A5074826436- Intracranial Aneurysms: Treatment and Complications
- Cerebrovascular and Carotid Artery Diseases
- Vascular Malformations Diagnosis and Treatment
- Moyamoya disease diagnosis and treatment
- Acute Ischemic Stroke Management
- Traumatic Brain Injury and Neurovascular Disturbances
- Neurosurgical Procedures and Complications
- Cerebral Venous Sinus Thrombosis
- Venous Thromboembolism Diagnosis and Management
- Aortic Disease and Treatment Approaches
- Intracerebral and Subarachnoid Hemorrhage Research
- Meningioma and schwannoma management
- Stroke Rehabilitation and Recovery
- Renal and Vascular Pathologies
- Aortic aneurysm repair treatments
- Abdominal vascular conditions and treatments
- Peripheral Artery Disease Management
- Cerebrospinal fluid and hydrocephalus
- Transplantation: Methods and Outcomes
- Infective Endocarditis Diagnosis and Management
- Neurological Complications and Syndromes
- Cardiovascular and Diving-Related Complications
- Cardiovascular Health and Disease Prevention
- Antiplatelet Therapy and Cardiovascular Diseases
- Central Venous Catheters and Hemodialysis
Instituto de Biomedicina de Sevilla
2022-2024
Hospital Universitario Virgen del Rocío
2011-2024
Universidad de Sevilla
2024
Hospital Universitario Puerta de Hierro Majadahonda
2017-2023
Klinikum Stuttgart
2013-2022
Katharinenhospital
2011-2022
Creative Commons
2021
Complejo Hospitalario de Cáceres
2017
The purpose of this study was to evaluate the safety and efficacy recently available flow diverter "pipeline embolization device" (PED) for treatment intracranial aneurysms dissections.Eighty-eight consecutive patients underwent an endovascular 101 or dissections using PED between September 2009 January 2011. targeted vessels include 79 (78%) in anterior circulation 22 (22%) posterior circulation. We treated 96 5 vessel dissections. Multiple devices were implanted 67 lesions (66%).One...
Flow diverter stents (FDS) are a recognized treatment option for intracranial aneurysms. There remain ongoing concerns regarding the safety of FDS, especially fate covered side branches. We report patency branches by FDS.We retrospectively reviewed our database prospectively collected information all patients treated with FDS an unruptured saccular aneurysm clinoid, ophthalmic, and terminating segments internal carotid artery between September 2009 July 2016. The location, fundus size, state...
To assess the safety and short-term occlusion rates in procedures using p64 MW hydrophilic polymer-coated (HPC) flow diverter (FD) with prasugrel single antiplatelet therapy (SAPT) for treatment of anterior circulation saccular aneurysms.We retrospectively identified patients who underwent one or more intracranial aneurysms between March 2020 December 2021 a HPC FD SAPT verified P2Y12 platelet receptor inhibition. Patients diagnosed fusiform, dissecting, recently ruptured were excluded....
<h3>BACKGROUND AND PURPOSE:</h3> Spread of thrombus material in previously unaffected vessels is a potential hazard mechanical thrombectomy, but it has not yet been investigated detail, to our knowledge. Our purpose was evaluate the frequency and relevance these events mTE M1 occlusions. <h3>MATERIALS METHODS:</h3> We retrospectively reviewed all patients treated for isolated occlusion between January 2008 July 2012. Angiographic images were analyzed assess emboli anterior cerebral artery...
<h3>BACKGROUND AND PURPOSE:</h3> The pCONus is a new stentlike self-expanding nitinol implant with 4 distal petals, which fully retrievable and electrolytically detachable. end implanted inside the aneurysm at neck. shaft anchored in parent vessel. In selected wide-neck bifurcation aneurysms, was used to assist coiling. device evaluated for its safety efficacy. <h3>MATERIAL METHODS:</h3> Twenty-eight patients 28 aneurysms (9 recently ruptured) were treated pCONus-assisted coiling discretion...
Flow-diverting stents offer a promising treatment option for complex aneurysms.To evaluate the safety and efficacy of Pipeline embolization device (PED) in fusiform dissecting aneurysms.Sixty-five consecutive patients with 69 aneurysms underwent endovascular use PED. Target vessels included internal carotid artery (n = 28), middle cerebral 2), anterior 1), vertebral 20), basilar 17), posterior 1). An average 3.0 PEDs per target vessel were deployed.Exclusion aneurysm(s) immediately after PED...
Background: Intracranial aneurysms located at the bifurcation of middle cerebral artery (MCA) can often be challenging for neurointerventionalist. We aimed to evaluate efficacy and safety flow diverting stents (FDS) in treatment these aneurysms. Material methods: retrospectively reviewed our prospectively maintained database collect information all patients with unruptured saccular MCA treated FDS between January 2010 2016. In additional demographic data we recorded location, aneurysm...
