Journal of neuroendovascular therapy最新文献

{"title":"Carotid Artery Stenting Following Transcatheter Aortic Valve Implantation for Severe Aortic Stenosis: A Case Report.","authors":"Hiroki Kobayashi, Ryuta Yamada, Yuichi Nomura, Naoki Oka, Jouji Kokuzawa, Yasuhiko Kaku","doi":"10.5797/jnet.cr.2025-0021","DOIUrl":"10.5797/jnet.cr.2025-0021","url":null,"abstract":"<p><strong>Objective: </strong>During the perioperative period of carotid artery stenting (CAS), severe aortic stenosis (AS) is associated with a risk of serious complications, such as cardiac arrest. There is no consensus regarding the order of treatment for patients with severe AS concomitant with proximal carotid artery stenosis. We herein report a case in which CAS following transcatheter aortic valve implantation for severe AS was safely performed in an older high-risk patient.</p><p><strong>Case presentation: </strong>An 84-year-old woman presented with severe aortic stenosis that required treatment. Magnetic resonance angiography revealed severe left proximal internal carotid stenosis. Cerebral blood flow measurements revealed a normal cerebral perfusion. An uneventful transcatheter aortic valve implantation for severe aortic stenosis was followed by carotid stenting at a 2-month interval.</p><p><strong>Conclusion: </strong>Staged treatment may be a safe and effective strategy in high-risk patients with concomitant severe AS and carotid stenosis. In cases with a normal cerebral blood flow, CAS following transcatheter aortic valve implantation can be a reasonable option, especially in older patients with multiple comorbidities.</p>","PeriodicalId":73856,"journal":{"name":"Journal of neuroendovascular therapy","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12182976/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144478072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"P2Y12 Inhibitor Administration for Intracranial Stenting Procedures, the Usefulness of Efficiency Monitoring.","authors":"Olivier Duranteau, Frederic Clarencon, Lamine Abdennour, Alice Jacquens, Stephanie Lenck, Nader Sourour, Eihmad Shotar, Kevin Premat, Jugurta Mathout, Vincent Degos, Mehdi Drir","doi":"10.5797/jnet.oa.2025-0009","DOIUrl":"10.5797/jnet.oa.2025-0009","url":null,"abstract":"<p><strong>Objective: </strong>The implantation of stents in the cerebral arteries for aneurism exclusions requires the administration of dual antiplatelet therapy. This medication increases the haemorrhage risk, while some patients develop a phenomenon called \"high on-treatment platelet reactivity,\" exposing to the material thrombosis. The focus on the platelet function monitoring in this context is key to the success of this procedure, allowing for identification of the different population of patients for the adjustment of the prescription for which antiplatelet therapy to use, to get the best balance between the prevention of material thrombosis and haemorrhage risk. This study focuses on the use of platelet function monitoring with Multiplate (Roche, Boulogne-Billancourt, France), in the context of a prescription of clopidogrel and its possible replacement by ticagrelor for resistant patients.</p><p><strong>Methods: </strong>The study is an observational retrospective cohort monocentric study. Patients were sampled for a Multiplate analysis with no antiplatelets treatment, then the day before the procedure, a new Multiplate analysis is proceeded with after 5 days of clopidogrel and aspirin. If adenosine diphosphate (ADP) test was above 300 area under the curve on Multiplate, it was decided to introduce ticagrelor. The primary endpoint was the occurrence of thromboembolic or haemorrhagic events during the first 30 days postoperatively.</p><p><strong>Results: </strong>104 patients treated electively with a stent for an intracranial aneurysm were included from January 2016 to June 2020; 77 patients were classified as responder to clopidogrel and 27 had to be switched from clopidogrel to ticagrelor; 9 patients under clopidogrel (8.6%) had an ischaemic event and 1 under ticagrelor (1%). No patient had a haemorrhagic event under clopidogrel and 3 under ticagrelor (2.8%). Comparing clopidogrel and ticagrelor group regarding ischemic or haemorrhagic event endpoints, the difference was not statistically significant: (p = 0.37), but statistically significant regarding fatal event (p = 0.02) in disfavour of ticagrelor.