Journal of cerebrovascular and endovascular neurosurgery最新文献_第4页

ALARA principles in practice: reduced frame and pulse rates for middle meningeal artery embolization. ALARA 原则在实践中的应用：降低脑膜中动脉栓塞的帧率和脉搏率。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2024-09-01 Epub Date: 2024-08-05 DOI: 10.7461/jcen.2024.E2024.02.003

Arvin R Wali, Ryan W Sindewald, Michael G Brandel, Sarath Pathuri, Brian R Hirshman, Javier A Bravo, Jeffrey A Steinberg, Jeffrey S Pannell, Alexander Khalessi, David R Santiago-Dieppa

{"title":"ALARA principles in practice: reduced frame and pulse rates for middle meningeal artery embolization.","authors":"Arvin R Wali, Ryan W Sindewald, Michael G Brandel, Sarath Pathuri, Brian R Hirshman, Javier A Bravo, Jeffrey A Steinberg, Jeffrey S Pannell, Alexander Khalessi, David R Santiago-Dieppa","doi":"10.7461/jcen.2024.E2024.02.003","DOIUrl":"10.7461/jcen.2024.E2024.02.003","url":null,"abstract":"Objective: As the prevalence of neuroendovascular interventions increases, it is critical to mitigate unnecessary radiation for patients, providers, and health care staff. Our group previously demonstrated reduced radiation dose and exposure during diagnostic angiography by reducing the default pulse and frame rates. We applied the same technique for basic neuroendovascular interventions.Methods: We performed a retrospective review of prospectively acquired data after implementing a quality improvement protocol in which pulse rate and frame rate were reduced from 15 p/s to 7.5 p/s and 7.5 f/s to 4.0 f/s respectively. We studied consecutive, unilateral middle meningeal artery embolizations treated with particles. Total radiation dose, radiation per angiographic run, total radiation exposure, and exposure per run were calculated. Multivariable log-linear regression was performed to account for patient body mass index (BMI), number of angiographic runs, and number of vessels catheterized.Results: A total of 20 consecutive, unilateral middle meningeal artery embolizations were retrospectively analyzed. The radiation reduction protocol was associated with a 39.2% decrease in the total radiation dose and a 37.1% decrease in radiation dose per run. The protocol was associated with a 41.6% decrease in the total radiation exposure and a 39.5% decrease in exposure per run.Conclusions: Radiation reduction protocols can be readily applied to neuroendovascular interventions without increasing overall fluoroscopy time and reduce radiation dose and exposure by 39.2% and 41.6% respectively. We strongly encourage all interventionalists to be cognizant of pulse rate and frame rate when performing routine interventions.","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":"293-297"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11449538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141877019","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

Diffuse CNS cortical vein malformations with chromosome 17q microduplication: Possible link to SEC14L1. 弥漫性中枢神经系统皮质静脉畸形伴有染色体 17q 微重复：可能与 SEC14L1 有关

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2024-09-01 Epub Date: 2023-12-26 DOI: 10.7461/jcen.2023.E2023.07.001

Shiwei Huang, William Dobyns, Corinne Duncan, David Nascene

引用次数: 0

The efficacy of surgical site suction drain insertion in pterional craniotomy for intracranial cerebral aneurysm. 在颅内脑动脉瘤的翼状开颅手术中插入手术部位抽吸引流管的疗效。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2024-09-01 Epub Date: 2024-02-26 DOI: 10.7461/jcen.2024.E2023.08.001

Hong Bum Kim, Jung Cheol Park, Jae Sung Ahn, Seungjoo Lee, Kuhyun Yang, Wonhyoung Park

