样式: 排序: IF: - GO 导出 标记为已读
-
Relationship between in-stent restenosis following carotid artery stenting and platelet reactivity to clopidogrel J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-03-15 Min-Yong Kwon, Sang Hyo Lee, Yongjae Lee, Young Deok Kim, Si Un Lee, Jae Seung Bang, O-Ki Kwon, Chang Wan Oh, Seung Pil Ban
Objective To analyze the relationship between in-stent restenosis (ISR) following carotid artery stenting (CAS) and platelet clopidogrel reactivity confirmed by the P2Y12 reaction unit (PRU) and inhibition rate (IR). Methods We retrospectively analyzed 171 patients who underwent CAS with extracranial carotid stenosis from January 2016 to December 2019. Dual antiplatelet therapy with 100 mg aspirin
-
Early technique switch following failed passes during mechanical thrombectomy for ischemic stroke: should the approach change and when? J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-03-13 Pedro N Martins, Raul G Nogueira, Mohamed A Tarek, Jaydevsinh N Dolia, Sunil A Sheth, Santiago Ortega-Gutierrez, Sergio Salazar-Marioni, Ananya Iyyangar, Milagros Galecio-Castillo, Aaron Rodriguez-Calienes, Aqueel Pabaney, Jonathan A Grossberg, Diogo C Haussen
Background Fast and complete reperfusion in endovascular therapy (EVT) for ischemic stroke leads to superior clinical outcomes. The effect of changing the technical approach following initially unsuccessful passes remains undetermined. Objective To evaluate the association between early changes to the EVT approach and reperfusion. Methods Multicenter retrospective analysis of prospectively collected
-
Posterior condylar canal dural arteriovenous fistula: anatomical, symptomatological, and therapeutic considerations in comparison with hypoglossal canal dural arteriovenous fistula J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-03-13 Hidetsugu Maekawa, Antti Lindgren, Timo Krings
Background Posterior condylar canal dural arteriovenous fistulas (dAVFs) are extremely rare. Methods We report a case series and literature review of posterior condylar canal dAVFs and discuss similarities and differences between posterior condylar and hypoglossal canal dAVFs with respect to the related vascular anatomy, angioarchitecture of the fistula, presentation, and treatment. Results Four cases
-
Subarachnoid iodine leakage on dual-energy computed tomography after mechanical thrombectomy is associated with malignant brain edema J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-03-13 Atsushi Ogata, Kuniaki Ogasawara, Masashi Nishihara, Ayako Takamori, Takashi Furukawa, Toshihiro Ide, Hiroshi Ito, Fumitaka Yoshioka, Yukiko Nakahara, Jun Masuoka, Haruki Koike, Hiroyuki Irie, Tatsuya Abe
Background Dual-energy computed tomography (DE-CT) can differentiate between hemorrhage and iodine contrast medium leakage following mechanical thrombectomy (MT) for acute ischemic stroke (AIS). We determined whether subarachnoid hemorrhage (SAH) and subarachnoid iodine leakage (SAIL) on DE-CT following MT were associated with malignant brain edema (MBE). Methods We analyzed the medical records of
-
Middle meningeal artery embolization for chronic subdural hematoma: an effective treatment with a bright future J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-04-01 Michael R Levitt, Joshua A Hirsch, Michael Chen
Neurointerventionalists are participating in a transformative moment in the field, from expanded thrombectomy indications,1 to the endovascular treatment of hydrocephalus,2 and endovascular brain–computer interfaces.3 Perhaps most consequential in recent years is the endovascular treatment of subacute or chronic subdural hematoma (cSDH) via middle meningeal artery embolization (MMAE). First reported
-
Preventing air microembolism in cerebral angiography: a JNIS fellow’s perspective J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-04-01 Aurora S Cruz, Nicolas K Khattar, Gregory M Weiner, Zaid S Aljuboori, Clemens M Schirmer
Digital subtraction angiography is arguably the most valuable tool in the diagnosis and treatment of cerebrovascular disease. How benign is this procedure? Every fellow is taught their mentor’s semi-unique process of checking lines, clearing syringes, and preventing air embolism. Neurointerventional research is generally focused on safer technology, clinical outcomes, and quality improvement. Understanding
-
Acute ischemic stroke outcomes in patients with COVID-19: a systematic review and meta-analysis J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-04-01 Sophia R Ferrone, Maria X Sanmartin, Joseph Ohara, Jean C Jimenez, Chinara Feizullayeva, Zachary Lodato, Shaya Shahsavarani, Gregory Lacher, Seleshi Demissie, Jaclyn Morales Vialet, Tim G White, Jason J Wang, Jeffrey M Katz, Pina C Sanelli
Background Although patients with COVID-19 have a higher risk of acute ischemic stroke (AIS), the impact on stroke outcomes remains uncertain. Aims To determine the clinical outcomes of patients with AIS and COVID-19 (AIS-COVID+). Methods We performed a systematic review and meta-analysis following the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guidelines. Our protocol
-
Outcomes in patients with large vessel occlusion strokes undergoing mechanical thrombectomy with concurrent COVID-19: a nationwide retrospective analysis J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-04-01 Ian A Ramsay, Hayes Fountain, Turki Elarjani, Vaidya Govindarajan, Michael Silva, Ahmed Abdelsalam, Joshua D Burks, Robert M Starke, Evan Luther