</p><p><strong>Conclusion: </strong>The use of platelet function monitoring makes it possible to determine the therapeutic effectiveness of P2Y12 inhibitors, and thus to provide the most appropriate antiplatelets treatment for the patient when an intracranial stent is placed.</p>","PeriodicalId":73856,"journal":{"name":"Journal of neuroendovascular therapy","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12141458/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mission and Future of World Federation of Interventional and Therapeutic Neuroradiology (WFITN).","authors":"Michihiro Tanaka","doi":"10.5797/jnet.ra.2024-0101","DOIUrl":"10.5797/jnet.ra.2024-0101","url":null,"abstract":"<p><p>Interventional and therapeutic neuroradiology offers minimally invasive treatments for neurological disorders, and the World Federation of Interventional and Therapeutic Neuroradiology (WFITN) plays a crucial role in advancing this field globally. This article discusses WFITN's mission to promote education, research, and collaboration among practitioners, establish clinical standards, and embrace technological innovations. It highlights the Federation Assembly's role in governance and policy-making, as well as initiatives like mentorship programs aimed at empowering women in neurointerventional radiology. Facing challenges such as rapid technological changes and healthcare disparities, WFITN is committed to expanding its global impact and fostering an inclusive, innovative community to enhance patient outcomes worldwide.</p>","PeriodicalId":73856,"journal":{"name":"Journal of neuroendovascular therapy","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12127085/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144201009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Case Report of Stent-Assisted Coiling with One-and-a-Half-Lap Approach for Basilar Artery Fenestration Aneurysm.","authors":"Kenshi Sano, Hiroki Uchida, Naoto Kimura, Kohei Takikawa, Takuji Sonoda, Kiyotaka Oi, Michiko Yokosawa, Kazuhiko Sato, Yukihiko Sonoda, Hidenori Endo","doi":"10.5797/jnet.cr.2024-0120","DOIUrl":"https://doi.org/10.5797/jnet.cr.2024-0120","url":null,"abstract":"<p><strong>Objective: </strong>Fenestrated basilar artery aneurysms (fBA-ANs) typically arise at the proximal bifurcation of the fenestration limb. It is reported that endovascular treatment with conventional coil embolization or balloon-assisted embolization techniques is often challenging and associated with a high complication rate, especially for wide-neck fBA-ANs. We present a case of fBA-AN successfully treated with stent-assisted coil (SAC) embolization using a novel one-and-a-half-lap approach with an open-cell stent, ensuring reliable neck coverage while preserving parent artery patency.</p><p><strong>Case presentation: </strong>A 33-year-old man with a history of an unruptured fBA-AN, previously treated with coil embolization via the double-catheter technique 6 years ago, presented with coil compaction and aneurysm recurrence. DSA revealed an fBA-AN measuring 8.7 mm in diameter, requiring retreatment. Under general anesthesia, SAC was performed using a one-and-a-half-lap approach. A Neuroform Atlas stent (Stryker Neurovascular, Fremont, CA, USA) was deployed via a 2.4 Fr microcatheter, positioned in a clockwise direction from the left loop fenestration to the right loop across the aneurysm neck, followed by coil embolization. Postoperatively, the patient remained free of ischemic complications, and follow-up imaging showed no recurrence of the fBA-AN.</p><p><strong>Conclusion: </strong>This case demonstrates the efficacy of SAC with a one-and-a-half-lap approach using an open-cell stent for the treatment of complex fBA-ANs. This technique provides a viable treatment option for wide-neck fBA-ANs, ensuring durable aneurysm occlusion while maintaining parent artery patency.</p>","PeriodicalId":73856,"journal":{"name":"Journal of neuroendovascular therapy","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12077982/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stent-Assisted Coil Embolization and Subclavian Artery Stenting via the Radial Approach for Vertebrobasilar Junction Aneurysm Associated with Left Subclavian Artery Occlusion.","authors":"Hajime Maeyama, Atsushi Ogata, Fumitaka Koga, Takashi Furukawa, Hiroshi Ito, Fumitaka Yoshioka, Yukiko Nakahara, Kenji Suzuyama, Jun Masuoka, Tatsuya Abe","doi":"10.5797/jnet.cr.2024-0106","DOIUrl":"10.5797/jnet.cr.2024-0106","url":null,"abstract":"<p><strong>Objective: </strong>Not many reports of subclavian artery occlusion complicated by vertebrobasilar junction aneurysm have been published, and no cases have been treated using a distal radial approach. Our case report highlights the effectiveness of this approach in comparison to previous findings.