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ABSTRACT


01 noviembre 2013

AMERICAN JOURNAL OF NEURORADIOLOGY. Long-Term Clinical and Imaging Follow-Up of Complex Intracranial Aneurysms Treated by Endovascular Parent Vessel Occlusion

C.C. Matouka, Z. Kaderalib, K.G. terBruggeb and R.A. Willinskyb

BACKGROUND AND PURPOSE: Flow-diverting stents are increasingly being used for the treatment of complex intracranial aneurysms, but the indications for their use in lieu of traditional endovascular PVO have yet to be precisely defined. The purpose of this study was to review the clinical and imaging outcomes of patients with intracranial aneurysms treated by PVO.

01 noviembre 2013

NEURORADIOLOGY. Solitaire AB stent-assisted coiling of wide-necked intracranial aneurysms: short-term results from a prospective, consecutive, European multicentric study

Benjamin Gory, Joachim Klisch, Alain Bonafé, Charbel Mounayer, Remy Beaujeux, Jacques Moret, Boris Lubicz, Roberto Riva, Francis Turjman

Introduction: Solitaire AB stent-assisted coiling facilitates the endovascular treatment of wide-necked intracranial aneurysms. Solitaire Aneurysm Remodeling is the first prospective, consecutive, European multicentric study whose main objective was to evaluate the safety, short-, and long-term efficacy of the Solitaire AB stent. This first analysis is focused on the short-term results.

01 noviembre 2013

NEUROSURGERY. Anatomic Risk Factors for Middle Cerebral Artery Aneurysm Rupture: Computed Tomography Angiography Study of 1009 Consecutive Patients

Elsharkawy, Ahmed MD*,‡; Lehečka, Martin MD, PhD*; Niemelä, Mika MD, PhD*; Kivelev, Juri MD, PhD*; Billon-Grand, Romain MD*,§; Lehto, Hanna MD*; Kivisaari, Riku MD, PhD*; Hernesniemi, Juha MD, PhD*

BACKGROUND: The middle cerebral artery (MCA) is the most frequent location for unruptured intracranial aneurysms. Controversy remains as to which unruptured MCA aneurysms should be treated prophylactically.

01 noviembre 2013

AMERICAN JOURNAL OF NEURORADIOLOGY. Stent-Assisted Coiling Versus Balloon Remodeling of Wide-Neck Aneurysms: Comparison of Angiographic Outcomes

N. Chalouhia, R.M. Starkea,b, M.T. Koltza, P.M. Jabboura, S.I. Tjoumakarisa, A.S. Dumonta, R.H. Rosenwassera, S. Singhala and L.F. Gonzaleza

BACKGROUND AND PURPOSE: Stent-assisted coiling and balloon-assisted coiling are 2 well-established techniques for treatment of wide-neck intracranial aneurysms. A direct comparative analysis of angiographic outcomes with the 2 techniques has not been available. We compare the angiographic outcomes of wide-neck aneurysms treated with stent-assisted coiling versus balloon-assisted coiling.

01 noviembre 2013

AMERICAN JOURNAL OF NEURORADIOLOGY. Spinal Dural Arteriovenous Fistulas: Clinical Experience with Endovascular Treatment as a Primary Therapy at 2 Academic Referral Centers

J.J. Gemmetea,b, N. Chaudharya,b, A.E. Eliasa, A.K. Tomad, A.S. Pandeyb, R.A. Parkere, I. Davagnanamc, C.O. Maherb, S. Brewc and F. Robertsonc

BACKGROUND AND PURPOSE: Spinal dural arteriovenous fistulas are a rare entity that, if left untreated, can lead to considerable morbidity with progressive spinal cord symptoms. The aim of this study was to evaluate the clinical outcome of patients with spinal dural arteriovenous fistulas that were primarily treated with endovascular embolization.

01 octubre 2012

THE LANCET NEUROLOGY. MRI profile and response to endovascular reperfusion after stroke (DEFUSE 2): a prospective cohort study

Maarten G Lansberg MD a, Matus Straka PhD a, Stephanie Kemp BS a, Michael Mlynash MD a, Prof Lawrence R Wechsler MD b, Tudor G Jovin MD b, Michael J Wilder MD c, Helmi L Lutsep MD d, Todd J Czartoski MD e, Richard A Bernstein MD f, Cherylee WJ Chang MD g, Prof Steven Warach MD h, Prof Franz Fazekas MD i, Manabu Inoue MD a, Aaryani Tipirneni MS a, Scott A Hamilton PhD a, Greg Zaharchuk MD a, Prof Michael P Marks MD a, Roland Bammer PhD a, Prof Gregory W Albers MD, for the DEFUSE 2 study investigators†

Background: Whether endovascular stroke treatment improves clinical outcomes is unclear because of the paucity of data from randomised placebo-controlled trials. We aimed to establish whether MRI can be used to identify patients who are most likely to benefit from endovascular reperfusion.

