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Cerebral Aneurysm

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1. Endovascular insertion of an intrasaccular wire-mesh blood-flow disruption device for intracranial aneurysms

is a bulge in a blood vessel in the brain caused by a weakness in the blood vessel wall, usually where it branches. Most brain aneurysms only cause noticeable symptoms if they rupture. However, large aneurysms may cause local compression symptoms before they rupture, such as headache. Rupture of intracranial aneurysms causes subarachnoid haemorrhage and is associated with a very poor prognosis. About 10% of people die before reaching hospital and a further 50% die within 4 weeks. About 50% of people who (...) -and- conditions#notice-of-rights). Page 2 of 4The procedure 2.4 Endovascular insertion of an intrasaccular wire-mesh blood-flow disruption device for intracranial aneurysms is used for the embolisation of ruptured and unruptured intracranial aneurysms. It may be particularly suitable for people with wide-necked aneurysms. The procedure is usually done under general anaesthesia. A catheter is inserted into the femoral artery and advanced into the cerebral circulation under X-ray guidance. A second, smaller

2019 National Institute for Health and Clinical Excellence - Interventional Procedures

2. Cerebral aneurysm

is the definitive investigation. CT angiography or magnetic resonance angiography may also be used. Definitive treatment aims to obliterate the aneurysm from the cerebral circulation. Options include endovascular coiling or open surgical clipping. Screening with non-invasive neuroangiography is recommended for at-risk populations. Definition A cerebral aneurysm is a focal abnormal dilation of the wall of an artery in the brain. Intra-cranial aneurysms are most commonly located at branching points of the major (...) arteries at the base of the brain, which course through the subarachnoid space. Cerebral aneurysms can, by nature of their size, compress neighbouring nerves or brain tissue or, more devastatingly, rupture and cause significant morbidity and mortality. History and exam presence of risk factors headache seizures nuchal rigidity decreased level of consciousness focal neurological deficit smoking moderate- to high-level alcohol consumption FHx subarachnoid haemorrhage previous subarachnoid haemorrhage

2018 BMJ Best Practice

3. 3D HD : Adenosine and Basilar Tip Aneurysm Clipping - OZ Pterional Trans-Sylvian. ( Brain Surgery )

3D HD : Adenosine and Basilar Tip Aneurysm Clipping - OZ Pterional Trans-Sylvian. ( Brain Surgery ) 3D HD : Adenosine and Basilar Tip Aneurysm Clipping - OZ Pterional Trans-Sylvian. ( Brain Surgery ) - YouTube Skip navigation Sign in Search Loading... Choose your language. Close You're viewing YouTube in English (UK) . You can . You're viewing YouTube in English (United Kingdom) . You can . Close This video is unavailable. Watch Queue Queue Watch Queue Queue Remove all Disconnect The next (...) video is starting stop Loading... Watch Queue Queue __count__/__total__ Changes to YouTube’s Terms of Service Loading... Our Terms of Service have been updated. Please review the new Terms. Working... Ok 3D HD : Adenosine and Basilar Tip Aneurysm Clipping - OZ Pterional Trans-Sylvian. ( Brain Surgery ) Loading... Unsubscribe from San Francisco, Vascular Neurosurgery, Adib Abla MD? Cancel Unsubscribe Working... Subscribe Subscribed Unsubscribe 332 Loading... Loading... Working... Add to Want to watch