Abstract Background Flow diversion (FD) remains a potential treatment option following aneurysmal subarachnoid hemorrhage (aSAH) when standard options may not be feasible. However, it should considered first-line due to the need for dual antiplatelet therapy (DAPT). The hydrophilic polymer coating on p48MW flow diverter (HPC, phenox) is surface modification that inhibits platelet adhesion. This study aims report our early single-center experience using HPC (phenox) with single (SAPT) an...
Introduction The endovascular treatment of acute ischemic stroke has been revolutionized in the past years by introduction new devices for mechanical thrombectomy. Several tools were already available 2008. majority allowed recanalization acutely occluded intracranial arteries with acceptable levels safety and efficacy, occasional failures. Case presentation On 3 March 2008, a 67-year-old woman was treated 3.5 h after clinical onset right hemispheric due to an embolic middle cerebral artery...
Few devices are approved for thrombectomy of distal vessel branches, and clinical experience is limited. Here we report our with pREset LITE small intracranial vessels.From an institutional database selected consecutive patients treated occlusion (≤ 2 mm), target vessels. Recanalization success was measured by applying the modified Thrombolysis In Cerebral Infarction (mTICI) score. To assess safety, recorded device-related procedural events potentially hemorrhages on follow-up imaging....
<b><i>Background:</i></b> There is uncertainty about the role of endovascular recanalization procedures for treatment acute ischemic stroke in patients aged ≥80 years. Therefore, careful patient selection mandatory. Our aim was to find valid predictors clinical outcome after mechanical thrombectomy (mTE) based on sparse information available emergency setting. <b><i>Methods:</i></b> We included consecutive years treated by mTE anterior...
Few publications have dealt exclusively with the use of flow diverter stents for treatment aneurysms anterior cerebral artery (ACA).To determine efficacy flow-diverting in small, unruptured ACA.We retrospectively reviewed our database prospectively collected information all patients treated diversion an saccular aneurysm ACA between September 2009 and July 2016. The fundus size, neck number type stent (FDS), complications, follow-up data were recorded.In total 26 patients, 27 identified that...
Objective To report our initial experience with the Medina Embolic Device (MED) in unruptured intracranial aneurysms either as sole treatment or conjunction additional devices. Methods 15 consecutive patients (6 women, 9 men) were treated between September 2015 and April 2016. The aneurysm fundus measured at least 5 mm. We evaluated angiographic appearances of end procedure follow-up, clinical status, complications, requirement for adjunctive Results MED was successfully deployed all but one...
Retrospective evaluation of our experience with the use flow diverters (FD) for endovascular treatment direct carotid-cavernous sinus fistulae (diCCF).Between 2011 and 2015, 14 consecutive patients diCCF were treated FD alone or in combination other implants a single institution.A total 21 sessions performed patients. placement was technically successful all cases without an adverse event. Patients (n = 5), covered stents 2), coils 7). A 59 (24 Pipeline Embolization Device, Medtronic; 35 p64...
Background and Purpose: Decision algorithms for large vessel occlusions in the anterior circulation remain unconfirmed acute basilar artery occlusion (aBAO). The aim of this study was to investigate procedural parameters, patient characteristics, functional outcome, survival dependency time window recanalization from symptom onset. Furthermore predictors outcome were identified. Materials Methods: Retrospectively 231 patients with aBAO treated endovascular treatment (EVT) between November...
Introduction: Single-pass complete reperfusion using stent retrievers has been shown to improve functional outcome in patients with large vessel occlusion strokes. The aim of this study was investigate the optimal size achieve one-pass by mechanical thrombectomy. Methods: evaluated results aspiration-assisted thrombectomy acute isolated middle cerebral artery M1 segment a novel 5 × 40-mm retriever compared usual 4 20-mm device. Reperfusion status quantified Thrombolysis In Cerebral...
OBJECTIVE The goal of this study was to characterize the pre-, peri-, and postoperative risk factors associated with early hyponatremia (defined as a serum sodium level < 135 mEq/L on or before day [POD] 3) following transsphenoidal pituitary surgery. METHODS This retrospective performed using single-institution database for patients undergoing surgery adenoma (PA). Serum values were collected routinely throughout period. Uni- multivariable statistical analyses identify independent...
<h3>BACKGROUND AND PURPOSE:</h3> Flow diverters are important tools for the treatment of intracranial aneurysms. We report a retrospective evaluation safety and efficacy p64, fully resheathable, detachable flow diverter, in endovascular sidewall <h3>MATERIALS METHODS:</h3> Results 121 patients with 130 aneurysms (median neck size, 3 mm; median fundus 4 mm), treated from April 2012 through October 2014, were analyzed. Aneurysms unruptured or beyond acute SAH phase. Thirteen located posterior...
<h3>BACKGROUND AND PURPOSE:</h3> Endovascular treatment of bifurcation middle cerebral artery aneurysms with a wide neck could be challenging, and many lesions are still treated by surgical approach. The pCONus is newly emerging device for wide-neck intracranial aneurysms. To date, single report on the including all locations has been published. We our experience in MCA <h3>MATERIALS METHODS:</h3> 4 European centers were retrospectively reviewed. <h3>RESULTS:</h3> Forty (mean dome size, 7.7...