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ESTUDIOS


01 mayo 2011

STROKE. Outcomes After Carotid Artery Stenting and Endarterectomy in the Medicare Population

Fen Wei Wang, MD, PhD; Dennis Esterbrooks, MD; Yong-Fang Kuo, PhD; Aryan Mooss, MD; Syed M. Mohiuddin, MD, DSc; Barry F. Uretsky, MD

Background and Purpose—Carotid artery stenting (CAS) is an alternative to carotid endarterectomy (CEA) for stroke prevention. The value of this therapy relative to CEA remains uncertain. Stroke. 2011; 42: 2019-2025 Published online before print May 26, 2011, doi: 10.1161/​STROKEAHA.110.608992. Copyright © 2011 American Heart Association, Inc. All rights reserved.

13 julio 2012

NEURORADIOLOGY. Comparison of remnant size in embolized intracranial aneurysms measured at follow-up with DSA and MRA

Zbigniew Serafin, Piotr Strześniewski, Władysław Lasek and Wojciech Beuth

Introduction: The possibility of recanalization and the need for retreatment are the most important limitations of intracranial aneurysm embolization. The purpose of the study was to compare the size of aneurysm remnants measured at follow-up with three-dimensional digital subtracted angiography (3D-DSA) and magnetic resonance angiography (MRA). Neuroradiology. DOI 10.1007/s00234-012-1063-3. Copyright © The Author(s) 2012. This article is published with open access at Springerlink.com

10 junio 2012

AMERICAN JOURNAL OF NEURORADIOLOGY. Effects of Perianeurysmal Environment during the Growth of Cerebral Aneurysms: A Case Study

D.M. Sforza, C.M. Putman, S. Tateshima, F. Viñuela and J.R. Cebral

BACKGROUND AND PURPOSE: The natural history of cerebral aneurysms is thought to be governed by multifactorial processes involving hemodynamics, biomechanics, mechanobiology, and perianeurysmal environment. The purpose of this study was to highlight the importance of considering the influence of contacts with perianeurysmal environment structures on the hemodynamics and geometric evolution of intracranial aneurysms. AJNR Am J Neuroradiol 33:1115–20  Jun-Jul 2012  www.ajnr.org . Copyright © 2012 by American Journal of Neuroradiology

01 julio 2012

JOURNAL OF NEUROSURGERY. Comparative effectiveness of treatments for cerebral arteriovenous malformations: trends in nationwide outcomes from 2000 to 2009

Jason M. Davies, M.D., Ph.D., Vijay Yanamadala, M.D., M.B.A., and Michael T. Lawton, M.D.

Object: The development of multimodality approaches for the treatment of cerebral arteriovenous malformations (AVMs), including microsurgery, endovascular therapy, and radiosurgery, has shifted modern treatment paradigms in the last 10 years. This study examines these changes in detail from a nationwide perspective. Neurosurgical Focus. Jul 2012 / Vol. 33 / No. 1 / Page E11.

01 diciembre 2011

NEURORADIOLOGY. Dissecting aneurysms of the vertebral artery—angiographic patterns at the dissecting site on balloon test occlusion

Yutaka Kai & Jun-ichiro Hamada & Motohiro Morioka & Yuki Ohmori & Masaki Watanabe & Teruyuki Hirano & Takayuki Kawano & Shigetoshi Yano & Jun-ichi Kuratsu

Introduction: At present, the risk of future hemorrhage or ischemic insult from vertebral artery (VA) dissection cannot be estimated from available imaging data. We investigated the relationship between symptoms and the angiographic patterns of the dissecting site on balloon test occlusion (BTO) to develop guidelines for clinical decision-making. Neuroradiology. DOI 10.1007/s00234-011-0993-5. Copyright © The Author(s) 2011. This article is published with open access at Springerlink.com

