Journal of cerebrovascular and endovascular neurosurgery最新文献_第7页

Rescue waffle cone technique for managing stent dislodgement into a target aneurysm. 救援华夫锥技术处理支架移位到目标动脉瘤。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2025-12-01 Epub Date: 2025-07-16 DOI: 10.7461/jcen.2025.E2025.03.001

Jun Kyeung Ko

引用次数: 0

Intraosseous dural arteriovenous fistula draining into the diploic veins treated with transarterial embolization: A case report. 经动脉栓塞治疗硬脑膜内动静脉瘘引流至双静脉1例。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2025-12-01 Epub Date: 2025-08-21 DOI: 10.7461/jcen.2025.E2024.10.002

Midori Ichihashi, Hidesato Takezawa, Manato Sakamoto, Kengo Kishida, Shigeomi Yokoya, Hideki Oka

{"title":"Intraosseous dural arteriovenous fistula draining into the diploic veins treated with transarterial embolization: A case report.","authors":"Midori Ichihashi, Hidesato Takezawa, Manato Sakamoto, Kengo Kishida, Shigeomi Yokoya, Hideki Oka","doi":"10.7461/jcen.2025.E2024.10.002","DOIUrl":"10.7461/jcen.2025.E2024.10.002","url":null,"abstract":"This study presents the rare case of an intraosseous dural arteriovenous fistula (DAVF) draining into the diploic veins in the left frontal bone with high-flow feeder, successfully treated with transarterial Onyx embolization. A 59-year-old male exhibited mild right hemiparalysis and aphasia without prior head trauma, surgery, or venous sinus thrombosis. Imaging identified DAVF, fed by the bilateral superficial temporal arteries, left middle meningeal artery, and left occipital artery, draining retrogradely solely through the diploic veins into the superior sagittal sinus, causing cortical venous reflux (CVR). Treatment involved Onyx embolization under flow control, preventing Onyx (Medtronic, Irvine, CA, USA) migration and achieving complete DAVF occlusion, resolving the neurological deficits. This case highlights the clinical significance of diagnosing and managing DAVF draining exclusively into the diploic veins, emphasizing the effectiveness of Onyx embolization in such cases.","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":"373-379"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12757733/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144884676","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 mechanical thrombectomy alone versus post-IV t-PA thrombectomy in acute large artery occlusion within 4.5 hours of symptom onset. 急性大动脉闭塞4.5小时内机械取栓与静脉注射后t-PA取栓的比较

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2025-12-01 Epub Date: 2025-08-21 DOI: 10.7461/jcen.2025.E2025.04.004

Joonwon Lee, Hyungon Lee, Kyung-Wan Kim, Seung Hwan Kim, Yunhyeok Choi, Sung-Chul Jin

{"title":"Comparison of mechanical thrombectomy alone versus post-IV t-PA thrombectomy in acute large artery occlusion within 4.5 hours of symptom onset.","authors":"Joonwon Lee, Hyungon Lee, Kyung-Wan Kim, Seung Hwan Kim, Yunhyeok Choi, Sung-Chul Jin","doi":"10.7461/jcen.2025.E2025.04.004","DOIUrl":"10.7461/jcen.2025.E2025.04.004","url":null,"abstract":"Objective: Intravenous tissue plasminogen activator (IV t-PA) is commonly used as bridging therapy before mechanical thrombectomy (MT) in acute ischemic stroke. However, in practice, some patients undergo MT only after IV t-PA has been fully administered. This study aimed to compare clinical and radiological outcomes of MT only versus IV t-PA followed by MT within 4.5 hours of symptom onset.Methods: We retrospectively reviewed 190 patients with acute large artery occlusion treated with MT between January 2018 and December 2020. After excluding 53 patients ineligible for IV t-PA. A total of 137 patients were enrolled and categorized into two groups: MT only (n=82, 59.8%) and post-IV t-PA MT (n=55, 40.2%). The primary outcome was successful recanalization; the secondary outcome was a good clinical outcome at 90 days (3-month modified Rankin Scale (mRS) score of 0-2).Results: The successful recanalization rates did not significantly differ between the MT-only and post-IV t-PA MT groups (92.7% vs. 89.1%, p=0.466). Good outcomes at 90 days were not statistically different between both groups (58.5% vs. 61.8%, p=0.701). Multivariable analysis identified baseline National Institutes of Health Stroke Scale (NIHSS) score (adjusted odds ratio (OR) 0.873; 95% confidence intervals (CI), 0.806-0.946; p<0.001) and door-to-puncture time (adjusted OR 0.987; 95% CI, 0.978-0.997; p=0.009) as independent predictors of outcome.Conclusions: In our study, MT alone yielded comparable outcomes to IV t-PA followed by MT in patients treated within 4.5 hours. Direct MT may be a reasonable treatment strategy.","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":"318-326"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12757737/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144884675","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

