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Procedure: Endovascular Coiling

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Total 298 results found since Jan 2013.

Management strategies for intraprocedural coil migration during endovascular treatment of intracranial aneurysms
Migration of a coil during endovascular treatment of intracranial aneurysm occurs in 2–6% of cases. The consequences of coil migration vary significantly from minor flow alterations of the parent artery which are asymptomatic to thromboembolic occlusion of major intracranial vessels resulting in large territory infarcts. We performed a comprehensive literature review and identified 37 reported cases of migrated coil retrieval consisting of 10 case reports and six case series. Most of the aneurysms presented with rupture (65%) and were located in the anterior circulation (70%). The endovascular treatment approaches we...
Source: Journal of NeuroInterventional Surgery - June 28, 2014 Category: Neurosurgery Authors: Ding, D., Liu, K. C. Tags: Hemorrhagic stroke Source Type: research

Endovascular treatment of pediatric intracranial aneurysms: a retrospective study of 35 aneurysms
Conclusions Endovascular treatment of pediatric aneurysms is technically feasible with an acceptable complication rate despite the high incidence of fusiform aneurysms.
Source: Journal of NeuroInterventional Surgery - June 28, 2014 Category: Neurosurgery Authors: Takemoto, K., Tateshima, S., Golshan, A., Gonzalez, N., Jahan, R., Duckwiler, G., Vinuela, F. Tags: Hemorrhagic stroke Source Type: research

Micro‐vascular imaging experiences of time‐of‐flight MRA at 7T for cerebrovascular diseases
This study is to examine patients with vascular diseases using ultra‐high field 7T MRI with conventional time‐of‐flight (TOF) sequence, 3D fast low‐angle shot (FLASH) gradient‐echo. We have evaluated several radio‐frequency (RF) coils to find the optimal one for 7T magnetic resonance angiography (MRA), especially for micro‐vascular imaging. We have conducted several comparison studies with vascular disease patients. The results showed that micro‐vessels such as lenticulostriate arteries in the subjects with risk factors like hypertension or stroke patients were significantly less than in the healthy subject...
Source: International Journal of Imaging Systems and Technology - May 5, 2014 Category: Radiology Authors: Chang‐Ki Kang, Chan‐A Park, Yeong‐Bae Lee, Cheol‐Wan Park, Suk‐Min Hong, Young‐Bo Kim, Zang‐Hee Cho Tags: Research Article Source Type: research

Variability in Outcome After Elective Cerebral Aneurysm Repair in High-Volume Academic Medical Centers Clinical Sciences
Conclusions— There is notable interhospital heterogeneity in outcomes among even the largest volume unruptured intracranial aneurysm referral centers. Although further regionalization may be needed, mandatory participation in prospective, adjudicated registries will be necessary to reliably identify factors associated with superior outcomes.
Source: Stroke - April 28, 2014 Category: Neurology Authors: Zacharia, B. E., Bruce, S. S., Carpenter, A. M., Hickman, Z. L., Vaughan, K. A., Richards, C., Gold, W. E., Lu, J., Appelboom, G., Solomon, R. A., Connolly, E. S. Tags: Health policy and outcome research, Cerebral Aneurysm, AVM, & Subarachnoid hemorrhage Clinical Sciences Source Type: research

Extensive Proximal Migration of Posterior Communicating Artery Aneurysm Coil Presenting with a Transient Ischemic Attack (P5.127)
CONCLUSIONS: Stretched coils and retrained fragments are a rare complication of coil embolization. If retained fragments are present, patients should be maintained on lifelong antiplatelet agents, as embolic events can occur even years after the initial coiling, as illustrated by this case.Disclosure: Dr. Itrat has nothing to disclose. Dr. Cheng-Ching has nothing to disclose. Dr. Hussain has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Itrat, A., Cheng-Ching, E., Hussain, M. Tags: Cerebrovascular Disease and Interventional Neurology: Intracranial Aneurysms and Subarachnoid Hemorrhage 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

