220 results on '"Szikora I"'
Search Results
2. Dural Arteriovenous Malformations
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Szikora, I., Baert, A. L., editor, Sartor, K., editor, Cognard, C., Dörfler, A., Forsting, M., Küker, W., Pierot, L., Spelle, L., Szikora, I., and Wanke, I.
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- 2004
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3. Computer Simulation of Intracranial Aneurysm Treatment Using Densely Woven Stents
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Ugron, Á., Szikora, I., Paál, G., Magjarevic, Ratko, editor, and Jobbágy, Ákos, editor
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- 2012
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4. O02 CLEVER: clinical evaluation of WEB 0.017 device in Intracranial AneuRysms Safety results for ruptured and unruptured aneurysm at 30 days
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Szikora, I, primary, Cognard, C, additional, Costalat, V, additional, Wodarg, F, additional, Herbreteau, D, additional, Fischer, S, additional, Möhlenbruch, M, additional, Papagiannaki, C, additional, Klisch, J, additional, Rautio, R, additional, Numminen, J, additional, Berlis, A, additional, Downer, J, additional, Bester, M, additional, Velasco, S, additional, Liebig, T, additional, Byrne, J, additional, Pierot, L, additional, and Spelle, L, additional
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- 2022
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5. P10 Impact of secondary fluid motion and wall shear stress in sidewall aneurysm initiation
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Szikora, I, primary, Csippa, B, additional, Gyurki, D, additional, Kondor, M, additional, Czencz, M, additional, Vadasz, A, additional, and Paal, G, additional
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- 2022
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6. P31 Patients treated with the pipeline shield flow diverter enrolled within the INSPIRE study: primary analysis
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Szikora, I, primary, Turjman, F, additional, Spelle, L, additional, Holtmanspötter, M, additional, Martinez-Galdamez, M, additional, Lamin, S, additional, and Fiehler, J, additional
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- 2022
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7. Training guidelines for endovascular stroke intervention: an international multi-society consensus document
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Lavine, S. D., Cockroft, K., Hoh, B., Bambakidis, N., Khalessi, A. A., Woo, H., Riina, H., Siddiqui, A., Hirsch, J. A., Chong, W., Rice, H., Wenderoth, J., Mitchell, P., Coulthard, A., Signh, T. J., Phatorous, C., Khangure, M., Klurfan, P., ter Brugge, K., Iancu, D, Gunnarsson, T., Jansen, O., Muto, M., Szikora, I., Pierot, L., Brouwer, P., Gralla, J., Renowden, S., Andersson, T., Fiehler, J., Turjman, F., White, P., Januel, A. C., Spelle, L., Kulcsar, Z., Chapot, R., Biondi, A., Dima, S., Taschner, C., Szajner, M., Krajina, A., Sakai, N., Matsumaru, Y., Yoshimura, S., Ezura, M., Fujinaka, T., Iihara, K., Ishii, A., Higashi, T., Hirohata, M., Hyodo, A., Ito, Y., Kawanishi, M., Kiyosue, H., Kobayashi, E., Kobayashi, S., Kuwayama, N., Matsumoto, Y., Miyachi, S., Murayama, Y., Nagata, I., Nakahara, I., Nemoto, S., Niimi, Y., Oishi, H., Satomi, J., Satow, T., Sugiu, K., Tanaka, M., Terada, T., Yamagami, H., Diaz, O., Lylyk, P., Jayaraman, M. V., Patsalides, A., Gandhi, C. D., Lee, S. K., Abruzzo, T., Albani, B., Ansari, S. A., Arthur, A. S., Baxter, B. W., Bulsara, K. R., Chen, M., Almandoz, J. E. Delgado, Fraser, J. F., Heck, D. V., Hetts, S. W., Hussain, M. S., Klucznik, R. P., Leslie-Mawzi, T. M., Mack, W. J., McTaggart, R. A., Meyers, P. M., Mocco, J., Prestigiacomo, C. J., Pride, G. L., Rasmussen, P. A., Starke, R. M., Sunenshine, P. J., Tarr, R. W., Frei, D. F., Ribo, M., Nogueira, R. G., Zaidat, O. O., Jovin, T., Linfante, I., Yavagal, D., Liebeskind, D., Novakovic, R., Pongpech, S., Rodesch, G., Soderman, M., Taylor, A., Krings, T., Orbach, D., Picard, L., Suh, D. C., and Zhang, H. Q.
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- 2016
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8. P-022 Aneurysm treatment with WEB in the combined population of two prospective, multicenter series: 5-year follow-up
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Pierot, L, primary, Szikora, I, additional, Barreau, X, additional, Spelle, L, additional, Molyneux, A, additional, and Byrne, J, additional
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- 2022
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9. O-003 CLEVER: clinical evaluation of WEB 17 device in intracranial aneurysms. safety results for ruptured and unruptured aneurysm at 30 days
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Spelle, L, primary, Cognard, C, additional, Szikora, I, additional, Costalat, V, additional, Wodarg, F, additional, Herbreteau, D, additional, Fischer, S, additional, Möhlenbruch, M, additional, Papagiannaki, C, additional, Klisch, J, additional, Rautio, R, additional, Numminen, J, additional, Berlis, A, additional, Downer, J, additional, Bester, M, additional, Velasco, S, additional, Liebig, T, additional, Byrne, J, additional, and Pierot, L, additional
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- 2022
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10. O-019 Initial clinical experience with a novel mechanical thrombectomy device-the thrombX retriever
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Behme, D, primary, Wiesmann, M, additional, Nikoubashman, O, additional, Ridwan, H, additional, Hassan, D, additional, Liebig, T, additional, Trumm, C, additional, Holtmannspötter, M, additional, Marks, M, additional, and Szikora, I, additional
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- 2022
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11. Potential Biomarkers of Acute Ischemic Stroke Etiology Revealed by Mass Spectrometry-Based Proteomic Characterization of Formalin-Fixed Paraffin-Embedded Blood Clots
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Rossi, R. Mereuta, O.M. Barbachan e Silva, M. Molina Gil, S. Douglas, A. Pandit, A. Gilvarry, M. McCarthy, R. O'Connell, S. Tierney, C. Psychogios, K. Tsivgoulis, G. Szikora, I. Tatlisumak, T. Rentzos, A. Thornton, J. Ó Broin, P. Doyle, K.M.
- Abstract
Background and Aims: Besides the crucial role in the treatment of acute ischemic stroke (AIS), mechanical thrombectomy represents a unique opportunity for researchers to study the retrieved clots, with the possibility of unveiling biological patterns linked to stroke pathophysiology and etiology. We aimed to develop a shotgun proteomic approach to study and compare the proteome of formalin-fixed paraffin-embedded (FFPE) cardioembolic and large artery atherosclerotic (LAA) clots. Methods: We used 16 cardioembolic and 15 LAA FFPE thrombi from 31 AIS patients. The thrombus proteome was analyzed by label-free quantitative liquid chromatography-tandem mass spectrometry (LC-MS/MS). MaxQuant v1.5.2.8 and Perseus v.1.6.15.0 were used for bioinformatics analysis. Protein classes were identified using the PANTHER database and the STRING database was used to predict protein interactions. Results: We identified 1,581 protein groups as part of the AIS thrombus proteome. Fourteen significantly differentially abundant proteins across the two etiologies were identified. Four proteins involved in the ubiquitin-proteasome pathway, blood coagulation or plasminogen activating cascade were identified as significantly abundant in LAA clots. Ten proteins involved in the ubiquitin proteasome-pathway, cytoskeletal remodeling of platelets, platelet adhesion or blood coagulation were identified as significantly abundant in cardioembolic clots. Conclusion: Our results outlined a set of 14 proteins for a proof-of-principle characterization of cardioembolic and LAA FFPE clots, advancing the proteome profile of AIS human thrombi and understanding the pathophysiology of ischemic stroke. Copyright © 2022 Rossi, Mereuta, Barbachan e Silva, Molina Gil, Douglas, Pandit, Gilvarry, McCarthy, O'Connell, Tierney, Psychogios, Tsivgoulis, Szikora, Tatlisumak, Rentzos, Thornton, Ó Broin and Doyle.
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- 2022
12. Statement of ESMINT and ESNR regarding recent trials evaluating the endovascular treatment at the acute stage of ischemic stroke
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Pierot, L., Söderman, M., Bendszus, M., White, P., Muto, M., Turjman, F., Mangiafico, S., Gralla, J., Fiehler, J., Szikora, I., and Cognard, C.
