Pub Date : 2022-07-01DOI: 10.1136/neurintsurg-2022-snis.345
B. Hirshman, L. Stone, A. Wali, J. Bravo, D. Santiago-Dieppa, A. Khalessi
{"title":"E-234 A predictive model and guide to patient selection in vertebral osteomyelitis/discitis","authors":"B. Hirshman, L. Stone, A. Wali, J. Bravo, D. Santiago-Dieppa, A. Khalessi","doi":"10.1136/neurintsurg-2022-snis.345","DOIUrl":"https://doi.org/10.1136/neurintsurg-2022-snis.345","url":null,"abstract":"","PeriodicalId":443182,"journal":{"name":"SNIS 19th annual meeting electronic poster abstracts","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122169128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-01DOI: 10.1136/neurintsurg-2022-snis.280
A. Monteiro, S. Ciecierska, S. Khan, W. Khawar, A. Khan, B. Donnelly, M. Waqas, J. Cappuzzo, N. Fayyaz, A. Siddiqui, E. Levy
{"title":"E-169 Surface modified flow-diverters for intracranial aneurysms: a systematic review and meta-analysis","authors":"A. Monteiro, S. Ciecierska, S. Khan, W. Khawar, A. Khan, B. Donnelly, M. Waqas, J. Cappuzzo, N. Fayyaz, A. Siddiqui, E. Levy","doi":"10.1136/neurintsurg-2022-snis.280","DOIUrl":"https://doi.org/10.1136/neurintsurg-2022-snis.280","url":null,"abstract":"","PeriodicalId":443182,"journal":{"name":"SNIS 19th annual meeting electronic poster abstracts","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123300688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-01DOI: 10.1136/neurintsurg-2022-snis.165
R. de Leacy, A. Puri, R. Starke, B. Jankowitz, A. Yoo, F. Gariel, S. Jahshan, Z. Kulcsár, C. Schirmer, C. Chivot, J. Howington, G. Pero, T. Yao, A. Polifka, A. Evans, O. Zaidat
Introduction PulseRider (Cerenovus, Irvine, CA) is an adjunctive neck bridging device designed to aid in coiling of wide neck bifurcation intracranial aneurysms. We present outcomes of PulseRider assisted coil embolization of brain aneurysms in routine clinical practice included in the STERLING registry. Materials and Methods STERLING (NCT03642639) is a prospective, global registry of endovascular treatment of intracranial aneurysms with Galaxy and MicrusFrame coils (Cerenovus, Irvine, CA). PulseRider cases from STERLING were included in this interim analysis. Primary outcome measures were core-lab assessed modified Raymond-Roy (mRR) occlusion at final procedural angiogram, and where available, at 6 months (+/-3 months) or 1 year (COVID allowed window: -3 months/+1.5 years). Safety outcomes were procedureand device-related adverse events. Results Seventeen subjects (mean age 64.4 ± 8.69 years, 12 female) were treated with the PulseRider device. All cases were unruptured and two were retreatments of previously coiled aneurysms. All aneurysms had saccular morphology, 14/ 15 (93.3%) were wide neck and 13/15 (86.7%) were at a bifurcation. Target aneurysm locations included basilar artery (6/15, 40.0%), MCA bifurcation (4/15, 26.7%), ACA (3/15, 20%), ICA terminus (1/15, 6.7%), and M2 (distal to bifurcation, 1/15, 6.7%), with a mean parent vessel diameter of 2.65 ± 0.440mm. PulseRider was successfully implanted with the ability to retain the coil mass in all cases. Mean packing density was 29.7 ± 11.32%. Adequate occlusion (mRR I or II) was achieved in 86.7% (13/15) cases immediately post procedure, 100% (3/3) at 6 moths, and 75% (3/4) at 1 year. There were no intraprocedural ruptures, no symptomatic thromboembolic events, and no device related SAEs through the maximum follow up. 87.5% (7/8) subjects had mRS 0-2 at 1 year. There were no aneurysm retreatments. Conclusion In this interim analysis of the ongoing STERLING registry, treatment of intracranial aneurysms with the PulseRider device in conjunction with embolization using Galaxy and MicrusFrame coils showed excellent safety outcomes and high rates of adequate occlusion and good clinical outcome.
