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Article
Use of the pRESET LITE thrombectomy device in combined approach for medium vessel occlusions: A multicenter evaluation
Our purpose was to assess the efficacy and safety of the pRESET LITE stent retriever (Phenox, Bochum, Germany), designed for medium vessel occlusion (MeVO) in acute ischemic stroke (AIS) patients with a primar...
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Article
Open AccessStellate Ganglion Block and Intraarterial Spasmolysis in Patients with Cerebral Vasospasm: A Retrospective Cohort Study
In patients with symptomatic cerebral vasospasm (CV) following aneurysmal subarachnoid hemorrhage who do not respond to medical therapy, urgent treatment escalation has been suggested to be beneficial for brai...
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Article
Open AccessTriple platelet inhibition in intracranial thrombectomy with additional acute cervical stent angioplasty due to tandem lesion: a retrospective single-center analysis
Acute stroke treatment with intracranial thrombectomy and treatment of ipsilateral carotid artery stenosis/occlusion (“tandem lesion”, TL) in one session is considered safe. However, the risk of stent restenos...
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Article
Open AccessDrug-Coated Balloons for Treatment of Internal Carotid Artery Restenosis After Stenting: A Single-Center Mid-Term Outcome Study
Endovascular and surgical treatments of stenosis of the extracranial internal carotid artery (ICA) are common procedures, yet both introduce a risk of restenosis due to endothelial hyperplasia. Drug-coated bal...
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Article
MRI Treatment Response Assessment Maps (TRAMs) for differentiating recurrent glioblastoma from radiation necrosis
MRI treatment response assessment maps (TRAMs) were introduced to distinguish recurrent malignant glioma from therapy related changes. TRAMs are calculated with two contrast-enhanced T1-weighted sequences and ...
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Carotid Artery Stenting for Symptomatic Cortical Border Zone/Watershed Infarction Due to Severe Stenosis of the Proximal Internal Carotid Artery: Early Probably Better
Watershed (WS) or border zone infarcts involve the junction of the distal fields of two non-anastomosing arterial systems. Classic neuropathological studies describe two distinct supratentorial WS areas: (1) b...
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Symptomatic High-Risk Post-Irradiation Internal Carotid Artery Stenosis: Angioplasty and Stenting Under Proximal Flow Control (Arrest/Reversal) and Distal Embolic Protection
Carotid artery stenting (CAS) is an established treatment for carotid stenosis, and despite the lack of randomized controlled trials, distal embolic protection devices (EPDs) have been adopted as the current s...
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Living Reference Work Entry In depth
Stentriever Angioplasty (Stent-plasty) for Post-embolectomy Segmental Middle Cerebral Artery Vasospasm
Vasospasm after stent retriever thrombectomy is common. It is usually treated conservatively and has a good prognosis. In cases of moderate or severe vasospasm, interventionalists rely on chemical and balloon ...
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Living Reference Work Entry In depth
Suboccipital Decompressive Necrosectomy After Cerebellar Stroke with Good Clinical Outcome
Large cerebellar infarcts are rare, but their mortality is significantly higher than that of anterior circulation strokes. Decompressive craniectomy (DC) and necrosectomy (DN) are potentially lifesaving neuros...
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Living Reference Work Entry In depth
Mechanical Thrombectomy in Difficult Access, Tortuous ICA Anatomy: When an Intermediate Catheter Replaces the Balloon-Guiding Catheter
Thrombectomy has become established as a successful treatment strategy for ischemic stroke, and an increasing number of patients are undergoing this procedure. Due to comorbidities and advanced age, many patie...
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Living Reference Work Entry In depth
Stenotic Cerebral Vasculitis in Neuroborreliosis: Prolonged Non-specific Onset Followed by Rapidly Progressing Intracranial Arterial Stenoses Leading to Severe Cerebral Ischemia; Emergency Implantation of Solitaire Stents in the Basilar and Middle Cerebral Arteries with Persistent Mild Neuropsychological Deficit
A 57-year-old patient reported lethargy, vomiting with weight loss, gait disturbance, and rotational dizziness over the 5 months before her recent hospital admission. Despite undergoing an ENT examination, a h...