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- 2013
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13. EP39* Collateral damages of COVID-19 on the hungarian ischemic stroke care
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Böjti, PP, primary, Szilágyi, G, additional, Dobi, B, additional, Stang, R, additional, Szikora, I, additional, Kis, B, additional, Kornfeld, Á, additional, Óváry, C, additional, Erőss, L, additional, Banczerowski, P, additional, Kuczyński, W, additional, and Bereczki, D, additional
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- 2021
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14. Does prior administration of rtPA influence acute ischemic stroke clot composition? Findings from the analysis of clots retrieved with mechanical thrombectomy from the RESTORE registry
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Rossi, R. Molina, S. Mereuta, O.M. Douglas, A. Fitzgerald, S. Tierney, C. Pandit, A. Brennan, P. Power, S. O’Hare, A. Gilvarry, M. McCarthy, R. Magoufis, G. Tsivgoulis, G. Nagy, A. Vadász, Á. Jood, K. Redfors, P. Nordanstig, A. Ceder, E. Dunker, D. Carlqvist, J. Psychogios, K. Szikora, I. Tatlisumak, T. Rentzos, A. Thornton, J. Doyle, K.M.
- Abstract
Background and purpose: There is still much debate whether bridging-therapy [intravenous thrombolysis (IVT) prior to mechanical thrombectomy (MT)] might be beneficial compared to MT alone. We investigated the effect of IVT on size and histological composition of the clots retrieved from patients undergoing bridging-therapy or MT alone. Methods: We collected mechanically extracted thrombi from 1000 acute ischemic stroke (AIS) patients included in RESTORE registry. Patients were grouped according to the administration (or not) of IVT before thrombectomy. Gross photos of each clot were taken and Extracted Clot Area (ECA) was measured using ImageJ software. Martius Scarlett Blue stain was used to characterize the main histological clot components [red blood cells (RBCs), fibrin (FIB), platelets/other (PTL)] and Orbit Image Analysis was used for quantification. Additionally, we calculated the area of each main component by multiplying the component percent by ECA. Chi-squared and Kruskal–Wallis tests were used for statistical analysis. Results: 451 patients (45%) were treated with bridging-therapy while 549 (55%) underwent MT alone. When considering only percent histological composition, we did not find any difference in RBC% (P = 0.895), FIB% (P = 0.458) and PTL% (P = 0.905). However, bridging-therapy clots were significantly smaller than MT-alone clots [32.7 (14.8–64.9) versus 36.8 (20.1–79.8) mm2, N = 1000, H1 = 7.679, P = 0.006*]. A further analysis expressing components per clot area showed that clots retrieved from bridging-therapy cases contained less RBCs [13.25 (4.29–32.06) versus 14.97 (4.93–39.80) mm2, H1 = 3.637, P = 0.056] and significantly less fibrin [9.10 (4.62–17.98) versus 10.54 (5.57–22.48) mm2, H1 = 7.920, P = 0.005*] and platelets/other [5.04 (2.26–11.32) versus 6.54 (2.94–13.79) mm2, H1 = 9.380, P = 0.002*] than MT-alone clots. Conclusions: Our results suggest that previous IVT administration significantly reduces thrombus size, proportionally releasing all the main histological components. © 2021, The Author(s).
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- 2021
15. Large Artery Atherosclerotic Clots are Larger than Clots of other Stroke Etiologies and have Poorer Recanalization rates
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Fitzgerald, S. Rossi, R. Mereuta, O.M. Molina, S. Okolo, A. Douglas, A. Jabrah, D. Pandit, A. McCarthy, R. Gilvarry, M. Ceder, E. Dehlfors, N. Dunker, D. Nordanstig, A. Redfors, P. Jood, K. Magoufis, G. Psychogios, K. Tsivgoulis, G. Alderson, J. O'Hare, A. Power, S. Brennan, P. Nagy, A. Vadász, Á. Brinjikji, W. Kallmes, D. Szikora, I. Tatlisumak, T. Rentzos, A. Thornton, J. Doyle, K.M.
- Abstract
Objectives: There is a paucity of knowledge in the literature relating to the extent of clot burden and stroke etiology. In this study, we measured the Extracted Clot Area (ECA) retrieved during endovascular treatment (EVT) and investigated relationships with suspected etiology, administration of intravenous thrombolysis and recanalization. Materials and Methods: As part of the multi-institutional RESTORE registry, the ECA retrieved during mechanical thrombectomy was quantified using ImageJ. The effect of stroke etiology (Large-artery atherosclerosis (LAA), Cardioembolism, Cryptogenic and other) and recombinant tissue plasminogen activator (rtPA) on ECA and recanalization outcome (mTICI) was assessed. Successful recanalization was described as mTICI 2c-3. Results: A total of 550 patients who underwent EVT with any clot retrieved were included in the study. The ECA was significantly larger in the LAA group compared to all other etiologies. The average ECA size of each etiology was; LAA=109 mm2, Cardioembolic=52 mm2, Cryptogenic=47 mm2 and Other=52 mm2 (p=0.014*). LAA patients also had a significantly poorer rate of successful recanalization (mTICI 2c-3) compared to all other etiologies (p=0.003*). The administration of tPA was associated with a smaller ECA in both LAA (p=0.007*) and cardioembolic (p=0.035*) groups. Conclusion: The ECA of LAA clots was double the size of all other etiologies and this is associated with a lower rate of successful recanalization in LAA stroke subtype. rtPA administration prior to thrombectomy was associated with reduced ECA in LAA and CE clots. © 2020 The Authors
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- 2021
16. Interdisciplinary management of acute ischaemic stroke: Current evidence training requirements for endovascular stroke treatment: Position Paper from the ESC Council on Stroke and the European Association for Percutaneous Cardiovascular Interventions with the support of the European Board of Neurointervention
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Nardai, S., Lanzer, P., Abelson, M., Baumbach, A., Doehner, W., Hopkins, L.N., Kovac, J., Meuwissen, M., Roffi, M., Sievert, H., Skrypnik, D., Sulzenko, J., van Zwam, W., Gruber, A., Ribo, M., Cognard, C., Szikora, I., Flodmark, O., Widimsky, P., Nardai, S., Lanzer, P., Abelson, M., Baumbach, A., Doehner, W., Hopkins, L.N., Kovac, J., Meuwissen, M., Roffi, M., Sievert, H., Skrypnik, D., Sulzenko, J., van Zwam, W., Gruber, A., Ribo, M., Cognard, C., Szikora, I., Flodmark, O., and Widimsky, P.
- Abstract
This ESC Council on Stroke/EAPCI/EBNI position paper summarizes recommendations for training of cardiologists in endovascular treatment of acute ischaemic stroke. Interventional cardiologists adequately trained to perform endovascular stroke interventions could complement stroke teams to provide the 24/7 on call duty and thus to increase timely access of stroke patients to endovascular treatment. The training requirements for interventional cardiologists to perform endovascular therapy are described in details and should be based on two main principles: (i) patient safety cannot be compromised, (ii) proper training of interventional cardiologists should be under supervision of and guaranteed by a qualified neurointerventionist and within the setting of a stroke team. Interdisciplinary cooperation based on common standards and professional consensus is the key to the quality improvement in stroke treatment.
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- 2021
17. Endovascular treatment of intracranial aneurysms with parent vessel reconstruction using balloon and self expandable stents
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Szikora, I., Berentei, Z., Kulcsar, Z., Barath, K., Berez, A., Bose, A., and Nyary, I.
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- 2006
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18. Erratum to: Training guidelines for endovascular stroke intervention: an international multi-society consensus document
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Lavine, S. D., Cockroft, K., Hoh, B., Bambakidis, N., Khalessi, A. A., Woo, H., Riina, H., Siddiqui, A., Hirsch, J. A., Chong, W., Rice, H., Wenderoth, J., Mitchell, P., Coulthard, A., Signh, T. J., Phatouros, C., Khangure, M., Klurfan, P., ter Brugge, K., Iancu, D, Gunnarsson, T., Jansen, O., Muto, M., Szikora, I., Pierot, L., Brouwer, P., Gralla, J., Renowden, S., Andersson, T., Fiehler, J., Turjman, F., White, P., Januel, A. C., Spelle, L., Kulcsar, Z., Chapot, R., Biondi, A., Dima, S., Taschner, C., Szajner, M., Krajina, A., Sakai, N., Matsumaru, Y., Yoshimura, S., Ezura, M., Fujinaka, T., Iihara, K., Ishii, A., Higashi, T., Hirohata, M., Hyodo, A., Ito, Y., Kawanishi, M., Kiyosue, H., Kobayashi, E., Kobayashi, S., Kuwayama, N., Matsumoto, Y., Miyachi, S., Murayama, Y., Nagata, I., Nakahara, I., Nemoto, S., Niimi, Y., Oishi, H., Satomi, J., Satow, T., Sugiu, K., Tanaka, M., Terada, T., Yamagami, H., Diaz, O., Lylyk, P., Jayaraman, M. V., Patsalides, A., Gandhi, C. D., Lee, S. K., Abruzzo, T., Albani, B., Ansari, S. A., Arthur, A. S., Baxter, B. W., Bulsara, K. R., Chen, M., Delgado Almandoz, J. E., Fraser, J. F., Heck, D. V., Hetts, S.W., Hussain, M. S., Klucznik, R. P., Leslie-Mawzi, T. M., Mack, W. J., McTaggart, R. A., Meyers, P. M., Mocco, J., Prestigiacomo, C. J., Pride, G. L., Rasmussen, P. A., Starke, R. M., Sunenshine, P. J., Tarr, R. W., Frei, D. F., Ribo, M., Nogueira, R. G., Zaidat, O. O., Jovin, T., Linfante, I., Yavagal, D., Liebeskind, D., Novakovic, R., Pongpech, S., Rodesch, G., Soderman, M., Taylor, A., Krings, T., Orbach, D., Picard, L., Suh, D. C., and Zhang, H. Q.
