Journal of cerebrovascular and endovascular neurosurgery最新文献_第10页

National trends in surgical treatment and clinical outcomes among patients with aneurysmal subarachnoid hemorrhage in the Republic of Korea. 大韩民国动脉瘤性蛛网膜下腔出血患者手术治疗的国家趋势和临床结果

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2025-03-01 Epub Date: 2024-11-29 DOI: 10.7461/jcen.2024.E2024.08.005

Yung Ki Park, Byul-Hee Yoon, Eui-Hyun Hwang, Jae Hoon Kim, Hee In Kang, Yu Deok Won, Jin Whan Cheong

{"title":"National trends in surgical treatment and clinical outcomes among patients with aneurysmal subarachnoid hemorrhage in the Republic of Korea.","authors":"Yung Ki Park, Byul-Hee Yoon, Eui-Hyun Hwang, Jae Hoon Kim, Hee In Kang, Yu Deok Won, Jin Whan Cheong","doi":"10.7461/jcen.2024.E2024.08.005","DOIUrl":"10.7461/jcen.2024.E2024.08.005","url":null,"abstract":"Objective: In this study, changes in treatment methods and patient prognosis were analyzed using a Korean nationwide medical insurance information database.Methods: Patients with subarachnoid hemorrhage who received surgical treatment for cerebral aneurysm from 2005 to 2020 were included. The specific surgery type was classified using the surgical code and according to whether stents were used. Yearly trends in mortality rates and poor prognosis, using tracheostomy as proxy, were analyzed by a simple regression analysis. A multistep logistic regression analysis was performed to evaluate the risk factors of mortality and poor prognosis.Results: Overall, 83,587 patients were included. Females were predominant (64.5%). Microsurgical clip usage rate decreased by approximately two-thirds from 78.8% in 2005 to 24.4% in 2020. Contrarily, endovascular treatment proportion gradually increased, and stent-assisted coil embolization rate surpassed microsurgical clip usage rate in 2020 (24.6% vs. 24.4%). In the multivariate analysis, endovascular treatment correlated positively with 3-month mortality (hazard ratio [HR]: 1.13, 95% confidence interval [CI]: 1.07-1.19, P<0.0001), although correlated negatively with poor prognosis (tracheostomy) (HR: 0.93, 95% CI: 0.89-0.98, P=0.0050).Conclusions: According to the treatment trend analysis, during the 16 years studied, for patients with subarachnoid hemorrhage due to ruptured cerebral aneurysm, the endovascular treatment rate increased rapidly and stent-assisted coil embolization rate surpassed that of microsurgical clip ligation. Diversification of treatment methods has led to a decrease in mortality and improved prognosis.","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":"19-32"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11984271/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142752685","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

Ruptured aneurysm of the medial posterior choroidal artery in the pineal region: A rare location easily missed. 松果体区内侧后脉络膜动脉破裂动脉瘤：一个罕见的容易被遗漏的位置。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2025-03-01 Epub Date: 2025-03-04 DOI: 10.7461/jcen.2025.E2024.09.007

Samuel Hall, Difei Wang, Vishnu Suresh, Nicholas Borg, Diederik Bulters

引用次数: 0

ERRATUM: Imaging follow-up strategy after endovascular treatment of intracranial aneurysms: A literature review and guideline recommendations. 勘误：颅内动脉瘤血管内治疗后的影像学随访策略：文献综述和指南建议。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2025-03-01 Epub Date: 2025-03-28 DOI: 10.7461/jcen.2024.E2023.08.008.E

Yong-Hwan Cho, Jaehyung Choi, Chae-Wook Huh, Chang Hyeun Kim, Chul Hoon Chang, Soon Chan Kwon, Young Woo Kim, Seung Hun Sheen, Sukh Que Park, Jun Kyeung Ko, Sung-Kon Ha, Hae Woong Jeong, Hyen Seung Kang

引用次数: 0

"Picket fence" an alternative clipping technique for wide necked and large aneurysms: technical nuances in a case series. 宽颈巨大动脉瘤的另一种剪切技术 "篱笆墙"：系列病例中的技术细节。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2025-03-01 Epub Date: 2024-11-08 DOI: 10.7461/jcen.2024.E2023.11.003