{"title":"E-054 Pulserider-assisted treatment of intracranial aneurysms in the sterling registry","authors":"R. de Leacy, A. Puri, R. Starke, B. Jankowitz, A. Yoo, F. Gariel, S. Jahshan, Z. Kulcsár, C. Schirmer, C. Chivot, J. Howington, G. Pero, T. Yao, A. Polifka, A. Evans, O. Zaidat","doi":"10.1136/neurintsurg-2022-snis.165","DOIUrl":"https://doi.org/10.1136/neurintsurg-2022-snis.165","url":null,"abstract":"Introduction PulseRider (Cerenovus, Irvine, CA) is an adjunctive neck bridging device designed to aid in coiling of wide neck bifurcation intracranial aneurysms. We present outcomes of PulseRider assisted coil embolization of brain aneurysms in routine clinical practice included in the STERLING registry. Materials and Methods STERLING (NCT03642639) is a prospective, global registry of endovascular treatment of intracranial aneurysms with Galaxy and MicrusFrame coils (Cerenovus, Irvine, CA). PulseRider cases from STERLING were included in this interim analysis. Primary outcome measures were core-lab assessed modified Raymond-Roy (mRR) occlusion at final procedural angiogram, and where available, at 6 months (+/-3 months) or 1 year (COVID allowed window: -3 months/+1.5 years). Safety outcomes were procedureand device-related adverse events. Results Seventeen subjects (mean age 64.4 ± 8.69 years, 12 female) were treated with the PulseRider device. All cases were unruptured and two were retreatments of previously coiled aneurysms. All aneurysms had saccular morphology, 14/ 15 (93.3%) were wide neck and 13/15 (86.7%) were at a bifurcation. Target aneurysm locations included basilar artery (6/15, 40.0%), MCA bifurcation (4/15, 26.7%), ACA (3/15, 20%), ICA terminus (1/15, 6.7%), and M2 (distal to bifurcation, 1/15, 6.7%), with a mean parent vessel diameter of 2.65 ± 0.440mm. PulseRider was successfully implanted with the ability to retain the coil mass in all cases. Mean packing density was 29.7 ± 11.32%. Adequate occlusion (mRR I or II) was achieved in 86.7% (13/15) cases immediately post procedure, 100% (3/3) at 6 moths, and 75% (3/4) at 1 year. There were no intraprocedural ruptures, no symptomatic thromboembolic events, and no device related SAEs through the maximum follow up. 87.5% (7/8) subjects had mRS 0-2 at 1 year. There were no aneurysm retreatments. Conclusion In this interim analysis of the ongoing STERLING registry, treatment of intracranial aneurysms with the PulseRider device in conjunction with embolization using Galaxy and MicrusFrame coils showed excellent safety outcomes and high rates of adequate occlusion and good clinical outcome.","PeriodicalId":443182,"journal":{"name":"SNIS 19th annual meeting electronic poster abstracts","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131785233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-01DOI: 10.1136/neurintsurg-2022-snis.313
J. A. Arturo Larco, S. Irfan Madhani, Y. Liu, M. Abbasi, A. Shahid, D. Kallmes, W. Brinjikji, L. Savastano
{"title":"E-202 Validation of the swine posterior intercostal artery as model of the human middle meningeal artery Ffr endovascular procedures","authors":"J. A. Arturo Larco, S. Irfan Madhani, Y. Liu, M. Abbasi, A. Shahid, D. Kallmes, W. Brinjikji, L. Savastano","doi":"10.1136/neurintsurg-2022-snis.313","DOIUrl":"https://doi.org/10.1136/neurintsurg-2022-snis.313","url":null,"abstract":"","PeriodicalId":443182,"journal":{"name":"SNIS 19th annual meeting electronic poster abstracts","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128331675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-01DOI: 10.1136/neurintsurg-2022-snis.286
K. El Naamani, R. Abbas, S. Mukhtar, O. El Fadel, A. Sathe, A. Kazan, R. El Hajjar, G. Sioutas, S. Tjoumakaris, S. Bhaskar, N. Herial, M. Gooch, R. Rosenwasser, P. Jabbour
