Successful WEBectomy during embolization of temporal arteriovenous malformation-associated flow-related basilar aneurysms.

Objective Intra-procedural WEB device migration is a scarcely reported complication that necessitates prompt intervention. Case Presentation Endovascular treatment of two broad necked flow-related aneurysms was planned aided by WEB-SL (Woven EndoBridge-single layer) devices in a 71-year-old female with known left temporal arteriovenous malformation. Inadvertent distal migration occurred while performing a control angiogram with an automated iodine injector. Immediate retrieval was successfully performed using a Solitaire stent-retriever. Conclusion To our knowledge, we report for the first time the successful retrieval of a distally migrated WEB using a stent-retriever device.

Effects of Aging on the Neural Mechanisms Underlying the Recollection of Memories Encoded by Social Interactions With Persons in the Same and Different Age Groups

Memories related to ingroup members are remembered more accurately than those related to outgroup members. However, little is known about the age-dependent differences in neural mechanisms underlying the retrieval of memories shared with ingroup or outgroup members that are categorized by age-group membership. The present functional magnetic resonance imaging (fMRI) study investigated this issue. Healthy young and older adults participated in a 2-day experiment. On the first day outside fMRI, participants were presented with words by unfamiliar persons in movie clips and exchanged each word with persons belonging to the same age group (SAG) or different age group (DAG). On the second day during fMRI, participants were randomly presented with learned and new words one by one, and they judged whether each word had been encoded with either SAG or DAG members or neither. fMRI results demonstrated that an age-dependent decrease in successful retrieval activation of memories presented by DAG was identified in the anterior temporal lobe (ATL) and hippocampus, whereas with memories presented by SAG, an age-dependent decrease in activation was not found in any regions. In addition, an age-dependent decrease in functional connectivity was significant between the hippocampus/ATL and posterior superior temporal sulcus (pSTS) during the successful retrieval of memories encoded with the DAG people. The “other”-related mechanisms including the hippocampus, ATL, and pSTS with memories learned with the outgroup members could decrease in older adults, whereas with memories learned with the ingroup members, the “self”-related mechanisms could be relatively preserved in older adults.

Successful retrieval of dislocated inferior vena cava filter using double vascular sheaths docking technology: case report

Background Dislocation of inferior vena cava filter (IVCF) is a rare complication with potential IVC perforation and other life-threatening risks requiring early diagnosis and in-time retrieval. Most of dislocation IVCF in the past have been shelved or removed by open surgery. It is very difficult to retrieve the filters by interventional technology. Case presentation Here we report a 49-year-old man suffering from dislocation of IVCF implanted due to deep vein thrombosis (DVT) in the right femoral vein. Successful retrieval of the IVCF using double sheaths docking technique was done soon after confirmation of the dislocation. Importance of monitoring and early detection of dislocation of IVCF should be emphasized to avoid further complications. Conclusions The double vascular sheaths docking technique can be considered as a preferential option in difficult operative situation.

Successful retrieval of a retained J guidewire from the right atrium and aorta arch using a self-invented snare device

Guidewire retention during an interventional treatment is a very rare complication that can lead to possible serious complications, such as thrombosis, embolization, sepsis, and perforation. Hence, a retained guidewire must be retrieved as soon as possible. Here, we provide the first report of a case of accidental retention of a 0.035” J guidewire in the right atrium and aortic arch during basilar artery aneurysm embolization. We found that due to the heavier weight of the J guidewire and its hydrophilic-coated layer, it could not be removed using previously reported methods for micro-guidewire retention. Therefore, we constructed a self-invented snare device consisting of a 0.014” micro-guidewire and a 4-Fr MP-A1 catheter and successfully retrieved the J guidewire, thus avoiding open surgery and its associated serious complications. According to our experience, this novel technique described here is quite easy to perform, safe and effective and can avoid serious complications and prevent the need for open surgery.