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ABSTRACT


01 octubre 2015

AMERICAN JOURNAL OF NEURORADIOLOGY. Posterior Inferior Cerebellar Artery Patency after Flow-Diverting Stent Treatment

M.R. Levitt, M.S. Park, F.C. Albuquerque, K. Moon, M.Y.S. Kalani and C.G. McDougall

BACKGROUND AND PURPOSE: The rate of PICA occlusion after flow-diverting stent placement for vertebral and vertebrobasilar artery aneurysms is not known. The purpose of this study is to determine the medium-term rate of PICA patency and risk factors for occlusion after such aneurysm treatment.

24 septiembre 2015

AMERICAN JOURNAL OF NEURORADIOLOGY. Stent-Assisted Coil Embolization of Intracranial Aneurysms: Complications in Acutely Ruptured versus Unruptured Aneurysms

R.S. Bechan, M.E. Sprengers, C.B. Majoie, J.P. Peluso, M. Sluzewski and W.J. van Rooij

BACKGROUND AND PURPOSE: The use of stents in the setting of SAH is controversial because of concerns about the efficacy and risk of dual antiplatelet therapy. We compare complications of stent-assisted coil embolization in patients with acutely ruptured aneurysms with complications in patients with unruptured aneurysms.

15 octubre 2015

AMERICAN JOURNAL OF NEURORADIOLOGY. Safety and Efficacy of Intravenous Tirofiban as Antiplatelet Premedication for Stent-Assisted Coiling in Acutely Ruptured Intracranial Aneurysms

S. Kim, J.-H. Choi, M. Kang, J.-K. Cha and J.-T. Huh

BACKGROUND AND PURPOSE: Stent-assisted coiling of intracranial aneurysms requires antiplatelet therapy, typically aspirin and clopidogrel to prevent thromboembolic complications. There is a substantial concern that tirofiban may increase the risk of hemorrhage when used as an antiplatelet premedication in ruptured intracranial aneurysms. Our aim was to evaluate the safety and efficacy of intravenous tirofiban administration, instead of oral dual antiplatelet agents, as an antiplatelet premedication for stent-assisted coiling in patients with acutely ruptured intracranial aneurysms.

26 noviembre 2015

AMERICAN JOURNAL OF NEURORADIOLOGY. Normal Venous Phase Documented during Angiography in Patients with Spinal Vascular Malformations: Incidence and Clinical Implications

D. Eckart Sorte, M. Obrzut, E. Wyse and P. Gailloud

BACKGROUND AND PURPOSE: A key angiographic sign observed in patients with spinal vascular malformations is the absence of a normal venous phase. While this finding alone is often believed to rule out a lesion impacting the perimedullary venous drainage, the observation of a venous phase in several patients with vascular malformations led us to reconsider the validity of that sign.

31 marzo 2016

STROKE. Brief Report. Access to Endovascular Treatment in Remote Areas. Analysis of the Reperfusion Treatment Registry of Catalonia

Natalia Pérez de la Ossa, PhD; Sònia Abilleira, PhD; Laura Dorado, PhD; Xabier Urra, PhD; Marc Ribó, PhD; Pere Cardona, PhD; Eva Giralt, MD; Joan Martí-Fàbregas, PhD; Francisco Purroy, PhD; Joaquín Serena, PhD; David Cánovas, MD; Moisés Garcés, MD; Jurek Krupinski, PhD; Anna Pellisé, MD; Júlia Saura, MD; Carlos Molina, PhD; Antoni Dávalos, PhD; Miquel Gallofré, PhD, on behalf of the Catalan Stroke Code and Reperfusion Consortium*

Background and Purpose: Since demonstration of the benefit of endovascular treatment (EVT) in acute ischemic stroke patients with proximal arterial occlusion, stroke care systems need to be reorganized to deliver EVT in a timely and equitable way. We analyzed differences in the access to EVT by geographical areas in Catalonia, a territory with a highly decentralized stroke model.

17 marzo 2016

STROKE. Brief Report. Determining the Number of Ischemic Strokes Potentially Eligible for Endovascular Thrombectomy. A Population-Based Study

Nicholas H. Chia, MBBS; James M. Leyden, MBBS; Jonathan Newbury, BMBS, PhD; Jim Jannes, MBBS, PhD; Timothy J. Kleinig, MBBS, PhD

Background and Purpose: Endovascular thrombectomy (ET) is standard-of-care for ischemic stroke patients with large vessel occlusion, but estimates of potentially eligible patients from population-based studies have not been published. Such data are urgently needed to rationally plan hyperacute services. Retrospective analysis determined the incidence of ET-eligible ischemic strokes in a comprehensive population-based stroke study (Adelaide, Australia 2009–2010).

