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Undeflatable balloon guide catheter (BGC) during endovascular procedure: Rescue strategy

Lee H, Park T, Baek J, Kim S, Lee S, Ryou K

The use of a balloon guide catheter (BGC) in the endovascular management of acute ischemic stroke is known to improve the efficacy and efficiency of the procedure by reducing the...
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Annual Case Volume and One-Year Mortality for Endovascular Treatment in Acute Ischemic Stroke

Kim JY, Kang J, Kim BJ, Kim SE, Seong-Eun DY, Lee KJ, Park HK, Cho YJ, Park JM, Lee KB, Cha JK, Lee JS, Lee J, Yang KH, Hong OR, Shin JH, Park JH, Gorelick PB, Bae HJ

Background: The association between endovascular treatment (EVT) case volume per hospital and clinical outcomes has been reported, but the exact volume threshold has not been determined. This study aimed to...
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Diffusion-weighted imaging-positive lesions following endovascular treatment for ruptured and unruptured aneurysms: Its incidence according to antithrombotic drugs

Lee SH, Kim SH, Jang JH, Kim YZ, Kim KH, Nam TM

Objective: Microembolic infarcts are frequently observed on diffusion-weighted imaging (DWI) following endovascular treatment. We investigated DWI-positive lesions and symptomatic ischemic complications (SICs) in patients with ruptured and unruptured aneurysms following...
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Angiographic Follow-Up for Small Ruptured Intracranial Aneurysm Treated by Endovascular Treatment : Follow-Up Plan and Long-Term Follow-Up Results

Kim TH, Ko JH, Chung J

Objective : Although endovascular treatment for intracranial aneurysms is considered effective and safe, its durability is still debated. Also, few studies have described angiographic follow-up plan after endovascular treatment of...
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Use of covered stent (CGuard) in the treatment of post-traumatic internal carotid artery pseudoaneurysm

Singh D, Shankar D, Sharma G, Yadav K, Kaif M

Post-traumatic internal carotid artery pseudoaneurysm (ICA PSA) is a rare occurrence with high mortality rates, and with the advent of endovascular therapy, its treatment has shown drastic improvement in clinical...
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Woven Endobridge (WEB) augmented by Y-stent in a shallow basilar tip aneurysm

Nordmann NJ, Weber MW, Dayoub H

The Woven Endobridge (WEB) device can be an effective and simple treatment modality for wide-neck bifurcation intracranial aneurysms. We present a case of a shallow basilar tip aneurysm treated with...
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Etiology-Related Outcome of Endovascular Therapy in Posterior Circulation Stroke Compared to Anterior Circulation Stroke

Kwon H, Lee D, Lee DH, Suh DC, Kwon SU, Kang DW, Kim JS

Background and Purpose We investigated the impact of stroke etiology on the endovascular treatment (EVT) procedure and clinical outcome of posterior circulation stroke (PCS) patients with EVT compared to anterior...
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Endovascular Treatment for Posterior Circulation Stroke: Ways to Maximize Therapeutic Efficacy

Lee SJ, Hong JM, Kim JS, Lee JS

The efficacy of endovascular treatment (EVT) in patients with posterior circulation stroke has not been proven. Two recent randomized controlled trials failed to show improved functional outcomes after EVT for...
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A Single Flow Re-direction Endoluminal Device for the Treatment of Large and Giant Anterior Circulation Intracranial Aneurysms

Choi JH, Sim SY, Shin YS, Chung J

Purpose: The purpose of this study was to report the author’s experiences in treating large (10–25 mm) and giant (>25 mm) intracranial aneurysms (IAs) using a single Flow Re-direction Endoluminal...
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Middle temporal vein access for transvenous embolization of Cavernous sinus dural arteriovenous fistula: A case report and review of literature

Kim SC, Kim JH, Kim CH, Lee CY

Transvenous endovascular treatment is the first choice for treating most cavernous sinus dural arteriovenous fistulas (CDAVFs). Among several available venous routes, the inferior petrosal sinus is the most commonly used....
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Extending the stroke treatment window beyond DAWN in patients with very slow progressor type collaterals: How far can we go?

