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Improper National Inpatient Sample ICD-10 coding limits comparative value of impact of ARUBA trial on prevalence and rupture rates of arteriovenous malformations
This study analyzed 154 297 patients with AVMs via the National Inpatient Sample (NIS) from 2003 to 2017.1 The study evaluated the influence of contemporary AVM management on AVM rupture patterns in the US, with a particular interest in trends before and after 2014, coinciding with publication of the A Randomized trial of Unruptured Brain Arteriovenous Malformations (ARUBA) trial.1 2 Luther et al used the codes from the International Classification of Diseases (ICD), ninth and 10th revisions, to identify AVMs and their associated sequelae.1 The authors concluded that after 2014, "the likelihood of intervention for unruptur...
Source: Journal of NeuroInterventional Surgery - April 23, 2024 Category: Neurosurgery Authors: Covell, M. M., Gajjar, A. A., Sioutas, G. S., Burkhardt, J.-K., Srinivasan, V. M. Tags: Vascular neurology Source Type: research

Response to stent retriever for tandem acute revascularization technique (START): a novel technique for endovascular management of tandem occlusions
We read with great interest the videographic depiction of the stent retriever for tandem acute revascularization technique (START) technique, and applaud the authors for their use of a stent retriever wire to facilitate treatment of the cervical occlusion in tandem large vessel occlusion (LVO) stroke cases.1 We published a similar technique in 2020,2 in which we described this as the "one cross" technique, since the presumptive culprit lesion is crossed only one time, mitigating the risk of losing access or potentially exacerbating a dissection flap by repetitively crossing a previously occluded lesion. This technique of u...
Source: Journal of NeuroInterventional Surgery - April 23, 2024 Category: Neurosurgery Authors: Newman, C. B., Given, C. A., Ramsey, C. N. Tags: Ischemic stroke Source Type: research

Stent retriever for Tandem Acute Revascularization Technique (START): a novel technique for the endovascular management of tandem occlusions
We describe a variation of this technique: the stent retriever for tandem acute revascularization technique (START), which consists of simultaneously treating the intracranial lesion with stent retriever and contact aspiration, and the extracranial lesion with balloon angioplasty. We present a technical video explaining all the steps of START.(video 1) Video 1 Description and example of the START. (Source: Journal of NeuroInterventional Surgery)
Source: Journal of NeuroInterventional Surgery - April 23, 2024 Category: Neurosurgery Authors: Fageeh, A., Zur, G., Diouf, A., La Russa, D., Drake, B., P dos Santos, M., Caron, K., Birch, N., Karwaski, S., Trussler, L., Miller, E., Fantaneanu, T., Varghaei, P., Walker, G., Lesiuk, H., Fahed, R. Tags: Technical video Source Type: research

Intracranial atherosclerosis update for neurointerventionalists
The management of intracranial atherosclerotic disease (ICAD) has been evolving with advanced imaging, refinements of best medical treatment, and the development of endovascular options. There has been a significant increase in the use of endovascular therapy for symptomatic ICAD in the USA over the past 6 years. The rationale for this review is to update neurointerventionalists in these areas so that evidence-based decisions can be considered when counseling potential patients regarding their risks, benefits, and potential complications. The landmark SAMMPRIS trial demonstrated superiority of aggressive medical management...
Source: Journal of NeuroInterventional Surgery - April 23, 2024 Category: Neurosurgery Authors: Alexander, M. J., Yu, W. Tags: Vascular neurology Source Type: research

Clinical evaluation of pulsatile tinnitus: history and physical examination techniques to predict vascular etiology
Conclusion In patients with PT, clinical history and physical examination can achieve high performance at detecting a shunting lesion. Potentially treatable venous etiologies may also be suggested by relief with neck compression. (Source: Journal of NeuroInterventional Surgery)
Source: Journal of NeuroInterventional Surgery - April 23, 2024 Category: Neurosurgery Authors: Cummins, D. D., Caton, M. T., Hemphill, K., Lamboy, A., Tu-Chan, A., Meisel, K., Narsinh, K. H., Amans, M. R. Tags: Vascular neurology Source Type: research

