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3. Discussion

Author

Liebman, Kenneth M., Rao, Vikas Y., Eckardt, Gerald W., and Veznedaroglu, Erol, editor

Published
2016
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4. Clinical and Procedural Predictors of Outcomes From the Endovascular Treatment of Posterior Circulation Strokes

Author

Mokin, Maxim, Sonig, Ashish, Sivakanthan, Sananthan, Ren, Zeguang, Elijovich, Lucas, Arthur, Adam, Goyal, Nitin, Kan, Peter, Duckworth, Edward, Veznedaroglu, Erol, Binning, Mandy J., Liebman, Kenneth M., Rao, Vikas, Turner, Raymond D., IV, Turk, Aquilla S., Baxter, Blaise W., Dabus, Guilherme, Linfante, Italo, Snyder, Kenneth V., Levy, Elad I., and Siddiqui, Adnan H.

Published
2016
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9. The Use of Antiplatelet Agents and Heparin in the 24-Hour Postintravenous Alteplase Window for Neurointervention

Author

Binning, Mandy J, primary, Maxwell, Christina R, additional, McAree, Michael, additional, Veznedaroglu, Erol, additional, Felbaum, Daniel R, additional, Arthur, Adam, additional, Goyal, Nitin, additional, Wolfe, Stacey Q, additional, Tschoe, Christine, additional, Crowley, R Webster, additional, Levy, Elad, additional, Vakharia, Kunal, additional, Rai, Hamid H, additional, Pandey, Aditya S, additional, Daou, Badih J, additional, Tawk, Rabih G, additional, Ringer, Andrew J, additional, and Liebman, Kenneth M, additional

Published
2021
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11. Safety and feasibility of an early mobilization program for patients with aneurysmal subarachnoid hemorrhage

Author

Olkowski, Brian F., Devine, Mary Ann, Slotnick, Laurie E., Veznedaroglu, Erol, Liebman, Kenneth M., Arcaro, Melissa L., and Binning, Mandy Jo

Subjects
Subarachnoid hemorrhage -- Patient outcomes -- Care and treatment -- Health aspects -- Research, Therapeutics, Physiological -- Health aspects -- Patient outcomes -- Research, Physical therapy -- Health aspects -- Patient outcomes -- Research, Immobility -- Risk factors -- Prevention -- Research, Health
Abstract

Background. Survivors of aneurysmal subarachnoid hemorrhage (SAH) are faced with a complicated recovery, which typically includes surgery, prolonged monitoring in the intensive care unit, and treatment focusing on the prevention of complications. Objective. The purpose of this study was to determine the safety and feasibility of an early mobilization program for patients with aneurysmal SAH. Design, This study was a retrospective analysis. Methods. Twenty-five patients received early mobilization by a physical therapist or an occupational therapist, or both, which focused on functional training and therapeutic exercise in more progressively upright positions. Participation criteria focused on neurologic and physiologic stability prior to the initiation of early mobilization program sessions. Results. Patients met the criteria for participation in 86.1% of the early mobilization program sessions attempted. Patients did not meet criteria for the following reasons: Lindegaard ratio >3.0 or middle cerebral artery (MCA) mean flow velocity (MFV) >120 cm/s (8.1%), mean arterial pressure (MAP) 15 mm Hg (1.8%), unable to open eyes in response to voice (0.9%), respiratory rate >40 breaths/min (0.6%), MAP > 110 mm Hg (0.3%), and heart rate 120 mm Hg (2.4%) and heart rate >130 bpm (0.3%). The 30-day mortality rate for all patients was 0%. Participation in the early mobilization program began a mean of 3.2 days (SD=1.3) after aneurysmal SAH, and patients received an average of 11.4 sessions (SD=4.3). Patients required a mean of 5.4 days (SD=4.2) to participate in out-of-bed activity and a mean of 10.7 days (SD=6.2) to walk ≥15.24 m (50 ft). Conclusions. The results of this study suggest that an early mobilization program for patients with ancurysmal SAH is safe and feasible., Aneurysmal subarachnoid hemorrhage (SAH) can be a catastrophic and disabling event. Mortality is estimated at about 10% to 15% before reaching the hospital and up to 40% within the first [...]