</p><p><strong>Case presentation: </strong>An 82-year-old woman was referred to our hospital because of an enlarged vertebrobasilar junction aneurysm. The DSA and CTA results revealed a left subclavian artery occlusion, meandering of the descending aorta, and an aneurysm of the descending aorta. We performed coil embolization using the right radial and left distal radial artery approaches. Considering that the left subclavian artery occlusion was related to the aneurysm enlargement, we decided to perform left subclavian artery stenting. Left subclavian artery stenting was performed 1 month after coil embolization using the same approach. The patient was discharged on postoperative day 8 without complications.</p><p><strong>Conclusion: </strong>Vertebrobasilar junction aneurysm and subclavian artery occlusion were treated via a safe and minimally invasive approach through the right radial and left distal radial artery approaches.</p>","PeriodicalId":73856,"journal":{"name":"Journal of neuroendovascular therapy","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11893179/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Repeated Re-occlusion during the Procedure of Mechanical Thrombectomy with Retrograde Approach for Tandem Occlusion Including T Occlusion: A Case Report.","authors":"Akihiro Okada, Kenji Hashimoto, Mizuha Toyama, Noriko Nomura, Takeshi Kawauchi, Yoshito Sugita, Tao Yang, Yohei Takenobu","doi":"10.5797/jnet.cr.2024-0089","DOIUrl":"10.5797/jnet.cr.2024-0089","url":null,"abstract":"<p><strong>Objective: </strong>Two mechanical thrombectomy techniques are proposed for tandem occlusion of the anterior circulation: treating the extracranial carotid artery lesion first via an antegrade approach and treating the intracranial lesion first via a retrograde approach. Previous reports show that the retrograde approach has a shorter reperfusion time and a better prognosis, but re-occlusion of the intracranial lesion after recanalization may occur. We describe a case of tandem occlusion with repeated intracranial occlusions for mechanical thrombectomy using the retrograde approach and discuss possible countermeasures.</p><p><strong>Case presentation: </strong>A 94-year-old woman presented with acute cerebral ischemia due to tandem carotid T occlusion of the left internal carotid artery (ICA) and severe stenosis of the cervical carotid artery. Mechanical thrombectomy via a retrograde approach was performed using a stent retriever, resulting in complete recanalization of the anterior circulation through the ICA after 1 pass. The thrombus dispersed distally from the cervical artery and re-occluded the M1 twice, requiring thrombus re-retrieval each time.</p><p><strong>Conclusion: </strong>The retrograde approach to tandem occlusion can result in repeated re-occlusion after recanalization of the intracranial lesion. Thrombi in cervical carotid lesions are usually fragile. Prior thrombus aspiration from the balloon guiding catheter at the carotid lesion may prevent re-occlusion after recanalization of the intracranial lesion without sacrificing the time advantage of early recanalization via the retrograde approach.</p>","PeriodicalId":73856,"journal":{"name":"Journal of neuroendovascular therapy","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864994/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Research Study on the Cost Structure and Break-Even Point of Mechanical Thrombectomy in Japan.","authors":"Bumpei Yamasaki, Rei Goto, Hirotoshi Imamura, Jinichi Sasanuma","doi":"10.5797/jnet.oa.2024-0058","DOIUrl":"10.5797/jnet.oa.2024-0058","url":null,"abstract":"<p><strong>Objective: </strong>Mechanical thrombectomy (MT) is an important procedure in the treatment of acute cerebral infarction, and its effectiveness depends largely on timely intervention after the onset. In the United States, a tiered accreditation system of stoke centers has been established to provide MT efficiently. In Japan, however, despite the large number of medical institutions performing MT, the establishment of a tiered accreditation system has yet to be seen. The low number of cases treated per institution raises concerns about the economic sustainability of MT in Japan because significant capital and human resource investment are required. This study aims to investigate the cost structure of MT procedure and the break-even point in 2 different hospital settings in Japan.