Background Preliminary studies show that patients with large vessel occlusion (LVO) acute ischemic strokes have worse outcomes with concurrent COVID-19 infection. We investigated the outcomes for patients with LVO strokes undergoing mechanical thrombectomy (MT) with concurrent COVID-19 infection. Methods The National Inpatient Database (NIS) was used for our analysis. Patients in the year 2020 with
-
Rescue stenting after failure of endovascular thrombectomy for acute vertebrobasilar artery occlusion: data from the PERSIST registry J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-04-01 Yanan Lu, Zongyi Wu, Zi Wang, Pan Zhang, Feng Zhang, Miaomiao Hu, Wenya Lan, Yong Liang, Jilong Yi, Wen Sun
Background Among acute vertebrobasilar artery occlusion (VBAO) patients, successful reperfusion is a strong predictor of favorable outcomes. However, failed reperfusion (FR) with endovascular thrombectomy (EVT) in VBAO was observed to occur in 18–50% of cases. We aim to evaluate the safety and efficacy of rescue stenting (RS) for VBAO after failed EVT. Methods Patients with VBAO who received EVT were
-
The immunologic phenotype of thrombi is associated with future vascular events after cerebral infarction J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-04-01 Wookjin Yang, Soon Auck Hong, Jeong-Min Kim, Hae-Bong Jeong, Taek-Kyun Nam, Hyun Ho Choi, Suh Min Kim, Kwang-Yeol Park, Hye Ryoun Kim
Background Thrombi retrieved from patients with acute ischemic stroke may contain prognostic information. Objective To investigate the relationship between the immunologic phenotype of thrombi and future vascular events in patients with a stroke. Methods This study included patients with acute ischemic stroke who underwent endovascular thrombectomy at Chung-Ang University Hospital in Seoul, Korea,
-
Systemic THrombolysis Randomization IN Endovascular Stroke Therapy (SHRINE) Collaboration: a patient-level pooled analysis of the SKIP and DEVT Trials J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-04-01 Raul G Nogueira, Kazumi Kimura, Yuji Matsumaru, Kentaro Suzuki, Zhongming Qiu, Wenjie Zi, Timothy P Moran, Fengli Li, Hongfei Sang, Weidong Luo, Shuai Liu, Junjie Yuan, Jiaxing Song, Jiacheng Huang, Masataka Takeuchi, Masafumi Morimoto, Toshiaki Otsuka, Qingwu Yang
Objective To evaluate the non-inferiority of endovascular treatment (EVT) alone versus intravenous thrombolysis (IVT) followed by EVT and to assess its heterogeneity across prespecified subgroups. Methods We pooled data from two trials (SKIP in Japan; DEVT in China). Individual patient data were pooled to assess outcomes and heterogeneity of treatment effect. The primary outcome was functional independence
-
Cerebral aneurysms: Germany-wide real-world outcome data of endovascular or neurosurgical treatment from 2007 to 2019 J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-04-01 Christian Haverkamp, Klaus Kaier, Mukesch Shah, Constantin von zur Mühlen, Jürgen Beck, Horst Urbach, Stephan Meckel
Background Evidence on clinical outcome after endovascular treatment (EVT) vs neurosurgical clipping of intracranial aneurysms (IAs) is based on one randomized and one pseudo-randomized trial for ruptured aneurysms. Herein, we analyze nationwide real-world hospital outcomes after EVT vs clipping of ruptured and unruptured IAs. Methods This cohort study analyzed all EVT and clipping procedures for IAs
-
Flow diversion for basilar quadrifurcation aneurysms J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-04-01 Visish M Srinivasan, Jubran H Jubran, Henry O Stonnington, Joshua S Catapano, Lea Scherschinski, Benjamin K Hendricks, Ethan A Winkler, Robert F Rudy, Brandon A Nguyen, Stephen J Dabrowski, Ashutosh P Jadhav, Andrew F Ducruet, Felipe C Albuquerque
Background Flow-diverting devices (FDDs), such as the Pipeline Embolization Device, have been gaining traction for treating challenging posterior circulation aneurysms. Few previous studies have focused on using FDDs to treat aneurysms of the basilar quadrifurcation. Methods We retrospectively reviewed the use of FDDs to treat patients with basilar quadrifurcation aneurysms. Patients were assessed
-
Pipeline embolization device versus Atlas stent assisted coiling for intracranial aneurysm treatment: a retrospective, propensity score matched study with a focus on midterm outcomes and hospital costs J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-04-01 Chao Wang, Linggen Dong, Jian Liu, Yisen Zhang, Kun Wang, Peng Liu, Xinjian Yang, Ming Lv, Ying Zhang
Background Stent assisted coiling (SAC) and flow diverters (FDs) are common endovascular treatments for wide necked cerebral aneurysms, but studies comparing the new generation Atlas SAC and FDs are scarce. We performed a propensity score matched (PSM) cohort study to compare the Atlas SAC and the pipeline embolization device (PED) for proximal internal carotid artery (ICA) aneurysms. Methods Consecutive
-
Diffusion-weighted imaging lesions after intracranial aneurysm treatment with Pipeline Flex and Pipeline Flex with Shield technology: a retrospective cohort analysis J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-04-01 Gustavo M Cortez, Victor H C Benalia, Eric Sauvageau, Amin Aghaebrahim, John Michael Pederson, Ricardo A Hanel
