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Source: Journal of NeuroInterventional Surgery

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Total 1766 results found since Jan 2013.

Applying neurointerventional expertise to save vision from eye strokes
Recent years have seen a dramatic change in the landscape of neurointerventional surgery, in large part due to the significant progress in the treatment of acute ischemic stroke (AIS). This progress has resulted in many thousands of lives saved and the prevention of life-changing morbidity and dependence in many more patients. Although the development of novel endovascular devices and procedural techniques was critical and arguably the ignition for these advances, as we move forward it is the integration of our systems of care and further collaboration with all stakeholders both within and away from the coal face clinical ...
Source: Journal of NeuroInterventional Surgery - September 15, 2023 Category: Neurosurgery Authors: De Leacy, R., Lema, G. M. C. Tags: Editor ' s column Source Type: research

Management of aneurysmal recurrence after Woven EndoBridge (WEB) treatment
Conclusion The retreatment rate after an initial WEB treatment seems to compare favorably with that of coiling. Endovascular treatment of recurrence following WEB implantation is feasible in most situations; it generally requires the use of a stent and leads to a high rate of satisfactory occlusion.
Source: Journal of NeuroInterventional Surgery - September 15, 2023 Category: Neurosurgery Authors: Caroff, J., Janot, K., Soize, S., Marnat, G., Cortese, J., Mihalea, C., Popescu, S. D., Ikka, L., Chalumeau, V., Gallas, S., Ozanne, A., Eltantawy, E., Grimaldi, L., Barreau, X., Herbreteau, D., Pierot, L., Spelle, L. Tags: Editor''s choice, Hemorrhagic stroke Source Type: research

Volumetric resolution of chronic subdural hematomas treated with surgical evacuation versus middle meningeal artery embolization during immediate, early, and late follow up: propensity-score matched cohorts
Conclusions In comparable cSDH patients, SEA resulted in better volumetric outcomes in immediate postoperative and early follow-up periods, as expected. However, this difference was not significant at more distant follow-up intervals. Furthermore, surgical patients experienced a significantly higher rate of recurrence.
Source: Journal of NeuroInterventional Surgery - September 15, 2023 Category: Neurosurgery Authors: Housley, S. B., Monteiro, A., Khawar, W. I., Donnelly, B. M., Lian, M. X., Fritz, A. G., Waqas, M., Cappuzzo, J. M., Snyder, K. V., Siddiqui, A. H., Levy, E. I., Davies, J. M. Tags: Hemorrhagic stroke Source Type: research

Direct puncture of the superior ophthalmic vein for carotid cavernous fistulas: a 21-year experience
Conclusion Direct SOV cannulation to treat CCFs is safe and effective. Although it is typically used after other endovascular approaches have failed, SOV access for CCF treatment may be warranted as a first-line treatment for select patients.
Source: Journal of NeuroInterventional Surgery - September 15, 2023 Category: Neurosurgery Authors: Catapano, J. S., Srinivasan, V. M., De La Pena, N. M., Singh, R., Cole, T. S., Wilkinson, D. A., Baranoski, J. F., Rutledge, C., Pacult, M. A., Winkler, E. A., Jadhav, A. P., Ducruet, A. F., Albuquerque, F. C. Tags: Hemorrhagic stroke Source Type: research

Single-antiplatelet regimen in ruptured cerebral blood blister and dissecting aneurysms treated with flow-diverter stent reconstruction
Conclusions Peri-interventional single-antiplatelet therapy with eptifibatide followed by prasugrel was sufficient to prevent thromboembolic events and reduce re-bleeding using an anti-thrombogenic FDS. FDS with single-antiplatelet therapy might be a viable option for ruptured blood blister and dissecting cerebral aneurysms.
Source: Journal of NeuroInterventional Surgery - September 15, 2023 Category: Neurosurgery Authors: Madjidyar, J., Keller, E., Winklhofer, S., Toth, D., Barnaure, I., Schubert, T., Thurner, P., Fierstra, J., Willms, J. F., Regli, L., Kulcsar, Z. Tags: Hemorrhagic stroke Source Type: research