{"title":"The efficacy of surgical site suction drain insertion in pterional craniotomy for intracranial cerebral aneurysm.","authors":"Hong Bum Kim, Jung Cheol Park, Jae Sung Ahn, Seungjoo Lee, Kuhyun Yang, Wonhyoung Park","doi":"10.7461/jcen.2024.E2023.08.001","DOIUrl":"10.7461/jcen.2024.E2023.08.001","url":null,"abstract":"Objective: We evaluated the role of subgaleal closed suction drains in postoperative epidural hematoma (EDH) and wound complications following pterional craniotomy for cerebral aneurysm.Methods: We reviewed 5,280 pterional craniotomies performed on 5,139 patients between January 2006 and December 2020. A drain was placed subgalealy and tip of drain was positioned between the bone flap and the deep temporalis. 1,637 cases (31%) had a subgaleal suction drain. We analyzed demographic and clinical variables related to EDH requiring evacuation and wound complications in patients with and without drains. Univariate and multivariate logistic regression analyses were performed to determine the associated risk factors.Results: Fourteen cases (0.27%) of EDH requiring evacuation and 30 cases (0.57%) of wound complications were identified. Univariate analysis found that drain insertion, subarachnoid hemorrhage (SAH), and operation time were associated with EDH, while drain insertion, SAH, male gender, older age, and longer operation time were associated with wound complications. Multivariate analysis found no significant association between drain use and EDH (OR=1.62, p=0.402) or wound complications (OR=1.45, p=0.342).Conclusions: Routine use of subgaleal closed suction drains may not be necessary after pterional craniotomy, as drain insertion was not associated with a reduced risk of EDH requiring evacuation or wound complications.","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":"265-273"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11449535/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139934793","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

Primary Angiitis of Central Nervous System related intracranial aneurysm with spontaneous occlusion after immunomodulatory treatment. 原发性中枢神经系统血管炎相关颅内动脉瘤在接受免疫调节治疗后自发闭塞。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2024-09-01 Epub Date: 2024-01-31 DOI: 10.7461/jcen.2024.E2023.04.010

Seby John, Muhammad Khan, Praveen Kesav, Divya Raj, Syed Irteza Hussain

引用次数: 0

Optimizing suction force in mechanical thrombectomy: Priming the aspiration tubing with air versus saline. 优化机械血栓切除术的抽吸力：用空气和生理盐水为抽吸管道填料。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2024-09-01 Epub Date: 2024-02-27 DOI: 10.7461/jcen.2024.E2023.09.003

Arvin R Wali, Ryan W Sindewald, Michael G Brandel, Javier Bravo, Jeffrey A Steinberg, J Scott Pannell, Alexander A Khalessi, David R Santiago-Dieppa

{"title":"Optimizing suction force in mechanical thrombectomy: Priming the aspiration tubing with air versus saline.","authors":"Arvin R Wali, Ryan W Sindewald, Michael G Brandel, Javier Bravo, Jeffrey A Steinberg, J Scott Pannell, Alexander A Khalessi, David R Santiago-Dieppa","doi":"10.7461/jcen.2024.E2023.09.003","DOIUrl":"10.7461/jcen.2024.E2023.09.003","url":null,"abstract":"Objective: We sought to investigate how priming the tube between air versus air mixed with saline ex vivo influenced suction force. We examined how priming the tube influenced peak suction force and time to achieve peak suction force between both modalities.Methods: Using a Dwyer Instruments (Dwyer Instruments Inc., Michigan City, IN, USA), INC Digitial Pressure Gauge, we were able to connect a .072 inch aspiration catheter to a rotating hemostatic valve and to aspiration tubing. We recorded suction force measured in negative inches of Mercury (inHg) over 10 iterations between having the aspiration tube primed with air alone versus air mixed with saline. A test was used to compare results between both modalities.Results: Priming the tube with air alone compared to air mixed with saline was found to have an increased average max suction force (-28.60 versus -28.20 in HG, p<0.01). We also identified a logarithmic curve of suction force across time in which time to maximal suction force was more prompt with air compared with air mixed with saline (13.8 seconds versus 21.60 seconds, p<0.01).Conclusions: Priming the tube with air compared to air mixed with saline suggests that not only is increased maximal suction force achieved, but also the time required to achieve maximal suction force is less. This data suggests against priming the aspiration tubing with saline and suggests that the first pass aspiration primed with air may have the greatest suction force.","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":"260-264"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11449539/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139975155","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