Published
2013
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14. Endovascular therapy of wake-up strokes in the modern era of stent retriever thrombectomy

Author

Mokin, Maxim, primary, Kan, Peter, additional, Sivakanthan, Sananthan, additional, Veznedaroglu, Erol, additional, Binning, Mandy J, additional, Liebman, Kenneth M, additional, Jethwa, Pinakin R, additional, Turner, Raymond D, additional, Turk, Aquilla S, additional, Natarajan, Sabareesh K, additional, Siddiqui, Adnan H, additional, and Levy, Elad I, additional

Published
2015
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15. Utilization of Pipeline embolization device for treatment of ruptured intracranial aneurysms: US multicenter experience

Author

Lin, Ning, primary, Brouillard, Adam M, additional, Keigher, Kiffon M, additional, Lopes, Demetrius K, additional, Binning, Mandy J, additional, Liebman, Kenneth M, additional, Veznedaroglu, Erol, additional, Magarik, Jordan A, additional, Mocco, J, additional, Duckworth, Edward A, additional, Arthur, Adam S, additional, Ringer, Andrew J, additional, Snyder, Kenneth V, additional, Levy, Elad I, additional, and Siddiqui, Adnan H, additional

Published
2014
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17. Solitaire Flow Restoration Thrombectomy for Acute Ischemic Stroke

Author

Mokin, Maxim, primary, Dumont, Travis M., additional, Veznedaroglu, Erol, additional, Binning, Mandy J., additional, Liebman, Kenneth M., additional, Fessler, Richard D., additional, To, Chiu Yuen, additional, Turner, Raymond D., additional, Turk, Aquilla S., additional, Chaudry, M. Imran, additional, Arthur, Adam S., additional, Fox, Benjamin D., additional, Hanel, Ricardo A., additional, Tawk, Rabih G., additional, Kan, Peter, additional, Gaughen, John R., additional, Lanzino, Giuseppe, additional, Lopes, Demetrius K., additional, Chen, Michael, additional, Moftakhar, Roham, additional, Billingsley, Joshua T., additional, Ringer, Andrew J., additional, Snyder, Kenneth V., additional, Hopkins, L. Nelson, additional, Siddiqui, Adnan H., additional, and Levy, Elad I., additional

Published
2013
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18. Solitaire FR Thrombectomy for Acute Ischemic Stroke

Author

Mokin, Maxim, primary, Dumont, Travis M, additional, Veznedaroglu, Erol, additional, Binning, Mandy J., additional, Liebman, Kenneth M., additional, Fessler, Richard D, additional, To, Chiu Yuen, additional, Turner, Raymond D, additional, Turk, Aquilla S., additional, Chaudry, M. Imran, additional, Arthur, Adam S, additional, Fox, Benjamin D, additional, Hanel, Ricardo A, additional, Tawk, Rabih G, additional, Kan, Peter, additional, Gaughen, John R., additional, Lanzino, Giuseppe, additional, Lopes, Demetrius K, additional, Chen, Michael, additional, Moftakhar, Roham, additional, Billingsley, Joshua T., additional, Ringer, Andrew J, additional, Snyder, Kenneth V, additional, Hopkins, L Nelson, additional, Siddiqui, Adnan H, additional, and Levy, Elad I, additional

Published
2013
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19. Early Postmarket Results After Treatment of Intracranial Aneurysms With the Pipeline Embolization Device

Author

Kan, Peter, primary, Siddiqui, Adnan H., additional, Veznedaroglu, Erol, additional, Liebman, Kenneth M., additional, Binning, Mandy J., additional, Dumont, Travis M., additional, Ogilvy, Christopher S., additional, Gaughen, John R., additional, Mocco, J, additional, Velat, Gregory J., additional, Ringer, Andrew J., additional, Welch, Babu G., additional, Horowitz, Michael B., additional, Snyder, Kenneth V., additional, Hopkins, L. Nelson, additional, and Levy, Elad I., additional

