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Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. IntroductionThe Pipeline Embolization Device (PED) is commonly used for intracranial aneurysm treatment. While its effectiveness for certain types of aneurysms is well‐established, its efficacy for saccular aneurysms remains debatable.
Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. IntroductionThe use of detachable coils for endovascular embolization of cerebral aneurysms has become a safe and effective alternative to direct surgical clipping in patients with ruptured aneurysmal subarachnoid hemorrhage.
Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. IntroductionFlow diversion (FD) is commonly used for the treatment of aneurysms involving the ophthalmic segment of the carotid artery (COA). directly from the aneurysm fundus, B. aneurysm neck, C. directly from the aneurysm fundus, B.
Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. Introductionintracranial dissecting aneurysm in pediatric age group is uncommon and very few studies are available comparing outcome following endovascular and surgery. The incidence of large (≥10 mm) or giant (≥25 mm) aneurysms was 40%.
Stroke, Volume 55, Issue Suppl_1 , Page ATP8-ATP8, February 1, 2024. Background:Some studies have shown that females had a poorer prognosis after endovascular treatment for ruptured intracranial aneurysm than males. The primary outcome was the incidence of periprocedural cerebral infarction. vs 35.7 %, 10.8 % vs 5.7%, and 28.2%
Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. IntroductionInfectious intracranial aneurysms (IIAs), commonly referred to as mycotic aneurysms, are a common sequela of infective endocarditis (IE). The median (IQR) age of our population was 45 (27‐65) years, with 28/41 (68.3%) male patients.
Stroke: Vascular and Interventional Neurology, Ahead of Print. Symptomatic vasospasm occurred at a significantly higher rate among patients with underlying aneurysm (40% versus 2.6%;P Hydrocephalus occurred in 10% of patients, all within 1 day, but at a higher rate in the aneurysmal group (40% versus 8%;P = 0.07).
Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. IntroductionInfectious intracranial aneurysms (IIAs), commonly referred to as mycotic aneurysms, are a common sequela of infective endocarditis (IE). The morbidity rate is known to be about 80% in ruptured IIAs.
Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. IntroductionDue to the relative rarity of unruptured intracranial aneurysms (UIA) in the pediatric population, evidence regarding treatment modalities and clinical outcomes remains limited.
Stroke: Vascular and Interventional Neurology, Ahead of Print. BACKGROUNDThe optimal endovascular approach for acutely ruptured wide‐neck intracranial aneurysms remains uncertain, and the use of stent‐assisted coiling or flow diversion is controversial due to antiplatelet therapy requirements and potential risks. versus BAC: 2.8%;P=
Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. The Woven EndoBridge (WEB) is a flow disrupter that has gained popularity in treating ruptured IAs due to its effectiveness in occluding aneurysms with minimal rebleeding (3, 4). Of the patients, 60.5%
Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. There is limited data on the influence of COVID‐19 on treatment and outcomes in patients with intracranial aneurysms. From 2016 to 2020, an upward trend in hospitalizations for ischemic stroke was seen among patients treated for IAs (6.1%
Stroke, Volume 56, Issue Suppl_1 , Page ATMP2-ATMP2, February 1, 2025. Introduction:Flow diversion (FD) is a minimally invasive treatment for unruptured intracranial aneurysms (UIA) and is often preferred over open cerebrovascular surgery; however, FD patients are at risk of post-procedural stroke and hemorrhage.
Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. IntroductionRuptured aneurysmal SAH accounts up to 80% of nontraumatic SAH, with more than 80% located in the anterior circulation and a mortality rate upwards of 50%.1‐3
Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. IntroductionIntracranial Aneurysm results from enlargement in the wall of a blood vessel in the brain, especially in the circle of Willis. Based on limited reports, the 30‐day mortality rate from aneurysmal Sub Arachnoid Hemorrhage was 26.6%
Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. IntroductionFlow diversion (FD) has emerged as an effective treatment option for intracranial aneurysms (IAs). Patients harboring distal aneurysms of the posterior circulation including the PICA, AICA, SCA, and PCA P2‐3 treated with FD were included.