Background The Pipeline Flex embolization device with Shield technology (PED Shield) is the first flow diverter for brain aneurysm treatment approved in the United States using surface-modified technology. The effect of PED Shield on decreasing perioperative diffusion-weighted imaging positive (DWI+) hits, as a marker for in-human decrease thrombogenicity, is unclear. Objective To determine if the
-
Evaluation of predictive models of aneurysm focal growth and bleb development using machine learning techniques J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-04-01 Sara Hadad, Fernando Mut, Martin Slawski, Anne M Robertson, Juan R Cebral
Background The presence of blebs increases the rupture risk of intracranial aneurysms (IAs). Objective To evaluate whether cross-sectional bleb formation models can identify aneurysms with focalized enlargement in longitudinal series. Methods Hemodynamic, geometric, and anatomical variables derived from computational fluid dynamics models of 2265 IAs from a cross-sectional dataset were used to train
-
Advancements in super-selective catheterization and drug selection for intra-arterial chemotherapy for retinoblastoma: a 15-year evolution J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-04-01 Gary Kocharian, Y Pierre Gobin, Natasha Kharas, Jared Knopman, Jasmine H Francis, David H Abramson
Background Retinoblastoma (Rb) is the most common primary ocular malignancy of childhood. Left untreated, it is 100% fatal and carries a substantial risk of impaired vision and removal of one or both eyes. Intra-arterial chemotherapy (IAC) has become a pillar in the treatment paradigm for Rb that allows for better eye salvage and vision preservation without compromising survival. We describe the evolution
-
Evaluation of effectiveness and safety of the CorPath GRX robotic system in endovascular embolization procedures of cerebral aneurysms J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-04-01 Vitor Mendes Pereira, Hal Rice, Laetitia De Villiers, Nader Sourour, Frédéric Clarencon, Julian Spears, Alejandro Tomasello, David Hernandez, Nicole M Cancelliere, Xiao Yu Eileen Liu, Patrick Nicholson, Vincent Costalat, Gregory Gascou, Pasquale Mordasini, Jan Gralla, Mario Martínez-Galdámez, Jorge Galvan Fernandez, Monika Killer-Oberpfalzer, David S Liebeskind, Raymond D Turner, Raphael Blanc, Michel
Background Robotic-assisted neurointervention was recently introduced, with implications that it could be used to treat neurovascular diseases. Objective To evaluate the effectiveness and safety of the robotic-assisted platform CorPath GRX for treating cerebral aneurysms. Methods This prospective, international, multicenter study enrolled patients with brain aneurysms that required endovascular coiling
-
Robotically assisted deployment of flow diverter stents for the treatment of cerebral and cervical aneurysms J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-04-01 Cyril Chivot, Roger Bouzerar, Johann Peltier, Michel Lefranc, Thierry Yzet
Background Despite the growing sophistication of robot-assisted surgery, it is necessary to demonstrate that robots can reliably perform complex procedures on site and then remotely. Although a flow diverter stent is one of the most effective and widely used devices, its placement is sometimes challenging. Objective To evaluate the feasibility and safety of the CorPath GRX robotic platform for the
-
Symptomatic non-stenotic carotid disease: current challenges and opportunities for diagnosis and treatment J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-04-01 Johanna Maria Ospel, Manon Kappelhof, Aravind Ganesh, David F Kallmes, Waleed Brinjikji, Mayank Goyal
Symptomatic non-stenotic carotid plaques (SyNC) are an under-researched and under-recognized source of stroke. Various imaging markers of non-stenotic carotid plaques that are associated with stroke risk have been identified, but these causal relationships need to be confirmed in additional prospective studies. Currently, there exists neither a standardized SyNC definition nor a dedicated set of imaging
-
Now that the door is open: an update on ischemic stroke pharmacotherapeutics for the neurointerventionalist J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-04-01 Justin F Fraser, Shivani Pahwa, Michael Maniskas, Christopher Michas, Mesha Martinez, Keith R Pennypacker, David Dornbos
The last 10 years have seen a major shift in management of large vessel ischemic stroke with changes towards ever-expanding use of reperfusion therapies (intravenous thrombolysis and mechanical thrombectomy). These strategies ‘open the door’ to acute therapeutics for ischemic tissue, and we should investigate novel therapeutic approaches to enhance survival of recently reperfused brain. Key insights
-
Stereotactic-guided direct orbital puncture for treatment of orbital arteriovenous fistula J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-04-01 Ariadna Robledo, Thomas S Frank, Patrick J Karas, Hashem Shaltoni, Sean O'Leary, Robert Darling, Peter Kan
The patient presented with left-sided chemosis, exophthalmos, and progressive visual loss. Cerebral angiography ed a left orbital arteriovenous malformation and an associated hematoma, with the point of fistulation between the left ophthalmic artery and the anterior section of the inferior ophthalmic vein, with retrograde flow through the superior ophthalmic vein. Transvenous embolization through the
