Review
Clinical Neurology
Jaims Lim, Kunal Vakharia, Muhammad Waqas, Clementine Affana, Adnan H. Siddiqui, Jason M. Davies, Elad Levy
Summary: The Comaneci device can be successfully used as an adjunct to coiling of wide-necked aneurysms, with a high success rate. It can be used through both transfemoral and transradial approaches, maintaining flow through the parent vessel while providing a scaffold for dense coiling of the aneurysm.
WORLD NEUROSURGERY
(2021)
Article
Medicine, General & Internal
Gabriele Vinacci, Angelica Celentano, Edoardo Agosti, Alberto Vito Terrana, Francesco Alberto Vizzari, Luca Nativo, Fabio Baruzzi, Antonio Tabano, Davide Locatelli, Andrea Giorgianni
Summary: This study retrospectively analyzed the preliminary experience of Comaneci-assisted coiling in treating wide-neck intracranial aneurysms, and observed a high rate of aneurysm occlusion. However, there were some thromboembolic complications, likely related to the lack of heparin administration.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Neuroimaging
Christian Haverkamp, Klaus Kaier, Mukesch Shah, Constantin von zur Muehlen, Juergen Beck, Horst Urbach, Stephan Meckel
Summary: This study analyzed the clinical outcomes of endovascular treatment (EVT) and neurosurgical clipping for intracranial aneurysms (IAs) in Germany. The results showed that EVT had better functional independence and similar mortality rates compared to clipping.
JOURNAL OF NEUROINTERVENTIONAL SURGERY
(2023)
Article
Clinical Neurology
Guanghao Zhang, Renkun Zhang, Yanpeng Wei, Rundong Chen, Xiaoxi Zhang, Gaici Xue, Nan Lv, Guoli Duan, Chuanchuan Wang, Ying Yu, Dongwei Dai, Rui Zhao, Qiang Li, Yi Xu, Qinghai Huang, Pengfei Yang, Qiao Zuo, Jianmin Liu
Summary: This study evaluated the safety and efficacy of staged stent-assisted coiling in acutely ruptured wide-necked intracranial aneurysms compared to conventional early stent-assisted coiling. Results showed that staged stent-assisted coiling is a safe and effective treatment option with comparable outcomes.
FRONTIERS IN NEUROLOGY
(2023)
Article
Polymer Science
Jerry C. Ku, Yuta Dobashi, Christopher R. Pasarikovski, Joel Ramjist, Clement Hamani, Chinthaka Heyn, Konrad Walus, Victor X. D. Yang
Summary: By using photosensitive hydrogel polymer embolization and photopolymerization with balloon assistance, complete aneurysm filling with no recurrence was achieved in the treatment of wide-necked aneurysms.
Article
Clinical Neurology
Ho Jun Yi, Dong-Seong Shin, Bum-Tae Kim, Dong Hoon Lee, Jae Hoon Sung
Summary: The safety and efficacy of SAC using Neuroform Atlas for treating RIA were assessed compared with coiling alone through propensity score matching analysis. The SAC using Neuroform Atlas group showed higher complete occlusion rate, lower recanalization rate, and lesser need for retreatment compared with the coiling-alone group.
Article
Clinical Neurology
F. Gottmann, O. Nikoubashman, A. Hoellig, A. Reich, M. Wiesmann
Summary: Temporary stent-assisted coiling is a safe and effective treatment method for intracranial wide-neck aneurysms, with comparable procedural safety and less need for posttreatment antiplatelet therapy compared to other alternatives.
CLINICAL NEURORADIOLOGY
(2023)
Article
Clinical Neurology
Zamir Merali, Vitor Mendes Pereira, Mazen Alotaibi, William Guest, Julian Spears, Thomas Marotta
Summary: This article introduces a novel stent inversion technique for the treatment of challenging aneurysms, particularly wide-necked aneurysms associated with fetal posterior communicating artery. The technique provides an effective treatment option.
INTERVENTIONAL NEURORADIOLOGY
(2022)
Article
Clinical Neurology
Jose M. Pumar, Paula Sucasas, Antonio Mosqueira, Pedro Vega, Eduardo Murias
Summary: This study evaluated the long-term outcome of treating wide-neck intracranial aneurysms with LEO Plus stents, showing high rates of adequate and stable occlusion over time, with low total morbidity and mortality at 5 years post-procedure.
