Journal of NeuroInterventional Surgery最新文献

{"title":"Flow diverter mechanism influenced by concurrent processes: progressive neck coverage and intrasaccular thrombus formation.","authors":"Juan R Cebral, Laurel Marsh, Fernando Mut, Esref Alperen Bayraktar, David Kallmes, Ramanathan Kadirvel","doi":"10.1136/jnis-2026-025874","DOIUrl":"https://doi.org/10.1136/jnis-2026-025874","url":null,"abstract":"","PeriodicalId":16411,"journal":{"name":"Journal of NeuroInterventional Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149148519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"CT angiography defined plaque surface disruption and new diffusion weighted imaging lesions after carotid artery stenting: exploratory Plaque-RADS analysis.","authors":"Kwang-Chun Cho, Jeseung Lee, Jin Wook Choi, Nak-Hoon Son, Woo Sang Jung","doi":"10.1136/jnis-2026-025762","DOIUrl":"https://doi.org/10.1136/jnis-2026-025762","url":null,"abstract":"","PeriodicalId":16411,"journal":{"name":"Journal of NeuroInterventional Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149148120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Epidural venous access to CSF venous fistulae: an alternative route to fistulae inaccessible from the segmental vein.","authors":"Sanjeev Sreenivasan, Alex Nguyen Hoang, Insun Chong, Orlando Diaz, Gavin W Britz, Kurt Yaeger","doi":"10.1136/jnis-2026-025709","DOIUrl":"https://doi.org/10.1136/jnis-2026-025709","url":null,"abstract":"","PeriodicalId":16411,"journal":{"name":"Journal of NeuroInterventional Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149137001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Machine learning prediction of imaging detected growth in unruptured intracranial aneurysms using clinical and morphological features.","authors":"Zhuoyang Li, Mo Li, Lan Qin, Guangming Yang, Ling Song, Xinjian Yang, Sheng-Qi Hu, Jian Liu","doi":"10.1136/jnis-2026-025951","DOIUrl":"https://doi.org/10.1136/jnis-2026-025951","url":null,"abstract":"","PeriodicalId":16411,"journal":{"name":"Journal of NeuroInterventional Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149136998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors of treatment failure after middle meningeal artery embolization for chronic subdural hematoma: a German nationwide multicenter study.","authors":"Philip Heesen, Ansgar Berlis, Mahmoud Zaki, Christoph Johannes Maurer, Christina Onyinzo, Fee C Keil, Leonhard Mann, Christophe T Arendt, Marius K Hartmann, Steffen Reißberg, Corinna Rutschke, Kai Kallenberg, Stefan Grau, Alexandru Durutya, Adrian Liebert, Heinz Voit-Höhne, Markus Holtmannspötter, Christian Herweh, René Chapot, Mohamed Elsharkawy, Dan Meila, Björn Greling, Frederik Boxberg, Dominik Grieb, Jens Fiehler, Matthias Bechstein, Stefan Feuerriegel, Martin Bendszus, Markus A Möhlenbruch, Dominik F Vollherbst","doi":"10.1136/jnis-2026-026003","DOIUrl":"https://doi.org/10.1136/jnis-2026-026003","url":null,"abstract":"","PeriodicalId":16411,"journal":{"name":"Journal of NeuroInterventional Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149137038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transcarotid artery revascularization in the CREST-2 era: promising outcomes, uncertain comparative value.","authors":"Pablo Albiña-Palmarola, Ali Khanafer, Hans Henkes","doi":"10.1136/jnis-2026-026178","DOIUrl":"https://doi.org/10.1136/jnis-2026-026178","url":null,"abstract":"","PeriodicalId":16411,"journal":{"name":"Journal of NeuroInterventional Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149137007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Safety and efficacy of a coated flow diverter compatible with 0.017 inch microcatheters: prospective multicenter study.","authors":"Simin Wang, Jun Feng, Chuan He, Jingwei Li, Yin Shen, Jing Xu, Bing Fang, Guangsen Cheng, Yu Liu, Huaizhang Shi, Pei Wu, Changwei Zhang, Ting Wang, Ge Gao, Yu Chen, Cong-Hui Li, Hui Li, Chun Fang, Shuo Yan, Hongqi Zhang","doi":"10.1136/jnis-2026-026013","DOIUrl":"https://doi.org/10.1136/jnis-2026-026013","url":null,"abstract":"","PeriodicalId":16411,"journal":{"name":"Journal of