Chiara Comelli
A5051087121- Acute Ischemic Stroke Management
- Cerebrovascular and Carotid Artery Diseases
- Traumatic Brain Injury and Neurovascular Disturbances
- Venous Thromboembolism Diagnosis and Management
- Intracranial Aneurysms: Treatment and Complications
- Vascular Malformations Diagnosis and Treatment
- Stroke Rehabilitation and Recovery
- Retinal and Optic Conditions
- Renal and Vascular Pathologies
- Long-Term Effects of COVID-19
- Cardiovascular and Diving-Related Complications
- Central Venous Catheters and Hemodialysis
- Meningioma and schwannoma management
- Cerebral Venous Sinus Thrombosis
- Intracerebral and Subarachnoid Hemorrhage Research
- Vascular Anomalies and Treatments
Ospedale San Giovanni Bosco
2016-2023
Azienda di Rilievo Nazionale ed Alta Specializzazione
2022
ASL Roma
2021
Background and Purpose: As numerous questions remain about the best anesthetic strategy during thrombectomy, we assessed functional radiological outcomes in stroke patients treated with thrombectomy presence of general anesthesia (GA) versus conscious sedation (CS) local (LA). Methods: We conducted a cohort study on prospectively collected data from 4429 enrolled Italian Registry Endovascular Treatment Acute Stroke. Results: GA was used 2013 patients, CS 1285 LA 1131 patients. The rates...
Background and Purpose— As a reliable scoring system to detect the risk of symptomatic intracerebral hemorrhage after thrombectomy for ischemic stroke is not yet available, we developed nomogram predicting in patients with large vessel occlusion anterior circulation who received bridging intravenous thrombolysis (training set), validate model by using cohort treated direct (test set). Methods— We conducted study on prospectively collected data from 3714 enrolled IER (Italian Registry...
Background and purpose Aspiration thrombectomy of large vessel occlusions has made a comeback among recanalization techniques thanks to recent advances in catheter technology resulting faster promising clinical results when used either alone or as an adjunct stent retriever. This multicenter retrospective study reports angiographic data, complications, outcome patients treated with aspiration the first-line option. Materials methods We analysed procedural data from January 2014 March 2015....
Abstract Purpose Acute ischemic stroke (AIS) due to tandem lesions (TLs) of extracranial Internal Carotid Artery and Anterior Cerebral Circulation are challenging for endovascular treatment (EVT). This study aims evaluate feasibility, safety efficacy EVT TLs’ AIS, with or without emergent carotid artery stenting (eCAS), in a real-life scenario. Methods Retrospective review prospectively collected non-randomized thrombectomy databases from five centers between 2015 2019. Consecutive patients...
Background The applicability of the current models for predicting functional outcome after thrombectomy in strokes with large vessel occlusion (LVO) is affected by a moderate predictive performance. Aims We aimed to develop and validate nomogram pre- post-treatment factors prediction probability unfavorable patients anterior posterior LVO who received bridging therapy or direct <6 h stroke onset. Methods conducted cohort study on data collected prospectively Italian Endovascular Registry...
BACKGROUND: The flow-diverter devices (FDDs) safety and effectiveness have been demonstrated by large series meta-analyses. Due to the high occlusion rates acceptable morbidity of FDDs, indications for their use are continuously expanding. We presented our Italian multicentric experience using second generation DERIVO® Embolization Device (DED®; Acandis, Pforzheim, Germany) cure cerebral aneurysms, evaluating both middle long-term efficacy this device.METHODS: Between July 2016 September...
Background Acute stroke patients with comorbid cancer (CC) are more preferably addressed endovascular treatment (EVT) than thrombolytic therapy, due to the presumed potential risk of hemorrhagic transformation and systemic bleeding. This study aims evaluate clinical procedural outcomes acute CC receiving EVT. Methods Using Italian Registry Endovascular Treatment in Stroke, we reviewed prospectively collected data treated EVT from 2011 2017. Outcome measures were modified Thrombolysis...
This multicenter study aimed to assess the safety and efficacy of Woven EndoBridge (WEB) device for treating unruptured wide-neck intracranial bifurcation aneurysms (WIBAs) with short-, mid-, long-term follow-ups (FUPs).Consecutive patients WIBAs treated WEB between December 2014 January 2018 were included. Patient, aneurysm, characteristics collected analyzed retrospectively. Morbidity mortality rates determined by collecting intraprocedural, periprocedural, delayed complications. Aneurysm...
Abstract Background We report the use of a 4 mm vascular Amplatzer for occlusion renal arterovenous fistula between artery, at hylum trifurcation point, and an aneurismatic vein draining into main vein, where there was no possibility to any other device from venous side, because diameter high flow, neither arterious side without sacrificing lobar branches. The implanted exact point communication, like patent foramen ovale occluder, with distal disc artery lumen two proximal discs side. Case...