2019 University of Arkansas (UAMS) - Vascular Neurosurgery Program (Videos)

4. Basilar Tip Aneurysm Coiling with Y Stenting. Brain Stenting

Basilar Tip Aneurysm Coiling with Y Stenting. Brain Stenting Basilar Tip Aneurysm Coiling with Y Stenting. Brain Stenting - YouTube Skip navigation Sign in Search Loading... Choose your language. Close You're viewing YouTube in English (UK) . You can . You're viewing YouTube in English (United Kingdom) . You can . Close This video is unavailable. Watch Queue Queue Watch Queue Queue Remove all Disconnect The next video is starting stop Loading... Watch Queue Queue __count__/__total__ Changes (...) to YouTube’s Terms of Service Loading... Our Terms of Service have been updated. Please review the new Terms. Working... Ok Basilar Tip Aneurysm Coiling with Y Stenting. Brain Stenting Loading... Unsubscribe from San Francisco, Vascular Neurosurgery, Adib Abla MD? Cancel Unsubscribe Working... Subscribe Subscribed Unsubscribe 332 Loading... Loading... Working... Add to Want to watch this again later? Sign in to add this video to a playlist. Share More Report Need to report the video? Sign in to report

2019 University of Arkansas (UAMS) - Vascular Neurosurgery Program (Videos)

5. PICA aneurysm clipping surgery. Retrosigmoid Approach. 3D HD. ( Brain Surgery )

PICA aneurysm clipping surgery. Retrosigmoid Approach. 3D HD. ( Brain Surgery ) PICA aneurysm clipping surgery. Retrosigmoid Approach. 3D HD. ( Brain Surgery ) - YouTube Skip navigation Sign in Search Loading... Choose your language. Close You're viewing YouTube in English (UK) . You can . You're viewing YouTube in English (United Kingdom) . You can . Close This video is unavailable. Watch Queue Queue Watch Queue Queue Remove all Disconnect The next video is starting stop Loading... Watch Queue (...) Queue __count__/__total__ Changes to YouTube’s Terms of Service Loading... Our Terms of Service have been updated. Please review the new Terms. Working... Ok PICA aneurysm clipping surgery. Retrosigmoid Approach. 3D HD. ( Brain Surgery ) Loading... Unsubscribe from San Francisco, Vascular Neurosurgery, Adib Abla MD? Cancel Unsubscribe Working... Subscribe Subscribed Unsubscribe 332 Loading... Loading... Working... Add to Want to watch this again later? Sign in to add this video to a playlist. Share

2019 University of Arkansas (UAMS) - Vascular Neurosurgery Program (Videos)

6. Basilar Tip Aneurysm Coiling with Y Stenting. Brain Stenting

Basilar Tip Aneurysm Coiling with Y Stenting. Brain Stenting Basilar Tip Aneurysm Coiling with Y Stenting. Brain Stenting - YouTube Skip navigation Sign in Search Loading... Choose your language. Close You're viewing YouTube in English (UK) . You can . You're viewing YouTube in English (United Kingdom) . You can . Close This video is unavailable. Watch Queue Queue Watch Queue Queue Remove all Disconnect The next video is starting stop Loading... Watch Queue Queue __count__/__total__ YouTube (...) Premium Loading... Get YouTube without the ads. Working... Skip trial Basilar Tip Aneurysm Coiling with Y Stenting. Brain Stenting Loading... Unsubscribe from San Francisco, Vascular Neurosurgery, Adib Abla MD? Cancel Unsubscribe Working... Subscribe Subscribed Unsubscribe 289 Loading... Loading... Working... Add to Want to watch this again later? Sign in to add this video to a playlist. Share More Report Need to report the video? Sign in to report inappropriate content. Transcript 8,377 views 34 Like

2019 University of Arkansas (UAMS) - Vascular Neurosurgery Program (Videos)

7. 3D HD : Adenosine and Basilar Tip Aneurysm Clipping - OZ Pterional Trans-Sylvian. ( Brain Surgery )

