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Nomogram for predicting delayed cerebral ischemia after aneurysmal subarachnoid hemorrhage in the Chinese population
The incidence of stroke is high worldwide1 and is the leading cause of death in China presently.2,3 Subarachnoid hemorrhage caused by ruptured intracranial aneurysm is a subtype of severe stroke that occurs suddenly in seemingly healthy individuals with generally poor prognosis.4 Surgical clipping and endovascular coiling are effective treatment modalities for patients with aneurysmal subarachnoid hemorrhage (aSAH). Delayed cerebral ischemia (DCI) is a complication of aSAH, occurring in up to 30% of patients,5 and is an important cause of disability and death, often leading to deterioration of patients ’ condition or quality of life.
Source: Journal of Stroke and Cerebrovascular Diseases - August 15, 2020 Category: Neurology Authors: Haonan Liu, Qian Xu, Aimin Li Source Type: research

Endovascular Treatment of Sphenoid Wing Dural Arteriovenous Fistula with Pure Cortical Venous Drainage
We report the curative endovascular treatment of two sphenoid wing dAVFs with pure cortical venous drainage. One patient revealed complete obliteration of dAVF by a single session of transarterial embolization (TAE). As part of strategic TAE for this complex dAVF, we used a novel approach to create a complete flow-arrest condition in which coils and an occlusion balloon were combined. A liquid agent was then injected across the pathological fistula and into the parent venous apparatus, thereby occluding the lesion. The other patient was treated with percutaneous TVE after TAE was unsuccessful. With a specific strategy and ...
Source: Journal of Stroke and Cerebrovascular Diseases - March 3, 2014 Category: Neurology Authors: Hitoshi Fukuda, Kosuke Miyake, Takenobu Kunieda, Kenichi Murao Tags: Case Reports Source Type: research

Endovascular Treatment of Ruptured Large or Wide-Neck Basilar Tip Aneurysms Associated with Moyamoya Disease Using the Stent-Assisted Coil Technique
We report our experiences of stent-assisted coil embolization for ruptured large or wide-neck BTAs associated with MMD.
Source: Journal of Stroke and Cerebrovascular Diseases - July 24, 2015 Category: Neurology Authors: Yan Chen, Dongwei Dai, Yibin Fang, Pengfei Yang, Qinghai Huang, Wenyuan Zhao, Yi Xu, Jianmin Liu Source Type: research

Increased Resting Energy Expenditure after Endovascular Coiling for Subarachnoid Hemorrhage
Appropriate nutritional care from the acute stage is essential for improved functional outcomes and reduced mortality in patients with subarachnoid hemorrhage (SAH). Although endovascular coiling is increasingly being used as an alternative to neurosurgical clipping and craniotomy for ruptured aneurysms, the resting energy expenditure (REE) of patients treated with this new technique has not been systemically evaluated.
Source: Journal of Stroke and Cerebrovascular Diseases - January 18, 2016 Category: Neurology Authors: Ayano Nagano, Yoshitaka Yamada, Hiroji Miyake, Kazuhisa Domen, Tetsuo Koyama Source Type: research

Endovascular Internal Trapping of Ruptured Occipital Artery Pseudoaneurysm Associated with Occipital–Internal Jugular Vein Fistula in Neurofibromatosis Type 1
We report a case of ruptured occipital artery (OA) pseudoaneurysm associated with occipital–internal jugular vein (IJV) fistula in neurofibromatosis type 1. Endovascular internal trapping via the OA was attempted; however, the distal entry of the OA could not be accessed because of the high shunt flow and tortuosity of the OA. The distal part of the OA was obliterated with coil via a transvenous approach through the IJV and pseudoaneurysm.
Source: Journal of Stroke and Cerebrovascular Diseases - March 9, 2016 Category: Neurology Authors: Taichiro Imahori, Atsushi Fujita, Kohkichi Hosoda, Eiji Kohmura Tags: Case Studies Source Type: research

