Increase packing density with the use of softer three-dimensional (3D) coils has been indicated in reducing aneurysm recurrence. We are reporting a multicenter initial experience of using the Orbit Galaxy XTRASOFT which is a stretch-resistant, softer 3D coil in both ruptured and unruptured aneurysms. A total of 57 consecutive patients from five high-volume neurointerventional centers were repor...

BACKGROUND A stable guide catheter position within the intracranial vasculature is critical for safe, successful endovascular treatment. OBJECTIVE To present ourinitial experience with the 0.071 inch inner diameter Benchmark guide catheter used in the treatment of intracranial cerebrovascular pathologies, demonstrating its safety and efficacy. METHODS We retrospectively reviewed use of the ...

Brain shift describes the deformation that the brain undergoes from mechanical and physiological effects typically during a neurosurgical or neurointerventional procedure. With respect to image guidance techniques, brain shift has been shown to compromise the fidelity of these approaches. In recent work, a computational pipeline has been developed to predict “brain shift” based on preoperativel...

Epistaxis is a common clinical condition treated by otolaryngologists. Use of a laser or cautery with endoscopy can be helpful for refractory anterior epistaxis. For posterior epistaxis, we review the current literature on the e ectiveness of traditional posterior packing, selective endoscopic point coagulation, endoscopic sphenopalatine artery ligation, and neurointerventional embolization. Al...

We read with interest and dismay the article ‘Public health urgency created by the success of mechanical thrombectomy studies in stroke’ recently published in Circulation. There is now overwhelming, class 1, level A evidence supporting mechanical thrombectomy (MT) as the standard of care for eligible patients with acute stroke secondary to an emergent large vessel occlusion (ELVO). We agree tha...

The Stroke and Neurovascular Program at the Medical College of Wisconsin and Froedtert Hospital, in Milwaukee, is a comprehensive, interdisciplinary center for stroke medicine. The program encompasses an acute stroke team, a neuro-intensive care unit, a stroke care unit, and a stroke rehabilitation program. The staff includes specialists with fellowship training in stroke, neurocritical care, n...

Thromboembolic events are potential complications of neurointerventional procedures. The mainstay of therapy for these complications is both supportive therapy and the use of fibrinolytic agents. In some cases, the occluding clot seems to be resistant to fibrinolytic or anti-platelet agents. We herein report our successful attempt at clot removal by using a microsnare to mechanically capture an...

t Imaging Recommendations for Acute Stroke and Transient Ischemic Attack Patients A Joint Statement by the American Society of Neuroradiology, the American College of Radiology and the Society of NeuroInterventional Surgery Max Wintermark, MD, MAS, Pina C. Sanelli, MD, MPH, Gregory W. Albers, MD, Jacqueline A. Bello, MD, Colin P. Derdeyn, MD, Steven W. Hetts, MD, Michele H. Johnson, MD, Chelsea...