3D HD : Adenosine and Basilar Tip Aneurysm Clipping - OZ Pterional Trans-Sylvian. ( Brain Surgery ) 3D HD : Adenosine and Basilar Tip Aneurysm Clipping - OZ Pterional Trans-Sylvian. ( Brain Surgery ) - YouTube Skip navigation Sign in Search Loading... Choose your language. Close You're viewing YouTube in English (UK) . You can . You're viewing YouTube in English (United Kingdom) . You can . Close This video is unavailable. Watch Queue Queue Watch Queue Queue Remove all Disconnect The next (...) video is starting stop Loading... Watch Queue Queue __count__/__total__ YouTube Premium Loading... Get YouTube without the ads. Working... Skip trial 3D HD : Adenosine and Basilar Tip Aneurysm Clipping - OZ Pterional Trans-Sylvian. ( Brain Surgery ) Loading... Unsubscribe from San Francisco, Vascular Neurosurgery, Adib Abla MD? Cancel Unsubscribe Working... Subscribe Subscribed Unsubscribe 289 Loading... Loading... Working... Add to Want to watch this again later? Sign in to add this video

2018 University of Arkansas (UAMS) - Vascular Neurosurgery Program (Videos)

8. PICA aneurysm clipping surgery. Retrosigmoid Approach. 3D HD. ( Brain Surgery )

PICA aneurysm clipping surgery. Retrosigmoid Approach. 3D HD. ( Brain Surgery ) PICA aneurysm clipping surgery. Retrosigmoid Approach. 3D HD. ( Brain Surgery ) - YouTube Skip navigation Sign in Search Loading... Choose your language. Close You're viewing YouTube in English (UK) . You can . You're viewing YouTube in English (United Kingdom) . You can . Close This video is unavailable. Watch Queue Queue Watch Queue Queue Remove all Disconnect The next video is starting stop Loading... Watch Queue (...) Queue __count__/__total__ YouTube Premium Loading... Get YouTube without the ads. Working... Skip trial PICA aneurysm clipping surgery. Retrosigmoid Approach. 3D HD. ( Brain Surgery ) Loading... Unsubscribe from San Francisco, Vascular Neurosurgery, Adib Abla MD? Cancel Unsubscribe Working... Subscribe Subscribed Unsubscribe 289 Loading... Loading... Working... Add to Want to watch this again later? Sign in to add this video to a playlist. Share More Report Need to report the video? Sign

2018 University of Arkansas (UAMS) - Vascular Neurosurgery Program (Videos)

9. Flow diverter devices for intracranial aneurysms: a review of reviews

from: Indexing Status Subject indexing assigned by CRD MeSH Cerebral Angiography; Embolization, Therapeutic; Humans; Intracranial Aneurysm; Physical Phenomena Language Published English Country of organisation United States English summary An English language summary is available. Address for correspondence HAYES, Inc., 157 S. Broad Street, Suite 200, Lansdale, PA 19446, USA. Tel: 215 855 0615; Fax: 215 855 5218 Email: hayesinfo@hayesinc.com AccessionNumber 32017000172 Date abstract record (...) Flow diverter devices for intracranial aneurysms: a review of reviews Flow diverter devices for intracranial aneurysms: a review of reviews Flow diverter devices for intracranial aneurysms: a review of reviews HAYES, Inc Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation HAYES, Inc. Flow diverter devices for intracranial aneurysms: a review of reviews. Lansdale

2017 Health Technology Assessment (HTA) Database.

10. 3D HD : Adenosine and Basilar Tip Aneurysm Clipping - OZ Pterional Trans-Sylvian. ( Brain Surgery )

3D HD : Adenosine and Basilar Tip Aneurysm Clipping - OZ Pterional Trans-Sylvian. ( Brain Surgery ) 3D HD : Adenosine and Basilar Tip Aneurysm Clipping - OZ Pterional Trans-Sylvian. ( Brain Surgery ) - YouTube Skip navigation Sign in Search Loading... Choose your language. Close You're viewing YouTube in English (UK) . You can . You're viewing YouTube in English (United Kingdom) . You can . Close This video is unavailable. Watch Queue Queue Watch Queue Queue Remove all Disconnect The next (...) video is starting stop Loading... Watch Queue Queue __count__/__total__ YouTube Premium Loading... Get YouTube without the ads. Working... Skip trial 3D HD : Adenosine and Basilar Tip Aneurysm Clipping - OZ Pterional Trans-Sylvian. ( Brain Surgery ) Loading... Unsubscribe from San Francisco, Vascular Neurosurgery, Adib Abla MD? Cancel Unsubscribe Working... Subscribe Subscribed Unsubscribe 289 Loading... Loading... Working... Add to Want to watch this again later? Sign in to add this video