SuperDyna: Unlocking the Potential of Post-Treatment Device Evaluation
Conclusions The SuperDyna is a fusion imaging method that combines high-resolution CBCT and contrasted 3D-DSA to evaluate intracranial vasculature post-treatment. It allows for more comprehensive evaluation of the device position and apposition, aiding in treatment planning and patient education. (Source: Journal of NeuroInterventional Surgery)
Source: Journal of NeuroInterventional Surgery - April 23, 2024 Category: Neurosurgery Authors: Raz, E., Sharashidze, V., Nossek, E., Sahlein, D. H., Rostanski, S., Chung, C. Y., Khawaja, A. M., Nelson, P. K., Shapiro, M. Tags: Neuroimaging Source Type: research

Intravascular ultrasound characteristics of different types of stenosis in idiopathic intracranial hypertension with venous sinus stenosis
Conclusion IVUS effectively differentiated intrinsic and extrinsic types of stenosis and identified intraluminal and mural components of intrinsic stenosis. (Source: Journal of NeuroInterventional Surgery)
Source: Journal of NeuroInterventional Surgery - April 23, 2024 Category: Neurosurgery Authors: Raynald, , Chen, N., Yang, H., Tong, X., Sui, B., Qu, H., Dong, K., Wang, Y., Miao, Z., Mo, D. Tags: Clinical neurology Source Type: research

Rebleeding following aneurysmal subarachnoid hemorrhage before 'endovascular first treatment: a retrospective case-control study of published scoring systems
Conclusions For aSAH patients treated in an ultra-early timeframe matched on size and parent vessel location, WFNS grade was superior to three published models for re-bleed prediction. Future re-bleed prediction models should incorporate the WFNS grade. (Source: Journal of NeuroInterventional Surgery)
Source: Journal of NeuroInterventional Surgery - April 23, 2024 Category: Neurosurgery Authors: Dissanayake, A. S., Burrows, E., Ho, K. M., Phillips, T. J., Honeybul, S., Hankey, G. J. Tags: Hemorrhagic stroke Source Type: research

Optimal duration of dual antiplatelet therapy for stent-assisted coiling or flow diverter placement
Conclusions Thromboembolic events rarely occurred beyond 30 days after SAC/FD. The duration of DAPT may be shortened if patients have a periprocedural period without events. Further prospective studies are warranted to determine the optimal duration of antiplatelet therapy. Trial registration number UMIN000044122 :https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000050384. (Source: Journal of NeuroInterventional Surgery)
Source: Journal of NeuroInterventional Surgery - April 23, 2024 Category: Neurosurgery Authors: Enomoto, Y., Matsubara, H., Ishihara, T., Shoda, K., Mizutani, D., Egashira, Y., Ishii, A., Sakamoto, M., Sumita, K., Nakagawa, I., Higashi, T., Yoshimura, S. Tags: Open access, Hemorrhagic stroke Source Type: research

Predictors of aneurysm occlusion after treatment with flow diverters: a systematic literature review
Conclusion Evidence of predictors for AO after FD treatment is sparse. Current literature suggests that absence of branch involvement, younger age, and aneurysm diameter have the highest impact on AO following FD treatment. Large studies investigating high-quality data with well-defined inclusion criteria are needed for greater insight into FD effectiveness. (Source: Journal of NeuroInterventional Surgery)
Source: Journal of NeuroInterventional Surgery - April 23, 2024 Category: Neurosurgery Authors: Meyer, L., Stracke, C. P., Bester, M., Kallmes, K. M., Zelenak, K., Rouchaud, A., Martinez-Galdamez, M., Jabbour, P., Nguyen, T. N., Siddiqui, A. H., Fiehler, J., Gellissen, S. Tags: Hemorrhagic stroke Source Type: research

