Procedural Challenges in Interventional Neuroradiology

2011 ◽  
pp. 601-609
Author(s):  
William L. Young
Keyword(s):  
Interventional Neuroradiology

Interventional Neuroradiology for Skull Base Pathologies

Skull Base ◽  
2009 ◽  
Vol 19 (S 02) ◽  
Author(s):  
A. Valavanis
Keyword(s):  
Skull Base ◽  
Interventional Neuroradiology

scholarly journals An Endovascular Surgery Experience in Far-Forward Military Healthcare—A Case Series

2020 ◽  
Vol 185 (11-12) ◽  
pp. 2183-2188
Author(s):  
Daniel J Coughlin ◽  
Jason H Boulter ◽  
Charles A Miller ◽  
Brian P Curry ◽  
Jacob Glaser ◽  
...  
Keyword(s):  
Case Series ◽  
Interventional Neuroradiology ◽  
Military Hospital ◽  
Lingual Artery ◽  
Trauma Patients ◽  
Military Hospitals ◽  
Life Saving ◽  
Military Healthcare ◽  
Internal Iliac ◽  
First World

Abstract Summary   Introduction The advancement of interventional neuroradiology has drastically altered the treatment of stroke and trauma patients. These advancements in first-world hospitals, however, have rarely reached far forward military hospitals due to limitations in expertise and equipment. In an established role III military hospital though, these life-saving procedures can become an important tool in trauma care. Materials and Methods We report a retrospective series of far-forward endovascular cases performed by 2 deployed dual-trained neurosurgeons at the role III hospital in Kandahar, Afghanistan during 2013 and 2017 as part of Operations Resolute Support and Enduring Freedom. Results A total of 15 patients were identified with ages ranging from 5 to 42 years old. Cases included 13 diagnostic cerebral angiograms, 2 extremity angiograms and interventions, 1 aortogram and pelvic angiogram, 1 bilateral embolization of internal iliac arteries, 1 lingual artery embolization, 1 administration of intra-arterial thrombolytic, and 2 mechanical thrombectomies for acute ischemic stroke. There were no complications from the procedures. Both embolizations resulted in hemorrhage control, and 1 of 2 stroke interventions resulted in the improvement of the NIH stroke scale. Conclusions Interventional neuroradiology can fill an important role in military far forward care as these providers can treat both traumatic and atraumatic cerebral and extracranial vascular injuries. In addition, knowledge and skill with vascular access and general interventional radiology principles can be used to aid in other lifesaving interventions. As interventional equipment becomes more available and portable, this relatively young specialty can alter the treatment for servicemen and women who are injured downrange.

TIVA for interventional neuroradiology: fentanil vs remifentanil

2004 ◽  
Vol 21 (Supplement 32) ◽  
pp. 93-94
Author(s):  
E. Ferri ◽  
L. Droghetti ◽  
E. Fabbri ◽  
A. C. Muzzoli
Keyword(s):  
Interventional Neuroradiology

Perspective on “China's Medical Education and Interventional Neuroradiology Training”

2015 ◽  
Vol 84 (6) ◽  
pp. 1539-1540
Author(s):  
Matthew B. Potts ◽  
Howard A. Riina
Keyword(s):  
Medical Education ◽  
Interventional Neuroradiology

Abstract TP132: Selection and Activation of Sites in a Large Multi-Center Randomized Clinical Trial

Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
Bart M Demaerschalk ◽  
Robert D Brown ◽  
Virginia J Howard ◽  
MeeLee Tom ◽  
Mary E Longbottom ◽  
...  
Keyword(s):  
Site Selection ◽  
Performance Metrics ◽  
Interventional Neuroradiology ◽  
Interquartile Range ◽  
Carotid Revascularization ◽  
Training Requirements ◽  
Medical Centers ◽  
Wide Range ◽  
The Times ◽  
And Training

Introduction: Careful selection and timely activation of clinical sites in multicenter clinical trials is critical for successful enrollment, subject safety, and generalizability of results. Methods: In the Carotid Revascularization and Medical Management for Asymptomatic Carotid Stenosis Trial (CREST-2), a multidisciplinary Site Selection Committee evaluated applicants referred via participation in CREST, CREST principal investigators (PIs) and other investigators, StrokeNet and industry partners. Data for consideration included performance metrics in CREST and other carotid trials and a site selection questionnaire containing information on the investigators as well as quantitative data on carotid procedures performed. Any FDA warning letters were reviewed. Results: The Committee met bi-weekly for 36 months (n=64 meetings). Applications from 176 sites between March 2014 and July 2016 were evaluated: 153 were approved, 7 are under Committee review, 5 were approved but withdrew, 5 were placed on a waiting list, and 6 were rejected. One-hundred-four sites have completed the regulatory and training requirements to randomize: 51 (49%) academic medical centers, 31 (30%) private hospital-based centers, 16 (15%) private office-based practices, and 6 (6%) Veterans Administration medical centers. The mean times from application-to- approval was 5.2 weeks (interquartile range, 1.9, 6.2), and from approval-to-randomization status was 46.7 weeks (interquartile range, 35.4, 51.7). Specialties of the 104 site PIs are vascular surgery for 35 (33.7%), cardiology for 30 (28.8%), neurology for 25 (24%), neurosurgery for 8 (7.7%), interventional radiology for 4 (3.8%), and interventional neuroradiology for 2 (1.9%). Conclusions: Careful site selection is time-consuming for prospective sites and for trial leadership. Times from application-to-site-approval were modest (mean = 5.2 weeks), in contrast to the times for completing regulatory and training requirements (mean = 46.7 weeks). However, subject enrollment by teams from a wide range of medical centers led by a multi-disciplinary cohort of PIs will promote the generalizability of trial results.

Case-Based Interventional Neuroradiology

2011 ◽  
Vol 4 (2) ◽  
pp. 152-153
Author(s):  
Thabele M Leslie-Mazwi ◽  
Ronil V Chandra
Keyword(s):  
Interventional Neuroradiology ◽  
Case Based

scholarly journals Treatment Strategy for Infectious Intracranial Aneurysms in the Era of Interventional Neuroradiology

2017 ◽  
Vol 11 (10) ◽  
pp. 497-503
Author(s):  
Hajime Nakamura ◽  
Toshiyuki Fujinaka ◽  
Takeo Nishida ◽  
Tomohiko Ozaki ◽  
Katsunori Asai ◽  
...  
Keyword(s):  
Treatment Strategy ◽  
Intracranial Aneurysms ◽  
Interventional Neuroradiology ◽  
Infectious Intracranial Aneurysms
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