2017 University of Arkansas (UAMS) - Vascular Neurosurgery Program (Videos)

11. Basilar Tip Aneurysm Coiling with Y Stenting. Brain Stenting

Basilar Tip Aneurysm Coiling with Y Stenting. Brain Stenting Basilar Tip Aneurysm Coiling with Y Stenting. Brain Stenting - YouTube Skip navigation Sign in Search Loading... Choose your language. Close You're viewing YouTube in English (UK) . You can . You're viewing YouTube in English (United Kingdom) . You can . Close This video is unavailable. Watch Queue Queue Watch Queue Queue Remove all Disconnect The next video is starting stop Loading... Watch Queue Queue __count__/__total__ YouTube (...) Premium Loading... Get YouTube without the ads. Working... Skip trial Basilar Tip Aneurysm Coiling with Y Stenting. Brain Stenting Loading... Unsubscribe from San Francisco, Vascular Neurosurgery, Adib Abla MD? Cancel Unsubscribe Working... Subscribe Subscribed Unsubscribe 289 Loading... Loading... Working... Add to Want to watch this again later? Sign in to add this video to a playlist. Share More Report Need to report the video? Sign in to report inappropriate content. Transcript 8,380 views 34 Like

2017 University of Arkansas (UAMS) - Vascular Neurosurgery Program (Videos)

12. PICA aneurysm clipping surgery. Retrosigmoid Approach. 3D HD. ( Brain Surgery )

PICA aneurysm clipping surgery. Retrosigmoid Approach. 3D HD. ( Brain Surgery ) PICA aneurysm clipping surgery. Retrosigmoid Approach. 3D HD. ( Brain Surgery ) - YouTube Skip navigation Sign in Search Loading... Choose your language. Close You're viewing YouTube in English (UK) . You can . You're viewing YouTube in English (United Kingdom) . You can . Close This video is unavailable. Watch Queue Queue Watch Queue Queue Remove all Disconnect The next video is starting stop Loading... Watch Queue (...) Queue __count__/__total__ YouTube Premium Loading... Get YouTube without the ads. Working... Skip trial PICA aneurysm clipping surgery. Retrosigmoid Approach. 3D HD. ( Brain Surgery ) Loading... Unsubscribe from San Francisco, Vascular Neurosurgery, Adib Abla MD? Cancel Unsubscribe Working... Subscribe Subscribed Unsubscribe 289 Loading... Loading... Working... Add to Want to watch this again later? Sign in to add this video to a playlist. Share More Report Need to report the video? Sign

2017 University of Arkansas (UAMS) - Vascular Neurosurgery Program (Videos)

13. Impact of aneurysm shape and neck configuration on cerebral infarction during microsurgical clipping of intracranial aneurysms. (Abstract)

Impact of aneurysm shape and neck configuration on cerebral infarction during microsurgical clipping of intracranial aneurysms. OBJECTIVECerebral infarction is a significant cause of morbidity and mortality related to microsurgical clipping of intracranial aneurysms. The objective of this study was to determine the impact of aneurysm shape and neck configuration on cerebral infarction after aneurysm surgery.METHODSThe authors retrospectively reviewed consecutive cases of ruptured and unruptured (...) aneurysms treated with microsurgical clipping at their institution between 2010 and 2018. Three-dimensional reconstructions from preoperative computed tomography and digital subtraction angiography were used to determine aneurysm shape (regular/complex) and neck configuration (regular/irregular). Morphological and procedure-related risk factors for cerebral infarction were identified using univariate and multivariate statistical analyses.RESULTSAmong 243 patients with 252 aneurysms (148 ruptured, 104

