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Specialty: Neurology
Procedure: Angiography

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Total 2194 results found since Jan 2013.

Quantitative assessment of collateral time on perfusion computed tomography in acute ischemic stroke patients
ConclusionOur results indicate that perfusion computed tomography can accurately quantify the collateral time after acute ischemic stroke.
Source: Frontiers in Neurology - August 24, 2023 Category: Neurology Source Type: research

Thrombectomy with and without computed tomography perfusion imaging for large-vessel occlusion stroke in the extended time window: a meta-analysis of randomized clinical trials
ConclusionThese findings suggest that the choice of NCCT ± CTA (without CTP) for the assessment of mechanical thrombectomy within 6–24 h after LVO in the anterior circulation is not significantly different from CTP; instead, the choice of NCCT ± CTA significantly reduces the time from onset to arterial puncture.
Source: Frontiers in Neurology - August 17, 2023 Category: Neurology Source Type: research

Endovascular Treatment for Acute Large Vessel Occlusion Due to Underlying Intracranial Atherosclerotic Disease
Semin Neurol DOI: 10.1055/s-0043-1771207Intracranial atherosclerotic disease (ICAD) is one of the most common causes of acute ischemic stroke worldwide. Patients with acute large vessel occlusion due to underlying ICAD (ICAD-LVO) often do not achieve successful recanalization when undergoing mechanical thrombectomy (MT) alone, requiring rescue treatment, including intra-arterial thrombolysis, balloon angioplasty, and stenting. Therefore, early detection of ICAD-LVO before the procedure is important to enable physicians to select the optimal treatment strategy for ICAD-LVO to improve clinical outcomes. Early diagnosis of IC...
Source: Seminars in Neurology - August 7, 2023 Category: Neurology Authors: Huo, Xiaochuan Sun, Dapeng Chen, Wenhuo Han, Hongxing Abdalkader, Mohamad Puetz, Volker Yi, Tingyu Wang, Hao Liu, Raynald Tong, Xu Jia, Baixue Ma, Ning Gao, Feng Mo, Dapeng Yan, Bernard Mitchell, Peter J. Leung, Thomas W. Yavagal, Dileep R. Albers, Gregor Tags: Review Article Source Type: research

History of Neurointervention
Semin Neurol DOI: 10.1055/s-0043-1771455In this review article, we aim to provide a summary of the discoveries and developments that were instrumental in the evolution of the Neurointerventional field. We begin with developments in the advent of Diagnostic Cerebral Angiography and progress to cerebral aneurysm treatment, embolization in AVMs and ischemic stroke treatment. In the process we discuss many persons who were key in the development and maturation of the field. A pivotal aspect to rapid growth in the field has been the multidisciplinary involvement of the different neuroscience specialties and therefore we close o...
Source: Seminars in Neurology - August 7, 2023 Category: Neurology Authors: Sahoo, Anurag Abdalkader, Mohamad Saatci, Isil Raymond, Jean Qiu, Zhongming Huo, Xiaochuan Sun, Dapeng Weyland, Charlotte S. Jia, Baixue Zaidat, Osama O. Hu, Wei Qureshi, Adnan I. Miao, Zhongrong Nguyen, Thanh N. Tags: Review Article Source Type: research

Impact of ongoing intravenous thrombolysis until completion of endovascular treatment in large vessel occlusion stroke patients
ConclusionOur findings suggest that ongoing IVT until ET completion has a favorable impact on both clinical and angiographic outcomes, as well as on periprocedural conditions, regardless of the overall time intervals involved. Therefore, rapid ET after IVT should be sought in order to take advantage of the additive effect of ongoing IVT during ET. Future studies should consider IVT timing in the context of ET as a potential confounder and treatment target.
Source: Frontiers in Neurology - August 4, 2023 Category: Neurology Source Type: research

Personality change after 'flow diverter implantation' for intracranial aneurysm in a patient with stroke: A case report
CONCLUSION: The study demonstrates personality changes and psychiatric symptoms that might occur as complications following the placement of a flow diverter for incidentally detected aneurysm.PMID:37498089 | DOI:10.1080/02699052.2023.2237866
Source: Brain Injury - July 27, 2023 Category: Neurology Authors: Hilal Subasi Damla İsman-Haznedaroglu Seda Eroglu Yigit Erdogan Mehmet Cagdas Eker Ali Saffet Gonul Source Type: research