Gustavo Parra-Romero, Yair Ugalde-Hernández, Rabindranath García-López

{"title":"\"Picket fence\" an alternative clipping technique for wide necked and large aneurysms: technical nuances in a case series.","authors":"Gustavo Parra-Romero, Yair Ugalde-Hernández, Rabindranath García-López","doi":"10.7461/jcen.2024.E2023.11.003","DOIUrl":"10.7461/jcen.2024.E2023.11.003","url":null,"abstract":"Complex aneurysms are a therapeutic challenge in contemporary neurosurgery. Several microsurgical and endovascular techniques have been proposed for their treatment. The picket fence clipping technique uses fenestrated clips, that are stacked not to reconstruct the neck of the aneurysm, but to create a duct to normalize the cerebral flow by reconstructing the dome. We present four illustrative cases using the picket fence clipping technique. The aneurysms considered were of different locations (ICA, MCA, AComA), of large or giant size with wide necks, in which clipping attempt with a conventional technique was not possible, so that the use of non-conventional clipping techniques had to be applied with favorable results. In our experience we found this technique useful in large and giant, wide-necked aneurysms by reconstructing the parent vessel according to the concept of the ideal closure line in these previously unreported locations, thereby restoring normal cerebral circulation. The use of non-conventional techniques for clipping complex aneurysms can be used alone or in combination for adequate treatment, preserving cerebral circulation without compromising adequate exclusion of the aneurysm. The Picket fence technique is a feasible clipping technique that can be used as a less morbid option in large and giant aneurysms with wide necks.","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":"50-59"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11984261/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592088","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

Traumatic middle meningeal artery pseudoaneurysm: Case report and review of literature. 外伤性脑膜中动脉假性动脉瘤1例报告及文献复习。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2025-03-01 Epub Date: 2025-01-15 DOI: 10.7461/jcen.2024.E2024.04.004

Nadeem Mohammed, Harsh Deora, Abhinith Shashidhar, Malla Bhaskara Rao

{"title":"Traumatic middle meningeal artery pseudoaneurysm: Case report and review of literature.","authors":"Nadeem Mohammed, Harsh Deora, Abhinith Shashidhar, Malla Bhaskara Rao","doi":"10.7461/jcen.2024.E2024.04.004","DOIUrl":"10.7461/jcen.2024.E2024.04.004","url":null,"abstract":"Traumatic aneurysms represent less than 1 percent of intracranial aneurysms and middle meningeal artery pseudoaneurysms are even rare. Traumatic aneurysms are usually pseudoaneurysms formed by the rupture of all the layers of the vessel wall. They are associated with high mortality as they can present as epidural, subdural, and rarely intraparenchymal hematoma. However, only nine cases of traumatic pseudoaneurysms of middle meningeal artery are reported that have presented as an acute intracerebral hematoma. We report a case of ruptured pseudo aneurysm of middle meningeal artery presenting with intraparenchymal hematoma in which hematoma evacuation and aneurysm excision was done immediately. The patient recovered well in the post-operative period. In addition, we reviewed all cases of middle meningeal artery pseudoaneurysms reported in the literature either as extradural hematomas, subdural/intraparenchymal hematomas, or subarachnoid hemorrhages. However, identifying the location of the aneurysm intraoperatively may be challenging as the hematoma may obscure the same. Distance from the sphenoid ridge may serve as a good intraoperative guide. Intraoperative localization along with surgical evacuation if done immediately can lead to gratifying results.","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":"60-65"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11984266/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985680","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

Comparison of Woven EndoBridge and stent-assisted coiling for treatment of acutely ruptured wide-neck bifurcation aneurysms: Single-center experience. 编织内桥与支架辅助盘绕治疗急性破裂宽颈分叉动脉瘤的比较：单中心经验。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2025-03-01 Epub Date: 2025-01-24 DOI: 10.7461/jcen.2024.E2024.11.002

Hossein Ghanaati, Aryoobarzan Rahmatian, Amir Torkaman, Mohammad Dashtkoohi, Mohammad Amin Dabbagh Ohadi

