A raised bar for aneurysm surgery in the endovascular era

Key points: Despite microsurgical treatment of cerebral aneurysms has a documented history, the impressive progression of endovascular technology, techniques and skills, and the results of the International Subarachnoid Aneurysm Trial (ISAT) and the Barrow Ruptured Aneurysm Trial (BRAT) has altered the paradigm for treating intracranial aneurysms. These neurointerventional option have raised the bar for aneurysm surgery, in an era when most Read more about A raised bar for aneurysm surgery in the endovascular era[…]

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[…]

Safety results from the treatment of 109 cerebral aneurysms using the Woven EndoBridge technique: preliminary results in the United Kingdom.

Lawson A1, Molyneux A2, Sellar R3, Lamin S4, Thomas A4, Gholkar A5, Patankar T1. Pubmed   OBJECTIVE: The Woven Endobridge (WEB) device has been in clinical use for the treatment of brain aneurysms for the past 4 years. Observational studies to assess clinical outcome and related complications have been published. Clear evidence is required to Read more about Safety results from the treatment of 109 cerebral aneurysms using the Woven EndoBridge technique: preliminary results in the United Kingdom.[…]

Antiplatelet therapy for the prevention of peri-coiling thromboembolism in high-risk patients with ruptured intracranial aneurysms.

Edwards NJ1,2, Jones WH1, Sanzgiri A1, Corona J1, Dannenbaum M1, Chen PR1. Abstract OBJECTIVE The most frequent procedural complication of the endovascular treatment of intracranial aneurysms is a thromboembolic event (TEE); in a subset of patients, such events will cause permanent neurological disability. In patients with unruptured aneurysms, increasing evidence supports the use of periprocedural Read more about Antiplatelet therapy for the prevention of peri-coiling thromboembolism in high-risk patients with ruptured intracranial aneurysms.[…]

Endovascular Treatment of Ruptured Blister-Like Aneurysms: A Systematic Review and Meta-Analysis with Focus on Deconstructive versus Reconstructive and Flow-Diverter Treatments.

Rouchaud A1, Brinjikji W2, Cloft HJ2, Kallmes DF2. Abstract BACKGROUND AND PURPOSE: Various endovascular techniques have been applied to treat blister-like aneurysms. We performed a systematic review to evaluate endovascular treatment for ruptured blister-like aneurysms. MATERIALS AND METHODS: We performed a comprehensive literature search and subgroup analyses to compare deconstructive versus reconstructive techniques and flow Read more about Endovascular Treatment of Ruptured Blister-Like Aneurysms: A Systematic Review and Meta-Analysis with Focus on Deconstructive versus Reconstructive and Flow-Diverter Treatments.[…]

Complications in Stent-Assisted Endovascular Therapy of Ruptured Intracranial Aneurysms and Relevance to Antiplatelet Administration: A Systematic Review.

Ryu CW1, Park S2, Shin HS3, Koh JS3. Abstract BACKGROUND AND PURPOSE: Despite the increasing use of stent-assisted coiling for ruptured intracranial aneurysms, there is little consensus regarding the appropriate antiplatelet administration for this. The objectives of this systematic review were to provide an overview of complications and their association with the method of antiplatelet Read more about Complications in Stent-Assisted Endovascular Therapy of Ruptured Intracranial Aneurysms and Relevance to Antiplatelet Administration: A Systematic Review.[…]