01 abril 2012

NEURORADIOLOGY. Follow-up after embolization of ruptured intracranial aneurysms

Zbigniew Serafin, Piotr Strześniewski, Władysław Lasek and Wojciech Beuth

Introduction: To prospectively compare of the diagnostic value of digital subtraction angiography (DSA) and time-of-flight magnetic resonance angiography (TOF-MRA) in the follow-up of intracranial aneurysms after endovascular treatment. Neuroradiology DOI 10.1007/s00234-012-1030-z. Copyright © The Author(s) 2011. This article is published with open access at Springerlink.com

01 mayo 2012

JOURNAL OF NEUROSURGERY. Iatrogenic dural arteriovenous fistula and aneurysmal subarachnoid hemorrhage

Sudhakar Vadivelu, D.O., Xin Xin, B.S., Tina Loven, D.O., Guillermo Restrepo, P.A.-C., David J. Chalif, M.D., and Avi Setton, M.D.

The authors present the case of a patient who presented acutely with aneurysmal subarachnoid hemorrhage (SAH) and a contralateral iatrogenic dural arteriovenous fistula (DAVF). Diagnostic angiography was performed, revealing a right-sided middle cerebral artery (MCA) aneurysm and a left-sided DAVF immediately adjacent to the entry of the ventriculostomy and bur hole site. A craniotomy was performed for clipping of the ruptured MCA aneurysm, and the patient subsequently underwent endovascular obliteration of the DAVF 3 days later. The authors present their treatment of an iatrogenic DAVF in a patient with an aneurysmal SAH, considerations in management options, and a literature review on the development of iatrogenic DAVFs. Neurosurgical Focus. May 2012 / Vol. 32 / No. 5 / Page E1.

24 julio 2012

JVIR. Patients with Multiple Sclerosis with Structural Venous Abnormalities on MR Imaging Exhibit an Abnormal Flow Distribution of the Internal Jugular Veins

E. Mark Haacke, PhD, Wei Feng, PhD, David Utriainen, BS, Gabriela Trifan, MD, Zhen Wu, MD, Zahid Latif, RT, Yashwanth Katkuri, MS, Joseph Hewett, MD, and David Hubbard, MD

Purpose: To evaluate extracranial venous structural and flow characteristics in patients with multiple sclerosis (MS). Journal of Vascular and Interventional Radiology Volume 23, Issue 1 , Pages 60-68.e3, January 2012. Copyright © SIR, 2012

01 enero 2012

JVIR. Safety of Endovascular Treatment of Chronic Cerebrospinal Venous Insufficiency: A Report of 240 Patients with Multiple Sclerosis

Kenneth D. Mandato, MD, Paul F. Hegener, MD, Gary P. Siskin, MD, Ziv J Haskal, MD, Meridith J. Englander, MD, Sreenivas Garla, MD, Nancy Mitchell, NP, Laura Reutzel, NP, and Christopher Doti, NP

Purpose: To evaluate the safety of outpatient endovascular treatment in patients with multiple sclerosis (MS) and chronic cerebrospinal venous insufficiency (CCSVI). Journal of Vascular and Interventional Radiology Volume 23, Issue 1 , Pages 55-59, January 2012. Copyright © SIR, 2012

01 julio 2012

RADIOLOGY. Carotid Artery Atherosclerosis: Effect of Intensive Lipid Therapy on the Vasa Vasorum—Evaluation by Using Dynamic Contrast-enhanced MR Imaging

Li Dong, MD, Williams S. Kerwin, PhD, Huijun Chen, PhD, Baocheng Chu, MD, PhD, Hunter R. Underhill, MD, Moni Blazej Neradilek, PhD, Thomas S. Hatsukami, MD, Chun Yuan, PhD and Xue-Qiao Zhao, MD

Purpose: To investigate whether short-term, intensive lipid therapy leads to changes in microvascular characteristics, as measured by using dynamic contrast material–enhanced (DCE) magnetic resonance (MR) imaging. July 2011 Radiology, 260, 224-231. Copyright © RSNA, 2011