Pagiola I, Chassin O, Gallas S, Riviere MS, Legris N, Mihalea C, Caroff J, Ikka L, Chalumeau V, Aguiar GBd, Ozanne A, Moret J, Denier C, Spelle L

Five trials published in 2015 showed the benefit of endovascular thrombectomy (ET) in patients with stroke and large vessel occlusion, extending the treatment window has become an obsession of all...
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Endovascular Repair of an Ilio-Iliac Arteriovenous Fistula with Pseudoaneurysm after Lumbar Disc Surgery: A Case Report

Kim C, Hwang D, Yun WS

Aortoiliac vascular injury during lumbar disc surgery is potentially life-threatening, but occasionally presents with delayed-onset symptoms. This is a case report of a fistulized pseudoaneurysm presenting with claudication. A 73-year-old...
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Endovascular Treatment of Cavernous Sinus Dural Arteriovenous Fistula via Radial Artery and Median Cubital Vein

Tan WN, Rajadurai A, Balakrishnan D

Cavernous sinus dural arteriovenous fistula (CS-DAVF) is an arteriovenous shunt where there is fistulous blood flow from the dural arteries from the internal or external carotid artery into the cavernous...
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Rescue endovascular treatment for rapid regrowth of aneurysm remnant on middle cerebral artery trunk after unsuccessful surgical clipping in patients with a ruptured cerebral aneurysm: A report of two cases

Cho HW, Jang D, Jun HS

We report two rare cases treated with coiling after rapid regrowth (within a month) of an aneurysm remnant on the middle cerebral artery (MCA) trunk after incomplete surgical clipping. The...
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Effect of Transport Time on the Use of Reperfusion Therapy for Patients with Acute Ischemic Stroke in Korea

Choi JC, Kim JG, Kang CH, Bae HJ, Kang J, Lee SJ, Park JM, Park TH, Cho YJ, Lee KB, Lee J, Kim DE, Cha JK, Kim JT, Lee BC, Lee JS, Kim AS

Background: We investigated the association between geographic proximity to hospitals and the administration rate of reperfusion therapy for acute ischemic stroke. Methods: We identified patients with acute ischemic stroke who visited...
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How to differentiate intracranial atherosclerotic disease or vasospasms after mechanical thrombectomy. Be patient or vasodilator is the secret?

Pagiola I, Amaral B, Saito C, Nalli D, Carrete Junior H, Frudit M

Here we describe a successful mechanical thrombectomy (MT) for acute large vessel occlusion in stroke treatment with one passage (thrombolysis in cerebral infarction, TICI 3). Immediately after the withdrawing of...
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Routing to Endovascular Treatment of Ischemic Stroke in Korea: Recognition of Need for Process Improvement

Kang J, Kim SE, Park HK, Cho YJ, Kim JY, Lee KJ, Park JM, Park KY, Lee KB, Lee SJ, Lee JS, Lee J, Yang KH, Choi AR, Kang MY, Choi NC, Gorelick PB, Bae HJ

Background: To track triage, routing, and treatment status regarding access to endovascular treatment (EVT) after acute ischemic stroke (AIS) at a national level. Methods: From national stroke audit data, potential candidates...
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Cervical spinal extradural arteriovenous fistula successfully treated using transarterial balloon-assisted coil embolization

Park JS, Kwon MY, Lee CY

We present the case of a patient who developed compressive radiculopathy that was found to be associated with a spinal extradural arteriovenous fistula. The fistula was successfully obliterated with transarteiral...
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The Effect of Severe Femoropopliteal Arterial Calcification on the Treatment Outcome of Femoropopliteal Intervention in Patients with Ischemic Tissue Loss

Lee HY, Park UJ, Kim HT, Roh YN

Purpose: We investigated the effect of severe calcification of the femoropopliteal artery on intervention outcomes in patients with ischemic tissue loss. Materials and Methods: A retrospective review of the first endovascular...
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Perfusion Imaging to Select Patients with Large Ischemic Core for Mechanical Thrombectomy

Kerleroux B, Janot K, Dargazanli C, Daly-Eraya D, Ben-Hassen W, Zhu F, Gory B, Hak JF, Perot C, Detraz L, Bourcier R, Rouchaud A, Forestier G, Benzakoun J, Marnat G, Gariel F, Mordasini P, Kaesmacher J, Boulouis G, on Behalf of the JENI Research Collaborative

Background and Purpose Patients with acute ischemic stroke, proximal vessel occlusion and a large ischemic core at presentation are commonly not considered for mechanical thrombectomy (MT). We tested the hypothesis...
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