FRONTIERS IN NEUROLOGY
(2021)
Editorial Material
Neuroimaging
Alexander Sirakov, Svetozar Matanov, Pervinder Bhogal, Stanimir Sirakov
Summary: Neck bridging is an effective method to increase occlusion rates and reduce recurrence and complications in wide-necked aneurysms; The Nautilus device, with its unique shape, reconstructs the aneurysm neck to facilitate coil embolization treatment.
JOURNAL OF NEUROINTERVENTIONAL SURGERY
(2022)
Article
Neuroimaging
Aayushi Garg, Amjad Elmashala, Hannah Roeder, Santiago Ortega-Gutierrez
Summary: This study compared the safety of endovascular coiling (EC) and neurosurgical clipping (NC) for the treatment of intracranial aneurysms (IA) during pregnancy and the postpartum period. The results showed that most pregnant and postpartum patients were treated with EC for both ruptured and unruptured IA. EC was found to be associated with a lower risk of perioperative ischemic stroke in patients with ruptured IA, but other complications and mortality rates were comparable between EC and NC.
JOURNAL OF NEUROINTERVENTIONAL SURGERY
(2023)
Article
Multidisciplinary Sciences
Hui-Li Gao, Qiu-Ji Shao, Kai-Tao Chang, Li Li, Tian-Xiao Li, Bulang Gao
Summary: This study retrospectively investigated the effect and safety of the NFA stent in stent-assisted coiling of wide-necked intracranial aneurysms. The results showed that the NFA stent had a high aneurysm occlusion rate and a low complication rate in assisting coiling.
SCIENTIFIC REPORTS
(2023)
Article
Clinical Neurology
Kanullah Suleyman, Bora Korkmazer, Naci Kocer, Civan Islak, Osman Kizilkilic
Summary: This study evaluated the feasibility, safety, and efficacy of Y-stent-assisted coiling (Y-SAC) using LEO Baby(R) stents for the treatment of bifurcation aneurysms. The results showed that Y-SAC is a safe, durable, and effective method for treating wide-necked and complex bifurcation aneurysms.
Article
Clinical Neurology
Kubilay Aydin, Paul Stracke, Mynzhylky Berdikhojayev, Mehmet Barburoglu, Pascal J. Mosimann, Nurzhan Suleimankulov, Marat Sarshayev, Serra Sencer, Rene Chapot
Summary: The study investigated the feasibility, efficacy, safety, and durability of a newly described endovascular technique for treating wide-necked bifurcation aneurysms. Results showed that stent plus balloon-assisted coiling is a feasible, effective, and relatively safe treatment option for these aneurysms located in both the posterior and anterior circulation.
Article
Clinical Neurology
Heng Ni, Lin-Bo Zhao, Sheng Liu, Zhen-Yu Jia, Yue-Zhou Cao, Hai-Bin Shi
Summary: Stent-assisted coil embolization with open-cell stents is a safe and effective treatment for paraclinoid aneurysms, providing progressive occlusion without significant in-stent stenosis events. Follow-up showed that aneurysm size may be associated with incomplete occlusion outcomes.
Article
Clinical Neurology
Guilu He, Jianhao Lin, Jing Ye, Fobao Huang, Changzhi Yan, Zesi Liu, Xiuming Zhou, Qiao Li, Liang Zhang
Summary: This article introduces long tunneled external ventricular drain (LTEVD), which effectively avoids multiple surgeries by connecting an external shunt valve. It allows visual control of drainage flow, prolongs catheter indwelling time, and eliminates the need for multiple surgeries.
WORLD NEUROSURGERY
(2024)
Article
Clinical Neurology
Vinay Suresh, H. S. Suresh, Bharath Raju, Himanshu Jindal, Ahmad Ozair
Summary: This study investigated the outcomes of postoperative discitis treated with debridement and a novel technique focused on reducing outpatient antibiotic requirement in a low- and middle-income country (LMIC) setting. The results showed that patients with medically refractory postoperative discitis potentially have good outcomes after debridement plus 2-week local antibiotic instillation in LMICs.