-
Correspondence on ‘Cerebral aneurysms: Germany-wide real-world outcome data of endovascular or neurosurgical treatment from 2007 to 2019’ by Haverkamp et al J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-04-01 Tyler S Cole
The study ‘Cerebral aneurysms: Germany-wide real-world outcome data of endovascular or neurosurgical treatment from 2007 to 2019’1 is a clear example of administrative database misuse. Since administrative and claims databases are intended for billing purposes, they contain sparse information about the pathology treated. This fact largely disqualifies them as clinical resources for studies comparing
-
Response to: Correspondence on "Cerebral aneurysms: Germany-wide real-world outcome data of endovascular or neurosurgical treatment from 2007 to 2019” by Cole J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-04-01 Klaus Kaier, Christian Haverkamp, Stephan Meckel
We thank the authors for commenting on our recent study.1 First, the authors point out and nicely describe a major limitation of our study2, stating: “In this study, missing information includes aneurysm location, aneurysm size, why a treatment was chosen, whether a pathology was a comorbidity or a complication, if there was an external ventricular drain, and all the details regarding the aneurysmal
-
Correspondence on ‘Acute ischemic stroke outcomes in patients with COVID-19: a systematic review and meta-analysis’ by Ferrone et al J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-04-01 Tayyab Muzaffar, Ahmad Danial, Muhammad Khaleeq Ahmed
We had the pleasure of reading the article ‘Acute ischemic stroke outcomes in patients with COVID-19: a systematic review and meta-analysis’ by Ferrone et al . with great interest.1 In particular, the reduced odds of home discharge for patients with stroke who have COVID-19 presents an interesting insight into the management challenges while caring for these patients. However, we would like to highlight
-
The feasibility of mechanical thrombectomy versus medical management for acute stroke with a large ischemic territory J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-03-12 Assala Aslan, Saad Abuzahra, Nimer Adeeb, Basel Musmar, Hamza A Salim, Sandeep Kandregula, Adam A Dmytriw, Christoph J Griessenauer, Luis De Alba, Octavio Arevalo, Jan Karl Burkhardt, Vitor M Pereira, Pascal Jabbour, Bharat Guthikonda, Hugo H Cuellar
Background Mechanical thrombectomy (MT) for acute ischemic stroke is generally avoided when the expected infarction is large (defined as an Alberta Stroke Program Early CT Score of <6). Objective To perform a meta-analysis of recent trials comparing MT with best medical management (BMM) for treatment of acute ischemic stroke with large infarction territory, and then to determine the cost-effectiveness
-
Overloaded transnidal pressure gradient as the hemodynamic mechanism leading to arteriovenous malformation rupture: a quantitative analysis using intravascular pressure monitoring and color-coded digital subtraction angiography J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-03-12 Yukun Zhang, Yu Chen, Ruinan Li, Li Ma, Heze Han, Zhipeng Li, Haibin Zhang, Kexin Yuan, Yang Zhao, Weitao Jin, Pingting Chen, Wanting Zhou, Xun Ye, Youxiang Li, Shuo Wang, Xiaolin Chen, Yuanli Zhao
Background The hemodynamics of brain arteriovenous malformations (AVMs) may have implications for hemorrhage. This study aimed to explore the hemodynamics of ruptured AVMs by direct microcatheter intravascular pressure monitoring (MIPM) and indirect quantitative digital subtraction angiography (QDSA). Methods We recruited patients with AVMs at a tertiary neurosurgery center from October 2020 to March
-
Prolonged venous transit on perfusion imaging is associated with higher odds of mortality in successfully reperfused patients with large vessel occlusion stroke J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-03-12 Vivek S Yedavalli, Manisha Koneru, Meisam Hoseinyazdi, Cynthia Greene, Dhairya A Lakhani, Risheng Xu, Licia P Luna, Justin M Caplan, Adam A Dmytriw, Adrien Guenego, Jeremy J Heit, Gregory W Albers, Max Wintermark, L Fernando Gonzalez, Victor C Urrutia, Judy Huang, Kambiz Nael, Richard Leigh, Elisabeth B Marsh, Argye E Hillis, Rafael H Llinas
Background Poor venous outflow (VO) profiles are associated with unfavorable outcomes in patients with acute ischemic stroke caused by large vessel occlusion (AIS-LVO), despite achieving successful reperfusion. The objective of this study is to assess the association between mortality and prolonged venous transit (PVT), a novel visual qualitative VO marker on CT perfusion (CTP) time to maximum (Tmax)
-
Impact of post-procedure stenosis on outcomes of patients with severe intracranial stenosis treated with intracranial stent placement J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-03-12 Ravi S Nunna, Xiaoyu Ma, Sabrina Genovese, Abdullah Lodhi, Navpreet K Bains, David Cohen, Caitlyn Smith, Michael J Ortiz, Farhan Siddiq, Camilo R Gomez, Adnan I Qureshi
Background The optimal target post-procedure stenosis after percutaneous angioplasty and stent placement (PTAS) for intracranial stenosis is unknown. We determined the effect of post-procedure stenosis after intracranial PTAS on subsequent clinical events in patients with severe symptomatic intracranial stenosis. Methods We categorized the severity of post-procedure stenosis as ‘<30%’, ‘30–49%’, and