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- 2017
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19. Recommendations for the Diagnosis and Management of Spontaneous Intracerebral Haemorrhage
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Steiner, T., primary, Kaste, M., additional, Forsting, M., additional, Mendelow, D., additional, Kwiecinski, H., additional, Szikora, I., additional, Juvela, S., additional, Marchel, A., additional, Chapot, R., additional, Cognard, C., additional, Unterberg, A., additional, and Hacke, W., additional
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- 2011
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20. Computer Simulation of Intracranial Aneurysm Treatment Using Densely Woven Stents
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Ugron, Á., primary, Szikora, I., additional, and Paál, G., additional
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- 2011
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21. Histological stroke clot analysis after thrombectomy: Technical aspects and recommendations
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Staessens, S, primary, Fitzgerald, S, additional, Andersson, T, additional, Clarençon, F, additional, Denorme, F, additional, Gounis, MJ, additional, Hacke, W, additional, Liebeskind, DS, additional, Szikora, I, additional, van Es, ACGM, additional, Brinjikji, W, additional, Doyle, KM, additional, and De Meyer, SF, additional
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- 2019
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22. Curative cerebrovascular reconstruction with the Pipeline embolization device: the emergence of definitive endovascular therapy for intracranial aneurysms
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Fiorella, D, Lylyk, P, Szikora, I, Kelly, M E, Albuquerque, F C, McDougall, C G, and Nelson, P K
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- 2009
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23. Intracranial Vascular Malformations and Aneurysms
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Cognard, C., primary, Dörfler, A., additional, Forsting, M., additional, Küker, W., additional, Pierot, L., additional, Spelle, L., additional, Szikora, I., additional, and Wanke, I., additional
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- 2004
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24. Standards of Practice in Acute Ischemic Stroke Intervention International Recommendations
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Pierot, L., Jarayaman, M., Szikora, I., Hirsch, J., Baxter, B., Miyachi, S., Mahadevan, J., Chong, W., Mitchell, P.J., Coulthard, A., Rowley, H.A., Sanelli, P.C., Tampieri, D., Brouwer, P., Fiehler, J., Kocer, N., Vilela, P., Rovira, A., Fischer, U., Caso, V., Wort, B. van der, Sakai, N., Matsumaru, Y., Yoshimura, S., Biscoito, L., Pumar, M., Diaz, O., Fraser, J., Lifante, I., Liebeskind, D.S., Nogueira, R.G., Hacke, W., Brainin, M., Yan, B., Soderman, M., Taylor, A., Pongpech, S., Terbrugge, K., Asian-Australian Federation Interv, Australian-New Zealand Soc Neurora, American Soc Neuroradiology ASNR, Canadian Soc Neuroradiology CSNR, European Soc Minimally Invasive Ne, European Soc Neuroradiology ESNR, European Stroke Org ESO, Japanese Soc Neuro Endovasc Therap, Soc Ibero-Latino Amer Diagnostic T, Soc Neurointerventional Surg SNIS, Soc Vasc Interventional Neurology, World Stroke Org WSO, World Federation Interventional Th, Centre Hospitalier Universitaire de Reims (CHU Reims), Hémostase et Remodelage Vasculaire Post-Ischémie (HERVI - EA 3801), Université de Reims Champagne-Ardenne (URCA), Brown University, Providence, Rhode Island, Mahidol University [Bangkok], and Toronto Western Hospital
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medicine.medical_treatment ,System of care ,030204 cardiovascular system & hematology ,law.invention ,Brain Ischemia ,03 medical and health sciences ,0302 clinical medicine ,[SDV.MHEP.CSC]Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system ,Randomized controlled trial ,law ,Intervention (counseling) ,medicine ,Humans ,Stroke ,Acute ischemic stroke ,Neuroradiology ,Thrombectomy ,Endovascular ,business.industry ,Endovascular Procedures ,General Medicine ,Thrombolysis ,medicine.disease ,3. Good health ,Mechanical thrombectomy ,Neurology ,Neurology (clinical) ,Medical emergency ,business ,030217 neurology & neurosurgery - Abstract
International audience; ABSTRACT: After five positive randomized controlled trials showed benefit of mechanical thrombectomy in the management of acute ischemic stroke with emergent large-vessel occlusion, a multi-society meeting was organized during the 17th Congress of the World Federation of Interventional and Therapeutic Neuroradiology in October 2017 in Budapest, Hungary. This multi-society meeting was dedicated to establish standards of practice in acute ischemic stroke intervention aiming for a consensus on the minimum requirements for centers providing such treatment. In an ideal situation, all patients would be treated at a center offering a full spectrum of neuroendovascular care (a level 1 center). However, for geographical reasons, some patients are unable to reach such a center in a reasonable period of time. With this in mind, the group paid special attention to define recommendations on the prerequisites of organizing stroke centers providing medical thrombectomy for acute ischemic stroke, but not for other neurovascular diseases (level 2 centers). Finally, some centers will have a stroke unit and offer intravenous thrombolysis, but not any endovascular stroke therapy (level 3 centers). Together, these level 1, 2, and 3 centers form a complete stroke system of care. The multi-society group provides recommendations and a framework for the development of medical thrombectomy services worldwide.; RÉSUMÉ : Les normes de pratique recommandées à l’échelle internationale lors d’interventions consécutives à un accident ischémique cérébral aigu . En octobre 2017, à Budapest, une rencontre pluridisciplinaire de spécialistes s’est organisée dans le cadre du 17 e congrès de la World Federation of Interventional and Therapeutic Neuroradiology . Cette rencontre portait sur l’établissement de normes relatives aux interventions consécutives à des accidents ischémiques aigus. Elle a eu lieu, précisons-le, après que cinq essais randomisés contrôlés (ERC) ont montré les avantages de la thrombectomie mécanique dans la prise en charge de patients victimes d’un accident ischémique cérébral aigu montrant des signes naissants d’occlusion des plus gros vaisseaux sanguins. Les normes dont il a été alors question visaient aussi à atteindre un consensus quant aux exigences minimales auxquelles devaient se conformer les établissements de santé offrant la thrombectomie mécanique. Dans l’idéal, tous les patients devraient être traités dans un établissement offrant un éventail complet de soins neuro-endovasculaires (de niveau 1). Toutefois, en raison de l’éloignement géographique, quelques patients demeurent incapables de se rendre dans un tel établissement dans des délais raisonnables. Dans cette optique, le groupe réuni à Budapest a défini de façon particulière des recommandations définissant les aspects permettant aux autres établissements (de niveau 2) d’organiser en amont des soins en thrombectomie destinés à des patients victimes d’accidents ischémiques cérébraux aigus mais pas d’autres maladies neurovasculaires. Enfin, d’autres établissements (de niveau 3) pourront compter sur une unité de traitement des AVC, notamment au moyen de la thrombolyse intraveineuse; toutefois, ils ne pourront offrir aucune autre thérapie endovasculaire. Réunis, l’ensemble de ces établissements de niveaux 1, 2 et 3 constitue un réseau complet de soins destinés aux patients victimes d’un AVC. Le groupe multidisciplinaire réuni lors de cette rencontre a ainsi élaboré des recommandations et un cadre de référence visant le développement de la thrombectomie dans le monde entier.
