Journal of cerebrovascular and endovascular neurosurgery最新文献

{"title":"Revascularization surgical options after carotid trauma: Case report from a cerebrovascular blood flow preservation overview.","authors":"Javier Degollado-Garcia, Carlos Fernando Nicolas-Cruz, Diana Marmolejo-Moreno, Jose Orenday-Barraza","doi":"10.7461/jcen.2025.E2025.01.002","DOIUrl":"https://doi.org/10.7461/jcen.2025.E2025.01.002","url":null,"abstract":"<p><p>An 18-year-old male underwent a tracheostomy that was complicated by an iatrogenic left-sided common carotid artery laceration, leading to loss of blood flow and a minor stroke in the anterior and medial territories of the left cerebral circulation. After the lesion was identified, carotid exploration was performed, followed by a vascular reconstruction using a synthetic graft to repair the damaged segment. This manuscript details the microsurgical techniques utilized and discusses the indications for this intervention, with a particular emphasis on stroke prevention.</p>","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328235","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":"Preoperative embolization of brain, head, and neck tumors: Single center experience and literature review.","authors":"Jimmy Achi-Arteaga, José Guillermo Flores-Vazquez, Irving Fuentes-Calvo, Jimena Gonzalez-Salido, Xavier Wong-Achi","doi":"10.7461/jcen.2025.E2024.12.005","DOIUrl":"https://doi.org/10.7461/jcen.2025.E2024.12.005","url":null,"abstract":"<p><strong>Objective: </strong>The management of highly vascularized tumors in the brain, head, and neck regions poses significant challenges. This review aims to provide practical insights into using preoperative embolization to improve surgical outcomes and guide healthcare centers with limited expertise in this technique.</p><p><strong>Methods: </strong>A literature review was conducted using PubMed, Scopus, and Web of Science databases with keywords related to preoperative embolization and highly vascularized tumors, detailing its definition, indications, diagnostic considerations, procedural aspects, clinical and surgical implications, and associated complications. The findings are supported by data from 309 patients with brain, head, and neck tumors treated with preoperative embolization at Hospital Clínica Kennedy in Guayaquil, Ecuador, from 2015 to 2023. Cases without embolization or those below the clavicular border were excluded. Illustrations and photographs, based on the authors' surgical experience, are included with informed consent.</p><p><strong>Results: </strong>Preoperative embolization has proven effective in reducing morbidity, enhancing surgical outcomes, and palliating symptoms in inoperable cases by decreasing tumor size. While complications are rare, they can be minimized with careful planning. Despite its efficacy, the lack of randomized controlled trials due to the rarity of hypervascular tumors limits the ability to establish standardized practices.</p><p><strong>Conclusions: </strong>Preoperative embolization is a valuable tool in managing highly vascularized tumors. However, further research and uniform reporting are essential to optimize outcomes and develop clear guidelines for this critical procedure.</p>","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328234","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":"Management of a scalp arteriovenous malformation in a lower-middle income country: A case report.","authors":"Daouda Wague, Ebrima Kalilu Manneh, Mbaye Thioub, Maguette Mbaye, Aissatou Kébé, Hugues Ghislain Atakla","doi":"10.7461/jcen.2025.E2025.04.002","DOIUrl":"https://doi.org/10.7461/jcen.2025.E2025.04.002","url":null,"abstract":"<p><p>Spontaneous scalp arteriovenous malformations (AVMs) are often present at birth but are usually noticed when they cause aesthetic problems in adulthood. Concerning treatment; there has been a shift towards endovascular treatment alone or in combination with surgical resection. In developing countries, endovascular options might not be readily available. We hereby report a case of a large spontaneous scalp AVM managed successfully via surgical excision only. A 35-year-old man presented with a large pulsating mass located in the occipital region of the scalp. This mass had been present from birth and had been growing over the years. Computed tomography (CT) scan and CT-angiography showed an occipital, contrast-enhancing mass, mostly lateralized to the right and fed by the right occipital artery. The patient did not benefit from digital subtraction angiography or pre-operative embolization. An indication for surgical excision was made. The first step was geared at controlling hemorrhage which was only partially effective due to another feeder that was missed on the CT-angiography. The second step involved dissecting and de-vascularizing the lesion. Complete excision of the AVM was achieved along with excision of the adjacent galea. Management of large scalp AVMs is possible even in resource strained environments. Knowledge of the behavior of feeders regarding lateral or midline disease, coupled with meticulous interpretation of available imaging, is essential in planning surgery. Intra- operative bleeding can be controlled by early temporary clipping or ligation of the main feeders and then one can proceed with the surgical resection.