-
Clinical relevance of intracranial hemorrhage after thrombectomy versus medical management for large core infarct: a secondary analysis of the SELECT2 randomized trial J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-03-12 Michael Chen, Krishna C Joshi, Bradley Kolb, Clark W Sitton, Deep Kiritbhai Pujara, Michael G Abraham, Santiago Ortega-Gutierrez, Scott E Kasner, Shazam M Hussain, Leonid Churilov, Spiros Blackburn, Sophia Sundararajan, Yin C Hu, Nabeel Herial, Juan F Arenillas, Jenny P Tsai, Ronald F Budzik, William Hicks, Osman Kozak, Bernard Yan, Dennis Cordato, Nathan W Manning, Mark Parsons, Ricardo A Hanel, Amin
Background The incidence of intracerebral hemorrhage (ICH) and its effect on the outcomes after endovascular thrombectomy (EVT) for patients with large core infarcts have not been well-characterized. Methods SELECT2 trial follow-up imaging was evaluated using the Heidelberg Bleeding Classification (HBC) to define hemorrhage grade. The association of ICH with clinical outcomes and treatment effect was
-
Exploring the use of ChatGPT in predicting anterior circulation stroke functional outcomes after mechanical thrombectomy: a pilot study J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-03-07 Tiago Pedro, José Maria Sousa, Luísa Fonseca, Manuel G. Gama, Goreti Moreira, Mariana Pintalhão, Paulo C. Chaves, Ana Aires, Gonçalo Alves, Luís Augusto, Luís Pinheiro Albuquerque, Pedro Castro, Maria Luís Silva
Background Accurate prediction of functional outcomes is crucial in stroke management, but this remains challenging. Objective To evaluate the performance of the generative language model ChatGPT in predicting the functional outcome of patients with acute ischemic stroke (AIS) 3 months after mechanical thrombectomy (MT) in order to assess whether ChatGPT can used to be accurately predict the modified
-
Clinical uncertainty in large vessel occlusion ischemic stroke: does automated perfusion imaging make a difference? An intra-rater and inter-rater agreement study J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-03-07 Jose Danilo Bengzon Diestro, Robert Fahed, Abdelsimar Tan Omar, Christine Hawkes, Eef J Hendriks, Clare Enriquez, Muneer Eesa, Grant Stotts, Hubert Lee, Shashank Nagendra, Alexandre Poppe, Célina Ducroux, Timothy Lim, Karl Narvacan, Michael Rizzuto, Afra Alfalahi, Hidehisa Nishi, Pragyan Sarma, Ze'ev Itsekson Hayosh, Katrina Ignacio, William Boisseau, Eduardo Pimenta Ribeiro Pontes Almeida, Anass Benomar
Background Limited research exists regarding the impact of neuroimaging on endovascular thrombectomy (EVT) decisions for late-window cases of large vessel occlusion (LVO) stroke. Objective T0 assess whether perfusion CT imaging: (1) alters the proportion of recommendations for EVT, and (2) enhances the reliability of EVT decision-making compared with non-contrast CT and CT angiography. Methods We conducted
-
Redefining treatment expectations: exploring mid- and long-term outcomes of venous sinus stenting in idiopathic intracranial hypertension J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-03-07 Jackson P Midtlien, Carol Kittel, Lucas A Klever, Nicholas R Kiritsis, Jennifer Bernhardt Aldridge, Kyle M Fargen
Background Venous sinus stenting (VSS) is recognized as a safe and effective intervention for medically-refractory idiopathic intracranial hypertension (IIH). However, its long-term efficacy remains uncertain. Methods This retrospective review analyzed a single-center database of adult patients with severe, medically-refractory IIH, who underwent VSS and had minimum 3-month follow-up (FU). Patients
-
Infantile dural arteriovenous fistula: a reconsideration J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-03-07 Soliman Oushy, Darren B Orbach
Background Infantile-type dural arteriovenous shunts (IDAVS) are rare and heterogeneous vascular lesions, complicating their classification and management. The current tripartite classification of pediatric dural arteriovenous shunts (DAVS) into dural sinus malformation, infantile-type, and adult-type, does not stand up to scrutiny, given the variable presentations of the latter two types in children
-
Armed kyphoplasty-the future? J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-03-06 Andrew D Brook, Olivier Clerk-Lamalice, Reade A De Leacy, Allan L Brook, Joshua A Hirsch
Percutaneous vertebral augmentation with polymethyl methacrylate (PMMA) in combination with, or without percutaneous implants are typically indicated in fractures involving the anterior and middle column. These techniques decrease fracture related pain and provide improved anterior column stability. When fractures or lytic neoplasms involve the middle and posterior columns, however, anterior and posterior
-
Novel superficial temporal artery access route for middle meningeal artery embolization and treatment of chronic subdural hematoma J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-03-06 Alan Eccles, Constantinos Charalambides, Andrew Bartlett, Carys Lim, Alex Mortimer
We describe the use of direct superficial temporal artery puncture to access the left middle meningeal artery for embolization of a recurrent chronic subdural hematoma in a patient with a type A aortic dissection, involving the origin of the left common carotid artery which precluded conventional access from a radial or femoral approach.