</p><p><strong>Methods: </strong>We conducted a detailed cost analysis of MT at 2 distinct hospitals: Hospital A, a large public hospital in a government-designated city, and Hospital B, a private non-profit hospital in the Tokyo metropolitan area. Data collection involved face-to-face interviews with department heads and a structured survey based on the Japanese Hospital Accounting Standards, focusing on material, labor, and facility-related costs. Break-even points were calculated considering both fixed and variable costs, with adjustments made for the shared use of facilities in Hospital B.</p><p><strong>Results: </strong>The total cost per case was 349256 yen in Hospital A and 245150 yen in Hospital B, respectively. The total cost per case was elevated to 559866 yen assuming only MT was performed at Hospital B. This figure was significantly higher than the reimbursement price of MT (331500 yen). The number of procedures needed to exceed the break-even point for MT was approximately 290 cases per year in Hospital A and 125 cases per year in Hospital B, respectively.</p><p><strong>Conclusion: </strong>We conducted a break-even analysis of MT based on an interview survey. The number of cases required to cross the break-even point for MT alone was much higher than the actual number of MT procedures being performed in the 2 hospitals.</p>","PeriodicalId":73856,"journal":{"name":"Journal of neuroendovascular therapy","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864989/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multifactorial Assessment of Complication Risks in Embolization for Ruptured Cerebral Aneurysm.","authors":"Arata Nagai, Shinya Sonobe, Kuniyasu Niizuma, Tetsuo Ishikawa, Eiryo Kawakami, Yasushi Matsumoto, Hirotoshi Imamura, Tetsu Satow, Koji Iihara, Chiaki Sakai, Nobuyuki Sakai, Shigeru Miyachi, Hidenori Endo, Teiji Tominaga","doi":"10.5797/jnet.oa.2024-0095","DOIUrl":"10.5797/jnet.oa.2024-0095","url":null,"abstract":"<p><strong>Objective: </strong>Complications in neuroendovascular therapy for cerebral aneurysm (AN) affect the clinical course of patients. Patient conditions, operating procedures, and operator expertise were highlighted as risk factors for complications. These risk factors often combine and constitute particularly strong risks, resulting in a worsened clinical course. In this study, we performed a multifactorial assessment of complication risks in neuroendovascular therapy.</p><p><strong>Methods: </strong>We analyzed patient data from the Japanese Registry of NeuroEndovascular Therapy 3, which is a nationwide retrospective cohort study of neuroendovascular procedures conducted between 2010 and 2014. Patients who underwent coil embolization for a ruptured anterior communicating artery (Acom) AN, an internal carotid artery-posterior communicating artery (IC-PC) AN, or basilar artery bifurcation (BA-bif) AN were included in this analysis. Information on 16 explanatory variables and 1 objective variable for each patient was obtained from the dataset as nominal variables. The explanatory variables consisted of patient factors, procedural factors, and an operator factor. The objective variable was whether the following complications occurred: intraprocedural bleeding, postprocedural bleeding, and procedure-related infarction. The specific situations involving multiple risk factors associated with high complication rates were identified using a programmed method. The impact of the absence of a supervising physician was also assessed.</p><p><strong>Results: </strong>A total of 2971 patients were analyzed. The complication rates for patients with Acom ANs, IC-PC ANs, and BA-bif ANs were 12.9%, 10.2%, and 13.7%, respectively. A total of 15 specific situations were identified as follows: 3 related to an Acom AN, with complication rates ranging from 19.3% to 20.3%; 4 related to an IC-PC AN, with complication rates ranging from 15.6% to 17.9%; and 8 related to a BA-bif AN, with complication rates ranging from 20.6% to 33.3%. In 4 of these situations, the absence of a supervising physician significantly impacted complication rates. For instance, the complication rate for patients with IC-PC AN treated under local anesthesia was 16.0% overall, but it was 23.8% without supervising physicians.