</p>","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259710","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":"Successful treatment of rapid onset Foix-Alajouanine syndrome following hyperselective endovascular embolization of thoracic dural arteriovenous fistula: Case report, technical note and literature review.","authors":"Pablo Martínez, José Alfredo González Soto, Luis A Rodríguez Hernández, Mallyolo E Pelayo-Salazar, Iván A Rodríguez-Hernández, Michel G Mondragón-Soto, Jorge Balderrama-Bañares, Héctor A Montenegro-Rosales","doi":"10.7461/jcen.2024.E2024.04.007","DOIUrl":"10.7461/jcen.2024.E2024.04.007","url":null,"abstract":"<p><p>Foix-Alajouanine syndrome is an extremely rare yet important differential diagnosis for subacute lower limb weakness in middle-aged to elderly adults. Current understanding of the pathophysiology of this disease, along with recent publications on successful endovascular interventions, has shifted the perspective and clinical approach for its management. Nonetheless, neurosurgical pathways for clinical treatment are still preferred over endovascular embolization. Here, we present the case of a 63-year-old male who developed a rapidly progressing thoracic medullary syndrome over a 6-month period, compromising motor function, sphincter control, and sensory function in the lower extremities. The patient was diagnosed with venous congestive myelopathy secondary to a dural arteriovenous fistula and underwent endovascular embolization using hyper-selective catheterization. Over an 8-month period, the patient experienced successful recovery of both motor and sensory functions. This case supports the use of minimally invasive techniques for the treatment of dural arteriovenous fistulae with spinal involvement.</p>","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":"146-151"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143367111","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":"Endovascular flow diversion treatment of spontaneous craniocervical junction vertebral artery dural fistula and literature review.","authors":"Megan Finneran, Ajeet Gordhan","doi":"10.7461/jcen.2025.E2024.10.001","DOIUrl":"10.7461/jcen.2025.E2024.10.001","url":null,"abstract":"<p><p>Vertebral artery dural arteriovenous fistulae (VADAVF) are a rare entity. We present a patient who experienced pre-syncopal symptoms and was found to have a VADAVF between the posterior meningeal artery and a cortical vein draining into the sigmoid sinus. The patient initially underwent surgical intervention, which failed to obliterate the shunt. Endovascular treatment with use of a flow diverter provided definitive disconnection of the shunt.</p>","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":"165-170"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694903","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":"Cervical vertebral-venous fistula with neurofibromatosis presenting as myelopathy: A case report and literature review.","authors":"Ina Bahl, Rashim Kataria, Trilochan Srivastava, Devendra Purohit, Manmohan Singh","doi":"10.7461/jcen.2025.E2024.08.002","DOIUrl":"10.7461/jcen.2025.E2024.08.002","url":null,"abstract":"<p><p>Vertebral-venous fistula (VVF) is a rare vascular disorder characterized by an atypical, direct, high-flow shunt between an extracranial vertebral artery and its adjoining vein. While it can originate spontaneously in association with conditions affecting the vascular wall, trauma is also a recognized etiological factor. We report a case of a 64-year-old gentleman with multiple neurofibromas who presented with a cervical VVF leading to cervical myelopathy, successfully managed with endovascular coiling. The condition's rarity and the complex vascular anatomy involved have hindered the development of standardized management guidelines. Our experience aligns with literature indicating that endovascular treatment can be a safe and effective approach for VVF.</p>","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":"152-158"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143560488","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":"An uncommon cause of stroke: Common carotid artery web.","authors":"Igor Pagiola, Henrique Castro Rocha de Aquino Santos, Mario Caitano, Diane Moutinho, Paula Zago, Leonardo Abaurre, Pedro Pianca, Derval Pimentel, Rubia Sfalsini, José Antonio Fiorot, Leandro Barbosa","doi":"10.7461/jcen.2025.E2023.01.001","DOIUrl":"10.7461/jcen.2025.E2023.01.001","url":null,"abstract":"<p><p>The carotid web (CW), an intimal variant of fibromuscular dysplasia (FMD), is recognized as a cause of stroke and with a high-risk of stroke recurrence. Other names are carotid-bulb atypical FMD, carotid (bulb) diaphragms and it is described like a shelf of tissue from the posterior wall of the carotid bulb. Here we present a case of a young patient with recurrent stroke, with no other risk factors that was diagnosed with a common CW.</p>","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":"159-164"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694888","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":"Reducing complications in duraplasty with autologous dural graft material: A meta-analysis.","authors":"Ahmad Fadhil Maulana, Pandji Winata Nurikhwan, Ardik Lahdimawan, Ilma Fi Ahsani, Muhammad Rasyid Ridho Lahdimawan, Aldiya Jamila","doi":"10.7461/jcen.2025.E2023.12.004","DOIUrl":"10.7461/jcen.2025.E2023.12.004","url":null,"abstract":"<p><strong>Objective: </strong>This review aims to perform qualitative and quantitative analysis to determine which dural graft materials are preferable for neurosurgical patients.</p><p><strong>Methods: </strong>A literature search using the PubMed database was conducted to collect relevant articles that compared complications associated with autologous and non-autologous dural grafts. The extracted data included graft type and related complications. Screening of all studies was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Statistical tests were conducted using Microsoft Excel to compare categorical variables, and data analysis was performed using Review Manager 5.4.1.