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Initial experience with transcarotid arterial revascularization with flow reversal in the management of symptomatic carotid stenosis
CONCLUSIONS: The authors' initial experience with TCAR suggests that it might provide an effective alternative to carotid endarterectomy and carotid artery stenting in the management of symptomatic carotid stenosis in patients with high-risk anatomical and medical characteristics.PMID:37029678 | DOI:10.3171/2023.2.JNS222377
Source: Journal of Neurosurgery - April 8, 2023 Category: Neurosurgery Authors: Joshua Feler Radmehr Torabi Krisztina Moldovan Jonathan Poggi Elias Shaaya Matthew Anderson Cameron Ayala Ankush Bajaj Silas Monje Curt Doberstein Source Type: research

Long-term functional independence after minimally invasive endoscopic intracerebral hemorrhage evacuation
CONCLUSIONS: In a single-center minimally invasive endoscopic ICH evacuation cohort, NIHSS score on presentation, lack of IVH, and shorter time to evacuation were independently associated with functional independence at 6 months. Factors associated with functional independence may help to better predict populations suitable for minimally invasive endoscopic evacuation and guide protocols for future clinical trials.PMID:35561694 | DOI:10.3171/2022.3.JNS22286
Source: Journal of Neurosurgery - May 13, 2022 Category: Neurosurgery Authors: Muhammad Ali Xiangnan Zhang Luis C Ascanio Zachary Troiani Colton Smith Neha S Dangayach John W Liang Magdy Selim J Mocco Christopher P Kellner 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

"Strokenomics": bending the cost curve in stroke care.
CONCLUSIONS: Purchasing devices through a bundled model resulted in substantial cost savings while maintaining the therapeutic efficacy of the procedure, further pushing the already beneficial long-term cost-benefit curve in favor of thrombectomy. PMID: 31978888 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - January 23, 2020 Category: Neurosurgery Authors: Munich SA, Vakharia K, McPheeters MJ, Tso MK, Siddiqui AH, Snyder KV, Davies JM, Levy EI Tags: J Neurosurg Source Type: research

Postoperative hemorrhage during the acute phase after direct or combined revascularization for moyamoya disease: risk factors, prognosis, and literature review.
CONCLUSIONS: Preoperative hypertension, CTP stage > III, and posterior circulation involvement are independent risk factors for postoperative ICH after direct or combined revascularization for MMD. After appropriate perioperative management, postoperative ICH has no significant correlations with the postoperative short-term and long-term neurofunctional status. PMID: 31628285 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery - October 17, 2019 Category: Neurosurgery Authors: Chen Y, Ma L, Lu J, Chen X, Ye X, Zhang D, Zhang Y, Wang R, Zhao Y Tags: J Neurosurg Source Type: research

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