Extending the Indications of Flow Diversion to Small, Unruptured, Saccular Aneurysms of the Anterior Circulation Clinical Sciences
Conclusions— The PED was associated with similar periprocedural risks, clinical outcomes, and angiographic results compared with stent-assisted coiling. These findings suggest that the indications of PED can be safely extended to small intracranial aneurysms that are amenable to conventional endovascular techniques. Larger studies with long-term follow-up are necessary to determine the optimal treatment that leads to the highest rate of obliteration and best clinical outcomes.
Source: Stroke - December 23, 2013 Category: Neurology Authors: Chalouhi, N., Starke, R. M., Yang, S., Bovenzi, C. D., Tjoumakaris, S., Hasan, D., Gonzalez, L. F., Rosenwasser, R., Jabbour, P. Tags: Clinical Sciences Source Type: research

Double Stent-Assisted Coil Embolization Treatment for Bifurcation Aneurysms: Immediate Treatment Results and Long-Term Angiographic Outcome INTERVENTIONAL
CONCLUSIONS: Dual stent–assisted coiling of cerebral aneurysms is a feasible and safe procedure. It may offer a curative solution with long-term durability for treatment of wide-neck small and large aneurysms.
Source: American Journal of Neuroradiology - September 10, 2013 Category: Radiology Authors: Yavuz, K., Geyik, S., Cekirge, S., Saatci, I. Tags: INTERVENTIONAL Source Type: research

Unruptured intracranial aneurysms: Comparison of perioperative complications, discharge disposition, outcome, and effect of calcification, between clipping and coiling: A single institution experience
Conclusion: With appropriate patient selection, the majority of the UIAs can be managed by either of the treatment modalities with very low mortality and morbidity. Both the treatment modalities should be employed synergistically.
Source: Neurology India - July 16, 2013 Category: Neurology Authors: Mayur SharmaBenjamin BrownVenkatesh MadhugiriHugo Cuellar-SaenzAshish SonigSudheer AmbekarAnil Nanda Source Type: research

Growth, not just size, boosts brain aneurysms' risk of bursting
Brain aneurysms of all sizes — even small ones the size of a pea — are up to 12 times more likely to rupture if they are growing, according to a new UCLA study.   Published July 2 in the online edition of the journal Radiology, the discovery counters current guidelines suggesting that small aneurysms pose a low risk for rupture, and it emphasizes the need for regular monitoring and earlier treatment.   "Until now, we believed that large aneurysms presented the highest risk for rupture and that smaller aneurysms may not require monitoring," said lead author Dr. J. Pablo Villablanca, chief of diagn...
Source: UCLA Newsroom: Health Sciences - July 2, 2013 Category: Universities & Medical Training Source Type: news

Endovascular Treatment of Intracranial Aneurysms in Elderly Patients: A Systematic Review and Meta-Analysis Clinical Sciences
Conclusions— This study suggests that endovascular treatment of IAs in the elderly is associated with high long-term occlusion rates. Given the morbidity and mortality associated with endovascular treatment of IAs in the elderly, careful patient selection, especially in the case of patients with unruptured aneurysm, is recommended.
Source: Stroke - June 24, 2013 Category: Neurology Authors: Sturiale, C. L., Brinjikji, W., Murad, M. H., Lanzino, G. Tags: Cerebral Aneurysm, AVM, & Subarachnoid hemorrhage, Angiography Clinical Sciences Source Type: research

Hybrid repair of Kommerell diverticulum
Conclusions: Hybrid repair is a safe and effective surgical treatment option for Kommerell diverticulum. Selection of the specific type of intervention is based on patient anatomy and comorbid conditions.
Source: The Journal of Thoracic and Cardiovascular Surgery - March 26, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Jahanzaib Idrees, Suresh Keshavamurthy, Sreekumar Subramanian, Daniel G. Clair, Lars G. Svensson, Eric E. Roselli Tags: Acquired Cardiovascular Disease Source Type: research

Clipping Versus Coiling for Ruptured Intracranial Aneurysms: A Systematic Review and Meta-Analysis Original Contributions
Conclusions— Coiling yields a better clinical outcome, the benefit being greater in those with a good preoperative grade than those with a poor preoperative grade. However, coiling leads to a greater risk of rebleeding. Well-designed randomized trials with special considerations to the aspect are needed.
Source: Stroke - December 24, 2012 Category: Neurology Authors: Li, H., Pan, R., Wang, H., Rong, X., Yin, Z., Milgrom, D. P., Shi, X., Tang, Y., Peng, Y. Tags: Cerebral Aneurysm, AVM, & Subarachnoid hemorrhage, Aneurysm, AVM, hematoma, Other Stroke Treatment - Surgical Original Contributions Source Type: research