Double stent-assisted coiling with Neuroform Atlas stents for treating ruptured blood blister-like aneurysms. 神经形态Atlas支架辅助双支架盘绕治疗破裂的血泡样动脉瘤。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2025-12-01 Epub Date: 2025-07-23 DOI: 10.7461/jcen.2025.E2025.05.003

Hyoung Bin Kim, Lee Hwangbo, Young Ha Kim, Pil Soo Kim, Jun Kyeung Ko

{"title":"Double stent-assisted coiling with Neuroform Atlas stents for treating ruptured blood blister-like aneurysms.","authors":"Hyoung Bin Kim, Lee Hwangbo, Young Ha Kim, Pil Soo Kim, Jun Kyeung Ko","doi":"10.7461/jcen.2025.E2025.05.003","DOIUrl":"10.7461/jcen.2025.E2025.05.003","url":null,"abstract":"Objective: A ruptured blood blister-like aneurysm (BBA) of the supraclinoid internal carotid artery is a rare but surgically challenging vascular disease. Numerous endovascular approaches have been reported, but optimal management remains controversial. This study aimed to report on our experience and assess the safety and efficacy of our treatment strategy.Methods: The treatment strategy basically involves stent-assisted coiling using semi-jailing technique followed by stent overlap with Neuroform Atlas stents. Angiographic results (modified Raymond scale), clinical outcomes (modified Rankin Scale), and technical feasibility were evaluated.Results: A total of ten patients with ruptured BBAs were treated via this technique (8 women; mean age, 45.4 years). Procedures were successfully applied without any procedure-related symptomatic complications except one thromboembolism. The immediate angiographic results were complete occlusion in 6 aneurysms, residual neck in 1 aneurysm, and residual sac in 3 aneurysms. Early complementary treatment was required in one. Follow-up angiograms (mean, 9.6 months), which were available in 8 patients, showed complete resolution of BBAs in all, except one who was retreated with a flow diverter. At the end of the observation period (mean, 41.0 months), all patients had excellent clinical outcomes (modified Rankin Scale 0-1), except two with initial poor grade subarachnoid hemorrhage.Conclusions: Double stent-assisted coiling using Neuroform Atlas stents offers a feasible and practical reconstructive option for ruptured BBAs, particularly in healthcare systems where flow diverters are not approved for acute-phase use.","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":"327-337"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12757734/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692846","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

Adverse events and failures with Cerenovus CEREGLIDE 71 Intermediate Catheter: An analytic review of the FDA MAUDE database. Cerenovus CEREGLIDE 71中间导管的不良事件和失败：FDA MAUDE数据库的分析回顾

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2025-12-01 Epub Date: 2025-09-25 DOI: 10.7461/jcen.2025.E2025.01.004

Ibraheem Alkhawaldeh, Ahmed Aljabali, Mostafa Hossam El Din Moawad, Mahmoud Abualhayjaa, Hamza K Alsalhi

{"title":"Adverse events and failures with Cerenovus CEREGLIDE 71 Intermediate Catheter: An analytic review of the FDA MAUDE database.","authors":"Ibraheem Alkhawaldeh, Ahmed Aljabali, Mostafa Hossam El Din Moawad, Mahmoud Abualhayjaa, Hamza K Alsalhi","doi":"10.7461/jcen.2025.E2025.01.004","DOIUrl":"10.7461/jcen.2025.E2025.01.004","url":null,"abstract":"Objective: To assess the safety and performance of the Cereglide 71 aspiration catheter, launched in February 2024, by analyzing adverse events from the Manufacturer and User Facility Device Experience (MAUDE) database.Methods: Reports from the MAUDE database (February 2024 onward) were analyzed using Microsoft Excel and Jamovi, with 36 reports reviewed-27 device-related and 14 patient-related.Results: The most common device-related issues were cracks (8 occurrences), material bending (6), and deformation/stretching (5). Adverse events included thromboembolism (4 cases), intracranial hemorrhage (2), carotid-cavernous fistula (2), and cerebral vasospasm (2). The most common indication was middle cerebral artery stroke (9 cases).Conclusions: This study highlights the importance of post-market surveillance to improve patient outcomes, identifying key complications that require careful consideration in clinical practice. This is the first report on complications related to the Cereglide 71 aspiration catheter from the FDA MAUDE database.","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":"338-345"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12757739/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139629","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

