Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences最新文献_第5页

Endovascular treatments of intracranial vertebral and internal carotid arteries dissections: An interactive systematic review and meta-analysis. 颅内椎动脉和颈内动脉夹层的血管内治疗:一项互动系统回顾和荟萃分析。

Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences Pub Date : 2022-04-21 DOI: 10.1177/15910199221095789

M. Essibayi, G. Lanzino, Z. Keser

{"title":"Endovascular treatments of intracranial vertebral and internal carotid arteries dissections: An interactive systematic review and meta-analysis.","authors":"M. Essibayi, G. Lanzino, Z. Keser","doi":"10.1177/15910199221095789","DOIUrl":"https://doi.org/10.1177/15910199221095789","url":null,"abstract":"INTRODUCTION\u0000Management of intracranial artery dissection (IAD) remains elusive in medical practice. Intracranially, vertebral artery dissection (VAD) is more commonly encountered than internal carotid artery dissection (ICAD). Deconstructive (EVT-d) and reconstructive (EVT-r) endovascular techniques have been utilized to treat VAD and ICAD. This meta-analysis investigates the safety and efficacy of EVT-r and EVT-d in the management of VAD and ICAD.\u0000\u0000\u0000METHODS\u0000The literature was searched for all studies with consecutive patient series evaluating EVT-d or EVT-r for VAD or ICAD management. Baseline characteristics and outcomes were compared between EVT-r and EVT-d groups using the random-effect model and meta-regression approaches.\u0000\u0000\u0000RESULTS\u0000Overall, 1095 cases pooled from 56 studies were included. There was no statistically significant difference in baseline characteristics between VAD and ICAD. EVT-r was applied in 647 cases (59.1%) and EVT-d in the rest There was no statistical difference in the rate of procedural complications between EVT-r and EVT-d. Although EVT-d was significantly associated with higher rates of complete aneurysm occlusion (86.4%), lower rates of good clinical outcomes (72.1%) and higher mortality (15.1%) were achieved compared to EVT-r (70.2%, 83.3%, and 9.5%; respectively). The mortality rate was higher, and good clinical outcomes were less common in ruptured aneurysms. Ischemic presentation was statistically associated with poor outcomes (mRS 3-5) but low mortality. ICAD often tended to grow following treatment and resulted in poor neurological outcomes.\u0000\u0000\u0000CONCLUSIONS\u0000IAD has favorable outcomes when treated appropriately. Novel reconstructive endovascular techniques are promising and should be integrated well in endovascular practice. Further studies are warranted.","PeriodicalId":126264,"journal":{"name":"Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences","volume":"72 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133097446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Patient outcomes after treatment of brain aneurysm in small diameter vessels with the silk vista baby flow diverter: A systematic review. 使用silk vista婴儿血流分流器治疗小直径血管性脑动脉瘤的患者预后:一项系统综述。

Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences Pub Date : 2022-04-07 DOI: 10.1177/15910199221091645

R. Hanel, G. Cortez, V. Benalia, Erin Sheffels, Daniel J. Sutphin, J. Pederson, V. Pereira

{"title":"Patient outcomes after treatment of brain aneurysm in small diameter vessels with the silk vista baby flow diverter: A systematic review.","authors":"R. Hanel, G. Cortez, V. Benalia, Erin Sheffels, Daniel J. Sutphin, J. Pederson, V. Pereira","doi":"10.1177/15910199221091645","DOIUrl":"https://doi.org/10.1177/15910199221091645","url":null,"abstract":"BACKGROUND\u0000The Silk Vista Baby (SVB, BALT) is a first-in-class flow-diverter device delivered using a 0.017\" microcatheter, designed for the treatment of intracranial aneurysms, including those in small diameter vessels. This study reports a systematic literature review (SLR) to evaluate the safety and efficacy of using SVB to treat intracranial aneurysms in vessels less than 3.5 mm in diameter.\u0000\u0000\u0000METHODS\u0000We performed a PRISMA-compliant SLR to evaluate the outcomes of SVB in the treatment of aneurysms in small intracranial vessels. Primary outcomes were occlusion status and major stroke, and secondary outcomes included all-cause mortality, procedure-related neurologic death, and post-operative aneurysm rupture. Data were expressed as descriptive statistics only.\u0000\u0000\u0000RESULTS\u0000A total of four studies, including 163 patients with 173 intracranial aneurysms, were included. The most common aneurysm locations were the anterior cerebral artery (24.9% [43/173]), the middle cerebral artery (24.3% [42/173]), and the anterior communicating artery (23.1% [40/173]). Parent artery diameter ranged from 0.9 mm to 3.6 mm, and 29% were acutely or previously ruptured aneurysms. Overall, complete or near-complete occlusion was 72.1% on early-term follow-up. Mortality rate among the studies was 2.5%, with 3 instances adjudicated as neurologic deaths (1.8%). Major stroke was noted in 1.2% of cases, and branch occlusion or stent thrombus formation in 5.5%.\u0000\u0000\u0000CONCLUSION\u0000Our review suggests that SVB is a safe and effective treatment for intracranial aneurysms in small vessels. Further prospective and comparative studies with patient outcome data specific to aneurysm location are needed to confirm the safety and efficacy of SVB.","PeriodicalId":126264,"journal":{"name":"Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117117487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

The resolute Onyx drug eluting stent for neurointervention: A technical series. 神经介入用resolute Onyx药物洗脱支架:技术系列。

Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences Pub Date : 2022-04-04 DOI: 10.1177/15910199221084398

T. White, K. Shah, P. Koul, T. Link, A. Dehdashti, J. Katz, A. Patsalides, H. Woo

{"title":"The resolute Onyx drug eluting stent for neurointervention: A technical series.","authors":"T. White, K. Shah, P. Koul, T. Link, A. Dehdashti, J. Katz, A. Patsalides, H. Woo","doi":"10.1177/15910199221084398","DOIUrl":"https://doi.org/10.1177/15910199221084398","url":null,"abstract":"INTRODUCTION\u0000Current methods for angioplasty and stenting of the intracranial vasculature for neurointervention are limited. The Wingspan Stent System is Food and Drug Administration (FDA) approved with human device exemption for a limited patient group and despite numerous prospective registries and trials demonstrating reasonable safety, still carries warnings from the FDA for its use. Given these limitations, we present the technical nuances and outcomes of the off-label use of the Resolute Onyx drug-eluting stent (DES) for neurointerventional purposes.\u0000\u0000\u0000METHODS\u0000Retrospective chart review of all patients undergoing a neurointerventional procedure with the Resolute Onyx DES was done from January 2017-2021. The Resolute Onyx is a coronary balloon-mounted drug-eluting (zotarolimus) single wire laser cut stent. Technical details and procedural outcomes were collected.\u0000\u0000\u0000RESULTS\u0000In total 40 patients had attempted placement of the Resolute Onyx DES with procedural success in 95% of patients. The most common vessel stented was the basilar artery, 30% (12/40). The most common indication was intracranial atherosclerotic disease in 62.5% (25/40) patients, followed by acute stroke in 17.5% (7/40) of patients. The technical and procedural outcomes were excellent with only one technical complication (2.5%).\u0000\u0000\u0000CONCLUSIONS\u0000This series describes the initial technical safety and utility of utilizing a new generation balloon-mounted drug-eluting stent for neurointerventional purposes. This stent offers the potential for improved navigability, delivery, and outcomes compared to current neurointerventional options and warrants further study.","PeriodicalId":126264,"journal":{"name":"Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125353926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Deployment of low-profile flow-diverter through a double lumen balloon catheter (remo-diversion technique) to treat recurrent middle cerebral artery bifurcation aneurysm: A technical note. 双腔球囊导管低位分流术(远端分流术)治疗复发性大脑中动脉分叉动脉瘤:技术要点

Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences Pub Date : 2022-03-31 DOI: 10.1177/15910199221091647

P. Pagano, Pedro Calvão Pires, Laurentiu Paiusan, S. Soize, P. Manceau, L. Pierot

引用次数: 1

WFITN Committees. WFITN委员会。

Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences Pub Date : 2017-10-01 DOI: 10.1177/1591019917727401

引用次数: 0

Past WFITN Meetings. 过去的WFITN会议。

Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences Pub Date : 2017-10-01 DOI: 10.1177/1591019917727393

W. Taki

引用次数: 0

Welcome Message from the President of WFITN 2017. WFITN 2017主席欢迎辞

Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences Pub Date : 2017-10-01 DOI: 10.1177/1591019917727399

引用次数: 0

Author Index. 作者索引。

Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences Pub Date : 2017-10-01 DOI: 10.1177/1591019917727411

Berge Jerome, B. Joachim, Beuing Oliver, Bhogal Paul, Bhogal Pervinder, Biondi Alessandra, Biscoito Luisa, B. Raphaël, Boers Anna, Boghi Andrea, Bognár Eszter, Bojanowski Michel, Bolcato Marcelo, Bonafé Alain, Boonchai Tiplada, Bracard Serge, Bracco Sandra, Bravo Fabian, Brollo Marco, Brooks Olivia, Brouwer Patricius, Brouwer Patrick, B. Soo, C. Guilherme, Camilo Liz Caroline, Campbell Bruce, C. Jorge, Caro Joseline, Casseri Tommaso, Castro Mario, Cattaneo Giorgio, Causin Francesco, Cavasin Nicola, Cay Ferdi, C. Alejandro, Chaalala Chiraz, Chanvanitkulchai, Kannacahod, Kannachod, Chapot René, Chatpuwaphat Jitti, Chaudhary Neeraj, Chavez Victor, Chen Yanfei, C. Jacques, Chirife Oscar, C. Rae, Cho Byung-Rae, Cho Chun-Sung, C. Jaehoon, C. Ho, Cho Su Hee, Cho Young Dae, Choi Beomjin, Choi Dae Seob, C. J. Ho, Choi Jin Wook, Choi Jun-Sung, Choi Seok Keun, Churojana Anchalee, Cioni Samuele, C. Frédéric, C. Frédéric, C. Valter, Comelli Simone, C. Bart, Correia Manuel, Cortsen Marie, Costalat Vincent, Csippa Benja

引用次数: 0

WFITN 2017 Faculty List. 2017年WFITN教师名单。

Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences Pub Date : 2017-10-01 DOI: 10.1177/1591019917727400

Miklos Marosfo, J. A. Santos

引用次数: 0

The Japanese society for intravascular neurosurgery. Regulations for the certification board of intravascular neurosurgery. 日本血管内神经外科学会。血管内神经外科认证委员会规定。

Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences Pub Date : 2001-12-01 DOI: 10.1177/15910199010070S131

引用次数: 0