Article
Clinical Neurology
Reade De Leacy, Devin V. Bageac, Neha Siddiqui, Richard J. Bellon, Min S. Park, Clemens M. Schirmer, Keith B. Woodward, Osama O. Zaidat, Alejandro M. Spiotta
Summary: This study represents the most significant prospective sample of endovascularly treated wide-neck middle cerebral artery bifurcation aneurysms conducted to date. It supports the safety and efficacy of endovascular treatment of these aneurysms.
FRONTIERS IN NEUROLOGY
(2022)
Article
Clinical Neurology
Xin-Yu Li, Cong-Hui Li, Ji-Wei Wang, Jian-Feng Liu, Hui Li, Bu-Lang Gao
Summary: This study investigated the safety and efficacy of endovascular embolization for posterior cerebral artery aneurysms, with a high rate of complete occlusion (62.3%) and good clinical outcomes during follow-up. Endovascular embolization remains a good choice for treating posterior cerebral artery aneurysms with high safety and efficacy.
FRONTIERS IN NEUROLOGY
(2021)
Article
Clinical Neurology
Jose Danilo Bengzon Diestro, Yangmei Li, Kislay Kishore, Abdelsimar T. Omar, Walter Montanera, Dipanka Sarma, Thomas R. Marotta, Julian Spears, Aditya Bharatha
Summary: This study compared the outcomes of endovascular repair and open surgical repair for ruptured middle cerebral artery aneurysms. Patients who underwent endovascular repair had better clinical outcomes at discharge and at 6 months compared to those who had open surgery. Long-term follow-up data showed no difference in rebleeding and retreatment between the two groups. Therefore, endovascular repair may be a feasible treatment strategy.
Article
Anesthesiology
Jason Chui, Rosemary Craen, Christine Dy-Valdez, Rizq Alamri, Mel Boulton, Sachin Pandey, Ian Herrick
Summary: This study aimed to evaluate the feasibility and efficacy of goal-directed therapy (GDT) in correcting fluid and hemodynamic derangements during endovascular coiling in patients with aneurysmal subarachnoid hemorrhage (aSAH). The results showed that using the GDT algorithm resulted in earlier recognition and more consistent treatment of dehydration and hemodynamic derangement.
JOURNAL OF NEUROSURGICAL ANESTHESIOLOGY
(2022)
Article
Clinical Neurology
Malvina Garner, Frederik Fries, Michael Kettner, Alena Haussmann, Armin Bachhuber, Wolfgang Reith, Umut Yilmaz
Summary: This study aimed to report our experience with the endovascular treatment of aneurysms at the origin of the posterior inferior cerebellar artery. The results showed that successful occlusion of the aneurysms was achieved in a high rate of treatments, especially for dome-shaped aneurysms.
WORLD NEUROSURGERY
(2023)
Article
Medicine, Research & Experimental
Kosuke Matsuzono, Yusuke Ishiyama, Ayuho Higaki, Katsunari Namba, Yutaka Aoyama, Takeshi Igarashi, Kumiko Miura, Tadashi Ozawa, Takafumi Mashiko, Reiji Koide, Ryota Tanaka, Kenji Harada, Kazuomi Kario, Kensuke Kawai, Shigeru Fujimoto
Summary: This case illustrates that Staphylococcus haemolyticus-induced endocarditis can lead to infectious intracranial aneurysm (IIA). Endovascular coiling is a potentially effective approach for the treatment of IIA.
JOURNAL OF INTERNATIONAL MEDICAL RESEARCH
(2021)
Article
Clinical Neurology
Krishna C. Joshi, Ryan Khanna, Dominick Richards, Demetrius Lopes
Summary: This technical report discusses the challenges faced and technical adaptations used during the treatment of a ruptured aneurysm in a morbidly obese patient. The utilization of advanced technology and innovative approaches were effective in overcoming the challenges posed by the patient's obesity.