2019 Journal of Neurosurgery

14. Development and validation of the Skills Assessment in Microsurgery for Brain Aneurysms (SAMBA) instrument for predicting proficiency in aneurysm surgery. (Abstract)

of objective evaluation for proficiency in the microsurgical treatment of brain aneurysms. The authors present a new instrument, the Skill Assessment in Microsurgery for Brain Aneurysms (SAMBA) scale, which can be used similarly in a simulation model and in the treatment of unruptured middle cerebral artery (MCA) aneurysms to predict surgical performance; the authors also report on its validation.The SAMBA scale was created by consensus among 5 vascular neurosurgeons from 2 different neurosurgical (...) Development and validation of the Skills Assessment in Microsurgery for Brain Aneurysms (SAMBA) instrument for predicting proficiency in aneurysm surgery. Surgical performance evaluation was first described with the OSATS (Objective Structured Assessment of Technical Skills) and modified for aneurysm microsurgery simulation with the OSAACS (Objective Structured Assessment of Aneurysm Clipping Skills). These methods rely on the subjective opinions of evaluators, however, and there is a lack

2019 Journal of Neurosurgery

15. Patient and aneurysm characteristics in familial intracranial aneurysms. A systematic review and meta-analysis. Full Text available with Trip Pro

Patient and aneurysm characteristics in familial intracranial aneurysms. A systematic review and meta-analysis. Patient and aneurysm characteristics have been reported to differ between patients with familial and non-familial intracranial aneurysms (IAs), although results are inconsistent. We systematically reviewed and meta-analyzed the literature to identify and quantify patient- and aneurysm characteristics associated with familial IAs.We searched PubMed and EMBASE for case-control (...) and cohort studies comparing patient- and aneurysm characteristics between familial and non-familial IAs. Two observers independently assessed study eligibility and appraised quality with the Newcastle Ottawa Scale. With univariable weighted linear regression analysis we calculated β-coefficients with corresponding 95% confidence intervals (CIs) for ruptured and unruptured IAs combined and for ruptured IAs only. Heterogeneity was assessed with Higgins I2.A total of 15 articles were included in the meta

2019 PLoS ONE

16. Incidence, classification, and treatment of angiographically occult intracranial aneurysms found during microsurgical aneurysm clipping of known aneurysms. Full Text available with Trip Pro

Incidence, classification, and treatment of angiographically occult intracranial aneurysms found during microsurgical aneurysm clipping of known aneurysms. OBJECTIVEDuring the microsurgical clipping of known aneurysms, angiographically occult (AO) aneurysms are sometimes found and treated simultaneously to prevent their growth and protect the patient from future rupture or reoperation. The authors analyzed the incidence, treatment, and outcomes associated with AO aneurysms to determine whether (...) %) were identified during 2867 distinct craniotomies for aneurysm clipping. The most common locations for AO aneurysms were the middle cerebral artery (60 aneurysms, 54.1%) and the anterior cerebral artery (20 aneurysms, 18.0%). Fifty-six AO aneurysms (50.5%) were located on the same artery as the known saccular aneurysm. Most AO aneurysms (95.5%) were clipped and there was no attributed morbidity. The most common causes of failed angiographic detection were superimposition of a large aneurysm (type 1

2019 Journal of Neurosurgery

17. Intraoperative mild hypothermia for postoperative neurological deficits in people with intracranial aneurysm. Full Text available with Trip Pro

