World Neurosurg
-
Review Case Reports
Minimally invasive approach for removal of a ruptured radiculo-medullary artery aneurysm. Case report and literature review.
Radiculomedullary arteries aneurysms are rare, with only few cases so far reported. ⋯ Rupture of radiculomedullary artery aneurysm always should be considered as differential diagnosis in patients with sudden onset of isolated back pain, headache, and spinal epidural/subdural bleeding. Among different possible treatments, surgery represents a valid option. The use of microsurgical techniques is crucial to achieve a good clinical outcome. A minimally invasive approach can be used to minimize muscle disruption, with minimal blood loss, and faster recovery.
-
Randomized Controlled Trial
Different techniques of minimally invasive craniopuncture for the treatment of hypertensive intracerebral hemorrhage.
Efficacy of minimally invasive craniopuncture with the YL-1 puncture needle (hard-channel) and soft drainage tube (soft-channel) in treating hypertensive intracerebral hemorrhage (HICH). ⋯ Soft-channel minimally invasive craniopuncture is an ideal technique for treating HICH, with advantages of alleviating cerebral edema, reducing oxidative stress, and inhibiting inflammatory response.
-
Multicenter Study
Treatment of blood blister-like aneurysms with stent-assisted coiling: a retrospective multicenter study.
To clarify safety and efficacy of stent-assisted coiling for treatment of blood blister-like aneurysm (BBA) in a multicenter experience. ⋯ Our data support the use of overlapping (≥2) stents combined with coiling as a safe and effective therapeutic modality for BBA. Overlapping (≥2) stents may provide higher obliteration rate, lower recurrence rate, and lower perioperative hemorrhagic risk in treatment of BBA.
-
The transfemoral approach is widely used by neurointerventionalists for accessing the femoral artery in patients undergoing diagnostic and therapeutic endovascular procedures. In patients with more difficult anatomy, duplex ultrasonography (US) may be a valuable adjunct for femoral vascular access. We aimed to assess the evidence for the effectiveness of duplex US-guided femoral access within interventional neuroradiology. ⋯ US-guided femoral artery access for endovascular procedures is a safe and effective adjunct for visualizing the femoral artery during vascular access for endovascular procedures. Neurointerventionalists should consider a low threshold for its use, especially for patients with challenging anatomy or at high-risk of bleeding complications.
-
Multicenter Study Observational Study
Non-surviving patients with severe traumatic brain injury have maintained high serum sCD40L levels.
Soluble cluster of differentiation 40 ligand (sCD40L) is a member of the tumor necrosis factor family with proinflamatory and procoagulant effects. A previous study found higher serum sCD40L levels at day 1 of traumatic brain injury (TBI) in nonsurviving than surviving patients. Thus the objective of this study was to compare serum sCD40L levels during the first week of a severe TBI between surviving and nonsurviving patients and to determine whether it could be used as a mortality predictor biomarker. ⋯ The existence of higher serum sCD40L levels in nonsurviving than surviving patients during the first week of TBI and fact that serum sCD40L levels during the first week of TBI can be used as a mortality predictor biomarker are the new findings of our study.