Superficial temporal artery-middle cerebral artery bypass for progressive cerebral infarction in invasive aspergillosis-induced total occlusion of internal carotid artery: A rare case and literature review. 侵袭性曲霉菌病致颈内动脉全闭塞的进行性脑梗死，经颞浅动脉-大脑中动脉旁路治疗一例罕见病例并文献复习。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2025-09-01 Epub Date: 2025-04-08 DOI: 10.7461/jcen.2025.E2024.06.003

Minje Jeon, Sung-Tae Kim, Suckyoon Lee, Jin Lee, Jung Hae Ko, Se-Young Pyo, Won-Hee Lee, Hangwoo Lee, Yeong Gyun Jeong

{"title":"Superficial temporal artery-middle cerebral artery bypass for progressive cerebral infarction in invasive aspergillosis-induced total occlusion of internal carotid artery: A rare case and literature review.","authors":"Minje Jeon, Sung-Tae Kim, Suckyoon Lee, Jin Lee, Jung Hae Ko, Se-Young Pyo, Won-Hee Lee, Hangwoo Lee, Yeong Gyun Jeong","doi":"10.7461/jcen.2025.E2024.06.003","DOIUrl":"10.7461/jcen.2025.E2024.06.003","url":null,"abstract":"Central nervous system (CNS) aspergillosis is a life-threatening infection primarily affecting immunocompromised patients and may lead to severe cerebral infarction through vascular invasion. However, there is limited data on the treatment options for aspergillosis-induced cerebral infarction especially surgical treatments such as superficial temporal artery (STA)-middle cerebral artery (MCA) bypass surgery. Herein, we present a case of cerebral infarction in a 59-year-old male with progressive right eye ptosis. Specifically, he had ipsilateral MCA stenosis originating from paranasal sinusitis due to invasive aspergillosis. After 3 months, the patient was readmitted due to worsening cerebral infarction and complete internal carotid artery (ICA) occlusion. Conservative treatment failed to improve cerebral perfusion, leading to gradual neurological decline. Consequently, STA-MCA bypass was performed to stabilise the patient. Postoperative imaging revealed a patent bypass graft and an enhanced cerebral perfusion. Although the patient experienced persistent left-sided hemiparesis, his overall neurological condition remained stable for 1 year, with a Glasgow Coma Scale score of 15. STA-MCA bypass should be considered a potential treatment option for patients with aspergillosis-induced vasculitis resulting in cerebral infarction secondary to total ICA occlusion.","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":"261-270"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488328/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143805143","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 management of dural arteriovenous fistulae of the anterior condylar confluence. 前髁汇合处硬脑膜动静脉瘘的血管内治疗。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2025-09-01 Epub Date: 2025-03-24 DOI: 10.7461/jcen.2025.E2024.08.004

David C Lauzier, Arindam R Chatterjee, Joshua W Osbun

{"title":"Endovascular management of dural arteriovenous fistulae of the anterior condylar confluence.","authors":"David C Lauzier, Arindam R Chatterjee, Joshua W Osbun","doi":"10.7461/jcen.2025.E2024.08.004","DOIUrl":"10.7461/jcen.2025.E2024.08.004","url":null,"abstract":"Introduction: Dural arteriovenous fistulae (dAVFs) can lead to subarachnoid hemorrhage and other devastating complications. A rare subtype of dAVFs is those located in the anterior condylar confluence adjacent to the hypoglossal canal. These dAVFs can be difficult to treat, with some electing to utilize endovascular approaches for these lesions. There is a need to further assess the safety and efficacy of this approach.Case description: All patients that underwent endovascular treatment of dAVFs affecting the anterior condylar confluence at our center were included. Pre-treatment factors including anatomy and presentation were recorded, as were follow-up data including angiographic cure and clinical or technical complications. Three patients were included in this study. Presenting symptoms included ocular hyperemia, proptosis, auditory symptoms (whooshing, tinnitus), and Cranial Nerve 6 palsy. Both transarterial and transvenous embolization were employed in select cases, with Onyx HD-500 and coils both used as embolic materials. No clinical or technical complications were reported in these patients, and patients were asymptomatic at final follow-up without recurrence or regrowth of their dAVF.Conclusions: Treatment of dAVFs located in the anterior condylar confluence can be achieved endovascularly using both transarterial and transvenous approaches.","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":"246-251"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488334/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143672124","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

