Novel Technique for Robotic-Assisted Protection of Intraoperative Aneurysm Rupture during Surgical Clipping

In incidental aneurysms, endovascular treatment can lead to post-procedural headaches. We studied the difference of surgical clipping vs. endovascular coiling in concern to post-procedural headaches in patients with ruptured aneurysms. Sixtyseven patients with aneurysmal subarachnoidal haemorrhage were treated in our department from September 1st 2015 - September 1st 2016. 43 Patients were included in the study and the rest was excluded because of late recovery or highgrade subarachnoid bleedings. Twenty-two were surgical treated and twenty-one were interventionally treated. We compared the post-procedural headaches at the time points of 24 h, 21 days, and 3 months after treatment using the visual analog scale (VAS) for pain. After surgical clipping the headache score decreased for 8.8 points in the VAS, whereas the endovascular treated population showed a decrease of headaches of 3.3 points. This difference was highly statistical significant and remained significant even after 3 weeks where the pain score for the surgically treated patients was 0.68 and for the endovascular treated 1.8. After 3 months the pain was less than 1 for both groups with surgically treated patients scoring 0.1 and endovascular treated patients 0.9 (not significant). Clipping is relieving the headaches of patients with aneurysm rupture faster and more effective than endovascular coiling. This effect stays significant for at least 3 weeks and plays a crucial role in stress relieve during the acute and subacute ICU care of such patients.

Download Full-text

A novel technique for robotic-assisted lobectomy for lung cancer: the anterior approach

Interactive CardioVascular and Thoracic Surgery ◽

10.1093/icvts/ivz264 ◽

2019 ◽

Vol 30 (2) ◽

pp. 328-328

Author(s):

Koji Yamazaki ◽

Gouji Toyokawa ◽

Fumihiro Shoji ◽

Sadanori Takeo

Keyword(s):

Lung Cancer ◽

Anterior Approach ◽

Robotic Assisted ◽

Novel Technique

Download Full-text

Decreasing the prospect of upper extremity neuropraxia during robotic assisted laparoscopic prostatectomy: a novel technique

Journal of Robotic Surgery ◽

10.1007/s11701-020-01047-w ◽

2020 ◽

Vol 14 (5) ◽

pp. 733-738

Author(s):

Matthew J. Watson ◽

Brandon Koch ◽

Michael Tonzi ◽

Raymond Xu ◽

Gregory Heath ◽

...

Keyword(s):

Upper Extremity ◽

Robotic Assisted ◽

Laparoscopic Prostatectomy ◽

Novel Technique

Download Full-text

Republished: Corking the WEB and coiling through a jailed microcatheter: WEB assisted coiling, a useful technique avoiding the use of stents in treating wide-necked large intracranial aneurysms

Journal of NeuroInterventional Surgery ◽

10.1136/neurintsurg-2015-011649.rep ◽

2015 ◽

Vol 8 (5) ◽

pp. e18-e18 ◽

Cited By ~ 7

Author(s):

Joe Joseph Leyon ◽

Swarupsinh Chavda ◽

Saleh Lamin

Keyword(s):

Antiplatelet Therapy ◽

Intracranial Aneurysms ◽

Aneurysm Rupture ◽

Ruptured Aneurysm ◽

Intracranial Stenting ◽

Novel Technique ◽

Custom Made ◽

Web Device ◽

The Web

The WEB is an endovascular flow-disrupting device used in treating wide-necked intracranial aneurysms. Although the device is available in varying sizes, large aneurysms pose a challenge with the need for custom-made devices. We describe the use of coils as an adjunct to the WEB device in successfully treating large aneurysms in two patients, one with an acutely ruptured aneurysm. This novel technique of jailing a microcatheter, deploying the WEB and then coiling the aneurysm saves the need for intracranial stenting, thereby avoiding the need for antiplatelet therapy, which is of benefit in the setting of acute aneurysm rupture.

Download Full-text