ESMINT 2021 – Abstract book最新文献

{"title":"EP63 The TAPAS study: thrombectomy aspiration post-market study in acute stroke","authors":"F. B. Marco, M. Espinosa, J. Zamarro, J. Massó, E. Garmendia, J. Pumar, J. Larrea, A. Mosqueira","doi":"10.1136/neurintsurg-2021-esmint.62","DOIUrl":"https://doi.org/10.1136/neurintsurg-2021-esmint.62","url":null,"abstract":"","PeriodicalId":341667,"journal":{"name":"ESMINT 2021 – Abstract book","volume":"89 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123057267","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}

{"title":"EP56 Targeted single low-dose intra-arterial bevacizumab for steroid-refractory radiation necrosis of the brain","authors":"S. Dashti, R. Kadner, BS Folley, J. Sheehan, D. Y. Han, R. Kryscio, MB Carter, Lbe Shields, B. Plato, RV La Rocca, A. Spalding, Tom L. Yao, J. Fraser","doi":"10.1136/neurintsurg-2021-esmint.55","DOIUrl":"https://doi.org/10.1136/neurintsurg-2021-esmint.55","url":null,"abstract":"REFERENCES 1. Gory B, Armoiry X, Sivan-Hoffmann R, Piotin M, Mazighi M, Lapergue B, et al. A direct aspiration first pass technique for acute stroke therapy: a systematic review and meta-analysis. Eur J Neurol 2018 Feb 1;25(2):284–92. 2. Blanc R, Redjem H, Ciccio G, Smajda S, Desilles JP, Orng E, et al. Predictors of the aspiration component success of a direct aspiration first pass technique (ADAPT) for the endovascular treatment of stroke reperfusion strategy in anterior circulation acute stroke. Stroke 2017 Jun 1;48(6):1588–93.","PeriodicalId":341667,"journal":{"name":"ESMINT 2021 – Abstract book","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114241379","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}

{"title":"EP24 Role of cone-beam CT in the study of cerebral and spinal dural arteriovenous fistulas: qualitative analysis","authors":"G. Valente, F. Biraschi, A. Salcuni, F. Diana, C. Cirelli, M. Iacobucci","doi":"10.1136/neurintsurg-2021-esmint.24","DOIUrl":"https://doi.org/10.1136/neurintsurg-2021-esmint.24","url":null,"abstract":"","PeriodicalId":341667,"journal":{"name":"ESMINT 2021 – Abstract book","volume":"2011 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114796686","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}

{"title":"EP38* Single center experience utilizing a novel augmented reality platform to teleproctor a neuroendovascular fellow","authors":"A. Hassan, S. Desai, A. Georgiadis, W. Tekle","doi":"10.1136/neurintsurg-2021-ESMINT.37","DOIUrl":"https://doi.org/10.1136/neurintsurg-2021-ESMINT.37","url":null,"abstract":"IntroductionRemote tele-proctoring solutions are gaining traction in neuro-endovascular surgery, however evidence supporting its use in fellowship training is limited. We demonstrate a novel augmented reality tele-proctoring platform to enable a remote attending to guide a fellow through neuro-interventions.MethodsA consecutive series of neuro-endovascular cases were performed by a first-year neuro-endovascular fellow with remote guidance from an attending surgeon. The fellow and attending were connected using the Proximie platform, a cloud-based solution that enables users to capture and stream up to four live video feeds from a clinical environment to a remote user. In this setting, two video streams were obtained directly from the AP and lateral cameras on the biplane. Videos were streamed live to the remote attending surgeon providing them situational awareness. The attending could provide immediate vocal feedback to the fellow over an intercom. The attending could also deploy Proximie’s augmented reality tools which were visible to the fellow in real-time on a laptop in the angiography suite.ResultsA total of ten cases were performed on eight patients during the study period. 30% of participants were female and the median patient age was 63±18.6 yrs. Six interventions and four diagnostics were performed in the series. All cases were a technical success. No complications or deaths occurred.ConclusionsThis study demonstrates successful use of an augmented reality tele-proctoring platform in a fellowship training paradigm.ReferencesBechstein M, Elsheik S, Wodarg F, et al. Interhospital teleproctoring of endovascular intracranial aneurysm treatment using a dedicated live-streaming technology: first experiences during the COVID-19 pandemic. BMJ Case Rep 2020 Oct 4;13(10):e016722.Bechstein M, Buhk JH, Frolich AM, et al. Training and supervision of thrombectomy by remote live streaming support (RESS): randomized comparison using simulated stroke interventions. Clin Neuroradiol 2019 Dec 20.Goel SS, Greenbaum AB, Patel A, et al. Role of teleproctoring in challenging and innovative structural interventions amid the COVID-19 pandemic and beyond. JACC Cardiovasc Interv 2020 Aug 24;13(16):1945–1948.DisclosureAmeer E Hassan is a consultant for Proximie. Sohum K Desai, Wondwossen G Tekle, and Alexandros L Georgiadis do not have any disclosures.","PeriodicalId":341667,"journal":{"name":"ESMINT 2021 – Abstract book","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116487899","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}