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- 2019
25. Standards of practice in acute ischemic stroke intervention: international recommendations
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Pierot, L., Jayaraman, M.V., Szikora, I., Hirsch, J.A., Baxter, B., Miyachi, S., Mahadevan, J., Chong, W., Mitchell, P.J., Coulthard, A., Rowley, H.A., Sanelli, P.C., Tampieri, D., Brouwer, P.A., Fiehler, J., Kocer, N., Vilela, P., Rovira, A., Fischer, U., Caso, V., Worp, B. van der, Sakai, N., Matsumaru, Y., Yoshimura, S., Anxionnat, R., Desal, H., Biscoito, L., Pumar, J.M., Diaz, O., Fraser, J.F., Linfante, I., Liebeskind, D.S., Nogueira, R.G., Hacke, W., Brainin, M., Yan, B., Soderman, M., Taylor, A., Pongpech, S., Tanaka, M., Karel, T., AAFITN, Australian New Zealand Soc, Amer Soc Neuroradiology ASNR, Canadian Soc Neuroradiology, ESMINT, European Soc Neuroradiology, ESO, JSNET, French Soc Neuroradiology SFNR, Ibero-Latin Amer Soc Diagnostic, SNIS, SVIN, WSO, World Federation Interventional, İÜC, Centre Hospitalier Universitaire de Reims (CHU Reims), Hémostase et Remodelage Vasculaire Post-Ischémie (HERVI - EA 3801), Université de Reims Champagne-Ardenne (URCA), Brown University, Providence, Rhode Island, Centre hospitalier universitaire de Nantes (CHU Nantes), Chiba University [Japan], and Toronto Western Hospital
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medicine.medical_specialty ,Neurology ,medicine.medical_treatment ,Acute ischemic stroke ,MEDLINE ,030204 cardiovascular system & hematology ,Article ,030218 nuclear medicine & medical imaging ,law.invention ,mechanical thrombectomy ,03 medical and health sciences ,0302 clinical medicine ,Neuroimaging ,[SDV.MHEP.CSC]Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system ,Randomized controlled trial ,law ,Intervention (counseling) ,medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,standards of practice ,Stroke ,ComputingMilieux_MISCELLANEOUS ,Thrombectomy ,Neuroradiology ,business.industry ,General Medicine ,Thrombolysis ,medicine.disease ,stroke ,Clinical neurology ,3. Good health ,Mechanical thrombectomy ,Emergency medicine ,Surgery ,Neurology (clinical) ,Medical emergency ,emergent large vessel occlusion ,business ,030217 neurology & neurosurgery ,Large vessel occlusion - Abstract
After the five positive randomized controlled trials showing the benefit of mechanical thrombectomy (MT) in the management of acute ischemic stroke (AIS) with emergent large vessel occlusion (ELVO), a multisociety meeting was organized during the 16th Congress of the World Federation of Interventional and Therapeutic Neuroradiology (WFITN), October 2015, Gold Coast (Australia). This meeting was dedicated to the training of physicians performing MT, and recommendations were published thereafter in multiple scientific journals.1 The same group of scientific societies decided to organize a similar meeting during the 17th WFITN Congress, October 2017, Budapest (Hungary). This multisociety meeting was dedicated to standards of practice in acute ischemic stroke intervention (AISI), aiming for a consensus on the minimum requirements for centers providing such treatment. In an ideal situation, all patients would be treated at a center offering a full spectrum of neuroendovascular care (a level 1 center). However, for geographical reasons, some patients are unable to reach such a center in a reasonable period of time. With this in mind, the group paid special attention to define recommendations on the prerequisites of organizing stroke centers providing MT for AIS, but not for other neurovascular diseases (a level 2 center). Finally, some centers will have a stroke unit and offer intravenous thrombolysis, but not any endovascular stroke therapy (a level 3 center). Together, these level 1, 2, and 3 centers form a complete stroke system of care. The requirements for these centers are summarized in table 1. View this table: Table 1 General summary of capabilities of level 1, 2, and 3 centers Due to the relatively short time elapsed since the evidence in favor of MT has been published, some organizational aspects still require scientific validation. However, considering the extremely fast growth of such activities around the world, the multisociety group considered it timely and rational to set-up recommendations and a framework for …
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- 2018
26. O-018 WEB aneurysm treatment: 2-years follow-up in the 3 european GCP studies (WEBCAST, WEBCAST 2, french observatory)
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Pierot, L, primary, Barreau, X, additional, Szikora, I, additional, Herbreteau, D, additional, Byrne, J, additional, and Spelle, L, additional
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- 2019
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27. Training guidelines for endovascular stroke intervention: an international multi-society consensus document (vol 58, pg 537, 2016)
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Lavine, S.D., Cockroft, K., Hoh, B., Bambakidis, N., Khalessi, A.A., Woo, H., Riina, H., Siddiqui, A., Hirsch, J.A., Chong, W., Rice, H., Wenderoth, J., Mitchell, P., Coulthard, A., Signh, T.J., Phatouros, C., Khangure, M., Klurfan, P., Brugge, K. ter, Iancu, D., Gunnarsson, T., Jansen, O., Muto, M., Szikora, I., Pierot, L., Brouwer, P., Gralla, J., Renowden, S., Andersson, T., Fiehler, J., Turjman, F., White, P., Januel, A.C., Spelle, L., Kulcsar, Z., Chapot, R., Biondi, A., Dima, S., Taschner, C., Szajner, M., Krajina, A., Sakai, N., Matsumaru, Y., Yoshimura, S., Ezura, M., Fujinaka, T., Iihara, K., Ishii, A., Higashi, T., Hirohata, M., Hyodo, A., Ito, Y., Kawanishi, M., Kiyosue, H., Kobayashi, E., Kobayashi, S., Kuwayama, N., Matsumoto, Y., Miyachi, S., Murayama, Y., Nagata, I., Nakahara, I., Nemoto, S., Niimi, Y., Oishi, H., Satomi, J., Satow, T., Sugiu, K., Tanaka, M., Terada, T., Yamagami, H., Diaz, O., Lylyk, P., Jayaraman, M.V., Patsalides, A., Gandhi, C.D., Lee, S.K., Abruzzo, T., Albani, B., Ansari, S.A., Arthur, A.S., Baxter, B.W., Bulsara, K.R., Chen, M., Almandoz, J.E.D., Fraser, J.F., Heck, D.V., Hetts, S.W., Hussain, M.S., Klucznik, R.P., Leslie-Mawzi, T.M., Mack, W.J., McTaggart, R.A., Meyers, P.M., Mocco, J., Prestigiacomo, C.J., Pride, G.L., Rasmussen, P.A., Starke, R.M., Sunenshine, P.J., Tarr, R.W., Frei, D.F., Ribo, M., Nogueira, R.G., Zaidat, O.O., Jovin, T., Linfante, I., Yavagal, D., Liebeskind, D., Novakovic, R., Pongpech, S., Rodesch, G., Soderman, M., Taylor, A., Krings, T., Orbach, D., Picard, L., Suh, D.C., and Zhang, H.Q.
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- 2017
28. Analyses of thrombi in acute ischemic stroke: A consensus statement on current knowledge and future directions
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De Meyer, SF, Andersson, T, Baxter, B, Bendszus, M, Brouwer, P, Brinjikji, W, Campbell, BCV, Costalat, V, Davalos, A, Demchuk, A, Dippel, D, Fiehler, J, Fischer, U, Gilvarry, M, Gounis, MJ, Gralla, J, Jansen, O, Jovin, T, Kallmes, D, Khatri, P, Lees, KR, Lopez-Cancio, E, Majoie, C, Marquering, H, Narata, AP, Nogueira, R, Ringleb, P, Siddiqui, A, Szikora, I, Vale, D, von Kummer, R, Yoo, AJ, Hacke, W, and Liebeskind, DS
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Stroke ,immunohistochemistry ,interventional neuroradiology ,imaging ,thrombosis - Abstract
Limited data exist on clot composition and detailed characteristics of arterial thrombi associated with large vessel occlusion in acute ischemic stroke. Advances in endovascular thrombectomy and related imaging modalities have created a unique opportunity to analyze thrombi removed from cerebral arteries. Insights into thrombus composition, etiology, physical properties and neurovascular interactions may lead to future advancements in acute ischemic stroke treatment and improved clinical outcomes. Advances in imaging techniques may enhance clot characterization and inform therapeutic decision-making prior to treatment and reveal stroke etiology to guide secondary prevention. Current imaging techniques can provide some information about thrombi, but there remains much to evaluate about relationships that may exist among thrombus composition, occlusion characteristics and treatment outcomes. Improved pathophysiological characterization of clot types, their properties and how these properties change over time, together with clinical correlates from ongoing studies, may facilitate revascularization with thrombolysis and thrombectomy. Interdisciplinary approaches covering clinical, engineering and scientific aspects of thrombus research will be key to advancing the understanding of thrombi and improving acute ischemic stroke therapy. This consensus statement integrates recent research on clots and thrombi retrieved from cerebral arteries and provides a rationale for further analyses, including current opportunities and limitations.