WORLD NEUROSURGERY
(2024)
Editorial Material
Clinical Neurology
Beatrice C. Bono, Davide Milani, Fabio Ferreli, Simone Olei, Luca Raspagliesi, Maria Pia Tropeano, Giovanni B. Lasio, Federico Pessina
WORLD NEUROSURGERY
(2024)
Article
Clinical Neurology
Avi A. Gajjar, Shrey Patel, Raj Swaroop Lavadi, Rida Mitha, Rohit Prem Kumar, Tavis Taylor, Galal A. Elsayed, D. Kojo Hamilton, Nitin Agarwal
Summary: Art in neurosurgery has played a crucial role in the discipline for centuries. Medical illustrations help visualize anatomy and surgical procedures, contributing to education, surgical planning, and navigation.
WORLD NEUROSURGERY
(2024)
Article
Clinical Neurology
Joaquin Perez Zabala, Yamila Basilotta Marquez, Romina Arganaraz, Beatriz Mantese
Summary: We present a low-cost and easily accessible adaptation system for stereotactic procedures in infants. By using a headband cast technique, a stereotactic biopsy was successfully performed in a 5-month-old patient, achieving precise targeting, histopathological diagnosis, and no associated complications.
WORLD NEUROSURGERY
(2024)
Editorial Material
Clinical Neurology
Muhammad Kusdiansah, Arnau Benet, Yosuke Suzuki, Kenichi Haraguchi, Nakao Ota, Kosumo Noda, Rokuya Tanikawa
Summary: Fusiform vertebral artery aneurysms are difficult to treat, and endovascular and open microsurgical treatments are used for different situations. This report presents a case with complex anatomy and branch involvement and describes the treatment strategy used.
WORLD NEUROSURGERY
(2024)
Review
Clinical Neurology
Victor M. Lu
Summary: This review emphasizes four essential domains that should be considered when interpreting pediatric neurosurgical SRMAs and provides examples to ensure accurate and effective interpretation of findings in this niche.
WORLD NEUROSURGERY
(2024)
Review
Clinical Neurology
Lapo Bonosi, Angelo Torrente, Filippo Brighina, Cateno Concetto Tito Petralia, Pietro Merlino, Chiara Avallone, Vincenzo Gulino, Roberta Costanzo, Lara Brunasso, Domenico Gerardo Iacopino, Rosario Maugeri
Summary: Corticocortical evoked potentials (CCEPs) have emerged as a valuable intraoperative monitoring technique in eloquent brain tumor surgery, aiding in preserving critical functional areas. Current research shows the potential of CCEPs in guiding surgical decision making, reducing the risk of postoperative neurological deficits, and mapping functional connectivity, but further research and standardization are needed.
WORLD NEUROSURGERY
(2024)
Review
Clinical Neurology
Yuchen Duan, Dagang Feng, Min Zhu, Heng Qiu, Tong Li, Zhen Chen, Leiming Jiang, Yong Huang
Summary: This study aimed to compare the effect of different Modic changes (MC) grades on the cage subsidence rate after spinal interbody fusion surgery. A meta-analysis was conducted on relevant randomized controlled trials and cohort studies. The results showed that MC may be associated with a higher cage subsidence rate. With the increase in MC grades, the incidence of subsidence decreased gradually, but it was always higher than that in the non-Modic changes (NMC). Oblique lumbar interbody fusion may be a better treatment choice for lumbar degenerative disease with MC.
WORLD NEUROSURGERY
(2024)
Editorial Material
Clinical Neurology
Brian F. Saway, Conor M. Cunningham, Mustafa Ismail, Alejandro M. Spiotta
WORLD NEUROSURGERY
(2024)
Review
Clinical Neurology
Joanna M. Roy, Michael M. Covell, Carmelo Venero Jr, Christian A. Bowers
Summary: Early exposure to neurosurgery during medical school is critical for improving recruitment into the specialty. However, about 30% of medical schools in the U.S. lack a neurosurgery program, limiting students' exposure to the field. Virtual education, facilitated by webinars during the pandemic, has advantages such as global outreach and accessibility for international medical students. This review identifies and describes 16 educational resources, serving as a guide for medical students interested in neurosurgery.
WORLD NEUROSURGERY
(2024)