Giant Occipital Brain AVM: Preoperative Staged Embolization in Many Sessions, Microsurgical Resection, Shunt Implantation, with Complete Elimination of the AVM and Good Clinical Outcome

2021 ◽  
pp. 1-14
Author(s):  
Alexander Sirakov ◽  
Peter Kurucz ◽  
Marta Aguilar Pérez ◽  
Victoria Hellstern ◽  
Oliver Ganslandt ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Complete Elimination ◽  
Good Clinical Outcome ◽  
Shunt Implantation ◽  
Brain Avm ◽  
Microsurgical Resection

scholarly journals Efficacy of Mechanical Thrombectomy using Penumbra ACETM Aspiration Catheter Compared to Stent Retriever SolitaireTM FR in Patients with Acute Ischemic Stroke

2021 ◽  
Vol 11 (4) ◽  
pp. 504
Author(s):  
Dalibor Sila ◽  
Markus Lenski ◽  
Maria Vojtková ◽  
Mustafa Elgharbawy ◽  
František Charvát ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Clinical Outcome ◽  
Acute Ischemic Stroke ◽  
Clinical Outcomes ◽  
Mechanical Thrombectomy ◽  
Binary Logistic Regression ◽  
Stent Retriever ◽  
Good Clinical Outcome ◽  
Significant Difference ◽  
Aspiration Technique

Background: Mechanical thrombectomy is the standard therapy in patients with acute ischemic stroke (AIS). The primary aim of our study was to compare the procedural efficacy of the direct aspiration technique, using Penumbra ACETM aspiration catheter, and the stent retriever technique, with a SolitaireTM FR stent. Secondarily, we investigated treatment-dependent and treatment-independent factors that predict a good clinical outcome. Methods: We analyzed our series of mechanical thrombectomies using a SolitaireTM FR stent and a Penumbra ACETM catheter. The clinical and radiographic data of 76 patients were retrospectively reviewed. Using binary logistic regression, we looked for the predictors of a good clinical outcome. Results: In the Penumbra ACETM group we achieved significantly higher rates of complete vessel recanalization with lower device passage counts, shorter recanalization times, shorter procedure times and shorter fluoroscopy times (p < 0.001) compared to the SolitaireTM FR group. We observed no significant difference in good clinical outcomes (52.4% vs. 56.4%, p = 0.756). Predictors of a good clinical outcome were lower initial NIHSS scores, pial arterial collateralization on admission head CT angiography scan, shorter recanalization times and device passage counts. Conclusions: The aspiration technique using Penumbra ACETM catheter is comparable to the stent retriever technique with SolitaireTM FR regarding clinical outcomes.

Improving surgical reduction in radial fractures using a ‘dowel’ pinning technique in miniature and toy breed dogs

2011 ◽  
Vol 24 (01) ◽  
pp. 45-49 ◽  
Author(s):  
C. E. DeCamp ◽  
R. Rooks ◽  
J. Yu
Keyword(s):  
Clinical Outcome ◽  
Bone Healing ◽  
Medical Records ◽  
Closed Reduction ◽  
Surgical Repair ◽  
Reduction Technique ◽  
Good Clinical Outcome ◽  
Distal Radial Fractures ◽  
Radiographic Images ◽  
Small Delay