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- 2017
29. Histological stroke clot analysis after thrombectomy: Technical aspects and recommendations.
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Staessens, S, Fitzgerald, S, Andersson, T, Clarençon, F, Denorme, F, Gounis, MJ, Hacke, W, Liebeskind, DS, Szikora, I, van Es, ACGM, Brinjikji, W, Doyle, KM, and De Meyer, SF
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ENDOVASCULAR surgery ,STROKE ,CEREBRAL arteries - Abstract
The recent advent of endovascular procedures has created the unique opportunity to collect and analyze thrombi removed from cerebral arteries, instigating a novel subfield in stroke research. Insights into thrombus characteristics and composition could play an important role in ongoing efforts to improve acute ischemic stroke therapy. An increasing number of centers are collecting stroke thrombi. This paper aims at providing guiding information on thrombus handling, procedures, and analysis in order to facilitate and standardize this emerging research field. [ABSTRACT FROM AUTHOR]
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- 2020
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30. Curative cerebrovascular reconstruction with the Pipeline embolization device: the emergence of definitive endovascular therapy for intracranial aneurysms
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Fiorella, D, primary, Lylyk, P, additional, Szikora, I, additional, Kelly, M E, additional, Albuquerque, F C, additional, McDougall, C G, additional, and Nelson, P K, additional
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- 2018
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31. Surpass Flow Diverter for Treatment of Posterior Circulation Aneurysms
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Taschner, C.A., Vedantham, S., Vries, J. de, Biondi, A., Boogaarts, J., Sakai, N., Lylyk, P., Szikora, I., Meckel, S., Urbach, H., Kan, P., Siekmann, R., Bernardy, J., Gounis, M.J., Wakhloo, A.K., Taschner, C.A., Vedantham, S., Vries, J. de, Biondi, A., Boogaarts, J., Sakai, N., Lylyk, P., Szikora, I., Meckel, S., Urbach, H., Kan, P., Siekmann, R., Bernardy, J., Gounis, M.J., and Wakhloo, A.K.
- Abstract
Contains fulltext : 170347.pdf (Publisher’s version ) (Open Access), BACKGROUND AND PURPOSE: Flow diverters for the treatment of posterior circulation aneurysms remain controversial. We aimed to identify factors contributing to outcome measures in patients treated with the Surpass flow diverter for aneurysms in this location. MATERIALS AND METHODS: We conducted an observational study of 53 patients who underwent flow-diverter treatment for posterior circulation aneurysms at 15 centers. Key outcome measures were mortality, complete aneurysm occlusion, and modified Rankin Scale score at follow-up. RESULTS: At follow-up (median, 11.3 months; interquartile range, 5.9-12.7 months), 9 patients had died, resulting in an all-cause mortality rate of 17.3% (95% CI, 7%-27.6%); 7 deaths (14%) were directly related to the procedure and none occurred in patients with a baseline mRS score of zero. After adjusting for covariates, a baseline mRS of 3-5 was more significantly (P = .003) associated with a higher hazard ratio for death than a baseline mRS of 0-2 (hazard ratio, 17.11; 95% CI, 2.69-109.02). After adjusting for follow-up duration, a 1-point increase in the baseline mRS was significantly (P < .001) associated with higher values of mRS at follow-up (odds ratio, 2.93; 95% CI, 1.79-4.79). Follow-up angiography in 44 patients (median, 11.3 months; interquartile range, 5.9-12.7 months) showed complete aneurysm occlusion in 29 (66%; 95% CI, 50.1%-79.5%). CONCLUSIONS: Clinical results of flow-diverter treatment of posterior circulation aneurysms depend very much on patient selection. In this study, poorer outcomes were related to the treatment of aneurysms in patients with higher baseline mRS scores. Angiographic results showed a high occlusion rate for this subset of complex aneurysms.
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- 2017
32. Training Guidelines for Endovascular Stroke Intervention: An International Multi-Society Consensus Document
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Lavine, S D, Cockroft, K, Hoh, B, Bambakidis, N, Khalessi, A A, Woo, H, Riina, H, Siddiqui, A, Hirsch, J A, Chong, W, Rice, H, Wenderoth, J, Mitchell, P, Coulthard, A, Signh, T J, Phatorous, C, Khangure, M, Klurfan, P, Ter Brugge, K, Iancu, D, Gunnarsson, T, Jansen, O, Muto, M, Szikora, I, Pierot, L, Brouwer, P, Gralla, Jan, Renowden, S, Andersson, T, Fiehler, J, Turjman, F, White, P, Januel, A C, Spelle, L, Kulcsar, Z, Chapot, R, Biondi, A, Dima, S, Taschner, C, Szajner, M, Krajina, A, Sakai, N, Matsumaru, Y, Yoshimura, S, Diaz, O, Lylyk, P, Jayaraman, M V, Patsalides, A, Gandhi, C D, Lee, S K, Abruzzo, T, Albani, B, Ansari, S A, Arthur, A S, Baxter, B W, Bulsara, K R, Chen, M, Almandoz, J E Delgado, Fraser, J F, Heck, D V, Hetts, S W, Hussain, M S, Klucznik, R P, Leslie-Mawzi, T M, Mack, W J, McTaggart, R A, Meyers, P M, Mocco, J, Prestigiacomo, C J, Pride, G L, Rasmussen, P A, Starke, R M, Sunenshine, P J, Tarr, R W, Frei, D F, Ribo, M, Nogueira, R G, Zaidat, O O, Jovin, T, Linfante, I, Yavagal, D, Liebeskind, D, Novakovic, R, Pongpech, S, Rodesch, G, Soderman, M, Taylor, A, Krings, T, Orbach, D, Picard, L, Suh, D C, Tanaka, M, and Zhang, H Q
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Consensus Article ,education ,610 Medicine & health ,Surgery ,Neurology (clinical) ,Cardiology and Cardiovascular Medicine ,health care economics and organizations ,humanities - Published
- 2016
33. Safety and Efficacy of Aneurysm Treatment with the WEB: Results of the WEBCAST 2 Study
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Pierot, L., primary, Gubucz, I., additional, Buhk, J.H., additional, Holtmannspötter, M., additional, Herbreteau, D., additional, Stockx, L., additional, Spelle, L., additional, Berkefeld, J., additional, Januel, A.-C., additional, Molyneux, A., additional, Byrne, J.V., additional, Fiehler, J., additional, Szikora, I., additional, and Barreau, X., additional
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- 2017
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34. Lack of Association between Statin Use and Angiographic and Clinical Outcomes after Pipeline Embolization for Intracranial Aneurysms
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Brinjikji, W., primary, Cloft, H., additional, Cekirge, S., additional, Fiorella, D., additional, Hanel, R.A., additional, Jabbour, P., additional, Lylyk, P., additional, McDougall, C., additional, Moran, C., additional, Siddiqui, A., additional, Szikora, I., additional, and Kallmes, D.F., additional
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- 2017
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35. Surpass Flow Diverter for Treatment of Posterior Circulation Aneurysms
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Taschner, C.A., primary, Vedantham, S., additional, de Vries, J., additional, Biondi, A., additional, Boogaarts, J., additional, Sakai, N., additional, Lylyk, P., additional, Szikora, I., additional, Meckel, S., additional, Urbach, H., additional, Kan, P., additional, Siekmann, R., additional, Bernardy, J., additional, Gounis, M.J., additional, and Wakhloo, A.K., additional
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- 2016
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36. Surpass flow diverter in the treatment of intracranial aneurysms: a prospective multicenter study
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Wakhloo, A.K., Lylyk, P., De Vries, J., Taschner, C., Lundquist, J., Biondi, A., Hartmann, M., Szikora, I., Pierot, L., Sakai, N., Imamura, H., Sourour, N., Rennie, I., Skalej, M., Beuing, O., Bonafé, A., Mery, F., Turjman, F., Brouwer, P., Boccardi, E., Valvassori, L., Derakhshani, S., Litzenberg, M.W., Gounis, M.J., Study Group, Surpass, Centre Hospitalier Régional Universitaire de Besançon (CHRU Besançon), Hôpital Maison Blanche, Centre Hospitalier Universitaire de Reims (CHU Reims), Service de Neuroradiologie [CHU Pitié-Salpêtrière], CHU Pitié-Salpêtrière [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU), Département de Neuroradiologie[Montpellier], Hôpital Gui de Chauliac [Montpellier]-Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier)-Université Montpellier 1 (UM1)-Université de Montpellier (UM), Institut des Neurosciences de Montpellier - Déficits sensoriels et moteurs (INM), Université de Montpellier (UM)-Institut National de la Santé et de la Recherche Médicale (INSERM), Hôpital neurologique et neurochirurgical Pierre Wertheimer [CHU - HCL], Hospices Civils de Lyon (HCL), and Radiology & Nuclear Medicine
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Male ,medicine.medical_specialty ,[SDV.IB.IMA]Life Sciences [q-bio]/Bioengineering/Imaging ,medicine.medical_treatment ,[SDV.IB.MN]Life Sciences [q-bio]/Bioengineering/Nuclear medicine ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,0302 clinical medicine ,Aneurysm ,Blood vessel prosthesis ,Occlusion ,medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,Prospective Studies ,Embolization ,cardiovascular diseases ,Prospective cohort study ,Intraparenchymal hemorrhage ,Stroke ,Aged ,Aged, 80 and over ,Interventional ,medicine.diagnostic_test ,business.industry ,Other Research Radboud Institute for Health Sciences [Radboudumc 0] ,Intracranial Aneurysm ,Middle Aged ,medicine.disease ,Embolization, Therapeutic ,Blood Vessel Prosthesis ,Cerebral Angiography ,3. Good health ,Surgery ,Treatment Outcome ,Angiography ,Female ,[SDV.NEU]Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC] ,Neurology (clinical) ,business ,[SDV.MHEP]Life Sciences [q-bio]/Human health and pathology ,030217 neurology & neurosurgery ,Follow-Up Studies - Abstract
Item does not contain fulltext BACKGROUND AND PURPOSE: Incomplete occlusion and recanalization of large and wide-neck brain aneurysms treated by endovascular therapy remains a challenge. We present preliminary clinical and angiographic results of an experimentally optimized Surpass flow diverter for treatment of intracranial aneurysms in a prospective, multicenter, nonrandomized, single-arm study. MATERIALS AND METHODS: At 24 centers, 165 patients with 190 intracranial aneurysms of the anterior and posterior circulations were enrolled. The primary efficacy end point was the percentage of intracranial aneurysms with 100% occlusion on 6-month DSA. The primary safety end point was neurologic death and any stroke through a minimum follow-up of 6 months. RESULTS: Successful flow-diverter delivery was achieved in 161 patients with 186 aneurysms (98%); the mean number of devices used per aneurysm was 1.05. Clinical follow-up (median, 6 months) of 150 patients (93.2%), showed that the primary safety end point occurred in 18 subjects. Permanent neurologic morbidity and mortality were 6% and 2.7%, respectively. Morbidity occurred in 4% and 7.4% of patients treated for aneurysms of the anterior and posterior circulation, respectively. Neurologic death during follow-up was observed in 1.6% and 7.4% of patients with treated intracranial aneurysms of the anterior and posterior circulation, respectively. Ischemic stroke at 30 days or SAH at >7 days occurred. New or worsening cranial nerve deficit was observed in 2.7%. Follow-up angiography available in 158 (86.8%) intracranial aneurysms showed 100% occlusion in 75%. CONCLUSIONS: Clinical outcomes of the Surpass flow diverter in the treatment of intracranial aneurysms show a safety profile that is comparable with that of stent-assisted coil embolization. Angiographic results showed a high rate of intracranial aneurysm occlusion.