NeuroInterventional Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149137018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stitch or seal? Suture-based versus bioabsorbable plug closure devices in transfemoral stroke thrombectomy: a multicenter cohort study.","authors":"Louis Bonnard, Guillaume Tessier, Luca Scarcia, Mickael Maldinez, Thibault Agripnidis, Boubker Hafa, Hajar Andour, Julien Burel, Quentin Holay, Francois Severac, Raoul Pop","doi":"10.1136/jnis-2026-026121","DOIUrl":"https://doi.org/10.1136/jnis-2026-026121","url":null,"abstract":"<p><strong>Background: </strong>Vascular access-site complications are among the most frequent adverse events of endovascular treatment (EVT) for acute ischemic stroke (AIS). Suture-based closure devices (SBD) are widely used in peripheral and cardiac procedures, but their performance has not been specifically assessed in stroke EVT. We aimed to compare SBD with the more commonly used bioabsorbable plug devices (BPD) in transfemoral stroke thrombectomy.</p><p><strong>Methods: </strong>We conducted a multicenter retrospective cohort study across seven French tertiary stroke centers. We included consecutive patients undergoing transfemoral EVT for AIS between July 2024 and July 2025, with device-mediated closure and ≥96 hours follow-up. The primary endpoint was any access-site complication; secondary endpoints were complications requiring active intervention and severe complications requiring surgical/endovascular treatment. Inverse probability of treatment weighting with stabilized weights was used to estimate the average treatment effect.</p><p><strong>Results: </strong>Among 933 patients, 632 (67.7%) received a BPD and 301 (32.3%) an SBD. The overall complication rate was 4.0%, and was lower with SBD than BPD (1.3% vs 5.2%, P=0.003). In the weighted analysis, SBD use was associated with a lower rate of access-site complications (OR 0.23, 95% CI 0.08 to 0.68, P=0.008) and of complications requiring active intervention (OR 0.16, 95% CI 0.03 to 0.75, P=0.021). Severe complications were numerically less frequent with SBD (0.3% vs 0.8%) but not significantly different.</p><p><strong>Conclusion: </strong>Suture-based closure was associated with fewer access-site complications compared with bioabsorbable plugs, suggesting that suture-based devices may be a preferable closure strategy for the large-bore access used in stroke EVT. These findings require confirmation in further studies.</p>","PeriodicalId":16411,"journal":{"name":"Journal of NeuroInterventional Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preprocedural high-resolution vessel wall MRI predicts in-stent restenosis after intracranial stenting.","authors":"Ting Li, Chun Zhou, Ze-Ling Tan, Chun-Qiu Su, Wen-Wen He, Long Yang, Sheng Liu, Na Zhang, Shan-Shan Lu","doi":"10.1136/jnis-2026-025964","DOIUrl":"https://doi.org/10.1136/jnis-2026-025964","url":null,"abstract":"<p><strong>Background: </strong>In-stent restenosis (ISR) remains a challenge after intracranial stenting for intracranial atherosclerotic stenosis (ICAS). We evaluated whether preprocedural high-resolution vessel wall imaging (HR-VWI) features and clinical factors could predict ISR.</p><p><strong>Methods: </strong>We retrospectively analyzed 237 ICAS patients undergoing intracranial stenting with preprocedural HR-VWI and follow-up. Clinical and HR-VWI parameters were compared between ISR and non-ISR groups using the Mann-Whitney U and χ² tests. Predictors were identified using LASSO (least absolute shrinkage and selection operator) Cox regression. A 1-year risk prediction model was constructed and visualized as a nomogram. Model performance was evaluated using C-index, calibration, decision curve analysis, and bootstrap validation. Kaplan-Meier analysis assessed ISR incidence over time.