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Treatment of a posterior cerebral artery aneurysm in the context of complex cardio-cerebrovascular variations using the Tubridge flow diverter

Dmytriw AA, Grewal S, Cancelliere NM, Patel AB, Pereira VM, Ren X

We present a case of intracranial aneurysm located in the P1 segment of left posterior cerebral artery in the context of tetralogy of Fallot. Complex variations included right aortic arch...
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Flow diverter stenting for intracranial aneurysms in the pediatric population: Two case reports and literature review

Eraky AM, Feller C, Tolba H, Porwal M, Sacho RH, Hedayat H

The Pipeline Embolization Device (PED) is a flow-diverting intraluminal device that is approved for use in adults 18 years or older with internal carotid artery aneurysms. However, it can also...
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Imaging follow-up strategy after endovascular treatment of Intracranial aneurysms: A literature review and guideline recommendations

Cho YH, Choi J, Huh CW, Kim CH, Chang CH, KWON SC, Kim YW, Sheen SH, Park SQ, Ko JK, Ha Sk, Jeong HW, Kang HS, Clinical Practice Guideline Committee of the Korean Neuroendovascular Society

Objective: Endovascular coil embolization is the primary treatment modality for intracranial aneurysms. However, its long-term durability remains of concern, with a considerable proportion of cases requiring aneurysm reopening and retreatment....
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Safety and efficacy comparison of embolic agents for middle meningeal artery embolization for chronic subdural hematoma

Ellens NR, Schartz D, Kohli G, Rahmani R, Akkipeddi SMK, Mattingly TK, Bhalla T, Bender MT

Objective: To perform a systematic review and meta-analysis evaluating the efficacy of middle meningeal artery embolization in terms of both clinical and radiographic outcomes, when performed with different embolic agents. Methods:...
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Reducing frame rate and pulse rate for routine diagnostic cerebral angiography: ALARA principles in practice

Wali AR, Pathuri S, Brandel MG, Sindewald RW, Hirshman BR, Bravo JA, Steinberg JA, Olson SE, Pannell JS, Khalessi A, Santiago-Dieppa D

Objective: Diagnostic cerebral angiograms (DCAs) are widely used in neurosurgery due to their high sensitivity and specificity to diagnose and characterize pathology using ionizing radiation. Eliminating unnecessary radiation is critical...
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Transcranial Doppler emboli monitoring for stroke prevention after flow diverting stents

Costa M, Schmitt P, N J, Baldoncini M, Vivanco-Suarez J, Chaurasia B, Douville C, Yince L, Patel A, Monteith S

Objective: Flow diverting stents (FDS) are increasingly used for the treatment of intracranial aneurysms. While FDS can provide flow diversion of parent vessels, their high metal surface coverage can cause...
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Navigation guided small craniectomy and direct cannulation of pure isolated sigmoid sinus for treatment of dural arteriovenous fistula

Shim JH, Yun GY, Ann JM, Park JH, Oh HJ, Shim JJ, Yoon SM

Dural arteriovenous fistula (DAVF) is a rare condition affecting approximately 1.5% of 1,000,000 individuals annually. It frequently occurs in the transsigmoid and cavernous sinuses. An isolated sigmoid sinus is extremely...
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Curative transvenous embolization for congenital multi-hole pial arteriovenous fistula

Fry L, Brake A, Lei C, Stefano FAD, Bhargav AG, Peterson J, Ebersole K

Objective: Congenital intracranial pial arteriovenous fistula (PAVF) is a rare cerebral vascular pathology characterized by a direct shunt between one or more pial feeding arteries and a cortical draining vein....
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Internal maxillary artery (IMax) – middle cerebral artery bypass in a patient with bilateral atherosclerotic carotid occlusion: A technical case report

Degollado-García J, Casas-Martínez MR, Mejia BRF, Balcázar-Padrón JC, Rodríguez-Rubio HA, Nathal E

Since the first description of the possible utilization of the internal maxillary artery for bypass surgery, there are some reports of its use in aneurysm cases; however, there is no...
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Spontaneous occlusion of a pial arteriovenous fistula after angiography: The role of iodinated contrast media

John S, Maiti TK, Kesav P, Arif A, Hussain SI

Intracranial non-galenic pial arteriovenous fistula (PAVF) is an extremely rare vascular malformation, where one or more pial arteries feeds directly into a cortical vein without any intervening nidus. Though occasionally...
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Microsurgical treatment of distal middle cerebral artery aneurysm: A single-center review

Jang T, Kim ST, Lee J, Lee WH, Lee KS, Pyo SY, Ko J, Lee H, Jeong YG

Objective: To review the characteristics of distal middle cerebral artery (MCA) aneurysm treated by microsurgery, the detailed surgical options, and the clinical result. Methods: We retrospectively reviewed cerebral aneurysm in the...
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Surgical considerations and techniques using intraoperative indocyanine green angiography for ethmoidal dural arteriovenous fistula

Yang HG, Cho SH, Kim HB, Yang KH

Objective: This study aims to investigate the efficacy of microsurgery with intraoperative indocyanine green (ICG) angiography as a treatment approach for ethmoidal dural arteriovenous fistula (DAVF). Methods: Between January 2010 and...
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