Journal of cerebrovascular and endovascular neurosurgery最新文献_第2页

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 : 2025-03-06 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

Cervical vertebral-venous fistula with neurofibromatosis presenting as myelopathy: A case report and literature review. 颈椎静脉瘘合并神经纤维瘤病表现为脊髓病：1例报告并文献复习。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2025-03-06 DOI: 10.7461/jcen.2025.E2024.08.002

Ina Bahl, Rashim Kataria, Trilochan Srivastava, Devendra Purohit, Manmohan Singh

引用次数: 0

Radial artery access with a sheathless 0.087" inner diameter balloon guide catheter (Walrus) for neurointerventional procedures: Technique and clinical outcomes. 使用无鞘 0.087" 内径球囊导引导管 (Walrus) 进入桡动脉进行神经介入手术：技术和临床结果。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2025-03-01 Epub Date: 2024-09-23 DOI: 10.7461/jcen.2024.E2024.05.003

Simon Levinson, Arjun Pendharkar, Andrew Gauden, Benjamin Pulli

{"title":"Radial artery access with a sheathless 0.087\" inner diameter balloon guide catheter (Walrus) for neurointerventional procedures: Technique and clinical outcomes.","authors":"Simon Levinson, Arjun Pendharkar, Andrew Gauden, Benjamin Pulli","doi":"10.7461/jcen.2024.E2024.05.003","DOIUrl":"10.7461/jcen.2024.E2024.05.003","url":null,"abstract":"Intro: There is a growing preference among neurointerventionalists for transradial access (TRA) over transfemoral access (TFA) due to improved patient satisfaction, recovery time and reduced access site complication, but using balloon guide catheters (BGCs) in the radial artery remains a challenge. We report our experience in successfully using the 0.087\" inner diameter Walrus BGC without a sheath via the radial artery for non-emergent neurointerventions.Objective: Describe the technique for safely accessing the radial artery using the sheathless Walrus balloon guide catheter.Methods: A retrospective chart review of thirteen consecutive patients who underwent intervention with radial artery access with a sheathless Walrus BGC was performed.Results: All twelve procedures were performed successfully with no instances of conversion from TRA to TFA. There were no significant procedural or access site complications. The mean radial diameter was 2.51 mm.Conclusions: The Walrus 0.087\" ID BGC is an effective tool that can safely be used via the radial artery using a sheathless approach, which helps to maximize the size of the catheter that can be used. This is the first instance of our knowledge of this technique being utilized for neurointerventions and therefore could be used to expand the indications for TRA for a wider range of procedures.","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":"71-79"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11984273/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142304926","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

Multi-modal management of aggressive vertebral hemangioma: A single center experience. 侵袭性椎体血管瘤的多模式管理：单一中心经验。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2025-03-01 Epub Date: 2025-03-13 DOI: 10.7461/jcen.2025.E2024.12.003

Mohamed Farouk, Mohamed Ali Kassem, Ashraf Ezzeldein, Mohamed Mohsen Ameen, Ali Hassan Elmokadem, Mohamed M Elsherbini

{"title":"Multi-modal management of aggressive vertebral hemangioma: A single center experience.","authors":"Mohamed Farouk, Mohamed Ali Kassem, Ashraf Ezzeldein, Mohamed Mohsen Ameen, Ali Hassan Elmokadem, Mohamed M Elsherbini","doi":"10.7461/jcen.2025.E2024.12.003","DOIUrl":"10.7461/jcen.2025.E2024.12.003","url":null,"abstract":"Objective: This study aims at spotlighting different lines of management of aggressive vertebral hemangioma (VH) through a retrospective analysis of single center experience.Methods: Patients diagnosed with aggressive VHs in a tertiary referral center were reviewed from 2014 through 2024. Data of patients who met the inclusion criteria were analyzed. Patients of all ages, both sexes, and all varieties of clinical presentation were included, only patients who underwent at least one intervention were included.Results: The study included nine patients, comprising six females and three males, with a mean age of 29.3 years (ranging from 14 to 46). Six patients underwent Trans-arterial embolization (TAE), of whom five underwent further surgical procedures, while one patient found TAE to be sufficient as a stand-alone management technique. Eight patients underwent surgical management, five of whom were pre-operatively embolized.Conclusions: Aggressive VHs are rare, and their management is challenging. Most cases require a multi-modal management, especially when presented with neurological deficit. Pre-operative embolization and/or vertebroplasty are safe and useful tools to decrease intra-operative bleeding of such a vascular pathology in cases undergoing open surgical procedures.","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":"40-49"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11984272/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617611","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

Microsurgical management of previously embolized intracranial aneurysms: A single center experience and literature review. 曾被栓塞的颅内动脉瘤的显微手术治疗：单个中心的经验和文献综述。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2025-03-01 Epub Date: 2024-12-17 DOI: 10.7461/jcen.2024.E2024.05.004

Vasileios Panagiotopoulos, Ioannis Panagiotis Athinodorou, Kyprianos Kolios, Constantinos Kattou, Andreas Grzeczinski, Andreas Theofanopoulos, Lambros Messinis, Constantine Constantoyannis, Petros Zampakis

{"title":"Microsurgical management of previously embolized intracranial aneurysms: A single center experience and literature review.","authors":"Vasileios Panagiotopoulos, Ioannis Panagiotis Athinodorou, Kyprianos Kolios, Constantinos Kattou, Andreas Grzeczinski, Andreas Theofanopoulos, Lambros Messinis, Constantine Constantoyannis, Petros Zampakis","doi":"10.7461/jcen.2024.E2024.05.004","DOIUrl":"10.7461/jcen.2024.E2024.05.004","url":null,"abstract":"Background: Endovascular treatment of intracranial aneurysms (IAs) provides less invasiveness and lower morbidity than microsurgical clipping, albeit with a long-term recurrence rate estimated at 20%. We present our single-center experience and a literature review concerning surgical clipping of recurrent previously coiled aneurysms.Methods: Retrospective analysis of nine (9) patients' data and final clinical/angiographic outcomes, who underwent surgical clipping of IAs in our center following initial endovascular treatment, over a 12-year period (2010-2022). Regarding the literature review, data were extracted from 48 studies including 969 patients with 976 aneurysms.Results: 9 patients (5 males - 4 females) were included in the study with a mean age of 49 years. Subarachnoid hemorrhage was the initial presentation in 78% of patients. Aneurysms' most common location was the middle cerebral artery bifurcation (5/9) followed by the anterior communicating artery (3/9) and the internal carotid artery bifurcation (1/9). Indications for surgery were coil loosening, coil compaction, sac regrowth, and residual neck. Procedure-related morbidity and mortality were zero whereas complete aneurysm occlusion was achieved after surgical clipping in all cases (100%). All patients had minimal symptoms or were asymptomatic (mRS 0-1) at the final follow-up.Conclusions: Surgical clipping seems a feasible and safe technique for selected cases of recurrent previously coiled intracranial aneurysms. A universally accepted recurrence classification system and a guideline template for the management of such cases are needed.","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":"1-18"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11984270/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142840684","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

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

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

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

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

"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