</p><p><strong>Results: </strong>ISR occurred in 42 patients (17.7%) during follow-up, including 38 cases (16.0%) within 1 year. Mean normalized wall index (NWI) (per 10% increase; HR 2.37, 95% CI 1.51 to 3.73, P<0.001), plaque length (HR 1.12, 95% CI 1.03 to 1.22, P=0.010), and enhancement ratio (HR 2.27, 95% CI 1.07 to 4.82, P=0.034), along with residual stenosis (per 10% increase; HR 1.42, 95% CI 1.09 to 1.85, P=0.010), were independent predictors. The model showed good discrimination (C-index 0.79, 95% CI 0.72 to 0.86), calibration, and net benefit. Higher ISR risk was observed with mean NWI ≥0.88, plaque length ≥8 mm, enhancement ratio ≥1.07, or residual stenosis ≥39% (all P≤0.01).</p><p><strong>Conclusion: </strong>Preprocedural HR-VWI-derived mean NWI, plaque length, and enhancement ratio, together with residual stenosis, were associated with ISR and may aid risk stratification. Further validation in larger prospective cohorts is warranted.</p>","PeriodicalId":16411,"journal":{"name":"Journal of NeuroInterventional Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149039333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"RESTORE: REal-world analyses of Stroke-Thrombus Occlusion REtrieval study: effectiveness, safety, and technical outcomes.","authors":"Syed Zaidi, Khaled Gharaibeh, Arindam R Chatterjee, Charles J Prestigiacomo, Timothy R Miller, Gary Rajah, David Fiorella, Josser E Delgado Almandoz, Norman Ajiboye, Ricky Medel, Yi Jonathan Zhang, Timothy G White, Imran Chaudry, Clemens Schirmer, Maxim Mokin, Lucian Maidan, Fazeel Siddiqui, Jan Karl Burkhardt, Gabor Toth, Edward D Greenberg, Daniel E Surdell, Huan Wen Chen, Scott Rahimi, Hakeem J Shakir, Nitin Goyal, Sean Cullen, Ghasan Ahmad, Daniel H Sahlein, Dheeraj Gandhi","doi":"10.1136/jnis-2026-025721","DOIUrl":"https://doi.org/10.1136/jnis-2026-025721","url":null,"abstract":"<p><strong>Background: </strong>Mechanical thrombectomy has become the cornerstone of treatment for acute ischemic stroke (AIS) caused by large vessel occlusion. While randomized trials have established non-inferiority of aspiration-based approaches compared with stent retriever approaches, real-world evidence is essential to evaluate device performance across heterogeneous populations, anatomies, and procedural strategies. The objective of the RESTORE registry is to report the final results and contextualize its findings within the evolving landscape of large- and super-large-bore aspiration catheter technologies.</p><p><strong>Methods: </strong>RESTORE (REal-world analyses of Stroke-Thrombus Occlusion REtrieval study) is a prospective, multicenter, observational registry enrolling AIS patients treated with Terumo Neuro devices as a first-line mechanical thrombectomy approach. Angiographic and safety outcomes were evaluated by an independent core laboratory and clinical events committee, respectively.</p><p><strong>Results: </strong>Among 710 enrolled patients across 36 centers, 688 comprised the final analysis cohort. Final reperfusion (modified Thrombolysis In Cerebral Infarction (mTICI) ≥2b) was achieved in 93.0%, with first-pass mTICI ≥2b in 60.8%. Median puncture-to-clot contact and puncture-to-reperfusion times were 13 and 17 min, respectively. Symptomatic intracranial hemorrhage occurred in 0.6% of patients, and the all-cause mortality rate at 90 days was 16.3%. Embolization to new territory occurred in 0.4%, and 52.9% of patients achieved functional independence (modified Rankin Scale ≤2) at 90 days.</p><p><strong>Conclusions: </strong>RESTORE represents one of the largest prospective real-world registries evaluating a SOFIA-dominant first-line thrombectomy approach using Terumo Neuro devices for AIS due to intracranial vessel occlusion. Under routine practice conditions, the registry demonstrated favorable angiographic, procedural, and clinical outcomes with a reassuring safety profile, supporting aspiration-dominant approaches as an effective and safe first-line strategy in this setting. However, because RESTORE was observational, single-arm, and descriptive, these findings should be interpreted as real-world evidence of feasibility and safety rather than proof of comparative efficacy or superiority over other thrombectomy strategies.</p>","PeriodicalId":16411,"journal":{"name":"Journal of NeuroInterventional Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149039265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}