Innovations in Endovascular Treatment Strategies for Large Carotid Cavernous Aneurysms —The Safety and Efficacy of a Flow Diverter
The efficacy for the treatment of large carotid cavernous aneurysms (CCAs) was compared between conventional endovascular treatments, stent-assisted coiling (SAC), parent artery occlusion (PAO), and the flow diverter (FD).
Source: Journal of Stroke and Cerebrovascular Diseases - February 23, 2017 Category: Neurology Authors: Shigeru Miyachi, Hiroyuki Ohnishi, Ryo Hiramatsu, Takashi Izumi, Noriaki Matsubara, Toshihiko Kuroiwa Source Type: research

Stent salvage for coil protrusion of ruptured intracranial aneurysm
We report endovascular stent deployment specifically to treat this complication.
Source: Journal of Stroke and Cerebrovascular Diseases - March 18, 2017 Category: Neurology Authors: Dong-Jun Lim, Sung-Won Jin, Sung-Kon Ha, Won-Hyoung Kim Source Type: research

Coil Embolization through Collateral Pathway for Ruptured Vertebral Artery Dissecting Aneurysm with Bilateral Vertebral Artery Occlusion
Intracranial vertebral artery dissecting aneurysm (VADA) is a well-known cause of subarachnoid hemorrhage (SAH). Endovascular treatment is now well established as an effective method for treating ruptured VADA, especially in the acute phase of SAH.1,2 Although stent technology has introduced a new strategy in the treatment of VADA, internal trapping of both the affected vertebral artery (VA) and the VADA using detachable coils is still the standard endovascular treatment for the acute phase of ruptured VADAs to prevent re-rupture.
Source: Journal of Stroke and Cerebrovascular Diseases - June 15, 2018 Category: Neurology Authors: Satoshi Murai, Kenji Sugiu, Tomohito Hishikawa, Masafumi Hiramatsu, Shingo Nishihiro, Naoya Kidani, Yu Takahashi, Isao Date Tags: Case Studies Source Type: research

Endovascular Treatment of Ruptured Tiny Intracranial Aneurysms with Low-Profile Visualized Intraluminal Support Device
Background: Ruptured tiny intracranial aneurysms (TIAs) have been challenging both for endovascular and neurosurgical interventions. Thus, we aimed to evaluate the safety and efficacy of low-profile visualized intraluminal support (LVIS) device in the treatment of ruptured TIAs (rTIAs). Material and Methods: Among 761 intracranial aneurysms which were treated either surgically or endovascularly, 32 rTIAs underwent stent-assisted coiling with LVIS device between 2014 and 2017. Patient data were reviewed retrospectively.
Source: Journal of Stroke and Cerebrovascular Diseases - November 1, 2018 Category: Neurology Authors: Pei Wu, Pinar Eser Ocak, Dianhong Wang, Umut Ocak, Shancai Xu, Yuchen Li, Tongyu Zhang, Huaizhang Shi Source Type: research

Decreased Antiatherogenic Protein Levels are Associated with Aneurysm Structure Alterations in MR Vessel Wall Imaging
Objective: Thickened intracranial aneurysm wall with atherosclerotic remodeling is a part of its degenerative scenario. Current magnetic resonance (MR)-vessel wall imaging enables the detection of atherosclerotic wall thickening as aneurysm wall enhancement. The purpose of this study was to examine the correlation between identified atherosclerotic remodeling in vessel wall imaging, and systemic atherosclerosis-related risk factors. Methods: A total of 39 aneurysms in 38 consecutive patients scheduled to undergo microsurgical clipping or endovascular coiling of intracranial aneurysms were prospectively evaluated.
Source: Journal of Stroke and Cerebrovascular Diseases - May 23, 2019 Category: Neurology Authors: Daizo Ishii, Toshinori Matsushige, Shigeyuki Sakamoto, Koji Shimonaga, Yuji Akiyama, Takahito Okazaki, Jumpei Oshita, Kaoru Kurisu Source Type: research