Middle meningeal artery embolization associated with reduced chronic subdural hematoma volume and midline shift in the acute postoperative period
Conclusion MMA embolization is safe and effective for the management of cSDH and is associated with significant reductions in hematoma volume and midline shift in the immediate postoperative period. (Source: Journal of NeuroInterventional Surgery)
Source: Journal of NeuroInterventional Surgery - April 23, 2024 Category: Neurosurgery Authors: Catapano, J. S., Koester, S. W., Hanalioglu, S., Farhadi, D. S., Naik, A., Hartke, J. N., Tunc, O., Winkler, E. A., Chang, S. W., Lawton, M. T., Jadhav, A. P., Ducruet, A. F., Albuquerque, F. C. Tags: Hemorrhagic stroke Source Type: research

Real world data in mechanical thrombectomy: who are we losing to follow-up?
Conclusion MOD in routine care MT registry data was not random. Increased efforts to perform clinical follow-up are needed, especially in the case of higher pre-stroke and post-stroke disability and discharge to hospital or institutional care. Trial registration NCT03356392. (Source: Journal of NeuroInterventional Surgery)
Source: Journal of NeuroInterventional Surgery - April 23, 2024 Category: Neurosurgery Authors: Hahn, M., Gröschel, S., Othman, A., Brockstedt, L., Civelek, A., Brockmann, M. A., Gröschel, K., Uphaus, T., On behalf of German Stroke Registry Endovascular Treatment-Steering Committee, Röther, Eckert, Braun, Hamann, Siebert, Nol Tags: Open access, Ischemic stroke Source Type: research

Clot composition and recanalization outcomes in mechanical thrombectomy
Conclusions Despite the lack of correlation between clot histology and FPE, our study adds to the growing evidence supporting the notion that clot composition influences recanalization treatment strategy outcomes. (Source: Journal of NeuroInterventional Surgery)
Source: Journal of NeuroInterventional Surgery - April 23, 2024 Category: Neurosurgery Authors: Nogueira, R. G., Pinheiro, A., Brinjikji, W., Abbasi, M., Al-Bayati, A. R., Mohammaden, M. H., Souza Viana, L., Ferreira, F., Abdelhamid, H., Bhatt, N. R., Kvamme, P., Layton, K. F., Delgado Almandoz, J. E., Hanel, R. A., Mendes Pereira, V., Almekhlafi, M Tags: Ischemic stroke Source Type: research

How much of the outcome improvement after successful recanalization is explained by follow-up infarct volume reduction?
Conclusion 56% (95% CI 38% to 78%) of outcome improvement after successful recanalization was explained by FIV reduction. Results corroborate pathophysiological assumptions and confirm the value of FIV as an imaging endpoint in clinical trials. 44% (95% CI 22% to 62%) of the improvement in outcome was not explained by FIV reduction and reflects the remaining mismatch between radiological and clinical outcome measures. (Source: Journal of NeuroInterventional Surgery)
Source: Journal of NeuroInterventional Surgery - April 23, 2024 Category: Neurosurgery Authors: Kniep, H., Meyer, L., Broocks, G., Bechstein, M., Austein, F., McDonough, R. V., Brekenfeld, C., Flottmann, F., Deb-Chatterji, M., Alegiani, A., Hanning, U., Thomalla, G., Fiehler, J., Gellissen, S. Tags: Ischemic stroke Source Type: research

Cost-effectiveness of endovascular therapy for acute ischemic stroke with large infarct in China
Conclusions Endovascular therapy for acute ischemic stroke with large infarction could be cost-effective in China. (Source: Journal of NeuroInterventional Surgery)
Source: Journal of NeuroInterventional Surgery - April 23, 2024 Category: Neurosurgery Authors: Pan, Y., Huo, X., Jin, A., Nguyen, T. N., Ma, G., Tong, X., Zhang, X., Gao, F., Ma, N., Mo, D., Ren, Z., Wang, Y., Miao, Z. Tags: Ischemic stroke Source Type: research