Contributing factors of spontaneous intracerebral hemorrhage development in young adults. 青壮年自发性脑内出血发病的诱因。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2024-09-01 Epub Date: 2024-06-20 DOI: 10.7461/jcen.2024.E2023.11.001

Ju-Sung Jang, Yong-Sook Park

{"title":"Contributing factors of spontaneous intracerebral hemorrhage development in young adults.","authors":"Ju-Sung Jang, Yong-Sook Park","doi":"10.7461/jcen.2024.E2023.11.001","DOIUrl":"10.7461/jcen.2024.E2023.11.001","url":null,"abstract":"Objective: The incidence of spontaneous intracerebral hemorrhage (ICH) in young people is relatively low; however, it leads to devastating lifelong neurologic deficits. We focused on spontaneous ICH occurring in young adults between 30 and 50 years of age.Methods: We retrospectively reviewed the records of 139 patients, aged 30-50 years, diagnosed with spontaneous ICH between 2011 and 2021. Cases of ICH attributable to discernible causative lesions were excluded. Demographic data, laboratory results, image findings, and clinical outcome were analyzed.Results: After exclusions, 73 patients were included in this study. Common characteristics among the study patients included male sex (83.6%), high body mass index (>25 kg/m2, 45.8%), smoking history (47.2%), heavy alcohol consumption (30.6%), previously diagnosed hypertension (41.1%), high serum triglyceride level (>150 mg/dL, 33.3%), and microbleeds or white matter changes observed on magnetic resonance images (51.3%). In the multivariate analysis, previously diagnosed hypertension was the sole significant risk factor for cerebral small vessel (OR 7.769, P=0.031). Age, brain stem location, Glasgow Coma Scale score at admission, and hematoma volume were associated with poor outcomes.Conclusions: Hypertension, obesity, smoking, and cerebral small vessel disease were important factors associated with non-lesional spontaneous intracerebral hemorrhage in young patients. Radiologic changes corresponding to cerebral small vessel disease appeared in young patients (in their 30s) and they were associated with hypertension.","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":"274-283"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11449540/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141428572","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 treatment of intracranial aneurysms: Past and present. 颅内动脉瘤的血管内治疗：过去与现在。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2024-09-01 Epub Date: 2024-01-19 DOI: 10.7461/jcen.2024.E2023.09.005

Dongming Liang

引用次数: 0

Preoperative embolization and en bloc resection of a metastatic pheochromocytoma of the cervical spine. 颈椎转移性嗜铬细胞瘤的术前栓塞和整体切除术。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2024-09-01 Epub Date: 2024-06-20 DOI: 10.7461/jcen.2024.E2023.04.005

Aman Singh, Gabrielle Santangelo, Nathaniel Ellens, Gurkirat Kohli, Robert Pranaat, Matthew T Bender

引用次数: 0

Suction thrombectomy of distal medium vessel occlusion using microcatheter during mechanical thrombectomy for acute ischemic stroke: A case series. 在急性缺血性脑卒中机械血栓清除术中使用微导管对远端中血管闭塞进行抽吸式血栓清除术：病例系列。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2024-09-01 Epub Date: 2024-01-12 DOI: 10.7461/jcen.2024.E2023.11.002

Eun-Oh Jeong, Hyon-Jo Kwon, Heewon Jeong, Han-Joo Lee, Kyung Hwan Kim, Hyeon-Song Koh

引用次数: 0

Isolated ipsilateral abducens nerve palsy and contralateral homonymous hemianopsia associated with unruptured posterior cerebral artery aneurysm: A rare neurological finding. 与未破裂的大脑后动脉瘤相关的孤立的同侧外展神经麻痹和对侧同侧偏盲：罕见的神经系统发现。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2024-09-01 Epub Date: 2024-01-22 DOI: 10.7461/jcen.2024.E2023.07.002

Sandeep Mishra, Saurav Mishra, Sabina Regmi, Kanwaljeet Garg, Shailesh Gaikwad

引用次数: 0