“Clip Anchor-Assisted Coil Embolization” for Endovascular Parent Artery Occlusion of Intracranial Traumatic Aneurysm
Traumatic cerebral aneurysms are histologically dissecting aneurysms or pseudoaneurysms, thus requiring parent artery occlusion for cure. Combination of endovascular parent artery occlusion and extracranial-intracranial bypass is considered optimal to obtain complete obliteration of the aneurysm and to avoid hemodynamic hypoperfusion. However, endovascular parent artery occlusion of the supraclinoid internal carotid artery (ICA) is at risk of ischemic complications due to distal coil protrusion to adjacent perforating arteries or distal embolism of the thrombi generated in the coil mass.
Source: Journal of Stroke and Cerebrovascular Diseases - September 13, 2019 Category: Neurology Authors: Hitoshi Fukuda, Toshio Yanagawa, Fumihiko Horikawa, Norio Nakajima, Masashi Kitagawa, Benjamin Lo, Keisuke Yamada Tags: Case Report Source Type: research

A Propensity Score-Matched Comparison of Readmission Rates Associated With Microsurgical Clipping and Endovascular Treatment of Ruptured Intracranial Aneurysms
Background: In the treatment of aneurysmal subarachnoid hemorrhage (aSAH), microsurgical clipping, and endovascular therapy (EVT) with coiling are modalities for securing the ruptured aneurysm. Little data is available regarding associated readmission rates. We sought to determine whether readmission rates differed according to treatment modality for ruptured intracranial aneurysms. Methods: The Nationwide Readmissions Database (NRD) was used to identify adults who experienced aSAH and underwent clipping or EVT.
Source: Journal of Stroke and Cerebrovascular Diseases - February 20, 2020 Category: Neurology Authors: Haydn Hoffman, Muhammad S. Jalal, Lawrence S. Chin Source Type: research

Procedural Complications and Factors Influencing Immediate Angiographic Results after Endovascular Treatment of Small ( < 5 mm) Ruptured Intracranial Aneurysms
With advances in neurointerventional device technology and increased experience with aneurysm embolization, endovascular treatment (EVT) has become a widely accepted modality to treat intracranial aneurysms (IAs) [1]. During EVT of IAs, aneurysms are packed as densely as possible, which makes it exceedingly difficult to implant coils while ensuring safety and complete occlusion [2,3]. However, there appears to be a paradoxical challenge for small ruptured aneurysms (SRAs,
Source: Journal of Stroke and Cerebrovascular Diseases - March 25, 2020 Category: Neurology Authors: Xin Feng, Fei Peng, Zhongrong Miao, Xin Tong, Hao Niu, Baorui Zhang, Luyao Wang, Erkang Guo, Peng Qi, Jun Lu, Dapeng Mo, Zhongxue Wu, Daming Wang, Aihua Liu Source Type: research

Endovascular Treatment for Cavernous Carotid Aneurysms: A Systematic Review and Meta-Analysis
Background and purpose: Coiling and flow diversion are established endovascular techniques for treatment of cavernous carotid aneurysms (CCAs). We performed a systematic review of published series on endovascular treatment of CCAs in order to assess the efficacy and safety between coiling and flow diversion. Methods: We conducted a computerized search of PubMed, MEDLINE, and Web of Science electronic databases for reports on endovascular treatment of CCAs from 1990 to 2019. Comparisons were made in complete occlusion rate, improvement of symptoms rate and intraoperative complication rate between coiling and flow diversion.
Source: Journal of Stroke and Cerebrovascular Diseases - April 14, 2020 Category: Neurology Authors: Yang Sun, Benlin Wan, Qi Li, Tang Li, Ge Huang, Wenchao Zhang, Jianghua Yang, Xiaoguang Tong Source Type: research

Outcomes of treatment modalities for ruptured intracranial aneurysms based on age – A meta-analysis
Data comparing the effect of age on outcomes of patients who underwent either endovascular coiling (EVC) or neurosurgical clipping (NSC) for ruptured intracranial aneurysms remains limited.
Source: Journal of Stroke and Cerebrovascular Diseases - August 15, 2020 Category: Neurology Authors: Giana Dawod, Nicholas D. Henkel, Hisham Salahuddin, Alicia C Castonguay, Sitara Koneru, Luke Mugge, Sadik A. Khuder, Azedine Medhkour, Mouhammad A. Jumaa Source Type: research

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