01 agosto 2012

THE LANCET. Solitaire flow restoration device versus the Merci Retriever in patients with acute ischaemic stroke (SWIFT): a randomised, parallel-group, non-inferiority trial

Prof Jeffrey L Saver MD, Reza Jahan MD b, Prof Elad I Levy MD c, Tudor G Jovin MD d, Blaise Baxter MD e, Raul G Nogueira MD f, Prof Wayne Clark MD g, Ronald Budzik MD h, Prof Osama O Zaidat MD i, for the SWIFT Trialists

Background: The Solitaire Flow Restoration Device is a novel, self-expanding stent retriever designed to yield rapid flow restoration in acute cerebral ischaemia. We compared the efficacy and safety of Solitaire with the standard, predicate mechanical thrombectomy device, the Merci Retrieval System.

01 noviembre 2013

NEURORADIOLOGY. Endovascular management for retreatment of postsurgical intracranial aneurysms

Ke Li, Young Dae Cho, Hyun-Seung Kang, Jeong Eun Kim, Moon Hee Han, Yong Man Lee

Introduction: Incomplete surgical treatment of intracranial aneurysms and recurrent postsurgical aneurysms are associated with a risk of rebleeding, and additional treatment is generally recommended. Surgical retreatment may carry a risk of procedural complications due to technical difficulty. We present here our experience with the endovascular approach for the retreatment of intracranial aneurysms that were initially treated with open surgery.

01 noviembre 2013

NEUROSURGERY. Relative Residence Time Prolongation in Intracranial Aneurysms: A Possible Association With Atherosclerosis

Sugiyama, Shin-ichiro MD*,‡; Niizuma, Kuniyasu MD*; Nakayama, Toshio PhD§; Shimizu, Hiroaki MD¶; Endo, Hidenori MD¶; Inoue, Takashi MD¶; Fujimura, Miki MD‖; Ohta, Makoto PhD#; Takahashi, Akira MD§; Tominaga, Teiji MD*

BACKGROUND: Intracranial aneurysms can have atherosclerotic wall properties that may be important in predicting aneurysm history or estimating the potential risks of surgical treatments.

01 noviembre 2013

STROKE. Risk of Rupture of Small Anterior Communicating Artery Aneurysms Is Similar to Posterior Circulation Aneurysms

Philippe Bijlenga, MD, PhD; Christian Ebeling, PhD; Max Jaegersberg, MD; Paul Summers, PhD; Alister Rogers, MD; Alan Waterworth, PhD; Jimison Iavindrasana, PhD; Juan Macho, MD; Vitor Mendes Pereira, MD, PhD; Peter Bukovics, PhD; Elio Vivas, MD; Miriam C.J.M. Sturkenboom, PhD; Jessica Wright, BSc, MA; Christoph M. Friedrich, PhD; Alejandro Frangi, PhD; James Byrne, MD; Karl Schaller, MD; Daniel Rufenacht, MD*

Background and Purpose—According to the International Study of Unruptured Intracranial Aneurysms (ISUIA), anterior circulation (AC) aneurysms of <7 mm in diameter have a minimal risk of rupture. It is general experience, however, that anterior communicating artery (AcoA) aneurysms are frequent and mostly rupture at <7 mm. The aim of the study was to assess whether AcoA aneurysms behave differently from other AC aneurysms.

01 agosto 2012

THE LANCET. Trevo versus Merci retrievers for thrombectomy revascularisation of large vessel occlusions in acute ischaemic stroke (TREVO 2): a randomised trial

Dr Raul G Nogueira MD , Helmi L Lutsep MD b, Rishi Gupta MD a, Tudor G Jovin MD c, Gregory W Albers MD d, Gary A Walker PhD e, David S Liebeskind MD f, Wade S Smith MD g, for the TREVO 2 Trialists

Background: Present mechanical devices are unable to achieve recanalisation in up to 20—40% of large vessel occlusion strokes. We compared efficacy and safety of the Trevo Retriever, a new stent-like device, with its US Food and Drug Administration-cleared predecessor, the Merci Retriever.

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