{"title":"Comparison of Woven EndoBridge and stent-assisted coiling for treatment of acutely ruptured wide-neck bifurcation aneurysms: Single-center experience.","authors":"Hossein Ghanaati, Aryoobarzan Rahmatian, Amir Torkaman, Mohammad Dashtkoohi, Mohammad Amin Dabbagh Ohadi","doi":"10.7461/jcen.2024.E2024.11.002","DOIUrl":"10.7461/jcen.2024.E2024.11.002","url":null,"abstract":"Objective: Treating wide-necked bifurcation aneurysms (WNBA) is challenging. Nevertheless, recent progress in endovascular techniques is promising. Woven EndoBridge devices (WEB) have exhibited outcomes comparable to conventional treatments like stent-assisted coiling (SAC) in treating aneurysms. However, their safety and efficacy in managing acutely ruptured aneurysms remain a topic of interest. This study focuses on this issue.Methods: We searched our database from 2020 to 2023 and found 38 patients with acutely (< a week) ruptured WNBA. We extracted radiologic and clinical data from the available medical reports. Favorable functional and radiologic outcomes were assessed using the modified Rankin scale (mRS) and modified Raymond-Roy occlusion classification (MRRC).Results: Our study population comprised 15 aneurysms treated with WEB and 25 treated with SAC. Operational time was significantly lower in the WEB compared to the SAC group (39.3 vs 66.2 minutes, p value: < 0.001). Immediate (p value=0.64) and the 18th-month (p value=0.42) occlusion rates were comparable between the two groups. Favorable mRS scores in the 3rd month were seen in 100% of SAC patients and 93.3% of WEB patients (p value=0.79). Retreatment (p value=1.0) and complication (p value=0.39) rates were comparable. Vasospasms after the procedure were the most common complication.Conclusions: WEB demonstrated comparable safety and efficacy to SAC in patients with acutely ruptured WNBA. Notably, WEB had a shorter procedure duration. Additional studies with extended follow-up periods are necessary for comprehensive evaluation.","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":"33-39"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11984267/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143026226","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

Novel use of a stent retriever as a distal filler protection device for prevention of secondary embolization. 将支架回缩器作为远端填充保护装置用于防止二次栓塞的新方法。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2024-12-01 Epub Date: 2024-08-05 DOI: 10.7461/jcen.2024.E2023.08.006

Shohei Iijima, Yukihiro Imaoka, Satoshi Iihoshi, Shinya Kohyama

{"title":"Novel use of a stent retriever as a distal filler protection device for prevention of secondary embolization.","authors":"Shohei Iijima, Yukihiro Imaoka, Satoshi Iihoshi, Shinya Kohyama","doi":"10.7461/jcen.2024.E2023.08.006","DOIUrl":"10.7461/jcen.2024.E2023.08.006","url":null,"abstract":"Distal embolus due to mechanical thrombectomy is a frequent complication and directly results in a poor prognosis. Therefore, it is important to decrease distal embolus as much as possible in mechanical thrombectomy. EmboTrap III may be useful as a filter to prevent distal embolus in patients with a large volume of thrombus. Here, we report the results of one suggestive case and we also provide experimental data from a vessel model. The patient was a 78-year-old female who was admitted to hospital as an emergency case with chief complaints including dysarthria and left hemiplegia, including facial paralysis. She was diagnosed as large vessel occlusion-acute ischemic stroke with right tandem lesions by workup and underwent mechanical thrombectomy. A large volume of secondary thrombus due to flow stasis was assumed based around the occlusion site, and worsening of neurological symptoms was a concern due to distal embolus caused by recanalization of the cervical internal carotid artery. The SEIMLESS technique was performed under distal protection using EmboTrap III. There was no distal embolus or deterioration of neurological symptoms, and a good prognosis was achieved. This outcome suggests that PTA under distal protection using EmboTrap III may be useful for prevention of distal embolus.","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":"418-423"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11695495/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141877021","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

Deconstructive repair of a direct carotid-cavernous fistula via a posterior circulation retrograde approach. 通过后循环逆行入路对颈动脉-颈静脉直接瘘进行解构修复。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2024-12-01 Epub Date: 2024-03-25 DOI: 10.7461/jcen.2024.E2023.05.001

