- Are Routine Intensive Care Admissions Needed after Endovascular Treatment of Unruptured Aneurysms?
In this series of 200 patients treated for unruptured intracranial aneurysms, 65% were sent to a routine floor instead of the intensive care unit as is commonly done. Only one patient required transfer to the ICU and thus the authors concluded that in patients without significant co-morbidities, intraoperative complications, or complex aneurysms, routine placement in the ICU after embolization is not warranted.
- Thrombus Attenuation Does Not Predict Angiographic Results of Mechanical Thrombectomy with Stent Retrievers
This article examines whether MCA clot attenuation on initial CT studies determines the outcome of endovascular recanalization. The study was performed in 70 patients and showed that there were no significant differences between thrombus attenuations and successful recanalizations or periprocedural clot fragmentations. This investigation differs from others in that clot attenuation did not predict recanalization.
- Stent-Assisted Coiling in Endovascular Treatment of 500 Consecutive Cerebral Aneurysms with Long-Term Follow-Up
Five hundred aneurysms treated with a variety of self-expanding stents were clinically assessed and followed angiographically at 6–7 months postprocedure. Thromboembolic phenomena occurred in 21 patients and intraoperative rupture in 4. Initial complete occlusion was achieved in 42.2% progressing to 90.8% at follow-up. Early and late recanalizations were noted in 8% and 2%, respectively.
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