WORLD NEUROSURGERY
(2023)
Article
Clinical Neurology
Johanna Ospel, Nima Kashani, Arnuv Mayank, Johannes Kaesmacher, Uta Hanning, Waleed Brinjikji, Harry Cloft, Mohammed Almekhlafi, Alim P. Mitha, John H. Wong, Vincent Costalat, Wim van Zwam, Mayank Goyal
Summary: Neurointerventionists face challenges in deciding whether to treat unruptured intracranial aneurysms (UIAs) due to limited data on rupture risks and treatment outcomes. Differences in estimates and treatment decisions are influenced by personal and institutional characteristics. More data on the clinical course of UIAs with and without endovascular treatment is needed to reduce uncertainty.
Article
Clinical Neurology
Chao Ma, Haoyu Zhu, Shikai Liang, Fei Liang, Jidian Sun, Yupeng Zhang, Chuhan Jiang
Summary: This study compared the efficacy of traditional endovascular therapeutic approaches and the pipeline embolization device (PED) in treating distal cerebral circulation aneurysms. The study found that PED can provide similar rates of occlusion and complications compared to traditional endovascular therapeutic approaches. Rigorous patient selection and proper planning should be undertaken to reduce treatment-related complications.
FRONTIERS IN NEUROLOGY
(2022)
Correction
Clinical Neurology
Bhargav Desai, Sauson Soldozy, Harshal Desai, Jeyan Kumar, Smit Shah, Daniel M. Raper, Min S. Park
Summary: Endovascular embolization appears to be an effective treatment option for mycotic aneurysms, with comparable obliteration rates and complication rates among coiling, NBCA, and Onyx embolization techniques. Prospective research is needed to identify the treatment method with the lowest complication rates and best outcomes for patients with mycotic aneurysms.
WORLD NEUROSURGERY
(2021)
Article
Clinical Neurology
Haishuang Tang, Chenghao Shang, Guanghao Zhang, Qiao Zuo, Xiaoxi Zhang, Fengfeng Xu, Yi Xu, Rui Zhao, Qinghai Huang, Qiang Li, Jianmin Liu
Summary: This study evaluated the initial experience of braided stents in the treatment of PCA aneurysms. The results showed that braided stent-assisted coiling had a high occlusion rate and relatively low complication rate, providing an alternative strategy for treating PCA aneurysms.
Article
Clinical Neurology
Antonio Santoro, Daniele Armocida, Francesco Paglia, Marta Iacobucci, Luigi Valentino Berra, Luca D'Angelo, Carlo Cirelli, Giulio Guidetti, Francesco Biraschi, Giampaolo Cantore
Summary: Giant intracranial aneurysms (GIAs) can be treated with surgical or endovascular approaches, with the surgical group showing a greater reduction in performance levels and higher complication rate post-operatively, while the endovascular group has better post-operative outcomes but a higher risk of recurrence.
NEUROSURGICAL REVIEW
(2022)
Article
Medicine, General & Internal
Fei Xie, Jianqiang Hao, Seidu A. Richard, Yuanli Yang, Wuchun Zou, Hong-Bin Liu, Min Deng, Changwei Zhang
Summary: Managing ruptured intracranial aneurysms with SAH during pregnancy is challenging, but successful awake endovascular coiling was performed in this case, resulting in healthy outcomes for both the mother and the twins.
Article
Medicine, General & Internal
Sang Houn Lee, Jung Soo Park
Summary: This study compared the outcomes of endovascular coiling and surgical clipping for ruptured ACoA aneurysms. The results showed that the coiling group had a lower prevalence of vasospasm, shorter intensive care unit hospitalization, and better outcomes. Therefore, coiling may be the preferred treatment modality for ruptured ACoA aneurysms.
Article
Medicine, General & Internal
Felix Eisenhut, Manuel Alexander Schmidt, Alexander Kalik, Tobias Struffert, Julian Feulner, Sven-Martin Schlaffer, Michael Manhart, Arnd Doerfler, Stefan Lang
Summary: This study evaluated the effectiveness of an innovative metal-artifact-reduction algorithm in improving image quality and detecting aneurysm residua/reperfusion in FD-CTA. The results showed that the algorithm significantly improved image quality and enabled reliable detection of aneurysm residua/reperfusion, with the potential to reduce the need for invasive follow-up in treated IAs.