-
Clinical and angiographic characteristics of ruptured and unruptured distal cerebral aneurysms: a review of a large series of cases in a high-volume center J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-03-05 Roberta Cao, Adonis Mattar, Esteban Torche, Roberto Riva, Morgane Laubacher, Ricardo Moreno-Gomez, Francis Turjman, Andrea Falini, Pietro Panni, Omer F Eker
Objective To evaluate clinical, angiographic features, and endovascular approach of ruptured and unruptured distal intracranial aneurysms (DIAs). Methods From January 2013 to February 2022, details of all consecutive intracranial aneurysms (IAs) treated endovascularly in our center were collected and retrospectively reviewed. IAs involving the anterior cerebral artery, middle cerebral artery, and posterior
-
Anesthetic management for large vessel occlusion acute ischemic stroke with tandem lesions J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-03-01 Mudassir Farooqui, Milagros Galecio-Castillo, Ameer E Hassan, Afshin A Divani, Mouhammad Jumaa, Marc Ribo, Nils H Petersen, Michael G Abraham, Johanna T Fifi, Waldo R Guerrero, Amer Malik, James E Siegler, Thanh N Nguyen, Sunil A Sheth, Albert J Yoo, Guillermo Linares, Nazli Janjua, Darko Quispe-Orozco, Wondwossen G Tekle, Sara Y Sabbagh, Syed F Zaidi, Marta Olive Gadea, Ayush Prasad, Abid Qureshi
Background Endovascular therapy (EVT) stands as an established and effective intervention for acute ischemic stroke in patients harboring tandem lesions (TLs). However, the optimal anesthetic strategy for EVT in TL patients remains unclear. This study aims to evaluate the impact of distinct anesthetic techniques on outcomes in acute ischemic stroke patients presenting with TLs. Methods Patient-level
-
Epidural anesthesia causes outbreak of mycotic aneurysms: complications of Fusarium solani meningitis J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-02-28 Kaiser O'Sahil Sadiq, Sohum Desai, Samantha Miller, Yazan D Abualnadi, Zorain Mustafa Khalil, Zooha Khan, Nazaneen Amjadi, Vijay M Ravindra, Wondwossen Tekle, Alexandros L Georgiadis, Ameer E Hassan
Background A health advisory was issued in response to a fungal meningitis outbreak linked to epidural anesthesia exposure in two plastic surgery clinics in Mexico, from January 1 to May 13, 2023. This descriptive analysis describes the neuroendovascular and neurosurgical observations and management of patients treated at a single stroke center located along the US-Mexico Border. Methods We conducted
-
Use of a large-bore 088 intracranial access support catheter for delivery of large intracranial devices: case series with the TracStar LDP in 125 cases J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-02-28 Jessica K Campos, David A Zarrin, Benjamen M Meyer, Muhammad Waqas Khan, Fahad J Laghari, Jonathan C Collard de Beaufort, Gizal Amin, Narlin B Beaty, Matthew T Bender, Shuichi Suzuki, Geoffrey P Colby, Li-Mei Lin, Alexander L Coon
Background The delivery of neuroendovascular devices requires a robust proximal access platform. This demand has previously been met with a 6Fr long sheath (8Fr guide) that is placed in the proximal internal carotid artery (ICA) or vertebral artery segments. We share our experience with the first 0.088 inch 8Fr guide catheter designed for direct intracranial access. Methods We retrospectively reviewed
-
Endovascular therapy for anterior circulation emergent large vessel occlusion stroke in patients with large ischemic cores: a report of the SNIS Standards and Guidelines Committee J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-02-23 Fawaz Al-Mufti, Franklin A Marden, Jan Karl Burkhardt, Daniel Raper, Clemens M Schirmer, Amanda Baker, Peng Roc Chen, Ketan R Bulsara, Kazim H Narsinh, Matthew Robert Amans, Jared Cooper, Shadi Yaghi, Mais Al-Kawaz, Steven W Hetts, SNIS Standards and Guidelines Committee
Background Early clinical trials validating endovascular therapy (EVT) for emergent large vessel occlusion (ELVO) ischemic stroke in the anterior circulation initially focused on patients with small or absent completed infarctions (ischemic cores) to maximize the probability of detecting a clinically meaningful and statistically significant benefit of EVT. Subsequently, real-world experience suggested
-
Readability of cerebrovascular diseases online educational material from major cerebrovascular organizations J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-02-23 Avi A Gajjar, Shray Patel, Shrey V Patel, Aditya Goyal, Georgios S Sioutas, Katherine L Gamel, Mohamed M Salem, Visish M Srinivasan, Brian T Jankowitz, Jan Karl Burkhardt
Introduction The internet is an essential resource for patients and their loved ones to understand their medical conditions, and professional medical organizations have taken great strides to develop educational material targeting patients. The average American reads at a seventh to eighth grade reading level, hence it is important to understand the readability of this medical information to ensure
-
A novel swine model of selective middle meningeal artery catheterization and embolization J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-02-22 Maxim Mokin, Donald Pionessa,, Carmon Koenigsknecht, Liza Gutierrez, Swetadri Vasan Setlur Nagesh, Karen M Meess Tuttle, Mike Spengler, Yousef Akkad, Kunal Vakharia, Maksim Shapiro, Matthew J Gounis, Elad I Levy, Adnan H Siddiqui
Background Middle meningeal artery (MMA) embolization is a promising intervention as a stand-alone or adjunct treatment to surgery in patients with chronic subdural hematomas. There are currently no large animal models for selective access and embolization of the MMA for preclinical evaluation of this endovascular modality. Our objective was to introduce a novel in vivo model of selective MMA embolization
-
Correspondence on ‘Non-ischemic cerebral enhancing (NICE) lesions after flow diversion for intracranial aneurysms: a multicenter study’ by Richter et al J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-02-22 Saad Moughal, Thomas C Booth
