- Conscious Sedation versus General Anesthesia during Endovascular Acute Ischemic Stroke Treatment: A Systematic Review and Meta-Analysis
Nine studies encompassing nearly 2000 patients treated with or without anesthesia for acute stroke were analyzed. Patients with acute ischemic stroke undergoing intra-arterial therapy may have worse outcomes with general anesthesia compared with conscious sedation. However, the difference in stroke severity at the onset may confound the comparison in the available studies.
- Efficacy of Skull Plain Films in Follow-up Evaluation of Cerebral Aneurysms Treated with Detachable Coils: Quantitative Assessment of Coil Mass
Coil mass appearances were compared between initial postembolization and follow-up skull radiographs. Changes in the largest diameter of the coil mass generally indicated aneurysm recurrence, especially in the patients with high packing attenuation. Thus, lateral radiographs have the potential to predict aneurysm recurrences.
- Visual Outcomes with Flow-Diverter Stents Covering the Ophthalmic Artery for Treatment of Internal Carotid Artery Aneurysms
Outcomes in 28 patients in whom a stent covered the origin of the ophthalmic artery were reviewed. In 86%, the artery remained patent but 40% showed clinical ophthalmic complications. Thus, a stent covering the origin of this artery is not without complications and should be avoided when possible.
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