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Monotherapy with stenting in subarachnoid hemorrhage (SAH) after middle cerebral artery dissection
We describe a young patient who presented with acute headache from a subarachnoid hemorrhage that was ultimately determined to be due to a vascular dissection in the middle cerebral artery. The initial angiogram showed vascular irregularities in this area with stenosis. Repeat imaging 4 days after presentation identified a pseudoaneurysm proximal to the stenosis. The patient was successfully treated with a self-expanding nitinol stent and followed up with serial angiography during postoperative recovery in the hospital; additional angiograms were performed approximately 1 and 6 months after treatment. Serial angi...
Source: Journal of NeuroInterventional Surgery - March 15, 2016 Category: Neurosurgery Authors: Puri, A. S., Gounis, M. J., Massari, F., Howk, M., Weaver, J., Wakhloo, A. K. Tags: Electronic pages Source Type: research

O-007 german thrombectomy database from 2012 to 2014: experiences from 9,365 acute stroke interventions
DiscussionRecanalization rates, functional outcomes and the rate of intraprocedural hemorrhages are in line with the data of the recently published RCTs. The absolute numbers need to be considered with caution as self-reported rates are usually more optimistic than evaluations by independent adjudicators. During the observation period there were no clear trends towards better outcomes or decreasing rates of rare complications. The data of the German DGNR/DeGIR-database suggest that thrombectomy is generally conducted in German stroke centers with reasonable efficacy and safety. Differences in center performance will be ana...
Source: Journal of NeuroInterventional Surgery - July 26, 2015 Category: Neurosurgery Authors: Fiehler, J., Berlis, A., Weber, W., Heuser, L. Tags: SNIS 12th Annual Meeting Oral Abstracts Source Type: research

E-030 clinical and angiographic outcomes in endovascular treatment of tandem vessel occlusions in acute ischemic stroke
ConclusionEndovascular treatment of tandem arterial occlusions in acute ischemic stroke is feasible, safe, and yields excellent angiographic and good clinical outcomesDisclosuresM. Grigoryan: None. D. Haussen: None. A. Lima: None. J. Grossberg: None. A. Anderson: None. S. Belagaje: None. F. Nahab: None. M. Frankel: None. R. Nogueira: 2; C; Covidien, Steering Committee for the SWIFT and SWIFT Prime Trials and Core Lab for the STAR Trial, Stryker, PI for the TREVO-2 and DAWN Trials, Penumbra, Executive Committee for the 3D Separator Trial.
Source: Journal of NeuroInterventional Surgery - July 26, 2015 Category: Neurosurgery Authors: Grigoryan, M., Haussen, D., Lima, A., Grossberg, J., Anderson, A., Belagaje, S., Nahab, F., Frankel, M., Nogueira, R. Tags: SNIS 12th Annual Meeting Electronic Poster Abstracts Source Type: research

Acute carotid stenting for treatment of stuttering transient ischemic attacks after recent carotid endarterectomy
Carotid endarterectomy (CEA) is the established standard to treat occlusive extracranial atherosclerotic carotid disease. Complications of CEA must be recognized and dealt with efficiently due to the potentially catastrophic neurologic sequelae. A 67-year-old African American man was transferred from an outside hospital for an acute stroke. He had initially presented with a small right frontal subcortical infarct and had undergone a right CEA 2 days prior to transfer. He had a fluctuating examination with left-sided hemiplegia to slight hemiparesis and inconsistent neglect. Head CT demonstrated a watershed infarct of ...
Source: Journal of NeuroInterventional Surgery - June 28, 2014 Category: Neurosurgery Authors: Doss, V. T., Arthur, A. S., Watridge, C., Elijovich, L. Tags: Electronic pages Source Type: research

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