Read the imaging correctly folks.... aneurysms are the ones missed most... http://www.ajnr.org/content/32/11/2132.abstract Interpretation Errors in CT Angiography of the Head and Neck and the Benefit of Double Reading K. Lian,A. Bharatha,R.I. Aviv and  S.P. Symons  Sean P. Symons, MPH, MD, FRCPC, Division...

cPAX is a polymeric strand delivered into the aneurysm using a technique similar to currently available platinum coil technologies.  cPAX, because of its soft polymeric material, is designed to achieve more complete filling of the aneurysm with the probable benefit of greater long term stability.  A significant feature of cPAX in...

researchers from the University of British Columbia have discovered an interesting property of the platinum embolism implant – it can act as a fairly accurate sensor and antenna. The reason is simply that the implant’s coiled shape causes its material properties, namely its resonance frequency, to vary depending on the blood flow through...

The Luna AES treats brain aneurysms by blocking (embolizing) blood flow while providing a scaffold to encourage tissue growth across an aneurysm opening and create a plug. The Luna uses a self-expandable, multi-layer oval implant made from Nitinol, a nickel-titanium alloy. The properties of the device allow it to easily compress within a...

    Sent to you by subbu via Google Reader:     The Safety of Intravenous Thrombolysis for Ischemic Stroke in Patients With Pre-Existing Cerebral Aneurysms: A Case Series and Review of the Literature [Original Contributions] via Stroke ASAP by Edwards, N. J., Kamel, H., Josephson, S. A. on 12/8/11 Background and Purpose—Unruptured cerebral aneurysms are currently considered a contraindication to intravenous...

Dural venous sinus angioplasty and stenting for the treatment of idiopathic intracranial hypertension J NeuroIntervent Surg ...

Mechanical thrombectomy as first-line treatment for venous sinus thrombosis: technical considerations and preliminary results using the AngioJet device J NeuroIntervent Surg ...

Interventional Stroke Therapies in the Elderly: Are We Helping?N. Zeevi, G.A. Kuchel, N.S. Lee, I. Staff and L.D. McCulloughLouise D. McCullough, MD, PhD, The Stroke Clinic at Hartford Hospital, 80 Seymour St, Suite JB603, Hartford, CT 06102; e-mail:lmccullough@uchc.eduAbstractBACKGROUND AND PURPOSE: It is unclear...

Extending the Time Window for Endovascular Procedures According to Collateral Pial Circulation [Original Contributions; Clinical Sciences]: Background and Purpose—Good collateral pial circulation (CPC) predicts a favorable outcome in patients undergoing intra-arterial procedures. We aimed to determine if CPC status may be used to decide about pursuing recanalization efforts.Methods—Pial collateral score (0–5) was determined on...

Wonderful articlethis was always suspected or rather known that small aneurysms do rupture but the prospective trials could not show this. Sato et al have now come with this article and proven statistically that some aneurysms form and rupture soon after while others remain stable and do not rupture for long.Risk Profile of Intracranial Aneurysms: Rupture Rate Is Not Constant After Formation [Original Contributions; Clinical Sciences]:...

Neurogenic pulmonary edema (NPE) is a well-known entity, occurs after acute severe insult to the central nervous system. It has been described in relation to different clinical scenario. However, NPE has rarely been mentioned after endovascular coiling of intracranial aneurysms. In this recently published article of mine along with my anesthsia colleagues, the clinical course of a patient who developed NPE after aneurysmal...

Excellent article...it is oft noted but no one bothered about it...its time some one looked into the matter. While radiology residents are pretty good in reporting in general, they lack the skills in vascular imaging and neuroradiology in general. Accuracy of On-Call Resident Interpretation of CT Angiography for Intracranial Aneurysm in Subarachnoid Hemorrhage via American Journal of Roentgenology current issue...

Interventional Stroke Therapies in the Elderly: Are We Helping?  Zeevi, N., Kuchel, G. A., Lee, N. S., Staff, I., McCullough, L. D. BACKGROUND AND PURPOSE: It is unclear whether endovascular therapies for the treatment of AIS are being offered or are safe in older adults. The use and safety of endovascular interventions in patients older than 75 years of age were assessed. MATERIALS AND METHODS: A retrospective...

Pediatric Intracranial Aneurysms: New and Enlarging Aneurysms after Index Aneurysm Treatment or ObservationBACKGROUND AND PURPOSE:Children with brain aneurysms may be at higher risk than adults to develop new or enlarging aneurysms in a relatively short time. We sought to identify comorbidities and angiographic features in children that predict new aneurysm formation or enlargement of untreated aneurysms.MATERIALS AND METHODS:Retrospective...

Cerebral Perfusion Long Term after Therapeutic Occlusion of the Internal Carotid Artery in Patients Who Tolerated Angiographic Balloon Test OcclusionGevers, S., Heijtel, D., Ferns, S. P., van Ooij, P., van Rooij, W. J., van Osch, M. J., van den Berg, R., Nederveen, A. J., Majoie, C. B.BACKGROUND AND PURPOSE:Therapeutic carotid occlusion is an established technique for treatment of large and giant aneurysms of the ICA, in patients...

This is the case of a middle aged patient with Fisher grade 3, Hunt and Hess grade 2 subarachnoid haemorrhage with a ruptured basilar tip aneurysm. The aneurysm was moderate sized, with a wide neck ~ 7 mm involving both the proximal p1 PCA segments (left more than right), and directed posterosuperiorly. The  Pcoms were seen although...