Journal of cerebrovascular and endovascular neurosurgery最新文献

Postoperative rupture of an artery dissected from a cerebral aneurysm dome following clipping: A rare and fatal complication. 术后从脑动脉瘤穹丘上剥离的动脉在夹闭后破裂：一种罕见而致命的并发症。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2025-10-02 DOI: 10.7461/jcen.2025.E2025.07.004

Jiwon Jung, Young Ha Kim, Pil Soo Kim, Jun Kyeung Ko

{"title":"Postoperative rupture of an artery dissected from a cerebral aneurysm dome following clipping: A rare and fatal complication.","authors":"Jiwon Jung, Young Ha Kim, Pil Soo Kim, Jun Kyeung Ko","doi":"10.7461/jcen.2025.E2025.07.004","DOIUrl":"https://doi.org/10.7461/jcen.2025.E2025.07.004","url":null,"abstract":"The adhesion of arteries to aneurysm domes can pose significant technical challenges during surgical clipping. Dissection of these vessels carries a risk of iatrogenic wall damage and subsequent complications. We present the case of a 67-year-old woman with three unruptured intracranial aneurysms. Following successful coil embolization of a right posterior communicating artery aneurysm, surgical clipping was planned for the remaining left middle cerebral artery and anterior choroidal artery aneurysms. Intraoperatively, the M2 inferior division was found to be densely adherent to an aneurysm located at the bifurcation of the M2 superior division. After temporary clipping of the parent artery, careful dissection was performed, and the aneurysm was successfully clipped. Postoperatively, the patient failed to regain consciousness. A computed tomography scan revealed diffuse subarachnoid hemorrhage, and subsequent angiography confirmed active contrast extravasation from the dissected M2 inferior division. The family declined reoperation, and the patient subsequently expired after brain death was declared. This case illustrates that in instances of strong arterial adhesion, extreme caution is warranted during dissection. Even without evident intraoperative bleeding, subtle vessel wall injury can lead to fatal delayed rupture. Meticulous inspection and, when necessary, reinforcement of dissected arterial segments is crucial to prevent such devastating outcomes.","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208741","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: 0

Spontaneous and simultaneous bilateral middle meningeal arteriovenous fistula: A case report. 自发性双侧中脑膜动静脉瘘1例。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2025-09-30 DOI: 10.7461/jcen.2025.E2024.04.001

Gi-Yong Yun, Jae-Min Ahn, Jong-Hyun Park, Hyuk-Jin Oh, Jai-Joon Shim, Seok-Mann Yoon

{"title":"Spontaneous and simultaneous bilateral middle meningeal arteriovenous fistula: A case report.","authors":"Gi-Yong Yun, Jae-Min Ahn, Jong-Hyun Park, Hyuk-Jin Oh, Jai-Joon Shim, Seok-Mann Yoon","doi":"10.7461/jcen.2025.E2024.04.001","DOIUrl":"https://doi.org/10.7461/jcen.2025.E2024.04.001","url":null,"abstract":"Middle meningeal arteriovenous fistulas (MMAVFs) are known as rare diseases, often associated with head trauma, with idiopathic cases being exceedingly uncommon. Here, we present a clinical case of spontaneous and simultaneous bilateral MMAVFs in a 37-year-old woman. She presented with persistent pulsatile tinnitus but no history of head trauma. Bilateral MMAVFs were identified via Time-of-Flight Magnetic Resonance Angiography. Subsequent digital subtraction angiography revealed a fistula between the middle meningeal artery (MMA) and middle meningeal vein (MMV) without definite intracranial venous reflux. We had planned coil embolization via a trans-arterial approach for both sides. Remarkably, after six days, the right-sided MMAVF observed in the previous external carotid artery (ECA) angiogram disappeared spontaneously. The left-sided MMAVF was successfully treated with coil embolization, achieving complete obliteration of fistula flow. Postoperatively, the patient's pulsatile tinnitus disappeared, and she was discharged without medication. There are a few possible mechanisms of spontaneous MMAVFs, such as middle meningeal artery aneurysm and trivial head trauma. Trans-arterial embolization with coils appears to be an effective and safe treatment option for complete obliteration of fistula flow.","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145188023","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: 0

Adverse events and failures with Cerenovus CEREGLIDE 71 Intermediate Catheter: An analytic review of the FDA MAUDE database. Cerenovus CEREGLIDE 71中间导管的不良事件和失败：FDA MAUDE数据库的分析回顾