</p><p><strong>Conclusion: </strong>Multifactorial assessment based on patient, procedural, and operator factors provides more reliable risk estimations and will help improve the clinical course.</p>","PeriodicalId":73856,"journal":{"name":"Journal of neuroendovascular therapy","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11830954/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Case of Acute Atherosclerotic Basilar Artery Occlusion Treated by Angioplasty with a Stent Retriever and Combined Antithrombotic Therapy.","authors":"Rintaro Yokoyama, Koichi Haraguchi, Yuki Nakamura, Seiichiro Imataka, Takehiro Saga, Noriaki Hanyu, Nobuki Matsuura, Kazumi Ogane, Kazuyoshi Watanabe, Takeo Itou","doi":"10.5797/jnet.cr.2024-0056","DOIUrl":"10.5797/jnet.cr.2024-0056","url":null,"abstract":"<p><strong>Objective: </strong>The optimal treatment strategy for large-vessel occlusion (LVO) related to intracranial atherosclerotic disease (ICAD), particularly for tandem lesions that complicate access and device delivery, remains unclear. We report a case in which angioplasty with a stent retriever (SR) and combined antithrombotic therapy was effective in treating re-occlusion associated with dissection of the residual stenosis after thrombectomy for acute atherosclerotic occlusion of the basilar artery (BA) with the left vertebral artery (VA) stenosis.</p><p><strong>Case presentation: </strong>An 80-year-old woman was brought to our hospital with progressively worsening consciousness and tetra-paresis. MRA revealed occlusion of the middle to proximal portion of the BA. The patient underwent percutaneous transluminal angioplasty using a balloon catheter for severe stenosis at the origin of the left VA, followed by mechanical thrombectomy for the BA occlusion. While initial recanalization was achieved, residual stenosis in the proximal portion of the BA led to re-occlusion. An attempt at angioplasty with a balloon catheter failed to reach the stenotic segment due to stenosis and tortuosity of the left VA. Consequently, the SR was redeployed into the BA, and a loading dose of antiplatelet agents and intravenous anticoagulant were administered during prolonged deployment. Following the confirmation of BA patency, the SR was re-sheathed and removed. The patient achieved remarkable improvement in consciousness and tetra-paresis without postoperative re-occlusion of the BA.</p><p><strong>Conclusion: </strong>Angioplasty with a SR and combined antithrombotic therapy may be a useful treatment option for ICAD-related LVO, particularly in cases such as tandem lesions that hinder access and make distal balloon catheter navigation challenging.</p>","PeriodicalId":73856,"journal":{"name":"Journal of neuroendovascular therapy","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11851022/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143506556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Telemedicine 3.0: The Real Anywhere and Anytime.","authors":"Hiroyuki Takao, Kohei Takeshita, Kenichiro Sakai, Teppei Komatsu, Teppei Sakano, Yu Chih Yeh, Demetrius K Lopes, Raul G Nogueira, Sheila Martins, Shigeru Kawada, Issei Kan, Toshihiro Ishibashi, Yasuyuki Iguchi, Yuichi Murayama","doi":"10.5797/jnet.ra.2024-0103","DOIUrl":"10.5797/jnet.ra.2024-0103","url":null,"abstract":"<p><p>Clinical applications of telemedicine using digital technology are in demand in Japan and continue to expand. However, with some exceptions, it would be difficult to say that the current situation is adequate in terms of encouraging research and development, formulating guidelines that need to be established before telemedicine can spread, and providing support programs for these activities. The \"Telestroke\" telemedicine system for the treatment of stroke has been adopted in other countries due to the early establishment of a medical device program compatible with guidelines and the steady accumulation of evidence, creating a situation that leads the world. With optimization of the support program from the perspective of strategically produced evidence by governments and related organizations, and by taking these results as model cases for other regions, telemedicine in Japan is thought to progress to a new stage.</p>","PeriodicalId":73856,"journal":{"name":"Journal of neuroendovascular therapy","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12141459/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}