A5050620296- Cerebrovascular and Carotid Artery Diseases
- Acute Ischemic Stroke Management
- Intracranial Aneurysms: Treatment and Complications
- Traumatic Brain Injury and Neurovascular Disturbances
- Vascular Malformations Diagnosis and Treatment
- Stroke Rehabilitation and Recovery
- Meningioma and schwannoma management
- Venous Thromboembolism Diagnosis and Management
- Glioma Diagnosis and Treatment
- Brain Metastases and Treatment
- Neurosurgical Procedures and Complications
- Intracerebral and Subarachnoid Hemorrhage Research
- Photoacoustic and Ultrasonic Imaging
- Cerebrospinal fluid and hydrocephalus
- Peripheral Artery Disease Management
- Long-Term Effects of COVID-19
- Thermal Regulation in Medicine
- Lung Cancer Research Studies
- Cerebral Venous Sinus Thrombosis
- Cardiac Imaging and Diagnostics
- Moyamoya disease diagnosis and treatment
- Head and Neck Surgical Oncology
- Retinal and Optic Conditions
- Advanced X-ray and CT Imaging
- Aortic Thrombus and Embolism
University Hospital Augsburg
2013-2025
Schön Klinik Vogtareuth
2021-2024
University of Augsburg
2020-2024
University Medical Center Freiburg
2014-2023
University of Freiburg
2023
Society of Interventional Radiology
2023
St. Antonius Ziekenhuis
2023
Bayer (Germany)
2023
Goethe University Frankfurt
2021
University Hospital Frankfurt
2021
<h3>BACKGROUND AND PURPOSE:</h3> Several small case series reported a favorable clinical outcome for emergency stent placement in the extracranial internal carotid artery combined with mechanical thrombectomy acute stroke. The rate of postinterventional symptomatic intracranial hemorrhages was to be as high 20%. Therefore, we investigated safety and efficacy this technique large multicentric cohort. <h3>MATERIALS METHODS:</h3> data bases 4 German stroke centers were screened all patients who...
<h3>BACKGROUND AND PURPOSE:</h3> Flow diverters with antithrombotic coatings are increasingly used to improve the safety of flow diverter treatments intracranial aneurysms. This study aimed investigate and short-term efficacy new FRED X diverter. <h3>MATERIALS METHODS:</h3> Medical charts procedural imaging data a consecutive series patients aneurysms who were treated at 9 international neurovascular centers retrospectively analyzed. <h3>RESULTS:</h3> One hundred sixty-one (77.6% women; mean...
Chronic subdural hematoma (CSDH) is a common neurosurgical condition with high recurrence rates. Repeated microbleedings from fragile neo-vessels supplied by peripheral branches of the middle meningeal artery (MMA) are believed to be responsible for growth and CSDH. Thus, MMA embolization might promising method prevent re-bleedings recurrences. This study aims assess efficacy, complication rates, mid-term outcome or without burr hole irrigation compared alone.Patients diagnosed CSDH who...
Vessel perforation during thrombectomy is a severe complication and hypothesized to be more frequent medium vessel occlusion (MeVO) thrombectomy. The aim of this study was compare the incidence outcome patients with MeVO large (LVO) report on procedural steps that led perforation.
Background Stent-assisted coiling (SAC) is a well-established method for treatment of wide-necked intracranial aneurysms. In this multicenter, retrospective case series we evaluated SAC with new low-profile, laser-cut stent an antithrombogenic hydrophilic polymer coating (pEGASUS-HPC) the Methods Patients treated pEGASUS-HPC one or more aneurysms were retrospectively included. Clinical, imaging, and procedural parameters as well clinical imaging follow-up data recorded. Results We 53 in 52...
Abstract Purpose In vitro differentiation of iodine and tantalum-based liquid embolics post-embolization can be achieved using spectral computed tomography. This study evaluates the in vivo ability clinical photon-counting tomography (PCD-CT) to distinguish these embolic agents patients undergoing endovascular treatments for cerebrovascular spinal pathologies. Methods retrospective included 25 treated between April 2021 March 2024, who underwent PCD-CT imaging intracranial arteriovenous...
External-beam radiotherapy (EBRT) is the predominant method for localized brain (LBRT) after resection of metastases (BM). Intraoperative (IORT) with 50-kV x‑rays an alternative way to focally irradiate cavity BM surgery, option shortening overall treatment time and limiting normal tissue irradiation.
<h3>BACKGROUND AND PURPOSE:</h3> Therapeutic hypothermia represents a promising neuroprotective treatment in acute ischemic stroke. Selective cerebral applied early, prior to and during endovascular mechanical recanalization therapy, may be beneficial the critical phase of reperfusion. We aimed assess feasibility new intracarotid cooling catheter an animal model. <h3>MATERIALS METHODS:</h3> Nine adult sheep were included. Temperature probes introduced into frontal temporal brain cortices...