Summary Objectives: A retrospective approach was used to detail and evaluate a ‘dowel’ pinning technique in distal radial fractures in miniature and toy breed dogs. Methods: Medical records and radiographs from 2003–2009 of miniature and toy breed dog radial fractures were examined. Sixty cases were divided into two groups: 51 radial fractures repaired with a ‘dowel’ pinning and external skeletal fixation (ESF) and nine radial fractures repaired with closed reduction and ESF. Each dog was evaluated and radiographic images were obtained at presentation, postoperatively, and at 1, 2, 4, 8, and 12 weeks postoperatively. Signalment, reduction, alignment, time to clinical bone healing and ESF removal, and implant morbidity were determined for each group. Results: Radial fractures repaired with a ‘dowel’ pin and ESF had improved reduction compared to closed reduction and ESF alone (p <0.0001 as evaluated with lateral radiographs and p <0.0004 with cranial/caudal radiographs). Both surgical groups resulted in good clinical outcome with low morbidity, however it was observed that the time to clinical union and ESF removal was an average of 2.5 weeks less with closed reduction technique compared to the open reduction and ‘dowel’ pinning technique (p <0.031). Clinical Significance: Incorporating a ‘dowel’ pin to the surgical repair enhances the reduction of distal radial fractures in miniature and toy breed dogs and results in excellent clinical outcomes but causes a small delay in bone healing.

scholarly journals Dirofilaria Repens Infection of the Eye

2021 ◽  
Author(s):  
Karl Engelsberg ◽  
Jonas Bläckberg
Keyword(s):  
Clinical Outcome ◽  
Nordic Countries ◽  
Dirofilaria Repens ◽  
Surgical Removal ◽  
Good Clinical Outcome ◽  
First Report

Abstract We present the first report of a live subconjunctival Dirofilaria Repens in the Nordic countries. A woman had been in India five months before her symptoms started with redness and a foreign sensation in her eye. A worm that moved was found under her conjunctiva (film enclosed). She was instantly operated and the worm was removed (film enclosed). Surgical removal of the worm led to resolution of symptoms and a good clinical outcome.

Abstract W P48: Flair Vessel Hyper-intensities Could Predict Target Mismatch Signs in Acute Stroke Patients

Stroke ◽  
2015 ◽  
Vol 46 (suppl_1) ◽  
Author(s):  
Manabu Inoue ◽  
Michael Mlynash ◽  
Carlo W Cerada ◽  
Nishant K Mishra ◽  
Soren Christensen ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Acute Stroke ◽  
Clinical Outcomes ◽  
Pooled Analysis ◽  
Stroke Patients ◽  
Good Clinical Outcome ◽  
Kappa Score ◽  
Early Reperfusion ◽  
Diffusion Weighted Images ◽  
Fluid Attenuated Inversion Recovery

Background and purpose: Fluid-attenuated inversion recovery (FLAIR) vessel hyper-intensities (FVH) have been hypothesized to have a positive correlation with good collaterals and more favorable clinical outcomes in acute stroke patients. We assessed if FVH predict the Target mismatch profile (TMM) and clinical outcomes in the DEFUSE studies. Methods: Patients with technically adequate baseline diffusion weighted images (DWI), perfusion images (PWI), and FLAIR images were included in this pooled analysis of the DEFUSE 1 and 2 studies. The FVH sign was defined as visible hyper-intense vessels on FLAIR images and assessed at basal ganglia levels by two independent raters. Clinical outcomes were assessed using modified Rankin Scale (mRS) at 90 days. The Target mismatch profile was based on baseline DWI and PWI volumes using automated software (RAPID). Results: Seventy seven patients met the inclusion criteria. Median time (IQR) from symptom onset to baseline MRI was 4.6 hours (3.9 - 5.4) and median (IQR) DWI lesion was 13.1 (5.0 - 32.0) ml. Of these, 66 patients (86%) had the FVH sign. Kappa score for inter-rater agreement was 0.621 (95CI: 0.33 - 0.91). Seventy (74%) cases with FVH had TMM profile vs. 33% of No FVH patients (p=0.023). Good clinical outcome (mRS 0-2) did not differ (50% with FVH vs. 73% without FVH, p=0.203). Only 38% of the patients with FVH had good angiographic collaterals and the rate of early reperfusion did not differ (45% with FVH vs. 25% without FVH, p=0.45). Conclusions: FVH is common in acute stroke patients (86%) and is associated with the Target Mismatch profile. However, FVH was not associated with favorable angiographic collaterals, good clinical outcome or early reperfusion in the DEFUSE 1 and 2 cohorts.

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