Published
2012
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20. Delayed Thrombosis or Stenosis Following Enterprise-Assisted Stent-Coiling: Is It Safe? Midterm Results of the Interstate Collaboration of Enterprise Stent Coiling

Author

Mocco, J, primary, Fargen, Kyle M, additional, Albuquerque, Felipe C, additional, Bendok, Bernard R, additional, Boulos, Alan S, additional, Carpenter, Jeffrey S, additional, Fiorella, David J, additional, Hoh, Brian L, additional, Howington, Jay U, additional, Liebman, Kenneth M, additional, Natarajan, Sabareesh K, additional, Rai, Ansaar T, additional, Rodriguez-Mercado, Rafael, additional, Siddiqui, Adnan H, additional, Snyder, Kenneth V, additional, Veznedaroglu, Erol, additional, Hopkins, L Nelson, additional, and Levy, Elad I, additional

Published
2011
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21. International Collaboration of Enterprise Stent-coiling (ICES)

Author

Mocco, J, primary, Snyder, Kenneth V., additional, Albuquerque, Felipe C., additional, Bendok, Bernard R., additional, Boulos, Alan S., additional, Carpenter, Jeffrey S., additional, Fiorella, David, additional, Hoh, Brian L., additional, Howington, Jay U., additional, Jankowitz, Brian T., additional, Liebman, Kenneth M., additional, Rai, Ansaar, additional, Rodriguez-Mercado, Rafael, additional, Siddiqui, Adnan H., additional, Veznedaroglu, Erol, additional, Hopkins, L. Nelson, additional, and Levy, Elad I., additional

Published
2008
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22. Utilization of Pipeline embolization device for treatment of ruptured intracranial aneurysms: US multicenter experience.

Author

Ning Lin, Brouillard, Adam M., Keigher, Kiffon M., Lopes, Demetrius K., Binning, Mandy J., Liebman, Kenneth M., Veznedaroglu, Erol, Magarik, Jordan A., Mocco, J., Duckworth, Edward A., Arthur, Adam S., Ringer, Andrew J., Snyder, Kenneth V., Levy, Elad I., and Siddiqui, Adnan H.

Subjects
CHI-squared test, INTRACRANIAL aneurysms, MEDICAL cooperation, RESEARCH, RESEARCH funding, RUPTURED aneurysms, T-test (Statistics), THERAPEUTIC embolization, TREATMENT effectiveness, RETROSPECTIVE studies, DATA analysis software, DESCRIPTIVE statistics, DISEASE complications
Abstract

Objective Utilization of the Pipeline embolization device (PED) in complex ruptured aneurysms has not been well studied. We evaluated the safety and effectiveness data from five participating US centers. Methods Records of patients with ruptured cerebral aneurysms who underwent PED treatment between 2011 and 2013 were retrospectively reviewed. Results 26 patients with ruptured aneurysms underwent PED treatment (mean age 51.4 ± 13.2 years;16 women). At presentation, 8 patients (30.8%) had a Hunt-Hess grade of IV or above; 11 required extraventricular drain placement. Aneurysm morphologies were: 8 dissecting, 8 blister-like, 6 fusiform, and 4 saccular. There were 22 anterior circulation and 4 posterior circulation aneurysms. PED deployment was successful in all patients, with adjunctive coiling utilized in 12. Periprocedural complications occurred in 5 (19.2%), including 3 inhospital deaths. 23 patients (88.5%) had postoperative angiography at a mean of 5.9 months: 18 aneurysms (78.3%) were completely occluded, 3 (13.0%) had residual neck filling, and 2 (8.7%) had residual dome filling. All blister-type aneurysms were completely occluded at follow-up. Clinical follow-up was available for an average of 10.1 months (range 2-21 months), with one asymptomatic in-stent stenosis and one asymptomatic thromboembolic stroke noted. Good outcome (modified Rankin Scale (mRS) score of 0-2) was achieved in 20 patients (76.9%), fair (mRS 3-4) in 3 (11.5%), and 3 died (11.5%). Conclusions The PED can be utilized for ruptured aneurysms and is a good option for blister-type aneurysms. However, due to periprocedural complications, it should be reserved for lesions that are difficult to treat by conventional clipping or coiling. [ABSTRACT FROM AUTHOR]

Published
2015
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23. Abstract T MP41.