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- 2015
37. Training guidelines for endovascular stroke intervention: an international multi-society consensus document.
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Lavine, SD, Cockroft, K, Hoh, B, Bambakidis, N, Khalessi, AA, Woo, H, Riina, H, Siddiqui, A, Hirsch, JA, Chong, W, Rice, H, Wenderoth, J, Mitchell, P, Coulthard, A, Signh, TJ, Phatorous, C, Khangure, M, Klurfan, P, Ter Brugge, K, Iancu, D, Gunnarsson, T, Jansen, O, Muto, M, Szikora, I, Pierot, L, Brouwer, P, Gralla, J, Renowden, S, Andersson, T, Fiehler, J, Turjman, F, White, P, Januel, AC, Spelle, L, Kulcsar, Z, Chapot, R, Biondi, A, Dima, S, Taschner, C, Szajner, M, Krajina, A, Sakai, N, Matsumaru, Y, Yoshimura, S, Ezura, M, Fujinaka, T, Iihara, K, Ishii, A, Higashi, T, Hirohata, M, Hyodo, A, Ito, Y, Kawanishi, M, Kiyosue, H, Kobayashi, E, Kobayashi, S, Kuwayama, N, Matsumoto, Y, Miyachi, S, Murayama, Y, Nagata, I, Nakahara, I, Nemoto, S, Niimi, Y, Oishi, H, Satomi, J, Satow, T, Sugiu, K, Tanaka, M, Terada, T, Yamagami, H, Diaz, O, Lylyk, P, Jayaraman, MV, Patsalides, A, Gandhi, CD, Lee, SK, Abruzzo, T, Albani, B, Ansari, SA, Arthur, AS, Baxter, BW, Bulsara, KR, Chen, M, Almandoz, JED, Fraser, JF, Heck, DV, Hetts, SW, Hussain, MS, Klucznik, RP, Leslie-Mawzi, TM, Mack, WJ, McTaggart, RA, Meyers, PM, Mocco, J, Prestigiacomo, CJ, Pride, GL, Rasmussen, PA, Starke, RM, Sunenshine, PJ, Tarr, RW, Frei, DF, Ribo, M, Nogueira, RG, Zaidat, OO, Jovin, T, Linfante, I, Yavagal, D, Liebeskind, D, Novakovic, R, Pongpech, S, Rodesch, G, Soderman, M, Taylor, A, Krings, T, Orbach, D, Picard, L, Suh, DC, Zhang, HQ, Lavine, SD, Cockroft, K, Hoh, B, Bambakidis, N, Khalessi, AA, Woo, H, Riina, H, Siddiqui, A, Hirsch, JA, Chong, W, Rice, H, Wenderoth, J, Mitchell, P, Coulthard, A, Signh, TJ, Phatorous, C, Khangure, M, Klurfan, P, Ter Brugge, K, Iancu, D, Gunnarsson, T, Jansen, O, Muto, M, Szikora, I, Pierot, L, Brouwer, P, Gralla, J, Renowden, S, Andersson, T, Fiehler, J, Turjman, F, White, P, Januel, AC, Spelle, L, Kulcsar, Z, Chapot, R, Biondi, A, Dima, S, Taschner, C, Szajner, M, Krajina, A, Sakai, N, Matsumaru, Y, Yoshimura, S, Ezura, M, Fujinaka, T, Iihara, K, Ishii, A, Higashi, T, Hirohata, M, Hyodo, A, Ito, Y, Kawanishi, M, Kiyosue, H, Kobayashi, E, Kobayashi, S, Kuwayama, N, Matsumoto, Y, Miyachi, S, Murayama, Y, Nagata, I, Nakahara, I, Nemoto, S, Niimi, Y, Oishi, H, Satomi, J, Satow, T, Sugiu, K, Tanaka, M, Terada, T, Yamagami, H, Diaz, O, Lylyk, P, Jayaraman, MV, Patsalides, A, Gandhi, CD, Lee, SK, Abruzzo, T, Albani, B, Ansari, SA, Arthur, AS, Baxter, BW, Bulsara, KR, Chen, M, Almandoz, JED, Fraser, JF, Heck, DV, Hetts, SW, Hussain, MS, Klucznik, RP, Leslie-Mawzi, TM, Mack, WJ, McTaggart, RA, Meyers, PM, Mocco, J, Prestigiacomo, CJ, Pride, GL, Rasmussen, PA, Starke, RM, Sunenshine, PJ, Tarr, RW, Frei, DF, Ribo, M, Nogueira, RG, Zaidat, OO, Jovin, T, Linfante, I, Yavagal, D, Liebeskind, D, Novakovic, R, Pongpech, S, Rodesch, G, Soderman, M, Taylor, A, Krings, T, Orbach, D, Picard, L, Suh, DC, and Zhang, HQ
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- 2016
38. Endovascular Treatment of Wide-neck Bifurcation Aneurysms: Short- and Midterm Results in a European Study
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Pierot, L, Klisch, J, Gauvrit, J, Szikora, I, Leonardi, M, Liebig, T, Nunzi, N, Boccardi, B, Di Paola, F, Holtmanspötter, M, Weber, W, Calgliari, E, Lubicz, B, Université de Reims Champagne-Ardenne (URCA), Texas Children's Hospital [Houston, USA], Vision, Action et Gestion d'informations en Santé (VisAGeS), Institut National de la Santé et de la Recherche Médicale (INSERM)-Inria Rennes – Bretagne Atlantique, Institut National de Recherche en Informatique et en Automatique (Inria)-Institut National de Recherche en Informatique et en Automatique (Inria)-SIGNAUX ET IMAGES NUMÉRIQUES, ROBOTIQUE (IRISA-D5), Institut de Recherche en Informatique et Systèmes Aléatoires (IRISA), Université de Rennes (UR)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Institut National de Recherche en Informatique et en Automatique (Inria)-Télécom Bretagne-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)-Université de Rennes (UR)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Institut National de Recherche en Informatique et en Automatique (Inria)-Télécom Bretagne-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)-Institut de Recherche en Informatique et Systèmes Aléatoires (IRISA), Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Télécom Bretagne-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS), Service de radiologie et imagerie médicale [Rennes] = Radiology [Rennes], CHU Pontchaillou [Rennes], Neuroradiology, National Institute of Neurosciences, Budapest, Hungary, Ospedale Bellaria [Bologna, Italy], Imperial College London, Universitaetsklinikum Koeln, Ospedale Niguarda, Laboratoire de mécanique des sols, structures et matériaux (MSSMat), CentraleSupélec-Centre National de la Recherche Scientifique (CNRS), Rigshospitalet [Copenhagen], Copenhagen University Hospital, Institut de Physique et Chimie des Matériaux de Strasbourg (IPCMS), Université de Strasbourg (UNISTRA)-Centre National de la Recherche Scientifique (CNRS)-Matériaux et Nanosciences Grand-Est (MNGE), Université de Strasbourg (UNISTRA)-Université de Haute-Alsace (UHA) Mulhouse - Colmar (Université de Haute-Alsace (UHA))-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut de Chimie du CNRS (INC)-Centre National de la Recherche Scientifique (CNRS)-Université de Strasbourg (UNISTRA)-Université de Haute-Alsace (UHA) Mulhouse - Colmar (Université de Haute-Alsace (UHA))-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut de Chimie du CNRS (INC)-Centre National de la Recherche Scientifique (CNRS)-Réseau nanophotonique et optique, Université de Strasbourg (UNISTRA)-Université de Haute-Alsace (UHA) Mulhouse - Colmar (Université de Haute-Alsace (UHA))-Centre National de la Recherche Scientifique (CNRS)-Université de Strasbourg (UNISTRA)-Centre National de la Recherche Scientifique (CNRS), Neuroradiology, Ospedale dell'Angelo, Mestre, Italy, Department of Neuroradiology (B.L., B.M.), Erasme University Hospital, Brussels, Belgium., CentraleSupélec-Télécom Bretagne-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Institut National de Recherche en Informatique et en Automatique (Inria)-École normale supérieure - Rennes (ENS Rennes)-Université de Bretagne Sud (UBS)-Centre National de la Recherche Scientifique (CNRS)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées (INSA)-CentraleSupélec-Télécom Bretagne-Université de Rennes 1 (UR1), Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées (INSA)-Institut de Recherche en Informatique et Systèmes Aléatoires (IRISA), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-École normale supérieure - Rennes (ENS Rennes)-Université de Bretagne Sud (UBS)-Centre National de la Recherche Scientifique (CNRS)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Université de Rennes (UNIV-RENNES)-Institut National des Sciences Appliquées (INSA), Molecular Medicine, National Heart and Lung Institute, Imperial College London., United Kingdom, Université de Strasbourg (UNISTRA)-Matériaux et nanosciences d'Alsace (FMNGE), Institut de Chimie du CNRS (INC)-Université de Strasbourg (UNISTRA)-Université de Haute-Alsace (UHA) Mulhouse - Colmar (Université de Haute-Alsace (UHA))-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Institut de Chimie du CNRS (INC)-Université de Strasbourg (UNISTRA)-Université de Haute-Alsace (UHA) Mulhouse - Colmar (Université de Haute-Alsace (UHA))-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Centre National de la Recherche Scientifique (CNRS)-Réseau nanophotonique et optique, and Centre National de la Recherche Scientifique (CNRS)-Université de Strasbourg (UNISTRA)-Université de Haute-Alsace (UHA) Mulhouse - Colmar (Université de Haute-Alsace (UHA))-Centre National de la Recherche Scientifique (CNRS)-Université de Strasbourg (UNISTRA)
- Subjects
[INFO.INFO-IM]Computer Science [cs]/Medical Imaging ,cardiovascular diseases - Abstract