Background COVID-19 has caused massive surge in telemedicine utilization as patients and physicians tried to minimize inperson contact to avoid the spread and impact of the pandemic. Objective This study aims to expand on the knowledge of telemedicine during and beyond the COVID-19 era as it pertains to its use, efficacy, and patient and provider satisfaction through surveys sent to patients and neurosurgery physicians. Methods This is a retrospective study involving 93 patients and 33 Neurosurgery physicians who anonymously participated in the surveys about their experience with telemedicine visits. Results Most respondents indicated extreme satisfaction with their telemedicine encounters during the pandemic (77%). As for how comfortable physicians are in providing a diagnosis via telemedicine compared to clinic visits, 7 (21.9%) physicians felt extremely comfortable, 13 (40.6%) felt somewhat comfortable, 2 (6.4%) were neutral, 9 (28.1%) felt somewhat uncomfortable and 1 (3.1%) felt extremely uncomfortable. Physical examination was the main tool that telemedicine didn't provide (n=21, 100%). When presented with the statement that telemedicine should remain as an option for medical appointments in the post-Covid era, most respondents strongly agreed (n=71, 81.6%). As for the option of telemedicine replacing clinic visits, 16 (18.4%) respondents said they strongly agree with the proposition, 17 (19.5%) said they agree, 13 (14.9%) said they were neutral, 22 (25.4%) said they disagree, and 19 (21.8%) said they strongly disagree. Conclusion Telemedicine has become a major force in the health care system under the circumstances the world is witnessing. Physicians and patients have displayed high levels of satisfaction with telemedicine which could be pivotal to improving healthcare access to underprivileged areas beyond the pandemic.
{"title":"E-175 Telemedicine during and post-covid 19: the insights of neurosurgery patients and physicians","authors":"K. El Naamani, R. Abbas, S. Mukhtar, O. El Fadel, A. Sathe, A. Kazan, R. El Hajjar, G. Sioutas, S. Tjoumakaris, S. Bhaskar, N. Herial, M. Gooch, R. Rosenwasser, P. Jabbour","doi":"10.1136/neurintsurg-2022-snis.286","DOIUrl":"https://doi.org/10.1136/neurintsurg-2022-snis.286","url":null,"abstract":"Background COVID-19 has caused massive surge in telemedicine utilization as patients and physicians tried to minimize inperson contact to avoid the spread and impact of the pandemic. Objective This study aims to expand on the knowledge of telemedicine during and beyond the COVID-19 era as it pertains to its use, efficacy, and patient and provider satisfaction through surveys sent to patients and neurosurgery physicians. Methods This is a retrospective study involving 93 patients and 33 Neurosurgery physicians who anonymously participated in the surveys about their experience with telemedicine visits. Results Most respondents indicated extreme satisfaction with their telemedicine encounters during the pandemic (77%). As for how comfortable physicians are in providing a diagnosis via telemedicine compared to clinic visits, 7 (21.9%) physicians felt extremely comfortable, 13 (40.6%) felt somewhat comfortable, 2 (6.4%) were neutral, 9 (28.1%) felt somewhat uncomfortable and 1 (3.1%) felt extremely uncomfortable. Physical examination was the main tool that telemedicine didn't provide (n=21, 100%). When presented with the statement that telemedicine should remain as an option for medical appointments in the post-Covid era, most respondents strongly agreed (n=71, 81.6%). As for the option of telemedicine replacing clinic visits, 16 (18.4%) respondents said they strongly agree with the proposition, 17 (19.5%) said they agree, 13 (14.9%) said they were neutral, 22 (25.4%) said they disagree, and 