Journal of cerebrovascular and endovascular neurosurgery最新文献_第6页

Morphological characteristics, size, location of ruptured intracranial aneurysms & endovascular treatment in a tertiary teaching hospital of central India: A retrospective study. 印度中部某三级教学医院颅内动脉瘤破裂的形态特征、大小、位置及血管内治疗回顾性研究。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2026-03-01 Epub Date: 2026-01-26 DOI: 10.7461/jcen.2026.E2025.07.002

Nishant Bhargava, Jayesh Dholakiya, Partisha Gupta

{"title":"Morphological characteristics, size, location of ruptured intracranial aneurysms & endovascular treatment in a tertiary teaching hospital of central India: A retrospective study.","authors":"Nishant Bhargava, Jayesh Dholakiya, Partisha Gupta","doi":"10.7461/jcen.2026.E2025.07.002","DOIUrl":"10.7461/jcen.2026.E2025.07.002","url":null,"abstract":"Objective: This study aims to analyze the angiographic features, demographic factors, and outcomes of endovascular treatment for ruptured intracranial aneurysms (IAs) in Central India.Methods: This retrospective observational study was conducted in the Department of Interventional Radiology at a tertiary care hospital in Central India. It included 102 patients diagnosed with subarachnoid haemorrhage due to ruptured IAs between December 2021 and November 2024. Demographic data, comorbidities, angiographic features (size, location, morphology, and multiplicity), and clinical severity were analyzed. Patients underwent endovascular treatments such as unassisted coiling, stent-assisted coiling, and other techniques. Functional outcomes were evaluated using the Modified Rankin Scale (mRS).Results: Females (62.8%) were more affected than males, with a peak incidence in the 51-60 years age group. Hypertension (44.1%) was the most common comorbidity. Most aneurysms (88.4%) were located in the anterior circulation, with the anterior communicating artery (27.7%) being the most common site. Small (<5 mm) and saccular aneurysms (96.4%) predominated. Unassisted coiling was the most performed procedure (68.6%). At admission, 83.3% of patients had poor functional outcomes (mRS 3-6), but 68.6% achieved good outcomes (mRS 0-2) by discharge.Conclusions: Ruptured IAs in Central India predominantly affect females and involve the anterior circulation. Endovascular treatment significantly improves functional outcomes by reducing the re-rupture risk of an aneurysm, underscoring its effectiveness in managing this high-risk condition.","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13053129/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146047581","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

A case of hypoplasia of internal carotid artery and intracranial vasculopathy with Moyamoya syndrome in association with Alagille syndrome. 颈内动脉发育不全及颅内血管病变伴烟雾综合征合并Alagille综合征1例。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2026-03-01 Epub Date: 2025-10-30 DOI: 10.7461/jcen.2025.E2025.02.004

Nihas Mateti, Romil Singh, Hassan Abdullah Shakeel, Jason Gandhi, Russell Cerejo

{"title":"A case of hypoplasia of internal carotid artery and intracranial vasculopathy with Moyamoya syndrome in association with Alagille syndrome.","authors":"Nihas Mateti, Romil Singh, Hassan Abdullah Shakeel, Jason Gandhi, Russell Cerejo","doi":"10.7461/jcen.2025.E2025.02.004","DOIUrl":"10.7461/jcen.2025.E2025.02.004","url":null,"abstract":"Alagille syndrome (ALGS), also known as arteriohepatic dysplasia, is a rare multisystem vascular disorder affecting brain, liver, heart, ophthalmic and skeletal systems. Moyamoya syndrome is a rare arteriopathy due to an underlying cause that can lead to ischemic and hemorrhagic strokes. Here, we report a rare case of ALGS in a patient with congenital narrowing of bilateral internal carotid arteries (ICA) with superimposed intracranial arteriopathy and associated moyamoya syndrome. A 34-year-old female presented with progressively worsening intermittent right eye visual blurriness, associated headache, and dizziness. Digital subtraction angiogram findings were consistent with the bilateral intracranial steno-occlusive disease at the ICA terminus with moyamoya collaterals at the skull base; bilateral posterior communicating arteries supplied the bilateral middle cerebral arteries, and the left ophthalmic artery supplied the distal right anterior cerebral artery. Her right-sided vision abnormalities were highly concerning for branch retinal artery occlusion based on fundoscopic exam. She continued antiplatelet therapy and was scheduled for an ophthalmology follow-up as an outpatient. The patient was monitored in outpatient stroke clinic with surveillance scans. Due to patient preference and the absence of further strokes on preventive medications, the initial plan of external carotid artery to ICA bypass was deferred. Early identification of moyamoya syndrome and initiation of secondary stroke preventive therapy in symptomatic patients can reduce the incidence of ischemic strokes. This is an important consideration for patients transitioning from pediatric to adult neurologists, as the latter may not be as familiar with managing this condition.","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":"64-69"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13053132/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145403233","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

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 : 2026-03-01 Epub 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":"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":"57-63"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13053124/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208741","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

An emerging web: A half-century bibliometric analysis of carotid web literature. 一个新兴的网络：半个世纪的颈动脉网络文献计量学分析。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2026-02-11 DOI: 10.7461/jcen.2026.E2025.11.005

Eric A Grin, Camiren Carter, David B Kurland, Austin Chen, Sitara Koneru, Julia R Schneider, Sara K Rostanski, Michela Rosso, Erez Nossek