Intraoperative mild hypothermia for postoperative neurological deficits in people with intracranial aneurysm. Rupture of an intracranial aneurysm causes aneurysmal subarachnoid haemorrhage, which is one of the most devastating clinical conditions. It can be classified into five Grades using the Hunt-Hess or World Federation of Neurological Surgeons (WFNS) scale. Grades 4 and 5 predict poor prognosis and are known as 'poor grade', while grade 1, 2, and 3 are known as 'good grade'. Disturbances (...) of intracranial homeostasis and brain metabolism are known to play certain roles in the sequelae. Hypothermia has a long history of being used to reduce metabolic rate, thereby protecting organs where metabolism is disturbed, and may potentially cause harm.To assess the effect of intraoperative mild hypothermia on postoperative death and neurological deficits in people with ruptured or unruptured intracranial aneurysms.We updated the search in the Cochrane Stroke Group Trials Register (August 2015

2016 Cochrane

18. China Intracranial Aneurysm Project (CIAP): protocol for a registry study on a multidimensional prediction model for rupture risk of unruptured intracranial aneurysms Full Text available with Trip Pro

China Intracranial Aneurysm Project (CIAP): protocol for a registry study on a multidimensional prediction model for rupture risk of unruptured intracranial aneurysms Ruptured aneurysms, the commonest cause of nontraumatic subarachnoid hemorrhage, can be catastrophic; the mortality and morbidity of affected patients being very high. Some risk factors, such as smoking, hypertension and female sex have been identified, whereas others, such as hemodynamics, imaging, and genomics, remain unclear (...) . Currently, no accurate model that includes all factors for predicting such rupture is available. We plan to use data from a large cohort of Chinese individuals to set up a multidimensional model for predicting risk of rupture of unruptured intracranial aneurysms (UIAs).The China Intracranial Aneurysm Project-2 (CIAP-2) will comprise screening of a cohort of 500 patients with UIA (From CIAP-1) and focus on hemodynamic factors, high resolution magnetic resonance imaging (HRMRI) findings, genetic factors

2018 Journal of translational medicine

19. Complex endovascular aneurysm repair in patients with juxta-renal or thoraco-abdominal aortic aneurysm

. 10 The flow to the side branches is preserved through fenestrations in the stent-graft fabric. B-EVAR is a technique which uses branched stent grafts for aneurysms that involve vital aortic side branches such as supra-renal and Type 4 thoraco-abdominal aneurysms or even the pre-cerebral vessels (aortic arch aneurysm). 10 Unlike the fenestrated grafts, which have only pre-made windows for the visceral and renal artery origins, branched grafts have branches already attached to the body of the 78 7 (...) Complex endovascular aneurysm repair in patients with juxta-renal or thoraco-abdominal aortic aneurysm 78 1 Health technology description Key points ? A single prospective observational study compared 30-day outcomes of fenestrated/branched endovascular aneurysm repair (F/B-EVAR) with open surgery repair (OSR) for the treatment of complex aortic aneurysm anatomies: para/juxta-renal aortic aneurysm (PRAA/JRAA) and thoraco-abdominal aortic aneurysm (TAAA). There was no statistically significant

2018 Evidence Notes from Healthcare Improvement Scotland

20. Headache Outcomes After Treatment of Unruptured Intracranial Aneurysm: A Systematic Review and Meta-Analysis (Abstract)

Headache Outcomes After Treatment of Unruptured Intracranial Aneurysm: A Systematic Review and Meta-Analysis Background and Purpose- While unruptured intracranial aneurysms may be discovered incidentally in the workup of chronic headache, it remains unclear whether their treatment ultimately impacts headache severity. We aim to conduct a systematic review and meta-analysis assessing headache severity after treatment of unruptured intracranial aneurysm. Methods- MEDLINE and EMBASE were (...) systematically reviewed. Results- Data from 7 studies met inclusion criteria (309 nonduplicated patients). The standard mean difference in pre- and post-intervention headache severity was estimated at -0.448 (95% CI, -0.566 to -0.329) under a random effects model. No significant heterogeneity was noted nor was any significant publication bias demonstrated. Conclusions- This is the first systematic review assessing postoperative headache severity following treatment of unruptured intracranial aneurysm. While

2019 EvidenceUpdates

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