Stroke, Volume 55, Issue Suppl_1 , Page ATP151-ATP151, February 1, 2024. Background and Purpose:The flow diverter (FD) has dramatically improved the treatment outcome of large / giant internal carotid artery (IC) aneurysms. However, it is difficult to predict the treatment outcome of FD just after the treatment.
Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. Angiographic outcomes were assessed on the WEB occlusion scale (WOS) and occlusion status scale (OSC). Functional outcomes were assessed using the modified Rankin Scale. Retreatment was required in 1 aneurysm.
Stroke: Vascular and Interventional Neurology, Volume 4, Issue 6 , November 1, 2024. BackgroundFlow diversion has emerged as a promising treatment strategy for intracranial aneurysms, yet the influence of antiplatelet therapy on treatment outcomes remains uncertain.
Stroke, Volume 55, Issue Suppl_1 , Page A113-A113, February 1, 2024. Introduction:Improved imaging modalities have led to an increased detection of intracranial aneurysms, many of which are small. Tiny size was defined as an aneurysm with a maximum dimension of ≤3 mm. The mean aneurysm width was 1.9
Stroke, Volume 55, Issue Suppl_1 , Page AWP139-AWP139, February 1, 2024. Background:Cerebral vasospasm is a well-known complication after aneurysmal subarachnoid hemorrhage (aSAH) and occurs more commonly in younger patients. Worse outcome was defined as 3-month modified Rankin Scale 4-6.
Designed to improve productivity and help care teams make the right decisions faster, treat more patients, and achieve better outcomes, the new interventional system features enhanced 2D and 3D imaging and X-ray detector positioning flexibility. The faster stroke is treated, the better the potential outcome.
Stroke: Vascular and Interventional Neurology, Volume 3, Issue 6 , November 1, 2023. BackgroundUnruptured cerebral aneurysms (UCAs) have a relatively low prevalence of ≈3%, but detection can prevent devastating consequences of subarachnoid hemorrhage. There were a total of 36 true aneurysms with 4 cases of multiple aneurysms.
Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. IntroductionIntracranial aneurysms, both ruptured and unruptured, pose a significant risk to the general population. Between 2020 and 2023, thirty cerebral aneurysms were treated with at least 80% utilization of the Balt Optima™ Coil System.
Stroke: Vascular and Interventional Neurology, Ahead of Print. BACKGROUNDCerebral aneurysms are common, but there is no blood test for their diagnosis. Cerebral aneurysms are diagnosed incidentally or upon rupture. Probabilities, costs, and outcomes were obtained from the literature and the National Inpatient Sample database.
Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. IntroductionHere, we describe a patient in whom ischemic stroke was caused by compression of the Internal Carotid Artery (ICA) by a Pseudoaneurysm (PSA) of the External Carotid Artery (ECA) after Gun Shot injury.
Stroke, Volume 56, Issue Suppl_1 , Page AWP35-AWP35, February 1, 2025. Neutrophils are reported to be critical mediators of to poor outcome after subarachnoid hemorrhage (SAH). In this study, our hypothesis was that markers of NETs are higher in aneurysmal SAH patients developing DCI compared to SAH patients not developing DCI.
Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. IntroductionFlow diverters have demonstrated reliable safety and effectiveness for the treatment of selected anterior circulation intracranial aneurysms. Safety outcomes included the incidence of ischemic/hemorrhagic and mortality.
Stroke, Volume 55, Issue Suppl_1 , Page ATP219-ATP219, February 1, 2024. Introduction:The outcomes of mechanical thrombectomy (MT) for patients with acute ischemic stroke (AIS) caused by medium vessel occlusions (MeVOs) in different vessels remains unknown. years and 49 patients were female (46.7%). 95% confidence interval 1.71-62.2,
Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. It is primarily caused by the rupture of intracranial aneurysms, leading to severe consequences and a 60% 6‐month mortality rateii. Thus, there is a need to study and comprehend the management strategies and outcomes of these cases.
Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. IntroductionBasilar‐tip aneurysm (BTA) is the most common aneurysm found in the posterior circulation, representing 5–8% of total intracranial aneurysms. This project was approved by the local institutional review board. vs. 10.7%).
Stroke, Volume 55, Issue Suppl_1 , Page ATMP73-ATMP73, February 1, 2024. We aim to better understand this risk and its impact on in-hospital outcomes over a longitudinal time period in a large population based sample.Methods:We analyzed the 2000-2019 National Inpatient Sample, selecting for aneurysmal SAH (aSAH).
Stroke, Volume 55, Issue Suppl_1 , Page AWP181-AWP181, February 1, 2024. Introduction:The management of wide-necked internal carotid artery (ICA) aneurysms is technically challenging with established endovascular and microsurgical techniques that are limited by the associated morbidity and/or recurrence. mm (IQR: 4.0-7.5)
Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. Life‐threatening bleeds may occur from the AVM nidus or associated aneurysms. Two large inflow aneurysms, felt to be the rupture site, projecting from the proximal left pericallosal artery were also demonstrated.
Neuroimaging and Neurointervention Specialized fellowships in neurology offer opportunities to delve into advanced diagnostic imaging or minimally invasive procedures for treating conditions like strokes or aneurysms. How a Fellowship Impacts Your Career The benefits of a fellowship extend far beyond the training period.
Stroke, Volume 55, Issue Suppl_1 , Page A114-A114, February 1, 2024. Introduction:Delayed cerebral ischemia (DCI) is a leading cause of morbidity and mortality in aneurysmal subarachnoid hemorrhage (aSAH). The primary outcome was DCI, defined as an exclusionary change in GCS or new, none-treatment related infarcts on imaging.
Stroke: Vascular and Interventional Neurology, Ahead of Print. BACKGROUNDDolichoectatic vertebrobasilar aneurysms (DVBAs) carry high morbidity, and treatment options are limited. Two patients in the control group died during the study period and 1 had a poor outcome (modified Rankin scale = 4). versus 0.50 mm2/day;P= 0.09).
Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. IntroductionFlow diverters (FD) have become a revolutionary approach in the endovascular treatment of intracranial aneurysms (IAs), supplanting traditional methods (1). Among them, 14 studies (39%) provided definitions for fish‐mouthing.
Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. This study aims to investigate the incidence, complications, and outcomes of SAH patients who develop HIT.MethodsICD‐9‐CM and ICD‐10‐CM codes were used to query the National Inpatient Sample for patients with SAH between 2010 and 2019.
Stroke, Volume 55, Issue Suppl_1 , Page ATP256-ATP256, February 1, 2024. Background:While predictors of seizure in aneurysmal subarachnoid hemorrhage (aSAH) patients have been explored, predictors for seizure in patients with angiogram-negative non-perimesencephalic SAH (an-NPSAH) are less understood. per grade increase, 95% CI 1.05-1.49;
Stroke, Volume 55, Issue Suppl_1 , Page AWP152-AWP152, February 1, 2024. Introduction:Elevated levels of Interleukin-6 (IL-6) levels in cerebrospinal fluid (CSF) have been correlated with delayed cerebral ischemia (DCI) after aneurysmal subarachnoid hemorrhage (aSAH).
Stroke, Volume 55, Issue Suppl_1 , Page AWP205-AWP205, February 1, 2024. The aim of this study is to develop and validate a stroke prediction tool for outcome in MT for AIS patients with low ASPECTS using data from an ongoing international multicenter registry, the Stroke Thrombectomy and Aneurysm Registry (STAR).Methods:236
We have studied whether NCA is also a predictor of poorer outcomes in patients undergoing coronary artery bypass grafting (CABG). The primary outcome was a combination of TIA/stroke, acute myocardial infarction, new revascularization procedure, or death. 0.82, p = 0.035), were inversely associated with this outcome.
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