage.
CONCLUSIONS: The effects of case volume and CSC capabilities on in-hospital mortality and short-term functional outcomes in SAH patients differed between patients undergoing clipping and those undergoing coiling. In the modern endovascular era, better outcomes of clipping may be achieved in facilities with high CSC capabilities. PMID: 32168489 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - March 12, 2020 Category: Neurosurgery Authors: Kurogi R, Kada A, Ogasawara K, Kitazono T, Sakai N, Hashimoto Y, Shiokawa Y, Miyachi S, Matsumaru Y, Iwama T, Tominaga T, Onozuka D, Nishimura A, Arimura K, Kurogi A, Ren N, Hagihara A, Nakaoku Y, Arai H, Miyamoto S, Nishimura K, Iihara K Tags: J Neurosurg Source Type: research