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Living Reference Work Entry In depth
Tandem Extra- and Intracranial ICA “T” Occlusions Treated by Means of Double Stentriever (T Stent Array) Thrombectomy, and Cervical Stent-Assisted Balloon Angioplasty
The double stentriever technique, which employs two stentrievers simultaneously at the occlusion site, can be beneficial for sizeable neurovascular bifurcation occlusions. The two stents are deployed in differ...
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Living Reference Work Entry In depth
Major Stroke in a Patient with Abdominal Aortic Tortuosity, Type III Aortic Arch, and Supra-Aortic Redundancy: A Limitation of Current Catheters
In 20% of cases where mechanical thrombectomy fails, the thrombus cannot be reached or passed, resulting in a “technical-mechanical” failure. The most common reasons for not reaching the thrombus are access li...
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Living Reference Work Entry In depth
Sole Balloon Angioplasty in a Patient with Symptomatic High-Grade Atherosclerotic Left M1 Stenosis: Favorable Treatment and Course Without Symptom Recurrence or Restenosis During Follow-Up
Intracranial atherosclerotic stenosis, characterized by the narrowing of cerebral arteries due to atherosclerotic plaque formation, is a leading cause of ischemic stroke and transient ischemic attacks. Ischemi...
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Living Reference Work Entry In depth
Microguidewire Loo** Technique to Traverse an MCA Occlusion Through the Largest and Straightest Branch (or Following the Path of the Clot): A Good Tip for Safely Dealing with the Usually Unknown Arterial Anatomy Beyond the Stump
Loo** a distal microguidewire tip is a commonly used maneuver for crossing occlusions. Rounding the microguidewire tip in a loop configuration minimizes the risk of both arterial trauma and unwanted tip adva...
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Living Reference Work Entry In depth
Carotid Angioplasty, Intracranial Thrombectomy, and Carotid Stenting for the Treatment of Acute Stroke Due to Tandem Occlusions: The Use of a High Tip Stiffness Microguidewire, Balloon-Assisted Microguidewire Deflection and Drilling, and Balloon-Assisted Guiding Catheter Climbing Techniques
Microguidewire crossing can be the most challenging and time-consuming step during neuroendovascular procedures for the treatment of acute internal carotid artery (ICA) occlusions. Angiographic identification ...
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Living Reference Work Entry In depth
Paraneoplastic Left Subclavian Artery Thrombus with Embolic Stroke: Conservative Management with Thrombus Dissolution Without Recurrent Stroke Using Triple Medicinal Therapy
Known or occult malignancy is associated with both venous and arterial thromboembolic complications and is a risk factor for recurrent ischemic events, early deterioration, disability, and mortality after stro...
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Living Reference Work Entry In depth
Pediatric Stroke in Neuroborreliosis-Associated Cerebral Vasculitis with Significant Left MCA Stenosis: Endovascular and Medication-Based Treatment with Excellent Outcome
Neuroborreliosis is the disseminated form of Lyme borreliosis and refers to the involvement of the central nervous system by Borrelia burgdorferi sensu lato spirochetes. Neurological manifestations in both early ...
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Living Reference Work Entry In depth
Major Stroke as the First Clinical Manifestation of Cardiac Myxoma: Management with Stentriever-Assisted Tumor Thrombectomy
Cardiac myxoma is the most common primary cardiac tumor in adults, accounting for up to 83% of all primary cardiac tumors. Myxomas are most common in the third to sixth decades of life and have a 2:1 female pr...
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Living Reference Work Entry In depth
Tonsillar Loop Dissection Causing Embolic Stroke and Internal Carotid Artery Occlusion: Mechanical Stentriever Thrombectomy, Angioplasty, and Telesco** Flow Diverter Stent-Assisted Arterial Reconstruction (Thrombectomy First, Retrograde Revascularization)
Proximal carotid artery dissections can be treated with conventional carotid stents. However, high cervical and skull base dissections are often more difficult to treat due to the tortuosity or redundancy of t...