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2025-09-25 DOI: 10.7461/jcen.2025.E2025.01.004

Ibraheem Alkhawaldeh, Ahmed Aljabali, Mostafa Hossam El Din Moawad, Mahmoud Abualhayjaa, Hamza K Alsalhi

{"title":"Adverse events and failures with Cerenovus CEREGLIDE 71 Intermediate Catheter: An analytic review of the FDA MAUDE database.","authors":"Ibraheem Alkhawaldeh, Ahmed Aljabali, Mostafa Hossam El Din Moawad, Mahmoud Abualhayjaa, Hamza K Alsalhi","doi":"10.7461/jcen.2025.E2025.01.004","DOIUrl":"https://doi.org/10.7461/jcen.2025.E2025.01.004","url":null,"abstract":"Objective: To assess the safety and performance of the Cereglide 71 aspiration catheter, launched in February 2024, by analyzing adverse events from the Manufacturer and User Facility Device Experience (MAUDE) database.Methods: Reports from the MAUDE database (February 2024 onward) were analyzed using Microsoft Excel and Jamovi, with 36 reports reviewed-27 device-related and 14 patient-related.Results: The most common device-related issues were cracks (8 occurrences), material bending (6), and deformation/stretching (5). Adverse events included thromboembolism (4 cases), intracranial hemorrhage (2), carotid-cavernous fistula (2), and cerebral vasospasm (2). The most common indication was middle cerebral artery stroke (9 cases).Conclusions: This study highlights the importance of post-market surveillance to improve patient outcomes, identifying key complications that require careful consideration in clinical practice. This is the first report on complications related to the Cereglide 71 aspiration catheter from the FDA MAUDE database.","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139629","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: 0

Reconstruction of traumatic carotid-cavernous fistula using a covered stent. 覆盖支架重建外伤性颈海绵状瘘。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2025-09-24 DOI: 10.7461/jcen.2025.E2025.05.004

Julio Calderon, Ravi Shastri, Guhanand Venkataraman, Mohadese Ahmadzade, Mohammad Ghasemi-Rad

引用次数: 0

Superficial temporal artery-middle cerebral artery bypass for progressive cerebral infarction in invasive aspergillosis-induced total occlusion of internal carotid artery: A rare case and literature review. 侵袭性曲霉菌病致颈内动脉全闭塞的进行性脑梗死，经颞浅动脉-大脑中动脉旁路治疗一例罕见病例并文献复习。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2025-09-01 Epub Date: 2025-04-08 DOI: 10.7461/jcen.2025.E2024.06.003

Minje Jeon, Sung-Tae Kim, Suckyoon Lee, Jin Lee, Jung Hae Ko, Se-Young Pyo, Won-Hee Lee, Hangwoo Lee, Yeong Gyun Jeong

{"title":"Superficial temporal artery-middle cerebral artery bypass for progressive cerebral infarction in invasive aspergillosis-induced total occlusion of internal carotid artery: A rare case and literature review.","authors":"Minje Jeon, Sung-Tae Kim, Suckyoon Lee, Jin Lee, Jung Hae Ko, Se-Young Pyo, Won-Hee Lee, Hangwoo Lee, Yeong Gyun Jeong","doi":"10.7461/jcen.2025.E2024.06.003","DOIUrl":"10.7461/jcen.2025.E2024.06.003","url":null,"abstract":"Central nervous system (CNS) aspergillosis is a life-threatening infection primarily affecting immunocompromised patients and may lead to severe cerebral infarction through vascular invasion. However, there is limited data on the treatment options for aspergillosis-induced cerebral infarction especially surgical treatments such as superficial temporal artery (STA)-middle cerebral artery (MCA) bypass surgery. Herein, we present a case of cerebral infarction in a 59-year-old male with progressive right eye ptosis. Specifically, he had ipsilateral MCA stenosis originating from paranasal sinusitis due to invasive aspergillosis. After 3 months, the patient was readmitted due to worsening cerebral infarction and complete internal carotid artery (ICA) occlusion. Conservative treatment failed to improve cerebral perfusion, leading to gradual neurological decline. Consequently, STA-MCA bypass was performed to stabilise the patient. Postoperative imaging revealed a patent bypass graft and an enhanced cerebral perfusion. Although the patient experienced persistent left-sided hemiparesis, his overall neurological condition remained stable for 1 year, with a Glasgow Coma Scale score of 15. STA-MCA bypass should be considered a potential treatment option for patients with aspergillosis-induced vasculitis resulting in cerebral infarction secondary to total ICA occlusion.","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":"261-270"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488328/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143805143","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}