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 : 2025-09-01 Epub 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

Meningo-meningeal arteriovenous fistula revealed immediately following middle meningeal artery microparticle embolization: Case report and literature review. 脑膜中动脉微粒栓塞后立即发现脑膜动静脉瘘：1例报告并文献复习。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2025-09-01 Epub Date: 2025-05-21 DOI: 10.7461/jcen.2025.E2024.12.004

John Tsiang, David Babcock, John Engelbert, Andrew Pickles, Brandon Bond, David Pasquale, Joseph Serrone, Anthony Kam

{"title":"Meningo-meningeal arteriovenous fistula revealed immediately following middle meningeal artery microparticle embolization: Case report and literature review.","authors":"John Tsiang, David Babcock, John Engelbert, Andrew Pickles, Brandon Bond, David Pasquale, Joseph Serrone, Anthony Kam","doi":"10.7461/jcen.2025.E2024.12.004","DOIUrl":"10.7461/jcen.2025.E2024.12.004","url":null,"abstract":"We present a case of a meningo-meningeal arteriovenous fistula (MMAVF) discovered immediately following middle meningeal artery (MMA) microparticle embolization for the treatment of an acute subdural hematoma (SDH). An elderly patient presented with an SDH found during stroke workup. MMA embolization was elected due to his need for therapeutic anticoagulation. During the procedure, multiple MMAVFs appeared after microparticle embolization of the distal MMA branches. We aborted further microparticle embolization and performed coil embolization of the MMA trunk with cessation of flow. No clinical complication was noted postoperatively and no post-procedure hemorrhage was seen. Review of literature suggests that this phenomenon may be associated with microparticle embolization. We hypothesize the cause to be vessel rupture due to barotrauma during manual injection via the microcatheter. As MMA embolization becomes more common, this complication may become more recognized.","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":"271-275"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488332/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144113146","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

Navigating severe vascular tortuosity and cervical carotid loop management in stroke thrombectomy: A case report and review of the literature. 脑卒中取栓术中严重血管弯曲及颈动脉环的处理：1例报告及文献回顾。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2025-09-01 Epub Date: 2025-05-02 DOI: 10.7461/jcen.2025.E2024.11.004

Milin Patel, Nanthiya Sujijantarat, Aman B Patel, Adam A Dmytriw, Robert W Regenhardt

{"title":"Navigating severe vascular tortuosity and cervical carotid loop management in stroke thrombectomy: A case report and review of the literature.","authors":"Milin Patel, Nanthiya Sujijantarat, Aman B Patel, Adam A Dmytriw, Robert W Regenhardt","doi":"10.7461/jcen.2025.E2024.11.004","DOIUrl":"10.7461/jcen.2025.E2024.11.004","url":null,"abstract":"Endovascular therapy is the current gold standard treatment for the management of acute ischemic stroke from large vessel occlusion. Despite this, the presence of severe vascular tortuosity and cervical carotid loops can hinder the success of the procedure. We present a case of an 83-year-old female presenting with acute ischemic stroke and extreme tortuosity including common carotid artery and internal carotid artery consecutive loops, as well as a tandem common carotid artery bifurcation thrombus with an M1 segment occlusion. Subsequently, relevant literature is reviewed regarding the technical management of complex thrombectomy cases. The endovascular procedure involved navigating through extreme vascular tortuosity using multiple endovascular tools for optimal reperfusion using delivery devices to facilitate the procedure. Challenges such as vasospasm and straightening of an internal carotid artery loop occurred during the procedure. However, successful thrombectomy was performed using adequate procedural techniques discussed.","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":"252-260"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488336/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144029616","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