The optimal treatment of unruptured middle cerebral aneurysms is still under debate. Although today almost any aneurysm can be treated endovascularly, there a lack data comparing endovascular and microsurgical repair MCA aneurysms. aim our analysis to provide on the efficacy, clinical outcome, complications re-treatment rates this subtype aneurysms.Between May 2008 July 2017, 1184 in 827 patients was performed department. Twenty-four percent these were located at MCA, 150 bifurcation with...
<h3>BACKGROUND AND PURPOSE:</h3> Large intracranial vessel occlusion due to calcified emboli is a rare cause of major stroke. We assessed the prevalence, imaging appearance, effectiveness mechanical thrombectomy, and clinical outcome patients with large-vessel emboli. <h3>MATERIALS METHODS:</h3> performed retrospective analysis procedural data consecutive who underwent thrombectomy in 7 European stroke centers. <h3>RESULTS:</h3> screened 2969 patients, 40 matched inclusion criteria,...
Selective therapeutic hypothermia (TH) showed promising preclinical results as a neuroprotective strategy in acute ischemic stroke. We aimed to assess safety and feasibility of an intracarotid cooling catheter conceived for fast selective brain during endovascular thrombectomy ovine stroke model.Transient middle cerebral artery occlusion (MCAO, 3 h) was performed 20 sheep. In the group (n = 10), TH initiated minutes before recanalization, maintained another h. normothermia control standard 8...
Intracranial rescue stent angioplasty is a bailout strategy for acute stroke patients in cases of unsuccessful endovascular thrombectomy due to underlying atherosclerotic stenosis. However, there no consensus on preprocedural and intraprocedural antiplatelet regimen. The aim this single-centre study was compare the safety efficacy emergency stenting exhibiting intracranial stenosis-related large-vessel occlusion with or without peri-interventional intravenous infusion tirofiban.We performed...
Ureaplasma urealyticum is a fastidious bacterium usually residing in the female genitourinary tract. We present an exceedingly complicated case of brain abscess secondary to mastoiditis by U. adult hypogammaglobulinemic patient after rituximab treatment 3 years earlier.
Abstract Purpose Use of automated perfusion software has gained importance for imaging stroke patients mechanical thrombectomy (MT). We aim to compare four packages: 1) with respect their association 3‑month functional outcome after successful reperfusion MT in comparison visual Cerebral Blood Volume - Alberta Stroke Program Early CT Score (CBV-ASPECTS) and collateral scoring 2) agreement estimation core penumbra volume. Methods This retrospective, multicenter cohort study (2015–2019)...
Ruptured basilar artery perforator aneurysms (BAPAs) represent a very rare cause of subarachnoid hemorrhage and an under-reported subtype cerebral aneurysm. There is no consensus for the optimal treatment strategy (conservative vs. surgical various endovascular approaches). We aim to present multicenter experience BAPA using flow-diverter (FD) stents.At five tertiary neurovascular centers, all cases ruptured BAPAs treated by FD were retrospectively collected. Baseline imaging clinical...
To evaluate the occurrence and risk factors of acute in-stent thrombosis or stent occlusion in patients with tandem occlusions receiving intracranial mechanical thrombectomy emergent extracranial internal carotid artery stenting a dual layer stent.Multicenter retrospective data collection analysis stroke databases seven comprehensive centers from three European countries.Overall, 160 (mean (SD) age 66 (12) years; 104 men (65%); median (IQR) baseline NIHSS 14 (9-18); IV lysis, n=97 (60.6%))...
The safety and efficacy of the Woven EndoBridge (WEB) device has been shown in multiple good clinical practice trials, whereas aneurysm locations these trials were restricted to bifurcation aneurysms located at circle Willis (MCA bifurcation, ICA anterior communicating artery, basilar artery tip). Our aim was evaluate angiographic results with WEB 17 that excluded from assuming are similar those for traditional locations.We performed retrospective analysis immediate follow-up outside which...
The optimal anesthetic management for endovascular therapy (EVT) in patients with posterior circulation stroke remains unclear. Our objective was to investigate the impact of early intubation enrolled BASICS trial (Basilar Artery International Cooperation Study).
Abstract Introduction Emergent stenting of the extracranial internal carotid artery (ICA) in stroke patients requires antiplatelet therapy to prevent in-stent thrombosis with a higher risk intracranial haemorrhage. Aim Study Assess efficacy and safety emergent intravenous tirofiban acute ischemic patients. Methods Primary endpoint: symptomatic hemorrhage. Secondary endpoints: 90-day functional outcome mortality. Results Of 62 patients, 21 (34%) received as single antiplatelet, 41 (66%)...