07 abril 2016

STROKE. Brief Report. Cannabis Use and Outcomes in Patients With Aneurysmal Subarachnoid Hemorrhage

Réza Behrouz, DO; Lee Birnbaum, MD; Ramesh Grandhi, MD; Jeremiah Johnson, MD; Vivek Misra, MD; Santiago Palacio, MD; Ali Seifi, MD; Christopher Topel, DO; Rachel Garvin, MD; Jean-Louis Caron, MD

Background and Purpose: The incidence of cannabis use in patients with aneurysmal subarachnoid hemorrhage (aSAH) and its impact on morbidity, mortality, and outcomes are unknown. Our objective was to evaluate the relationship between cannabis use and outcomes in patients with aSAH.

31 marzo 2016

STROKE. Brief Report. Silent Brain Infarction in Patients With Asymptomatic Carotid Artery Atherosclerotic Disease

Hediyeh Baradaran, MD; Gino Gialdini, MD; Edward Mtui, MD; Gulce Askin, MPH; Hooman Kamel, MD; Ajay Gupta, MD

Background and Purpose: The relationship between carotid atherosclerosis and ipsilateral silent brain infarction (SBI) is unclear. We tested the hypothesis that extracranial internal carotid artery (ICA) stenosis is associated with a greater prevalence of SBI in the cerebral hemisphere ipsilateral to ICA disease compared with the unaffected, contralateral side.

05 abril 2016

STROKE. Basic Sciences. Microbubble-Mediated Sonothrombolysis Improves Outcome After Thrombotic Microembolism-Induced Acute Ischemic Stroke

Yongkang Lu, MD, PhD*; Junfen Wang, MD, PhD*; Ruizhu Huang, MD; Gangbin Chen, MD; Lintao Zhong, MD; Shuxin Shen, MD, PhD; Chuanxi Zhang, MD; Xinzhong Li, MD; Shiping Cao, MD, PhD; Wangjun Liao, MD, PhD; Yulin Liao, MD, PhD; Jianping Bin, MD, PhD

Background and Purpose: Microthrombi originating from disintegrated clots or formed in situ may account for the poor clinical improvement of acute ischemic stroke after recanalization therapy. We attempted to determine whether microbubble-mediated sonothrombolysis could dissolve platelet-rich and erythrocyte-rich microthrombi, thereby reducing their brain injury-causing potential.

29 marzo 2016

STROKE. Clinical Sciences. De Novo Aneurysm Formation in Carriers of Saccular Intracranial Aneurysm Disease in Eastern Finland

Antti E. Lindgren, MD, PhD*; Sari Räisänen, BM*; Joel Björkman, BM; Hanna Tattari, BM; Jukka Huttunen, MD; Terhi Huttunen, MD, PhD; Mitja I. Kurki, PhD; Juhana Frösen, MD, PhD; Timo Koivisto, MD, PhD; Juha E. Jääskeläinen, MD, PhD†; Mikael von und zu Fraunberg, MD, PhD†

Background and Purpose: Formation of new (de novo) aneurysms in patients carrying saccular intracranial aneurysm (sIA) disease has been published, but data from population-based cohorts are scarce.

07 abril 2016

STROKE. Clinical Sciences. Prevalence of Intracranial Atherosclerotic Stenosis Using High-Resolution Magnetic Resonance Angiography in the General Population. The Atherosclerosis Risk in Communities Study

Muhammad Fareed K. Suri, MD, MS*; Ye Qiao, PhD*; Xiaoye Ma, PhD; Eliseo Guallar, MD, DrPH; Jincheng Zhou, MS; Yiyi Zhang, PhD; Li Liu, MS; Haitao Chu, MD, PhD; Adnan I. Qureshi, MD; Alvaro Alonso, MD, PhD; Aaron R. Folsom, MD; Bruce A. Wasserman, MD

Background and Purpose: Intracranial atherosclerotic stenosis (ICAS) is a common cause of stroke, but little is known about its epidemiology. We studied the prevalence of ICAS and its association with vascular risk factors using high-resolution magnetic resonance angiography in a US cardiovascular cohort.

01 mayo 2016

NEUROSURGERY. Endovascular Management vs Intravenous Thrombolysis for Acute Stroke Secondary to Carotid Artery Dissection: Local Experience and Systematic Review

Haussen, Diogo C. MD; Jadhav, Ashutosh MD, PhD; Jovin, Tudor MD; Grossberg, Jonathan A. MD; Grigoryan, Mikayel MD; Nahab, Fadi MD; Obideen, Mahmoud MD; Lima, Andrey MD; Aghaebrahim, Amin MD; Gulati, Deepak MD; Nogueira, Raul G. MD

BACKGROUND: Little is known regarding the endovascular management of acute ischemic stroke (AIS) related to carotid artery dissection (CAD).

01 mayo 2016

NEUROSURGERY. A New Protocol for Anticoagulation With Tirofiban During Flow Diversion

Chalouhi, Nohra MD; Jabbour, Pascal MD; Daou, Badih MD; Starke, Robert M. MD; Shields, Bridget MD; Hasan, David M. MD

BACKGROUND: Flow diversion is increasingly used to treat intracranial aneurysms. In previous reports, patients were pretreated with aspirin and clopidogrel before the intervention for the prevention of thromboembolic complications.

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