International audience; Background and purpose Flow disruption with the WEB-DL device has been used safely for the treatment of wide-necked bifurcation aneurysms but the stability of aneurysm occlusion after this treatment is unknown. This retrospective multicenter European study analyzed short- and midterm data in patients treated with WEB-DL.Methods Twelve European neurointerventional centers participated to the study. Clinical data, pre- and post-operative, short-, and midterm images were collected. An experienced interventional neuroradiologist independently analyzed images. Aneurysm occlusion was classified in 4 grades: complete occlusion, opacification of the proximal recess of the device, neck remnant, and aneurysm remnant.Results Forty-five patients (34 females and 11 males) aged 35 to 74 years (mean: 56.3 +/- 9.6 years) harbouring 45 aneurysms treated with the WEB device were included. Aneurysm locations were middle cerebral artery in 26 patients, posterior circulation in 13, anterior communicating artery in 5, and internal carotid artery terminus in 1. Forty-two aneurysms were unruptured. Good clinical outcome (mRS < 2) was observed in 93.3% of patients. Adequate occlusion (Complete occlusion, opacification of the proximal recess, or neck remnant) was observed in 30/37 patients (81.1%) in short-term follow-up (median 6 months) and in 26/29 patients (89.7%) in midterm follow-up (median 13 months). Worsening of aneurysm occlusion was observed in 2/28 patients (7.1%) in midterm follow-up.Conclusions The results suggest WEB treatment of wide-neck bifurcation aneurysms offers stable occlusion in aneurysms that are usually unstable. Additionally, our data show that opacification of the WEB recess can be delineated from true neck or aneurysm remnant.
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- 2014
39. Risk Factors for Ischemic Complications following Pipeline Embolization Device Treatment of Intracranial Aneurysms: Results from the IntrePED Study
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Brinjikji, W., primary, Lanzino, G., additional, Cloft, H.J., additional, Siddiqui, A.H., additional, Boccardi, E., additional, Cekirge, S., additional, Fiorella, D., additional, Hanel, R., additional, Jabbour, P., additional, Levy, E., additional, Lopes, D., additional, Lylyk, P., additional, Szikora, I., additional, and Kallmes, D.F., additional
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- 2016
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40. Training Guidelines for Endovascular Ischemic Stroke Intervention: An International Multi-Society Consensus Document
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Lavine, S.D., primary, Cockroft, K., additional, Hoh, B., additional, Bambakidis, N., additional, Khalessi, A.A., additional, Woo, H., additional, Riina, H., additional, Siddiqui, A., additional, Hirsch, J.A., additional, Chong, W., additional, Rice, H., additional, Wenderoth, J., additional, Mitchell, P., additional, Coulthard, A., additional, Signh, T.J., additional, Phatorous, C., additional, Khangure, M., additional, Klurfan, P., additional, terBrugge, K., additional, Iancu, D., additional, Gunnarsson, T., additional, Jansen, O., additional, Muto, M., additional, Szikora, I., additional, Pierot, L., additional, Brouwer, P., additional, Gralla, J., additional, Renowden, S., additional, Andersson, T., additional, Fiehler, J., additional, Turjman, F., additional, White, P., additional, Januel, A.C., additional, Spelle, L., additional, Kulcsar, Z., additional, Chapot, R., additional, Biondi, A., additional, Dima, S., additional, Taschner, C., additional, Szajner, M., additional, Krajina, A., additional, Sakai, N., additional, Matsumaru, Y., additional, Yoshimura, S., additional, Ezura, M., additional, Fujinaka, T., additional, Iihara, K., additional, Ishii, A., additional, Higashi, T., additional, Hirohata, M., additional, Hyodo, A., additional, Ito, Y., additional, Kawanishi, M., additional, Kiyosue, H., additional, Kobayashi, E., additional, Kobayashi, S., additional, Kuwayama, N., additional, Matsumoto, Y., additional, Miyachi, S., additional, Murayama, Y., additional, Nagata, I., additional, Nakahara, I., additional, Nemoto, S., additional, Niimi, Y., additional, Oishi, H., additional, Satomi, J., additional, Satow, T., additional, Sugiu, K., additional, Tanaka, M., additional, Terada, T., additional, Yamagami, H., additional, Diaz, O., additional, Lylyk, P., additional, Jayaraman, M.V., additional, Patsalides, A., additional, Gandhi, C.D., additional, Lee, S.K., additional, Abruzzo, T., additional, Albani, B., additional, Ansari, S.A., additional, Arthur, A.S., additional, Baxter, B.W., additional, Bulsara, K.R., additional, Chen, M., additional, Delgado Almandoz, J.E., additional, Fraser, J.F., additional, Heck, D.V., additional, Hetts, S.W., additional, Hussain, M.S., additional, Klucznik, R.P., additional, Leslie-Mawzi, T.M., additional, Mack, W.J., additional, McTaggart, R.A., additional, Meyers, P.M., additional, Mocco, J., additional, Prestigiacomo, C.J., additional, Pride, G.L., additional, Rasmussen, P.A., additional, Starke, R.M., additional, Sunenshine, P.J., additional, Tarr, R.W., additional, Frei, D.F., additional, Ribo, M., additional, Nogueira, R.G., additional, Zaidat, O.O., additional, Jovin, T., additional, Linfante, I., additional, Yavagal, D., additional, Liebeskind, D., additional, Novakovic, R., additional, Pongpech, S., additional, Rodesch, G., additional, Soderman, M., additional, Taylor, A., additional, Krings, T., additional, Orbach, D., additional, Picard, L., additional, Suh, D.C., additional, and Zhang, H.Q., additional
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- 2016
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41. Pipeline Embolization Device with or without Adjunctive Coil Embolization: Analysis of Complications from the IntrePED Registry
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Park, M.S., primary, Kilburg, C., additional, Taussky, P., additional, Albuquerque, F.C., additional, Kallmes, D.F., additional, Levy, E.I., additional, Jabbour, P., additional, Szikora, I., additional, Boccardi, E., additional, Hanel, R.A., additional, Bonafé, A., additional, and McDougall, C.G., additional
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- 2016
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42. Evolution of Flow-Diverter Endothelialization and Thrombus Organization in Giant Fusiform Aneurysms after Flow Diversion: A Histopathologic Study
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Szikora, I., primary, Turányi, E., additional, and Marosfoi, M., additional
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- 2015
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43. O-022 safety and efficacy of the pipeline embolization device in treatment of intracranial aneurysms: a combined analysis of pufs, aspire and intreped
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Kallmes, D, primary, Brinjikji, W, additional, Nelson, P, additional, Lanzino, G, additional, Albuquerque, F, additional, Szikora, I, additional, Lopes, D, additional, Hanel, R, additional, Almandoz, J Delgado, additional, Lylyk, P, additional, Cekirge, S, additional, Levy, E, additional, Jabbour, P, additional, Woo, H, additional, McDougall, C, additional, and Beckse, T, additional
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- 2015
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44. WEB-DL Endovascular Treatment of Wide-Neck Bifurcation Aneurysms: Short- and Midterm Results in a European Study
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Lubicz, B., Klisch, J., Gauvrit, J. -Y., Szikora, I., Leonardi, M., Liebig, T., Nuzzi, N. P., Boccardi, E., Paola, F. D., Holtmannspotter, M., Weber, W., Calgliari, E., Sychra, V., Mine, B., Pierot, L., Lubicz, B., Klisch, J., Gauvrit, J. -Y., Szikora, I., Leonardi, M., Liebig, T., Nuzzi, N. P., Boccardi, E., Paola, F. D., Holtmannspotter, M., Weber, W., Calgliari, E., Sychra, V., Mine, B., and Pierot, L.