Jonathan R Crowe, Robert W Regenhardt, Adam A Dmytriw, Justin E Vranic, Christopher J Stapleton, Aman B Patel

{"title":"Deconstructive repair of a direct carotid-cavernous fistula via a posterior circulation retrograde approach.","authors":"Jonathan R Crowe, Robert W Regenhardt, Adam A Dmytriw, Justin E Vranic, Christopher J Stapleton, Aman B Patel","doi":"10.7461/jcen.2024.E2023.05.001","DOIUrl":"10.7461/jcen.2024.E2023.05.001","url":null,"abstract":"We report a case of a 24-year-old patient who presented after a head trauma with a traumatic occlusion of his left internal carotid artery. He underwent diagnostic cerebral angiogram and was found to have a direct left carotid-cavernous fistula (CCF) with retrograde filling from the posterior circulation across the posterior communicating artery. Because of the severe injury to the left internal carotid artery (ICA), reconstructive repair of the ICA was not possible. The patient underwent deconstructive repair of the CCF by coil embolization using a posterior retrograde approach. Coils were successfully placed in the cavernous sinus and back into the left ICA with complete cure of the CCF and restoration of cerebral perfusion distal to the treated CCF. We review the types of CCFs, their clinical presentation, and their endovascular treatments. Retrograde access of a direct CCF is rarely reported in the literature, and we believe this approach offers a viable alternative in appropriately selected patients.","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":"394-398"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11695501/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140208722","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

Convexity dural arteriovenous fistula with Sylvian-Labbé collateral pattern: A case report. 凸面硬脑膜动静脉瘘伴有西尔维-拉贝侧支模式：病例报告。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2024-12-01 Epub Date: 2024-08-05 DOI: 10.7461/jcen.2024.E2024.05.001

Phyo Wint Shwe Yee, Tatebayashi Kotaro, Uchida Kazutaka, Yoshimura Shinichi

{"title":"Convexity dural arteriovenous fistula with Sylvian-Labbé collateral pattern: A case report.","authors":"Phyo Wint Shwe Yee, Tatebayashi Kotaro, Uchida Kazutaka, Yoshimura Shinichi","doi":"10.7461/jcen.2024.E2024.05.001","DOIUrl":"10.7461/jcen.2024.E2024.05.001","url":null,"abstract":"Convexity dural arteriovenous fistula (dAVF) is associated with high-grade dAVF and is usually presented with aggressive clinical presentation. Precise diagnosis and understanding the pathogenesis are important to achieving successful treatment without complications. We report a case of dAVF with Sylvian-Labbé collateral pattern, concerning embryological development that was thought to be involved in the vascular architecture and pathogenesis of dural AVF. Thus, a 60-year-old man was presented with sudden onset of seizure with no history of trauma. Magnetic Resonance Imaging (MRI) showed cortical hemorrhage in the left precentral gyrus. Digital subtraction angiography (DSA) showed the convexity dural arteriovenous fistula (dAVF) involving a vein that appeared to be the vein of Labbé, the drainer was anastomosed with superior middle cerebral vein (SMCV) and formed the varix. With the successful treatment with trans-arterial embolization (TAE), obliteration of dAVF was achieved with no neurological deficits. This case highlights convexity dAVF with the complex relationship between embryological development and the arcade of venous drainage route, wherein the anomaly might be acquired and caused by elevated venous pressure in a vein that appeared to be the vein of Labbé. Gaining knowledge of the embryological basis may aid in a deeper understanding of acquired pathologies.","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":"405-411"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11695496/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141877020","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

Use of a new low-profile coronary stent graft for the treatment of intracranial carotid blow-out. 使用新型低位冠状动脉支架移植物治疗颅内颈动脉爆裂。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2024-12-01 Epub Date: 2024-05-31 DOI: 10.7461/jcen.2024.E2023.11.007

Halil Ibrahim Altunbulak, Ahmet Yasir Altunbulak, Sinan Balci, Mustafa Berker, Anil Arat

引用次数: 0