19 (21.8%) said they strongly disagree. Conclusion Telemedicine has become a major force in the health care system under the circumstances the world is witnessing. Physicians and patients have displayed high levels of satisfaction with telemedicine which could be pivotal to improving healthcare access to underprivileged areas beyond the pandemic.","PeriodicalId":443182,"journal":{"name":"SNIS 19th annual meeting electronic poster abstracts","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122270284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-01DOI: 10.1136/neurintsurg-2022-snis.336
B. Nguyen, I. Yuki, D. Stradling, J. Xu, K. Golshani, W. Yu, S. Suzuki
{"title":"E-225 Mechanical thrombectomy for the treatment of basilar artery occlusion: factors associated with the delayed door to puncture time","authors":"B. Nguyen, I. Yuki, D. Stradling, J. Xu, K. Golshani, W. Yu, S. Suzuki","doi":"10.1136/neurintsurg-2022-snis.336","DOIUrl":"https://doi.org/10.1136/neurintsurg-2022-snis.336","url":null,"abstract":"","PeriodicalId":443182,"journal":{"name":"SNIS 19th annual meeting electronic poster abstracts","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129525548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-01DOI: 10.1136/neurintsurg-2022-snis.267
J. Sequeiros, A. Rodriguez-Calienes, M. Malaga, C. Moran-Mariños, P. Grados-Espinoza, F. Terry-Escalante, C. Quispe-Vicuña, F. Chavez, N. Javier-Murillo, C. Alva-Díaz, B. Krishnaiah, V. Inoa, D. Hoit, A. Arthur, N. Goyal
{"title":"E-156 Rescue stenting with self-expandable and balloon-mounted stents for acute large vessel stroke after failed mechanical thrombectomy presumable due to underlying intracranial atherosclerosis: systematic review","authors":"J. Sequeiros, A. Rodriguez-Calienes, M. Malaga, C. Moran-Mariños, P. Grados-Espinoza, F. Terry-Escalante, C. Quispe-Vicuña, F. Chavez, N. Javier-Murillo, C. Alva-Díaz, B. Krishnaiah, V. Inoa, D. Hoit, A. Arthur, N. Goyal","doi":"10.1136/neurintsurg-2022-snis.267","DOIUrl":"https://doi.org/10.1136/neurintsurg-2022-snis.267","url":null,"abstract":"","PeriodicalId":443182,"journal":{"name":"SNIS 19th annual meeting electronic poster abstracts","volume":"112 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134172455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-01DOI: 10.1136/neurintsurg-2022-snis.175
S. Zyck, C. Powers, M. Malik, M. Webb, H. Hawk, L. Birnbaum, M. Mohammed, W. Brinjikji, S. Nimjee
{"title":"E-064 Technical nd clinical success after venous sinus stenting for treatment of idiopathic intracranial hypertension: initial multi-center experience using a novel guide catheter for access","authors":"S. Zyck, C. Powers, M. Malik, M. Webb, H. Hawk, L. Birnbaum, M. Mohammed, W. Brinjikji, S. Nimjee","doi":"10.1136/neurintsurg-2022-snis.175","DOIUrl":"https://doi.org/10.1136/neurintsurg-2022-snis.175","url":null,"abstract":"","PeriodicalId":443182,"journal":{"name":"SNIS 19th annual meeting electronic poster abstracts","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130750576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-01DOI: 10.1136/neurintsurg-2022-snis.129
M. Bazil, S. Matsoukas, T. Shigematsu, A. Berenstein, J. Fifi
{"title":"E-018 Evolution of transvenous embolization in vein of galen malformation: a review of literature","authors":"M. Bazil, S. Matsoukas, T. Shigematsu, A. Berenstein, J. Fifi","doi":"10.1136/neurintsurg-2022-snis.129","DOIUrl":"https://doi.org/10.1136/neurintsurg-2022-snis.129","url":null,"abstract":"","PeriodicalId":443182,"journal":{"name":"SNIS 19th annual meeting electronic poster abstracts","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130751430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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