引用次数: 0

Endovascular management of dural arteriovenous fistulae of the anterior condylar confluence. 前髁汇合处硬脑膜动静脉瘘的血管内治疗。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2025-09-01 Epub Date: 2025-03-24 DOI: 10.7461/jcen.2025.E2024.08.004

David C Lauzier, Arindam R Chatterjee, Joshua W Osbun

{"title":"Endovascular management of dural arteriovenous fistulae of the anterior condylar confluence.","authors":"David C Lauzier, Arindam R Chatterjee, Joshua W Osbun","doi":"10.7461/jcen.2025.E2024.08.004","DOIUrl":"10.7461/jcen.2025.E2024.08.004","url":null,"abstract":"Introduction: Dural arteriovenous fistulae (dAVFs) can lead to subarachnoid hemorrhage and other devastating complications. A rare subtype of dAVFs is those located in the anterior condylar confluence adjacent to the hypoglossal canal. These dAVFs can be difficult to treat, with some electing to utilize endovascular approaches for these lesions. There is a need to further assess the safety and efficacy of this approach.Case description: All patients that underwent endovascular treatment of dAVFs affecting the anterior condylar confluence at our center were included. Pre-treatment factors including anatomy and presentation were recorded, as were follow-up data including angiographic cure and clinical or technical complications. Three patients were included in this study. Presenting symptoms included ocular hyperemia, proptosis, auditory symptoms (whooshing, tinnitus), and Cranial Nerve 6 palsy. Both transarterial and transvenous embolization were employed in select cases, with Onyx HD-500 and coils both used as embolic materials. No clinical or technical complications were reported in these patients, and patients were asymptomatic at final follow-up without recurrence or regrowth of their dAVF.Conclusions: Treatment of dAVFs located in the anterior condylar confluence can be achieved endovascularly using both transarterial and transvenous approaches.","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":"246-251"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488334/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143672124","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}

引用次数: 0

Navigating the unseen: An aneurysm striking neurosurgeon. 在看不见的地方航行一位动脉瘤患者的神经外科医生。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2025-09-01 Epub Date: 2025-03-06 DOI: 10.7461/jcen.2025.E2024.05.005

Inibehe Ime Okon, Imshaal Musharaf, Bipin Chaurasia, Nourou Dine Adeniran Bankole, Stephen Chukwuemeka Igwe, Usoro Udousoro Akpan, Olutayo Toriola, Don Eliseo Lucero-Prisno Iii

引用次数: 0

Meningo-meningeal arteriovenous fistula revealed immediately following middle meningeal artery microparticle embolization: Case report and literature review. 脑膜中动脉微粒栓塞后立即发现脑膜动静脉瘘：1例报告并文献复习。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2025-09-01 Epub Date: 2025-05-21 DOI: 10.7461/jcen.2025.E2024.12.004

John Tsiang, David Babcock, John Engelbert, Andrew Pickles, Brandon Bond, David Pasquale, Joseph Serrone, Anthony Kam

{"title":"Meningo-meningeal arteriovenous fistula revealed immediately following middle meningeal artery microparticle embolization: Case report and literature review.","authors":"John Tsiang, David Babcock, John Engelbert, Andrew Pickles, Brandon Bond, David Pasquale, Joseph Serrone, Anthony Kam","doi":"10.7461/jcen.2025.E2024.12.004","DOIUrl":"10.7461/jcen.2025.E2024.12.004","url":null,"abstract":"We present a case of a meningo-meningeal arteriovenous fistula (MMAVF) discovered immediately following middle meningeal artery (MMA) microparticle embolization for the treatment of an acute subdural hematoma (SDH). An elderly patient presented with an SDH found during stroke workup. MMA embolization was elected due to his need for therapeutic anticoagulation. During the procedure, multiple MMAVFs appeared after microparticle embolization of the distal MMA branches. We aborted further microparticle embolization and performed coil embolization of the MMA trunk with cessation of flow. No clinical complication was noted postoperatively and no post-procedure hemorrhage was seen. Review of literature suggests that this phenomenon may be associated with microparticle embolization. We hypothesize the cause to be vessel rupture due to barotrauma during manual injection via the microcatheter. As MMA embolization becomes more common, this complication may become more recognized.","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":"271-275"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488332/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144113146","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}