29 mayo 2012

CIRCULATION. Thrombolytic Therapy of Acute Stroke

Steven K. Feske, MD

The therapy of acute stroke has advanced dramatically over the last 15 years with the use of intravenous tPA and intra-arterial catheter-based revascularization techniques. At their best, these therapies allow the physician to arrest the progression of what would otherwise become a devastating stroke. Yet, the majority of patients with stroke still do not benefit from these therapies either because the brief time window of benefit and safety imposes administrative, medical, and logistical demands that have not been met or because, even when applied early, these therapies are effective in only some patients. Therefore, it is important that we expand access to and implement currently available therapies as efficiently as possible. In addition, we must continue to refine these therapies and to develop new ones. This review provides a focused update on the current therapy of acute stroke. Circulation. 2012; 125: 2662-2666 doi: 10.1161/​CIRCULATIONAHA.111.060087. Copyright © 2012 American Heart Association, Inc. All rights reserved. Print ISSN: 0009-7322. Online ISSN: 1524-4539

01 mayo 2012

JOURNAL OF NEUROSURGERY. Cerebral dural arteriovenous fistulas and aneurysms

Bradley A. Gross, M.D., Alexander E. Ropper, M.D., and Rose Du, M.D., Ph.D.

Object: The association of aneurysms and cerebral arteriovenous malformations is well established in the literature. Aside from a small number of case reports and small patient series, this association has not been well explored with cerebral dural arteriovenous fistulas (DAVFs). This study was designed to elucidate this relationship in the authors own patient cohort with DAVFs. Neurosurgical Focus. May 2012 / Vol. 32 / No. 5 / Page E2. DOI: 10.3171/2011.12.FOCUS11336.

01 mayo 2012

NEUROSURGERY. Vein of Galen Malformations in Neonates: New Management Paradigms for Improving Outcomes

Berenstein, Alex MD; Fifi, Johanna T. MD; Niimi, Yasunari MD; Presti, Salvatore MD; Ortiz, Rafael MD; Ghatan, Saadi MD; Rosenn, Barak MD; Sorscher, Michelle CPNP; Molofsky, Walter MD

BACKGROUND: Untreated patients with symptomatic neonatal presentation of vein of Galen aneurismal malformations (VGAMs) carry almost 100% morbidity and mortality. Medical management and endovascular techniques for neonatal treatment have significantly evolved. OBJECTIVE: To evaluate the clinical and angiographic outcomes of modern management of neonates with refractory heart failure from VGAMs. Neurosurgery: May 2012 - Volume 70 - Issue 5 - p 1207–1214 doi: 10.1227/NEU.0b013e3182417be3. Copyright © by the Congress of Neurological Surgeons

01 mayo 0212

JOURNAL OF NEUROSURGERY. Carotid-cavernous fistulas

Jason A. Ellis, M.D, Hannah Goldstein, B.S, E. Sander Connolly Jr., M.D, and Philip M. Meyers, M.D

Carotid-cavernous fistulas (CCFs) are vascular shunts allowing blood to flow from the carotid artery into the cavernous sinus. The characteristic clinical features seen in patients with CCFs are the sequelae of hemodynamic dysfunction within the cavernous sinus. Once routinely treated with open surgical procedures, including carotid ligation or trapping and cavernous sinus exploration, endovascular therapy is now the treatment modality of choice in many cases. The authors provide a review of CCFs, detailing the current classification and clinical management of these lesions. Therapeutic options including conservative management, open surgery, endovascular intervention, and radiosurgical therapy are presented. The complications and treatment results as reported in the contemporary literature are also reviewed. Neurosurgical Focus. May 2012 / Vol. 32 / No. 5 / Page E9. DOI: 10.3171/2012.2.FOCUS1223.

12 junio 2012

CIRCULATION. Reversal of Warfarin : Case-Based Practice Recommendations

David A. Garcia, MD; Mark A. Crowther, MD

Case Presentation: A 74-year-old woman presents to the emergency department with bruising. She takes warfarin for atrial fibrillation. She has recently begun taking trimethoprim/sulfamethoxazole. Her international normalized ratio (INR) is reported as 8.6. Circulation. 2012; 125: 2944-2947 doi: 10.1161/​CIRCULATIONAHA.111.081489. Copyright © 2012 American Heart Association, Inc. All rights reserved. Print ISSN: 0009-7322. Online ISSN: 1524-4539

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