- Abstract
Short- and midterm results of endovascular aneurysm treatment with the new WEB-DL device were assessed in 45 patients from 12 European centers. Of these, 42 aneurysms were unruptured and most were located either in the MCA bifurcation or the posterior circulation. Adequate occlusion was observed in 81% and 90% of aneurysms at 6 and 13 months, respectively. Results suggest that WEB endovascular treatment of wide-neck bifurcation aneurysms offers stable occlusion in a class of aneurysms that are historically unstable. BACKGROUND AND PURPOSE: Flow disruption with the WEB-DL device has been used safely for the treatment of wide-neck bifurcation aneurysms, but the stability of aneurysm occlusion after this treatment is unknown. This retrospective multicenter European study analyzed short- and midterm data in patients treated with WEB-DL. MATERIALS AND METHODS: Twelve European neurointerventional centers participated in the study. Clinical data and pre- and postoperative short- and midterm images were collected. An experienced interventional neuroradiologist independently analyzed the images. Aneurysm occlusion was classified into 4 grades: complete occlusion, opacification of the proximal recess of the device, neck remnant, and aneurysm remnant. RESULTS: Forty-five patients (34 women and 11 men) 35-74 years of age (mean, 56.3 +/- 9.6 years) with 45 aneurysms treated with the WEB device were included. Aneurysm locations were the middle cerebral artery in 26 patients, the posterior circulation in 13 patients, the anterior communicating artery in 5 patients, and the internal carotid artery terminus in 1 patient. Forty-two aneurysms were unruptured. Good clinical outcome (mRS < 2) was observed in 93.3% of patients at the last follow-up. Adequate occlusion (complete occlusion, opacification of the proximal recess, or neck remnant) was observed in 30/37 patients (81.1%) in short-term follow-up (median, 6 months) and in 26/29 patients (89.7%) in midterm follow-up (median, 13 mo
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- 2014
45. WEB-DL Endovascular Treatment of Wide-Neck Bifurcation Aneurysms: Short- and Midterm Results in a European Study.
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Lubicz, Boris, Klisch, J, Gauvrit, J-Y, Szikora, I, Leonardi, M, Liebig, T, Nuzzi, N P, Boccardi, E, Paola, F D, Holtmannspötter, M, Weber, W.A., Calgliari, E, Sychra, V, Mine, Benjamin, Pierot, L, Lubicz, Boris, Klisch, J, Gauvrit, J-Y, Szikora, I, Leonardi, M, Liebig, T, Nuzzi, N P, Boccardi, E, Paola, F D, Holtmannspötter, M, Weber, W.A., Calgliari, E, Sychra, V, Mine, Benjamin, and Pierot, L
- Abstract
BACKGROUND AND PURPOSE:Flow disruption with the WEB-DL device has been used safely for the treatment of wide-neck bifurcation aneurysms, but the stability of aneurysm occlusion after this treatment is unknown. This retrospective multicenter European study analyzed short- and midterm data in patients treated with WEB-DL.MATERIALS AND METHODS:Twelve European neurointerventional centers participated in the study. Clinical data and pre- and postoperative short- and midterm images were collected. An experienced interventional neuroradiologist independently analyzed the images. Aneurysm occlusion was classified into 4 grades: complete occlusion, opacification of the proximal recess of the device, neck remnant, and aneurysm remnant.RESULTS:Forty-five patients (34 women and 11 men) 35-74 years of age (mean, 56.3 ± 9.6 years) with 45 aneurysms treated with the WEB device were included. Aneurysm locations were the middle cerebral artery in 26 patients, the posterior circulation in 13 patients, the anterior communicating artery in 5 patients, and the internal carotid artery terminus in 1 patient. Forty-two aneurysms were unruptured. Good clinical outcome (mRS < 2) was observed in 93.3% of patients at the last follow-up. Adequate occlusion (complete occlusion, opacification of the proximal recess, or neck remnant) was observed in 30/37 patients (81.1%) in short-term follow-up (median, 6 months) and in 26/29 patients (89.7%) in midterm follow-up (median, 13 months). Worsening of the aneurysm occlusion was observed in 2/28 patients (7.1%) at midterm follow-up.CONCLUSIONS:The results suggest that the WEB endovascular treatment of wide-neck bifurcation aneurysms offers stable occlusion in a class of aneurysms that are historically unstable. Additionally, our data show that opacification of the WEB recess can be delineated from true neck or aneurysm remnants., JOURNAL ARTICLE, SCOPUS: ar.j, info:eu-repo/semantics/published
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- 2014
46. Dural Arteriovenous Malformations
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Szikora, I., primary
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47. International Retrospective Study of the Pipeline Embolization Device: A Multicenter Aneurysm Treatment Study
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Kallmes, D. F., primary, Hanel, R., additional, Lopes, D., additional, Boccardi, E., additional, Bonafe, A., additional, Cekirge, S., additional, Fiorella, D., additional, Jabbour, P., additional, Levy, E., additional, McDougall, C., additional, Siddiqui, A., additional, Szikora, I., additional, Woo, H., additional, Albuquerque, F., additional, Bozorgchami, H., additional, Dashti, S. R., additional, Delgado Almandoz, J. E., additional, Kelly, M. E., additional, Turner, R., additional, Woodward, B. K., additional, Brinjikji, W., additional, Lanzino, G., additional, and Lylyk, P., additional
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- 2014
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48. P-009 WEB Endovascular Treatment of Wide-neck Bifurcation Aneurysms: Short- and Midterm Results in a European Study
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Pierot, L, primary, Klisch, J, additional, Gauvrit, J, additional, Szikora, I, additional, Leonardi, M, additional, Liebig, T, additional, Nunzi, N, additional, Boccardi, E, additional, Di Paola, F, additional, Holtmanspötter, M, additional, Weber, W, additional, Calgliari, E, additional, and Lubicz, B, additional
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- 2014
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49. E-029 WEB Flow Disruption: Preliminary Results from WEBCAST trial
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Pierot, L, primary, Spelle, L, additional, Costalat, V, additional, Szikora, I, additional, Klisch, J, additional, Herbreteau, D, additional, Holtmannspoetter, M, additional, Weber, W, additional, Liebig, T, additional, Cognard, C, additional, Bonafé, A, additional, Moret, J, additional, Byrne, J, additional, and Molyneux, A, additional
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- 2014
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50. WEB-DL Endovascular Treatment of Wide-Neck Bifurcation Aneurysms: Short- and Midterm Results in a European Study
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Lubicz, B., primary, Klisch, J., additional, Gauvrit, J.-Y., additional, Szikora, I., additional, Leonardi, M., additional, Liebig, T., additional, Nuzzi, N.P., additional, Boccardi, E., additional, Paola, F.D., additional, Holtmannspötter, M., additional, Weber, W., additional, Calgliari, E., additional, Sychra, V., additional, Mine, B., additional, and Pierot, L., additional
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- 2014
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