Relationship between cerebral vasospasm vascular territory and functional outcome after aneurysmal subarachnoid hemorrhage
Conclusions In aneurysmal SAH, left-sided vasospasm is associated with worse discharge functional status. At 6 months, both ACA and BA vasospasm are associated with unfavorable functional status.
Source: Journal of NeuroInterventional Surgery - September 15, 2023 Category: Neurosurgery Authors: Cole, T. S., Rudy, R. F., Faridmoayer, E., Gandhi, S., Cavallo, C., Catapano, J. S., Jadhav, A. P., Lawton, M. T., Albuquerque, F. C., Ducruet, A. F. Tags: Hemorrhagic stroke Source Type: research

Reocclusion after successful endovascular treatment in acute ischemic stroke: systematic review and meta-analysis
Conclusion In cohorts of patients with AIS due to LVO, 5% of patients experienced reocclusion within 7 days after successful EVT. Repeated EVT can be a safe and effective treatment for selected patients with reocclusion.
Source: Journal of NeuroInterventional Surgery - September 15, 2023 Category: Neurosurgery Authors: Oliveira, R., Correia, M. A., Marto, J. P., Carvalho Dias, M., Mohamed, G. A., Nguyen, T. N., Nogueira, R. G., Aboul-Nour, H., Marin, H., Bou Chebl, A., Mohammaden, M. H., Al-Bayati, A. R., Haussen, D. C., Abdalkader, M., Fifi, J. T., Ortega-Gutierrez, S. Tags: Ischemic stroke Source Type: research

Type of intracranial hemorrhage after endovascular stroke treatment: association with functional outcome
Background Intracranial hemorrhage (ICH) is a frequent complication after endovascular stroke treatment. Objective To assess the association of the occurrence and type of ICH after endovascular treatment (EVT) with functional outcome. Methods We analyzed data from the MR CLEAN-NO IV and MR CLEAN-MED trials. Both trials included adult patients with ischemic stroke with a large vessel occlusion in the anterior circulation, who were eligible for EVT. ICH was classified (1) as asymptomatic or symptomatic (concomitant neurological deterioration of ≥4 points on the NIHSS, or ≥2 points on 1 NIHSS item), and (2) according ...
Source: Journal of NeuroInterventional Surgery - September 15, 2023 Category: Neurosurgery Authors: van der Steen, W., van der Ende, N. A. M., Luijten, S. P. R., Rinkel, L. A., van Kranendonk, K. R., van Voorst, H., Roosendaal, S. D., Beenen, L. F. M., Coutinho, J. M., Emmer, B. J., van Oostenbrugge, R. J., Majoie, C. B. L. M., Lingsma, H. F., van der L Tags: Open access, Ischemic stroke Source Type: research

Intracranial hemorrhage in large vessel occlusion patients receiving endovascular thrombectomy with or without intravenous alteplase: a secondary analysis of the DIRECT-MT trial
Conclusions Our data showed that in the DIRECT-MT trial, alteplase did not increase overall ICH for large vessel occlusion patients treated with thrombectomy, but it increased the parenchymal hematoma rate.
Source: Journal of NeuroInterventional Surgery - September 15, 2023 Category: Neurosurgery Authors: Hu, X., Zhou, Y., Ospel, J., Yao, F., Liu, Y., Wang, H., Li, B., Hui, P., Yang, P., Zhang, Y., Zhang, L., Li, Z., Xing, P., Shi, H., Han, H., Wang, S., Fang, Q., Liu, J., for the Direct-MT investigators Tags: Open access, Ischemic stroke Source Type: research

Post-reperfusion hyperperfusion after endovascular stroke treatment: a prospective comparative study of TCD versus MRI
Conclusions TCD is a reliable bedside tool to identify post-reperfusion hyperperfusion, correlates well with perfusion MRI, and indicates risk of reperfusion injury after MT.
Source: Journal of NeuroInterventional Surgery - September 15, 2023 Category: Neurosurgery Authors: Kneihsl, M., Hinteregger, N., Nistl, O., Deutschmann, H., Horner, S., Poltrum, B., Fandler-Höfler, S., Hatab, I., Haidegger, M., Pinter, D., Pichler, A., Willeit, K., Knoflach, M., Enzinger, C., Gattringer, T. Tags: Ischemic stroke Source Type: research