We read with interest the recent article by Richter et al .1 Non-ischaemic cerebral enhancing (NICE) lesions are a documented phenomenon occurring following endovascular therapy. It is postulated that an underlying inflammatory reaction to hydrophilic polymer embolic material is implicated in the pathogenesis. Several compositions of hydrophilic polymer materials including polytetrafluoroethylene and
-
Comparison between transradial and transfemoral mechanical thrombectomy for ICA and M1 occlusions: insights from the Stroke Thrombectomy and Aneurysm Registry (STAR) J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-02-22 Michael A Silva, Sameh Samir Elawady, Ilko Maier, Sami Al Kasab, Pascal Jabbour, Joon-Tae Kim, Stacey Q Wolfe, Ansaar Rai, Marios-Nikos Psychogios, Edgar A Samaniego, Nitin Goyal, Shinichi Yoshimura, Hugo Cuellar, Jonathan A Grossberg, Ali Alawieh, Ali Alaraj, Mohamad Ezzeldin, Daniele G Romano, Omar Tanweer, Justin Mascitelli, Isabel Fragata, Adam J Polifka, Fazeel M Siddiqui, Joshua W Osbun, Roberto
Background The role for the transradial approach for mechanical thrombectomy is controversial. We sought to compare transradial and transfemoral mechanical thrombectomy in a large multicenter database of acute ischemic stroke. Methods The prospectively maintained Stroke Thrombectomy and Aneurysm Registry (STAR) was reviewed for patients who underwent mechanical thrombectomy for an internal carotid
-
The brain nebula: minimally invasive brain–computer interface by endovascular neural recording and stimulation J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-02-22 Qiheng He, Yi Yang, Peicong Ge, Sining Li, Xiaoke Chai, Zhongqiu Luo, Jizong Zhao
A brain–computer interface (BCI) serves as a direct communication channel between brain activity and external devices, typically a computer or robotic limb. Advances in technology have led to the increasing use of intracranial electrical recording or stimulation in the treatment of conditions such as epilepsy, depression, and movement disorders. This indicates that BCIs can offer clinical neurological
-
Diagnostic accuracy of intraoperative neuromonitoring in transcarotid artery revascularization J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-02-20 Cinira Diogo, Doohwan Na, Nanthiya Sujijantarat, Charles Matouk, Brooke Callahan
Background In recent years, transcarotid artery revascularization (TCAR) has emerged as a safe and effective alternative to carotid artery stenting. While intraoperative neuromonitoring (IONM) techniques such as electroencephalogram (EEG) and somatosensory evoked potentials (SSEPs) are often employed during TCAR, there is limited research on their diagnostic accuracy. Methods The authors retrospectively
-
First-in-human experience of sirolimus coated balloon for symptomatic intracranial artery stenosis J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-02-20 Jichang Luo, Renjie Yang, Tao Wang, Jian Chen, Xia Lu, Bin Yang, Peng Gao, Yabing Wang, Yanfei Chen, Adam A Dmytriw, Jiamin Zheng, Robert W Regenhardt, Zheng Li, Han Xu, Yan Ma, Jonathon Zhao, Liqun Jiao
Background The drug coated balloon is a promising endovascular therapy for intracranial atherosclerosis (ICAS), potentially combining the advantages of primary angioplasty and antiproliferative drugs. Previous studies have focused on the paclitaxel coated balloon, revealing promising outcomes in the treatment of ICAS, while concerns about the neurotoxicity of paclitaxel were reported. Sirolimus was
-
Mapping geographic disparities in treatment and clinical outcomes of high-grade aneurysmal subarachnoid hemorrhage in the United States J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-02-20 Alis J Dicpinigaitis, Michael P Fortunato, Anjali Goyal, Shoaib A Syed, Rohan Patel, Galadu Subah, Jon B Rosenberg, Christian A Bowers, Stephan A Mayer, Brian Jankowitz, Chirag D Gandhi, Fawaz Al-Mufti
Background and objective Although high-grade (Hunt and Hess 4 and 5) aneurysmal subarachnoid hemorrhage (aSAH) typically portends a poor prognosis, early and aggressive treatment has previously been demonstrated to confer a significant survival advantage. This study aims to evaluate geographic, demographic, and socioeconomic determinants of high-grade aSAH treatment in the United States. Methods The
-
Does signal without noise and noise without signal exist? J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-02-20 Matthias Gawlitza, Karl-Titus Hoffmann, Cindy Richter
We thank Saad and Booth for their interest in our study1 and for their comments.2 We are aware that with our study, just as they state, the precise reason for non-ischemic cerebral enhancing (NICE) lesions associated with flow diverters (FD) cannot be accurately established. The careful reader will recognize that we too were surprised by the results, and that we did not claim to be sure how they could
-
Correspondence on the article ‘‘Endovascular treatment versus medical management for mild stroke with acute anterior circulation large vessel occlusion: a meta-analysis’’ J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-02-15 Kuan-Chih Chen, Po-Huang Chen, Hong-Jie Jhou
We read with great interest the meta-analysis by Qin et al 1 regarding the efficacy of endovascular treatment (EVT) in patients with acute anterior circulation large vessel occlusion and low National Institutes of Health Stroke Scale (NIHSS) scores. The study presents pivotal insights but also raises crucial concerns that we wish to address for a more nuanced understanding. First, the study’s approach
-
Intra-arterial nimodipine for the treatment of refractory delayed cerebral ischemia after aneurysmal subarachnoid hemorrhage J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-02-13 Laura Victoria Vossen, Miriam Weiss, Walid Albanna, Catharina Conzen-Dilger, Henna Schulze-Steinen, Tobias Rossmann, Tobias Phillip Schmidt, Anke Höllig, Martin Wiesmann, Hans Clusmann, Gerrit Alexander Schubert, Michael Veldeman