</p><p><strong>Results: </strong>A total of twelve studies were deemed eligible from 1,646 articles. These studies included 1,877 patients; 965 (51.4%) received autologous grafts and 912 (48.6%) received non-autologous grafts. Pooled data from autologous grafts showed significant reductions in meningitis (OR=0.31; 95% CI 0.17-0.54), pseudomeningocele (OR=0.50; 95% CI 0.32-0.79), and wound infection rates (OR=0.34; 95% CI 0.14-0.80) compared to the non-autologous group. There were no significant differences in cerebrospinal fluid (CSF) leakage, hydrocephalus, or revision surgery rates.</p><p><strong>Conclusions: </strong>Autologous dural grafts are more effective compared to non-autologous grafts in reducing the incidence of meningitis, pseudomeningocele, and wound infections following duraplasty. However, the risks of CSF leakage, hydrocephalus, and revision surgery are similar for both graft types.</p>","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":"103-117"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588746","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":"Rescue angioplasty and stenting in refractory acute vertebrobasilar occlusion after mechanical thrombectomy: A single center experience.","authors":"Sejin Choi, Chul-Hoo Kang, Joong Goo Kim, Jeong Jin Park, Jin Pyeong Jeon, Banzrai Chimeglkham, Jin-Deok Joo, Jong-Kook Rhim","doi":"10.7461/jcen.2025.E2024.11.003","DOIUrl":"10.7461/jcen.2025.E2024.11.003","url":null,"abstract":"<p><strong>Objective: </strong>Acute vertebrobasilar occlusion can led to a fatal outcome, but lack of established procedures poses many difficulties in its management. Although mechanical thrombectomy (MT) has shown positive outcomes recently, high reocclusion rate remains a hurdle. This study is to share experience and to review technical challenges of rescue angioplasty and/or stenting (RAS) for refractory occlusions after MT in posterior circulation ischemic stroke (PCIS).</p><p><strong>Methods: </strong>Out of 494 patients with acute ischemic stroke from January 2014 to December 2022 in a Hospital, PCIS was identified in 50 patients. 2 extracranial vertebral artery occlusion patients were excluded. For 48 patients, MT was applied as the primary treatment. RAS was done for reocclusion after MT in 15 patients. We evaluated patient characteristics and clinical course, emphasizing the technical aspects of treatment.</p><p><strong>Results: </strong>Compared to those without rescue procedures, RAS group had a higher percentage of large artery atherosclerosis as an etiology (p<0.001), long segment occlusions (p=0.03), and was more likely to involve posterior inferior cerebellar artery (p=0.007). There was no difference in functional outcome at 6 months between these two groups. Reopening could not achieve (N=2, 13.3%) and procedural complication rate (iatrogenic rupture) is 6.7% in RAS group. Rescue procedures were complicated with dissection, plaque rupture and migration, device damage, and misplacement of the balloon/stent. Avoiding these traps, finding true lumen, and reconstructing the flow by connecting the proximal and distal normal were the keys to the successful RAS.</p><p><strong>Conclusions: </strong>RAS could be inevitable during endovascular treatment for PCIS and being aware of possible events and technical strategies would navigate interventionists to successful recanalization and the better outcomes.</p>","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":"129-138"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733763","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":"The relationship between inflammatory markers and prognosis in patients with ruptured aneurysms treated by endovascular intervention.","authors":"Necati Ucler, Sedat Yasin","doi":"10.7461/jcen.2025.E2024.12.002","DOIUrl":"10.7461/jcen.2025.E2024.12.002","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the prognosis of patients with subarachnoid hemorrhage after anterior communicating artery (Acom) artery aneurysm rupture who underwent endovascular treatment according to inflammatory markers.</p><p><strong>Methods: </strong>A retrospective assessment of medical data revealed 223 consecutive patients who received endovascular Acom artery aneurysmal subarachnoid hemorrhage (SAH) therapy. The study comprised 80 patients, excluding those who had microsurgery following endovascular treatment, those who had diagnostic angiography, patients with ruptured aneurysms at other locations, and those who needed extra surgery. The patients' preoperative electronic medical records were used to collect values of white blood cell (WBC), neutrophil, lymphocyte, C-reactive protein (CRP), neutrophil/lymphocyte ratio (NLR), and CRP/lymphocyte ratio (CLR).</p><p><strong>Results: </strong>The study divided patients into two groups based on their modified Rankin Scale (mRS) scores: Group 1 (71.2%) had 57 patients on a scale of 0-2 and Group 2 (28.8%) had 23 patients on a scale of 3-6. Inflammatory markers such as WBC, neutrophils, lymphocytes, CRP, NLR, and CLR levels were higher in Group 2 than in Group 1.</p><p><strong>Conclusions: </strong>Our study evaluated the impact of inflammatory markers (WBC, neutrophils, lymphocytes, CRP, NLR, and CLR) on the prognosis of patients with intracerebral aneurysmal hemorrhage treated endovascularly. Our results indicated that these parameters aligned in their ability to predict the severity of the neurological condition.</p>","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":"139-145"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143805146","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}