A5057451604- Intracranial Aneurysms: Treatment and Complications
- Acute Ischemic Stroke Management
- Cerebrovascular and Carotid Artery Diseases
- Traumatic Brain Injury and Neurovascular Disturbances
- Venous Thromboembolism Diagnosis and Management
- Vascular Malformations Diagnosis and Treatment
- Moyamoya disease diagnosis and treatment
- Stroke Rehabilitation and Recovery
- Neurosurgical Procedures and Complications
- Long-Term Effects of COVID-19
- Immune Cell Function and Interaction
- Pharmacological Effects of Natural Compounds
- Peripheral Artery Disease Management
- Climate Change and Health Impacts
- Viral Infections and Vectors
- Vector-Borne Animal Diseases
- Intracerebral and Subarachnoid Hemorrhage Research
- Retinal and Optic Conditions
- COVID-19 and healthcare impacts
- Vector-borne infectious diseases
- Mycobacterium research and diagnosis
- Vascular Anomalies and Treatments
Erasmus Hospital
2018-2024
École Nationale Vétérinaire de Toulouse
2024
KU Leuven
2023
Boston Medical Center
2022
Boston University
2022
Université Libre de Bruxelles
2020-2022
University of Córdoba
2022
To evaluate the safety and efficacy of Tigertriever 13 (Rapid Medical, Yoqneam, Israel) stent retriever in acute ischemic stroke (AIS) patients with primary or secondary distal, medium vessel occlusions (DMVO).We performed a retrospective analysis all consecutive AIS who underwent thrombectomy Tigertriever13 for DMVO. Patients' characteristics were reviewed, procedural complications, angiographic (modified thrombolysis cerebral infarction score [mTICI]) clinical Rankin Scale [mRS]) outcomes...
<h3>Background and Objectives</h3> Declines in stroke admission, IV thrombolysis (IVT), mechanical thrombectomy volumes were reported during the first wave of COVID-19 pandemic. There is a paucity data on longer-term effect pandemic over course year through second We sought to measure admissions, intracranial hemorrhage (ICH), IVT, 1-year period at onset (March 1, 2020, February 28, 2021) compared with immediately preceding 2019, 29, 2020). <h3>Methods</h3> conducted longitudinal...
Good clinical outcome predictors have been established in mechanical thrombectomy (MT) for acute ischemic stroke (AIS) caused by large vessel occlusion (LVO). An early neurological improvement (ENI), defined as a reduction of ≥8 on the National Institutes Health Stroke Scale (NIHSS), compared with baseline score or an NIHSS 0 1 at 24 h after MT, is strong predictor favorable outcome. We aimed to study impact ENI MT distal medium occlusions (DMVO).We retrospectively analyzed data consecutive...
The first-pass effect in endovascular thrombectomy (EVT) has been associated with better clinical outcomes and decreased stroke progression large vessel occlusion but not evaluated distal, medium occlusions (DMVOs).To assess the impact on outcome of modified (defined as a successful [modified Thrombolysis In Cerebral Infarction 2b/2c/3] revascularization) patients who underwent EVT for primary DMVOs.We collected data from consecutive DMVO at single academic center. We compared rate good...
Background and Purpose: Previous studies have noted the angiographic appearance of early venous filling (EVF) following recanalisation in acute ischemic stroke. However, prognostic implications EVF as a novel imaging biomarker remain unclear. We aimed to evaluate correlation between with (i) risk subsequent reperfusion hemorrhage (RPH) (ii) association on both NIHSS score at 24 h functional outcome assessed Modified Rankin Scale (mRS) 90 days. Methods: conducted retrospective cohort study...
Large vessel occlusion (LVO) leads to debilitating stroke and responds modestly recombinant tissue plasminogen activator (rt-TPA). Early thrombectomy improves functional outcomes in selected patients with proximal but it is not available all medical facilities. The best imaging modality for triage an acute setting drip-and-ship models still the subject of debate.We aimed assess diagnostic value millimeter-sliced noncontrast computed tomography (NCCT) hyperdense middle cerebral artery sign...
Introduction Current guidelines suggest that perfusion imaging should only be performed &gt; 6 h after symptom onset. Pathophysiologically, brain matter whatever the elapsed time. We aimed to compare relative contribution of recanalization time and stroke core volume in predicting functional outcome patients treated by endovascular thrombectomy within 6-h stroke-onset. Methods Consecutive presenting between January 2015 June 2021 with (i) an acute ischaemic due anterior proximal...
We sought to assess whether there were any parameter(s) on baseline computed-tomography-perfusion (CTP) strongly correlating with final-infarct-volume, and infarct volume progression after endovascular recanalization of acute ischemic stroke (AIS) primary distal, medium vessel occlusion (DMVO).We performed a retrospective analysis consecutive AIS patients who successfully recanalized by thrombectomy for DMVO. By comparing CTP follow-up MRI, we evaluated the correlation between hypoperfusion...
Introduction Stent-assisted coiling has widened indications and improved stability of endovascular treatment intracranial aneurysms. However, stent-assisted is usually not used to treat acutely ruptured aneurysms avoid antiplatelet therapy. The objective this study evaluate a strategy staged including at the acute phase with complementary stenting or without subacute phase. Material methods Between 2012 2017, we retrospectively identified, in our prospectively maintained database, all...
Purpose Wide-neck bifurcation aneurysms remain challenging for the neurointerventionist and/or neurosurgeon despite many recent advances. The pCONus (Phenox, Bochum, Germany) is an emerging device endovascular neck protection, we report first long-term results of this device. Methods We performed a retrospective analysis all consecutive intracranial wide-neck treated with pCONus. Patients' characteristics were reviewed, procedural complications, angiographic (Roy-Raymond scale) and clinical...
Although computed tomography (CT) is the diagnostic gold standard for acute subdural hematoma, absence of clear trauma should prompt use angiography (CTA) to identify potential underlying causes, such as ruptured aneurysms, which can significantly influence treatment decisions.
Carotid-cavernous fistulas (CCFs) are abnormal connections between the carotid arteries and cavernous sinus, posing significant neuro-ophthalmologic risks. This report presents a rare case of bilateral post-traumatic CCFs, focusing on clinical presentation, diagnosis, management. Symptoms mimic conjunctivitis, causing diplopia, exophthalmos, ophthalmoplegia. Diagnosis relied computed tomography, magnetic resonance angiography, digital subtraction angiography. Management involved...
We reported imaging findings of arterio-venous malformation complicated by hemorrhage and venous pseudoaneurysm in a young child consulting for headache emesis: to our knowledge association with ruptured arteriovenous is rare complication the literature. present indications endovascular treatment, especially NBCA (N-butyl cyanoacrylate).
We report a case of cerebral aneurysm rerupture 24 months after initial bleeding and complete occlusion using WEB device. A middle-aged patient was transferred at our institution because recurrent aneurysmal bleeding. The graded WFNS2 unenhanced CT showed modified Fisher grade 3 SAH. DSA an increased compaction evolutive “proximal recess” the device associated with small unprotected part wall bleb pointing towards haemorrhage. Balloon- stent-assisted coiling performed, allowing to completely...
Non-traumatic subarachnoid hemorrhage (SAH) is an emergency usually caused by the rupture of a saccular intracranial aneurysm. Endovascular treatment (EVT) now considered as first therapeutic option. The aim our study to evaluate, over 14-year period in single center, result EVT ruptured aneurysms.From retrospective analysis prospectively maintained database, we collected data 457 patients successfully treated endovascular approach for SAH. Descriptive statistics and percentages were used...