Background Delayed cerebral ischemia (DCI) is one of the main contributors to poor clinical outcome after aneurysmal subarachnoid hemorrhage (SAH). Endovascular spasmolysis with intra-arterial nimodipine (IAN) may resolve angiographic vasospasm, but its effect on infarct prevention and clinical outcome is still unclear. We report the effect of IAN on infarction rates and functional outcome in a consecutive
-
Neuroendovascular robotics: wave of the future or failed promise? J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-03-01 Matthew R Fusco, Rohan Chitale
In 2019, Siemens Healthineers (Erlangen, Germany) purchased Corindus Vascular Robotics, Inc (Waltham, Massachusetts, USA) for a staggering $1.1 billion. At the heart of this purchase was the CorPath GRX system which robotically assisted cardiac and neurointerventional therapy. It appeared the forefront of neuroendovascular robotics was coming into focus. However, in 2023, Siemens announced plans to
-
What should neurointerventionalists know about cost-effectiveness research, and why should they care? J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-03-01 Johanna M Ospel, Wolfgang G Kunz, Leon A Rinkel, Pina C Sanelli, Joshua A Hirsch
Health economic research, and particularly cost-effectiveness studies, are gaining increasing importance in medicine, and neurointervention is no exception. In light of rapidly increasing healthcare expenditure in almost every country, cost-effectiveness evaluations have become an important factor for policy decisions on healthcare use and adoption/reimbursement of new treatments. Specifically, politicians
-
How to use the Contour intrasaccular device: two illustrative cases J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-03-01 Alessandra Biondi, Panagiotis Primikiris, Fortunato Di Caterino, Sergio Vancheri, Giovanni Vitale, Guillaume Charbonnier
Contour (Stryker, Kalamazoo, MI) is a relatively new endosaccular device for the treatment of intracranial aneurysms.[1 2][1] Its unique cup-like shape permits treatment of most lesions, including wide-necked, irregular, and shallowed-shaped aneurysms. The sizing of the device only requires two parameters: neck size and equatorial plane (width). It must be positioned at the neck of the aneurysm with
-
WEB for recurrent aneurysms: a case series to review technical nuances J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-03-01 Ryan Holland, Muhammed Amir Essibayi, David Altschul
Recurrent intracranial aneurysms (IAs) often present with more complex morphology such as irregular shape, shallow height, and wide neck, which can make for challenging endovascular treatments.[1][1] Initial rupture and interventions are associated with fibrotic changes and considerable alteration in the aneurysm configuration, which limits retreatment options and increases the risk of complications
-
Double microcatheter reduction using partially deployed Atlas stents in treating a large dysplastic MCA bifurcation aneurysm with Y stent assisted coiling J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-03-01 Michael Gaub, Jonathan Leary, Lee A Birnbaum, Fadi Al Saiegh, Justin R Mascitelli
Treatment of large dysplastic middle cerebral artery (MCA) aneurysms can be challenging.[1 2][1] Catheterization of M2 branches at hyperacute angles often requires an ‘around the world’ approach/microcatheter reduction, which can be accomplished with rapid pull,[3][2] balloon anchor,[4][3] and stent anchor[5][4] techniques. In this video [video 1][5], Atlas stents (Stryker) are used for double microcatheter
-
Endovascular treatment of wide-neck bifurcation aneurysms: the eCLIPs device J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-03-01 Arturo Consoli, Hidehisa Nishi, Ange Diouf, Guillaume Charbonnier, André Araújo, Thomas R Marotta
The endovascular clip system device, eCLIPs (eVasc, Vancouver, British Columbia, Canada), was introduced almost a decade ago for the treatment of wide-neck bifurcation aneurysms,[1–3][1] which represent a challenge for both endovascular and surgical approaches. Several techniques and devices (intrasaccular or intra-arterial) have been introduced and are currently available in order to improve the technical
-
Effect of anesthetic strategies on distal stroke thrombectomy in the anterior and posterior cerebral artery J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-03-01 Lukas Meyer, Christian Paul Stracke, Gabriel Broocks, Marta Wallocha, Mohamed Elsharkawy, Peter B Sporns, Eike I Piechowiak, Johannes Kaesmacher, Christian Maegerlein, Moritz Roman Hernandez Petzsche, Hanna Zimmermann, Weis Naziri, Nuran Abdullayev, Christoph Kabbasch, Daniel Behme, Maximilian Thormann, Volker Maus, Sebastian Fischer, Markus A Möhlenbruch, Charlotte Sabine Weyland, Soenke Langner,
Background Numerous questions regarding procedural details of distal stroke thrombectomy remain unanswered. This study assesses the effect of anesthetic strategies on procedural, clinical and safety outcomes following thrombectomy for distal medium vessel occlusions (DMVOs). Methods Patients with isolated DMVO stroke from the TOPMOST registry were analyzed with regard to anesthetic strategies (ie,
-
Predictors for large vessel recanalization before stroke thrombectomy: the HALT score J. NeuroInterv. Surg. (IF 4.8) Pub Date : 2024-03-01 Marco Colasurdo, Huanwen Chen, Chad Schrier, Mazhar Khalid, Mihir Khunte, Timothy R Miller, Jacob Cherian, Ajay Malhotra, Dheeraj Gandhi
Background Large vessel recanalization (LVR) before endovascular therapy (EVT) for acute large vessel ischemic strokes is a poorly understood phenomenon. Better understanding of predictors for LVR is important for optimizing stroke triage and patient selection for bridging thrombolysis. Methods In this retrospective cohort study, consecutive patients presenting to a comprehensive stroke center for