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ABSTRACT


01 mayo 2015

NEUROSURGERY. Endovascular and Surgical Treatment of Internal Carotid Bifurcation Aneurysms: Comparison of Results, Outcome, and Mid-Term Follow-up

Konczalla, Juergen MD*; Platz, Johannes MD*; Brawanski, Nina MD*; Güresir, Erdem MD, PhD*; Lescher, Stephanie MD‡; Senft, Christian MD, PhD*; du Mesnil de Rochemont, Richard MD, PhD‡; Berkefeld, Joachim MD, PhD‡; Seifert, Volker MD, PhD*

BACKGROUND: Aneurysms of the internal carotid artery (ICA) bifurcation are rare, and no studies have compared patient outcomes after endovascular vs surgical treatment.

01 mayo 2015

NEUROSURGERY. Silent Arteriovenous Malformation Hemorrhage and the Recognition of “Unruptured” Arteriovenous Malformation Patients Who Benefit From Surgical Intervention

Abla, Adib A. MD*; Nelson, Jeffrey MS‡; Kim, Helen PhD‡; Hess, Christopher P. MD, PhD§; Tihan, Tarik MD¶; Lawton, Michael T. MD*,‡

BACKGROUND: Arteriovenous malformation (AVM) patients present in 4 ways relative to hemorrhage: (1) unruptured, without a history or radiographic evidence of old hemorrhage (EOOH); (2) silent hemorrhage, without a bleeding history but with EOOH; (3) ruptured, with acute bleeding but without EOOH; and (4) reruptured, with acute bleeding and EOOH.

01 mayo 2015

NEUROSURGERY. Surgical Accessibility of the Distal Internal Carotid Artery on Carotid Endarterectomy Evaluated Using Magnetic Resonance Angiography

Kubota, Hisashi MD*; Sanada, Yasuhiro MD*; Tasaki, Takayuki MD*; Miyauchi, Masaharu MD*; Tanikawa, Rokuya MD§; Ohtsuki, Toshiho MD‡; Kato, Amami MD*

BACKGROUND: Magnetic resonance angiography (MRA) is helpful for preoperatively evaluating the degree of carotid stenosis, although it is not always useful for assessing surgical accessibility to the distal internal carotid artery (ICA) due to the lack of osteological information.

01 abril 2015

NEUROSURGERY. Acute Stroke After Carotid Endarterectomy: Time for a Paradigm Shift? Multicenter Experience With Emergent Carotid Artery Stenting With or Without Intracranial Tandem Occlusion Thrombectomy

Spiotta, Alejandro M. MD*; Vargas, Jan MD*; Zuckerman, Scott MD‡; Mokin, Maxim MD, PhD§; Ahmed, Azam MD¶; Mocco, J. MD‡; Turner, Raymond D. MD*; Turk, Aquilla S. DO‖; Chaudry, M. Imran MD‖; Myers, Phil MD#

BACKGROUND: Stroke in the immediate postoperative period after carotid endarterectomy is a rare complication. Many centers have begun incorporating angiography before surgical re-exploration, which has the advantage of confirming carotid occlusion and treating tandem intracranial lesions if present.

01 abril 2015

NEUROSURGERY. Balloon Remodeling May Improve Angiographic Results of Stent-Assisted Coiling of Unruptured Intracranial Aneurysms

Gentric, Jean-Christophe MD*,‡; Biondi, Alessandra MD, PhD§; Piotin, Michel MD, PhD¶; Mounayer, Charbel MD, PhD‖; Lobotesis, Kyriakos MBBS, FRCR#; Bonafé, Alain MD, PhD**; Costalat, Vincent MD, PhD**

BACKGROUND: Endovascular treatment of wide-necked and complex aneurysms may require stent-assisted coiling, either as primary stenting or combined with the balloon remodeling technique (BRT).

01 marzo 2015

NEUROSURGERY. Double-Clip Technique for the Microneurosurgical Management of Very Small (<3 mm) Intracranial Aneurysms

Sai Kiran, Narayanam Anantha MD; Jahromi, Behnam Rezai MB; Velasquez, Joham Choque MD; Hijazy, Ferzat MD; Goehre, Felix MD; Kivisaari, Riku MD, PhD; Siangprasertkij, Chaiyot MD; Munoz Gallegos, Luis Francisco MD; Lehto, Hanna MD; Hernesniemi, Juha MD, PhD

BACKGROUND: The treatment of very small (≤3 mm) aneurysms is technically challenging. Mini-clips used for clipping these small aneurysms have a smaller closing force compared with standard clips.

01 marzo 2015

NEUROSURGERY. Novel Device and Technique for Minimally Invasive Intracerebral Hematoma Evacuation in the Same Setting of a Ruptured Intracranial Aneurysm: Combined Treatment in the Neurointerventional Angiography Suite

Turner, Raymond D. MD*; Vargas, Jan MD*; Turk, Aquilla S. DO‡; Chaudry, M. Imran MD‡; Spiotta, Alejandro M. MD*

BACKGROUND: The presence of intracerebral hematoma from aneurysm rupture is an indication for craniotomy for clot evacuation and aneurysm clipping. Some centers have begun securing aneurysms with coil embolization followed by clot evacuation in the operating room. This approach requires transporting a patient from the angiography suite to the operating room, which can take valuable time and resources.

01 marzo 2015

NEUROSURGERY. Frameless Stereotactic Magnetic Resonance Imaging-Guided Laser Interstitial Thermal Therapy to Perform Bilateral Anterior Cingulotomy for Intractable Pain: Feasibility, Technical Aspects, and Initial Experience in 3 Patients

Patel, Nitesh V. MD*; Agarwal, Nitin MD‡; Mammis, Antonios MD‡; Danish, Shabbar F. MD*

BACKGROUND: Bilateral anterior cingulotomy is well described for certain pain and psychiatric disorders. Typically, stereotactic frame-based radiofrequency ablation is used. We report the feasibility of a frameless approach using magnetic resonance imaging-guided laser induced thermal therapy (MRgLITT).

01 abril 2015

SPRINGER. Long-term results of ethanol sclerotherapy with or without adjunctive surgery for head and neck arteriovenous malformations

Byungjun Kim, Keonha Kim, Pyoung Jeon, Sungtae Kim, Hyungjin Kim, Hongsik Byun, Dongik Kim, Youngwook Kim

Introduction: Ethanol sclerotherapy has shown favorable short-term efficacy in managing head and neck arteriovenous malformation (AVM) which is well known for high recurrence rate after treatment. The purpose of this study was to report immediate treatment results and long-term follow-up results of ethanol sclerotherapy in patients with head and neck AVMs.

09 abril 2015

STROKE. Brief Report. Hemorrhage Rates From Brain Arteriovenous Malformation in Patients With Hereditary Hemorrhagic Telangiectasia

Helen Kim, PhD; Jeffrey Nelson, MS; Timo Krings, MD, PhD; Karel G. terBrugge, MD; Charles E. McCulloch, PhD; Michael T. Lawton, MD; William L. Young, MD†; Marie E. Faughnan, MD, MSc; the Brain Vascular Malformation Consortium HHT Investigator Group

Background and Purpose: Hereditary hemorrhagic telangiectasia (HHT) is a systemic disease characterized by mucocutaneous telangiectasias, epistaxis, and arteriovenous malformations (AVMs). Intracranial hemorrhage (ICH) rates in this population are not well described. We report ICH rates and characteristics in HHT patients with brain AVMs (HHT-BAVMs).

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