An “old” meta-analysis: coiling versus microsurgical clipping in the treatment of unruptured MCA aneurysms

Key point: To compare endovascular coiling with microsurgical clipping among adults with unruptured middle cerebral artery aneurysms (MCAA) by conducting a meta-analysis. The widespread use of neurovascular imaging has increased the amount of intracranial aneurysms eccidentally detected. Although the lifetime risk of aneurysmal rupture in many cases is relatively small (approximately 1% per year), rupture Read more about An “old” meta-analysis: coiling versus microsurgical clipping in the treatment of unruptured MCA aneurysms[…]

Intravenous thrombolysis before endovascular therapy for large vessel strokes can lead to significantly higher hospital costs without improving outcomes

Key points: Nowadays there are a number of trials that have shown improved outcomes following endovascular therapy for LVO strokes compared with standard therapies alone, but only a little number of patients is treated without prior IV recombinant tissue plasminogen activator (rt-PA). For this reason the question of whether previous IV rt-PA really help the Read more about Intravenous thrombolysis before endovascular therapy for large vessel strokes can lead to significantly higher hospital costs without improving outcomes[…]

Optimal first coil selection to avoid aneurysmal recanalization in endovascular intracranial aneurysmal coiling

Key points: Coiling, simple or balloon-/stent-assisted, is an endosaccular technique of treatment and a long-term follow-up is mandatory: the problem of aneurysmal recanalization remains and according to a systematic review, recanalization occurs in 20.8% of patients. The volume embolization ratio (VER) has recently been reported to be associated with aneurysmal recanalization. It is a general Read more about Optimal first coil selection to avoid aneurysmal recanalization in endovascular intracranial aneurysmal coiling[…]

Multiple FD stents for treatment of large and giant aneurysms: is it really useful? Quantitative flow measurement after placing a flow diverter for a distal internal carotid artery aneurysm

Chen CW1, Wong HF2, Ye YL1, Chen YL3, Chen WL4, Ou CH5, Tsai YH1. Key points: As everyone knows the flow diverter stent (FDS) disrupts blood flow into the aneurysm sac, maintaining normal blood flow through the parent vessel; sometimes, there is a neointimal proliferation across the device strut, that contributes to the aneurysm closure. Read more about Multiple FD stents for treatment of large and giant aneurysms: is it really useful? Quantitative flow measurement after placing a flow diverter for a distal internal carotid artery aneurysm[…]

Headache and Treatment of Unruptured Intracranial Aneurysms

Arena JE1, Hawkes MA2, Farez MF1, Pertierra L1, Kohler AA1, Marrodán M1, Benito D3, Goicochea MT1, Miranda JC3, Ameriso SF4.   Key points: Despite several studies have mentioned the presence of headache (cluster headache, hemicrania continua, and migraine) in subjects with UIAs, in 18%-34% of cases, in general practice chronic primary headache is not usually Read more about Headache and Treatment of Unruptured Intracranial Aneurysms[…]

Endovascular treatments for cerebral venous sinus thrombosis.

Qiu Z1, Sang H, Dai Q, Xu G. Abstract Cerebral venous sinus thrombosis (CVST) is an uncommon but potentially fatal condition. CVST usually occurs young adults with a female predominance. The current mainstay for treating CVST is anticoagulation with heparin. However, more aggressive interventions, endovascular treatment as an example, may be indicated in selected patients Read more about Endovascular treatments for cerebral venous sinus thrombosis.[…]