{"title":"An emerging web: A half-century bibliometric analysis of carotid web literature.","authors":"Eric A Grin, Camiren Carter, David B Kurland, Austin Chen, Sitara Koneru, Julia R Schneider, Sara K Rostanski, Michela Rosso, Erez Nossek","doi":"10.7461/jcen.2026.E2025.11.005","DOIUrl":"https://doi.org/10.7461/jcen.2026.E2025.11.005","url":null,"abstract":"Objective: Carotid webs, first described in 1968, are increasingly recognized as a surgically treatable cause of ischemic stroke, particularly in young patients. Despite growing attention, the literature remains fragmented. We conducted the first advanced bibliometric analysis of carotid web research to map its historical foundations, identify key contributors, and illustrate emerging trends.Methods: The Web of Science database (inception-2025) was queried for carotid web publications. Articles and metadata were analyzed using Bibliometrix (R) and Python libraries. Reference publication year spectroscopy (RPYS) was employed to analyze the field's roots by analyzing citation frequency by publication year.Results: A total of 281 publications from 109 sources and 1,129 authors were identified. Annual publication growth averaged 6.15%, with 90% published after 2016. International collaboration was modest (9-11%), led by the U.S., China, France, and Canada. Shifts in keyword frequency reflected the field's evolution from early nosological uncertainty toward recognition of carotid webs as a distinct, high-risk lesion underlying ischemic stroke. Stroke and Journal of Vascular Surgery emerged as early key sources. Author analysis identified the most prolific contributors, though coauthorship networks remained small. RPYS revealed 19 seminal studies (1968-2021) that shaped the field's progression from early pathology descriptions to recognition of carotid webs as high-risk lesions for stroke.Conclusions: Carotid web research has rapidly expanded, evolving into a multidisciplinary field. RPYS identified 19 seminal publications tracing the intellectual trajectory of the field. Ongoing challenges include limited collaboration, unresolved questions of pathogenesis, and variability in terminology and diagnostic criteria.","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146159634","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 carotidcavernous 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 : 2025-12-01 Epub 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

Overcoming refractory subgaleal hematoma with endovascular treatment: A novel therapeutic approach. 用血管内治疗克服难治性galal下血肿：一种新的治疗方法。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2025-12-01 Epub Date: 2025-07-16 DOI: 10.7461/jcen.2025.E2024.11.001

Bong-Gyu Ryu, Yongjae Lee, Dae Han Choi

引用次数: 0

Acute intraparenchymal hemorrhage caused by rupture of a traumatic pseudoaneurysm of the middle meningeal artery. 由外伤性脑膜中动脉假性动脉瘤破裂引起的急性脑实质出血。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2025-12-01 Epub Date: 2025-08-11 DOI: 10.7461/jcen.2025.E2025.04.001

Myoung Soo Kim

引用次数: 0

Revascularization surgical options after carotid trauma: Case report from a cerebrovascular blood flow preservation overview. 颈动脉创伤后的血管重建手术选择：来自脑血管血流保存概述的病例报告。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2025-12-01 Epub Date: 2025-06-20 DOI: 10.7461/jcen.2025.E2025.01.002

Javier Degollado-Garcia, Carlos Fernando Nicolas-Cruz, Diana Marmolejo-Moreno, Jose Orenday-Barraza

引用次数: 0

Prognosis of subarachnoid hemorrhage determined by intracranial pressure thresholds. 颅内压阈值对蛛网膜下腔出血预后的影响。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2025-12-01 Epub Date: 2025-07-23 DOI: 10.7461/jcen.2025.E2025.04.003

Thara Tunthanathip, Rakkrit Duangsoithong, Sakchai Sae-Heng

{"title":"Prognosis of subarachnoid hemorrhage determined by intracranial pressure thresholds.","authors":"Thara Tunthanathip, Rakkrit Duangsoithong, Sakchai Sae-Heng","doi":"10.7461/jcen.2025.E2025.04.003","DOIUrl":"10.7461/jcen.2025.E2025.04.003","url":null,"abstract":"Objective: Subarachnoid hemorrhage (SAH) is a severe neurological condition often associated with elevated intracranial pressure (ICP), which can impact patient outcomes. The present study aimed to evaluate the prognostic significance of ICP thresholds in predicting prognosis in SAH patients.Methods: A retrospective cohort study was conducted, including patients diagnosed with SAH who underwent ventriculostomy between January 2019 and December 2024. Prognostic factors were estimated from various clinical-radiographic characteristics and ICP using the Cox regression model. Additional analyses were performed to evaluate the relationship between ICP thresholds and hazard ratio by dose-response analysis.Results: A total of 110 SAH patients were included in the study. The analysis demonstrated a significant association between elevated ICP and poor outcomes (Hazard ratio (HR) 1.06, 95% CI 1.03-1.09). In multivariable analysis, ICP value was significantly associated with prognosis when the model was adjusted with pupillary light reflex (HR 1.04, 95% CI 1.01-1.08). In addition, SAH patients were divided into two groups based on the ICP cutoff value of 24 mmHg. Consequently, the group with ICP values of 24 mmHg or higher was strongly associated with poor prognosis (p-value of log-rank test=0.01).Conclusions: Our study demonstrates that elevated ICP, particularly beyond the threshold of 24 mmHg, is strongly associated with poor outcomes in SAH patients. These findings support the inclusion of ICP thresholds in prognostic assessment and underscore the need for vigilant ICP monitoring and early intervention in the neurocritical care setting.","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":"309-317"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12757738/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692847","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

Management of a scalp arteriovenous malformation in a lower-middle income country: A case report. 中低收入国家头皮动静脉畸形的治疗：1例报告。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2025-12-01 Epub Date: 2025-06-11 DOI: 10.7461/jcen.2025.E2025.04.002

Daouda Wague, Ebrima Kalilu Manneh, Mbaye Thioub, Maguette Mbaye, Aissatou Kébé, Hugues Ghislain Atakla

{"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":"10.7461/jcen.2025.E2025.04.002","url":null,"abstract":"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.","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":"346-353"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12757741/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259710","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