Case report: Mechanical thrombectomy for acute basilar artery occlusion via persistent hypoglossal artery
Persistent hypoglossal artery (PHA) is a rare carotid-vertebrobasilar anastomosis in adults. Here, we report a case of mechanical thrombectomy for acute basilar artery occlusion via the PHA. A 44-year-old man was admitted to our stroke unit with an unstable gait and aphasia for 2 h. The baseline National Institutes of Health Stroke Scale (NIHSS) score was 4, but the clinical symptoms continued to worsen. Computed tomography angiography showed the absence of the basilar artery and an abnormal anastomosis between the anterior and posterior circulation. Clinical symptoms continued to worsen, and endovascular treatment was sch...
Source: Frontiers in Neurology - July 27, 2023 Category: Neurology Source Type: research

Clopidogrel Is Associated with Reduced Likelihood of Aneurysmal Subarachnoid Hemorrhage: a Multi-Center Matched Retrospective Analysis
We present, to the best of our knowledge, the first large-scale multi-institutional analysis suggesting clopidogrel use is protective against intracranial aneurysm rupture. It is our hope that these data will guide future investigation, revealing the pathophysiologic underpinning of this association.
Source: Translational Stroke Research - July 20, 2023 Category: Neurology Source Type: research

Microsurgical revascularization of a symptomatic proximal vertebral artery: pilot experiences from a single center
ConclusionMicrosurgical reconstruction is an alternative option that can effectively treat refractory proximal VASO disease and in-stent stenosis, with a high rate of postoperative vascular recirculation. Prospective cohort studies with larger sample sizes must be conducted to validate the above conclusions.
Source: Frontiers in Neurology - July 7, 2023 Category: Neurology Source Type: research

TCCD Fusion Imaging to Estimate Intracranial Pressure and Tissue Displacement with Large Hemispheric Infarction
ConclusionsFusion imaging is an easy method to access and acquire measurements for critical care patients and follow-up of tissue and vascular displacement after stroke. Fusion imaging may be a decisive support for indicating hemicraniectomy.
Source: Neurocritical Care - July 6, 2023 Category: Neurology Source Type: research

Clinical Significance and Influencing Factors of Microvascular Tissue Reperfusion After Macrovascular Recanalization
In this study, we aimed to investigate the impact of tissue optimal reperfusion (TOR) and its influencing factors. From December 1, 2020 to December 1, 2021, AIS patients with successful recanalization (modified Thrombolysis in Cerebral Infarction score [mTICI]  ≥ 2b) after mechanical thrombectomy (MT) were retrospectively reviewed. Computed tomography perfusion was performed before and after MT. Successful reperfusion was assessed by TOR, defined as >  90% reduction of the Tmax >  6 s lesion volumes between baseline and early follow-up perfusion profiles. The impact of TOR on functional outcomes after...
Source: Translational Stroke Research - June 29, 2023 Category: Neurology Source Type: research

Treatment of Intracranial Vertebral Artery Dissecting Aneurysms Using Pipeline Embolization Devices
ConclusionTreating IVADAs with PEDs may be a  safe and effective option, with favorable clinical and angiographic outcomes; however, complications associated with this treatment should not be ignored.Registrationhttp://www.clinicaltrials.gov. Unique identifier: NCT03831672
Source: Clinical Neuroradiology - June 28, 2023 Category: Neurology Source Type: research

Computed tomography angiography-based radiomics model for predicting carotid atherosclerotic plaque vulnerability
This study aimed to identify radiomic features associated with the neovascularization of CAP and construct a prediction model for CAP vulnerability based on radiomic features. CTA data and clinical data of patients with CAPs who underwent CTA and CEUS between January 2018 and December 2021 in Beijing Hospital were retrospectively collected. The data were divided into a training cohort and a testing cohort using a 7:3 split. According to the examination of CEUS, CAPs were dichotomized into vulnerable and stable groups. 3D Slicer software was used to delineate the region of interest in CTA images, and the Pyradiomics package...
Source: Frontiers in Neurology - June 16, 2023 Category: Neurology Source Type: research