{"title":"EP11 A possible follow-up protocol for the novel contour neurovascular system for intracranial aneurysm treatment in MRI and spectral CT","authors":"J. Madjidyar, J. Hensler, Olav Jansen, F. Wodarg","doi":"10.1136/neurintsurg-2021-esmint.11","DOIUrl":"https://doi.org/10.1136/neurintsurg-2021-esmint.11","url":null,"abstract":"was achieved in 87.5%(7/8). There was one delayed death at 2-year from an unrelated cause. Conclusions pCONUS 2 and pCONUS 2-HPC have good medium-term safety profiles with no procedure-related mortality and acceptable morbidity. Good occlusion rates was noted at 6-months (85.7%) and 2 years (87.5%).","PeriodicalId":341667,"journal":{"name":"ESMINT 2021 – Abstract book","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124899116","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}

{"title":"EP30* The neglected arachnoid trabeculae: An in-vivo preliminary feasibility study with use of trans-vascular OCT imaging to explore the perivascular subarachnoid space","authors":"V. Anagnostakou, R. King, G. Ughi, A. Puri, M. Gounis","doi":"10.1136/neurintsurg-2021-esmint.30","DOIUrl":"https://doi.org/10.1136/neurintsurg-2021-esmint.30","url":null,"abstract":"","PeriodicalId":341667,"journal":{"name":"ESMINT 2021 – Abstract book","volume":"2013 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128175315","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}

{"title":"EP08 The power of information: WEB device in-vivo evaluation with endovascular high frequency optical coherence tomography (HF-OCT) technology: First in humans experience","authors":"B. Pabón, M. Patiño, V. Torres, N. Serna, J. Pelaez, O. Vargas, J. Mejia","doi":"10.1136/neurintsurg-2021-esmint.8","DOIUrl":"https://doi.org/10.1136/neurintsurg-2021-esmint.8","url":null,"abstract":"aneurysmal recanalization). Two of those recurrent aneurysms were retreated by coilembolization. The overall directly procedural-related complication rate was 4,7%, including one death. Seven cases of in-stent-stenosis (12,3%; morbidity n=0) were detected on long-term follow-up with 6 of them when using the kissing-Y stenting technique. Conclusions Endovascular treatment of various complex intracranial aneurysms using the Acandis Acclino stent systems is safe and efficient with high aneurysm occlusion rates combined with low complication rates at long-term follow-up. Overall, rates of in-stent-stenosis are low but seem to depend on the treatment technique (single stent-assisted versus kissingY stenting with coiling).","PeriodicalId":341667,"journal":{"name":"ESMINT 2021 – Abstract book","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130382462","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}

{"title":"EP06* The subarachnoid hemorrhage early brain edema score (SEBES) as radiographic marker of clinically relevant intracranial hypertension and unfavorable outcome after subarachnoid hemorrhage","authors":"M. Said, M. Guemues, A. Herten, T. F. Dinger, M. Chihi, M. Oppong, C. Deuschl, K. Wrede, C. Kleinschnitz, U. Sure, R. Jabbarli","doi":"10.1136/neurintsurg-2021-esmint.6","DOIUrl":"https://doi.org/10.1136/neurintsurg-2021-esmint.6","url":null,"abstract":"not related to aneurysm repair. Circulatory failure and severe intracranial hypertension prior to ECI, or within 3 days from bleeding if no ECI, were retrospectively determined. The association between ECI, prior circulatory failure, severe intracranial hypertension and patient outcomes was tested using uniand multivariate analyses. Results Seven-hundred-and-fifty-three patients with aSAH were included. ECI were observed in 40 patients with a prevalence of 5.3% (95% CI; 3.7–6.9%). New ECI lesions developed in-hospital in 70% of cases. Circulatory failure or severe intracranial hypertension was more common in patients with ECI compared to those without ECI (90% vs.11% respectively <0.001). In ECI patients, in-hospital occurrence of circulatory failure or severe intracranial hypertension was observed in 60% of cases, and was significantly associated new in-hospital ECI lesions (71%vs.33% in patients without new in-hospital ECI lesions, P=0.036). ECI was independently associated with WFNS grade (OR=2.3, CI95%=1.5–3.6, P<0.001), circulatory failure (OR=4.7, CI95%=1.8–11,P=0.001), severe intracranial hypertension (OR=11.1, CI95%=3.8–32.3, P<0.001), mortality at 1month (OR=6.3, CI95%=2.9–13.5, P<0.001), and poor outcome in survivors (modified Rankin score>3 at 6-month) (OR=3.8, CI95%=1.22–11.9, P=0.021). Conclusions ECI following aSAH is associated with prior brain haemodynamic impairment occurring mainly in-hospital, representing a potential therapeutic target in poor-grade aSAH.","PeriodicalId":341667,"journal":{"name":"ESMINT 2021 – Abstract book","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127253942","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}

{"title":"EP31* Vessel wall MRI findings improve specificity for detection of delayed in-stent stenosis following flow diversion of unruptured aneurysms","authors":"M. Alexander, J. Costello, J. McNally, A. Havenon, R. Grandhi","doi":"10.1136/neurintsurg-2021-esmint.31","DOIUrl":"https://doi.org/10.1136/neurintsurg-2021-esmint.31","url":null,"abstract":"BB","PeriodicalId":341667,"journal":{"name":"ESMINT 2021 – Abstract book","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128853704","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}

{"title":"EP60 Endovascular thrombectomy in posterior circulation stroke at saint petersburg vascular center","authors":"A. Savello, K. Orlov","doi":"10.1136/neurintsurg-2021-esmint.59","DOIUrl":"https://doi.org/10.1136/neurintsurg-2021-esmint.59","url":null,"abstract":"","PeriodicalId":341667,"journal":{"name":"ESMINT 2021 – Abstract book","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125492851","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}