Endovascular treatment of wide-necked intracranial aneurysms using the Nautilus Intrasaccular System: initial case series of 41 patients at a single center
Conclusion This study demonstrates good safety and effectiveness using the Nautilus Intrasaccular System to treat both ruptured and unruptured intracranial aneurysms. Larger studies are needed to confirm these findings.
Source: Journal of NeuroInterventional Surgery - September 15, 2023 Category: Neurosurgery Authors: Sirakov, A., Bhogal, P., Sirakova, K., Penkov, M., Minkin, K., Ninov, K., Hristov, H., Hadzhiyanev, A., Karakostov, V., Sirakov, S. Tags: Open access, New devices New devices and techniques Source Type: research

Bridging thrombolysis improves survival rates at 90 days compared with direct mechanical thrombectomy alone in acute ischemic stroke due to basilar artery occlusion: a systematic review and meta-analysis of 1096 patients
Conclusions In patients with AIS due to BAO, bridging IVT was associated with lower mortality rates at 90 days, compared with direct MT. There were no improved functional outcomes or increased sICH or SAH between both arms, However, patients with LAA benefited from bridging IVT, with better functional outcomes.
Source: Journal of NeuroInterventional Surgery - September 15, 2023 Category: Neurosurgery Authors: Lee, K. S., Siow, I., Zhang, J. J., Syn, N. L., Gillespie, C. S., Yuen, L. Z., Anil, G., Yang, C., Chan, B. P., Sharma, V. K., Teoh, H.-L., Mingxue, J., Teo, K. S. H., Myint, M. Z., Bhogal, P., Meyer, L., Schob, S., Sia, C.-H., Mpotsaris, A., Maus, V., An Tags: Vascular neurology Source Type: research

Introduction
This online supplement is the first of three featuring previously accepted manuscripts focusing on ischemic stroke. The last decade has witnessed a revolution in the endovascular management of acute ischemic stroke. Device improvement, better-constructed prospective trials, and refinements in endovascular techniques have sparked this revolution. However, critical issues still need to be addressed. Specifically, the importance of pre-thrombectomy imaging, medium-sized vessel thromboses, patient access to capable treatment centers, management of intracranial atherosclerosis, and posterior circulation disease are subjects of ...
Source: Journal of NeuroInterventional Surgery - August 29, 2023 Category: Neurosurgery Authors: Albuquerque, F. C. Tags: Editorial Source Type: research

Preprocedural determination of an occlusion pathomechanism in endovascular treatment of acute stroke: a machine learning-based decision
Conclusions An ML-PM could accurately determine an occlusion pathomechanism with common preprocedural findings. A decision flowchart consisting of the four most influential findings was clinically applicable and superior to single common preprocedural findings for determining an occlusion pathomechanism.
Source: Journal of NeuroInterventional Surgery - August 29, 2023 Category: Neurosurgery Authors: Baek, J.-H., Kim, B. M., Kim, D. J., Heo, J. H., Nam, H. S., Kim, Y. D., Rho, M. H., Chung, P.-W., Won, Y. S., Chung, Y. Tags: Ischemic stroke Source Type: research

Predictors and outcome of early neurological deterioration after endovascular thrombectomy: a secondary analysis of the DIRECT-MT trial
Conclusions Postoperative END is associated with adverse functional outcome. Several non-modifiable and modifiable factors can predict END and support future treatment decision-making to improve the potential utility of endovascular thrombectomy. Trial registration number DIRECT-MT ClinicalTrials.gov NCT03469206.
Source: Journal of NeuroInterventional Surgery - August 29, 2023 Category: Neurosurgery Authors: Zhang, M., Xing, P., Tang, J., Shi, L., Yang, P., Zhang, Y., Zhang, L., Peng, Y., Liu, S., Zhang, L., Fu, J., Liu, J., On behalf of the DIRECT-MT Investigators, Liu, Deng, Hong, Ke, Lou, Yin, Wang, Chen, Xu, Li, Wei, Li, Zhu, Sun, Liang, Wang, Wang, Peng, Tags: Ischemic stroke Source Type: research