Author

Olkowski, Brian F, Binning, Mandy J, Sanfillippo, Geri, Warren, Amy E, Veznedaroglu, Erol, Liebman, Kenneth M, Arcaro, Melissa L, and Slotnick, Laurie E

Published
2014

24. Carotid Artery Angioplasty and Stenting: 2-Dimensional Operative Video.

Author

Darwal MA, Liebman KM, and Binning MJ

Subjects
Angioplasty, Carotid Arteries, Humans, Male, Stents, Treatment Outcome, Carotid Stenosis diagnostic imaging, Carotid Stenosis surgery, Endarterectomy, Carotid
Abstract

Carotid artery angioplasty and stenting (CAS) has been shown to be equally effective as carotid endarterectomy (CEA) for carotid stenosis in both symptomatic and asymptomatic disease.1 In patients who are considered high risk for endarterectomy, CAS is safe and effective.2 While this is a common procedure, proper technique is crucial to ensure that the procedure is safe with minimal risk of stroke. This patient consented to treatment. The following is a video detailing the CAS procedure in a 77-yr-old male with a symptomatic 65% carotid stenosis (by NASCET criteria3) in a patient with prior CEA., (Copyright © 2020 by the Congress of Neurological Surgeons.)

Published
2020
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25. Treatment of intracranial aneurysms with the Enterprise stent: a multicenter registry.

Author

Mocco J, Snyder KV, Albuquerque FC, Bendok BR, Alan S B, Carpenter JS, Fiorella DJ, Hoh BL, Howington JU, Jankowitz BT, Liebman KM, Rai AT, Rodriguez-Mercado R, Siddiqui AH, Veznedaroglu E, Hopkins LN, and Levy EI

Subjects
Adult, Aged, Aged, 80 and over, Cerebral Arteries pathology, Female, Humans, Intracranial Aneurysm mortality, Intracranial Aneurysm pathology, Male, Middle Aged, Postoperative Complications epidemiology, Registries, Treatment Failure, Treatment Outcome, Young Adult, Intracranial Aneurysm surgery, Stents adverse effects
Abstract

Object: The development of self-expanding stents dedicated to intracranial use has significantly widened the applicability of endovascular therapy to many intracranial aneurysms that would otherwise have been untreatable by endovascular techniques. Recent Food and Drug Administration approval of the Enterprise Vascular Reconstruction Device and Delivery System (Cordis) has added a new option for self-expanding stent-assisted intracranial aneurysm coiling., Methods: The authors established a collaborative registry across multiple institutions to rapidly provide largevolume results regarding initial experience in using the Enterprise in real-world practice. Ten institutions (University at Buffalo, Thomas Jefferson University, University of Florida, Cleveland Clinic, Northwestern University, West Virginia University, University of Puerto Rico, Albany Medical Center Hospital, the Neurological Institute of Savannah, and the Barrow Neurological Institute) have provided consecutive data regarding their initial experience with the Enterprise., Results: In total, 141 patients (119 women) with 142 aneurysms underwent 143 attempted stent deployments. The use of Enterprise assistance with aneurysm coiling was associated with a 76% rate of > or = 90% occlusion. An inability to navigate or deploy the stent was experienced in 3% of cases, as well as a 2% occurrence of inaccurate deployment. Procedural data demonstrated a 6% temporary morbidity, 2.8% permanent morbidity, and 2% mortality (0.8% unruptured, 12% ruptured)., Conclusions: The authors report initial results of the largest series to date in using the Enterprise for intracranial aneurysm treatment. The Enterprise is associated with a high rate of successful navigation and low occurrence of inaccurate stent deployment. The overall morbidity and mortality rates were low; however, caution should be exercised when considering Enterprise deployment in patients with subarachnoid hemorrhage as the authors' experience demonstrated a high rate of associated hemorrhagic complications leading to death.

Published
2009
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