引用次数: 0

Navigating severe vascular tortuosity and cervical carotid loop management in stroke thrombectomy: A case report and review of the literature. 脑卒中取栓术中严重血管弯曲及颈动脉环的处理：1例报告及文献回顾。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2025-09-01 Epub Date: 2025-05-02 DOI: 10.7461/jcen.2025.E2024.11.004

Milin Patel, Nanthiya Sujijantarat, Aman B Patel, Adam A Dmytriw, Robert W Regenhardt

{"title":"Navigating severe vascular tortuosity and cervical carotid loop management in stroke thrombectomy: A case report and review of the literature.","authors":"Milin Patel, Nanthiya Sujijantarat, Aman B Patel, Adam A Dmytriw, Robert W Regenhardt","doi":"10.7461/jcen.2025.E2024.11.004","DOIUrl":"10.7461/jcen.2025.E2024.11.004","url":null,"abstract":"Endovascular therapy is the current gold standard treatment for the management of acute ischemic stroke from large vessel occlusion. Despite this, the presence of severe vascular tortuosity and cervical carotid loops can hinder the success of the procedure. We present a case of an 83-year-old female presenting with acute ischemic stroke and extreme tortuosity including common carotid artery and internal carotid artery consecutive loops, as well as a tandem common carotid artery bifurcation thrombus with an M1 segment occlusion. Subsequently, relevant literature is reviewed regarding the technical management of complex thrombectomy cases. The endovascular procedure involved navigating through extreme vascular tortuosity using multiple endovascular tools for optimal reperfusion using delivery devices to facilitate the procedure. Challenges such as vasospasm and straightening of an internal carotid artery loop occurred during the procedure. However, successful thrombectomy was performed using adequate procedural techniques discussed.","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":"252-260"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488336/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144029616","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}

引用次数: 0

Discrepancy in vessel tortuosity measurements of anterior circulation cerebral artery between digital subtraction angiography and magnetic resonance angiography. 数字减影血管造影术和磁共振血管造影术对前循环大脑动脉血管迂曲度测量的差异。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2025-09-01 Epub Date: 2025-03-28 DOI: 10.7461/jcen.2025.E2024.11.005

Jae Ho Kim, Hyeondong Yang, Nak-Hoon Son, Chang Ki Jang, Jae Whan Lee, Kwang-Chun Cho

{"title":"Discrepancy in vessel tortuosity measurements of anterior circulation cerebral artery between digital subtraction angiography and magnetic resonance angiography.","authors":"Jae Ho Kim, Hyeondong Yang, Nak-Hoon Son, Chang Ki Jang, Jae Whan Lee, Kwang-Chun Cho","doi":"10.7461/jcen.2025.E2024.11.005","DOIUrl":"10.7461/jcen.2025.E2024.11.005","url":null,"abstract":"Objective: Tortuosity in blood vessels is a common angiographic feature that plays a crucial role in hemodynamics and is implicated in systemic diseases such as arterial hypertension and diabetes mellitus. Although studies exist on the relationship between vessel tortuosity and intracranial aneurysms, standard imaging modalities and parameters representing vessel tortuosity are controversial. This study compared vessel tortuosity based on angle measurements using magnetic resonance angiography (MRA) and digital subtraction angiography (DSA).Methods: A retrospective analysis of 85 patients with 63 males (75.3%) with unruptured anterior circulation aneurysms between December 2021 and December 2022 was conducted using MRA and DSA. The vessel angles of several segments in the carotid siphon, internal carotid artery bifurcation, and the inflow angles to intracranial aneurysms were measured to evaluate the discrepancy between MRA and DSA.Results: No significant difference was observed in vessel and inflow angles between MRA and DSA, except the internal carotid artery-middle cerebral artery (ICA-MCA) angle, which shows a significant difference (MRA; 50.26˚ (interquartile range (IQR), 33.49-70.57), DSA; 50.75˚ (IQR, 34.91-62.24), p-value=0.035). Conclusions: We found a discrepancy between MRA and DSA in measuring the ICA-MCA angle. Further studies are required to address observed discrepancies between imaging modalities and improve the accuracy of hemodynamic analysis in clinical settings.","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":"212-218"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488333/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733760","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}

引用次数: 0