Etexilate Treatment Dabigatran etexilate is a direct thrombin inhibitor that was initially introduced for oral anticoagulation for the prevention or treatment of venous thrombosis. After the recently concluded phase III trial Randomized Evaluation of Long-Term Anticoagulation Therapy, dabigatran has been approved by the US Food and Drug Administration as a potential replacement for warfarin in ...

BACKGROUND Only few studies have investigated the relationship between the histopathology of retrieved thrombi and clinical outcomes. This study aimed to evaluate thrombus composition and its association with clinical, laboratory, and neurointerventional findings in patients treated by mechanical thrombectomy due to acute large vessel occlusion. METHODS At our institution, 79 patients were tr...

Endovascular intervention is emerging as a substitute for open surgical procedures for the treatment of cerebrovascular disease. However, up to 9% of patients undergoing neurointerventional procedures develop thromboembolic complications. Strategies to reduce periprocedural thromboembolic events are dominated by the use of dual antiplatelet therapy (DAT) which has been validated based on studie...

PURPOSE Day-care management of unruptured intracranial aneurysms can shorten hospital stay, reduce medical cost and improve outcome. We present the process, outcome and duration of hospital stay for the management of unruptured intracranial aneurysms via a neurointervention clinic in a single center during the past four years. MATERIALS AND METHODS We analyzed 403 patients who were referred t...

BACKGROUND AND PURPOSE Neurointerventions in children have dramatically improved the clinical outlook for patients with previously intractable cerebrovascular conditions, such as vein of Galen malformations and complex arteriovenous fistulas. However, these complex and sometimes lengthy procedures are performed under fluoroscopic guidance and thus unavoidably expose vulnerable pediatric patient...

PURPOSE To evaluate stochastic and deterministic risks associated with neurointerventional procedures for the patient. METHODS Eight neurovascular interventional procedures were evaluated to determine the entrance skin dose and effective dose for the patient. Dosimetry was done with thermoluminescence dosimeters. The highest dose on the patient's head was recorded as the maximum entrance skin...

seem to indicate that most researchers are generally satisfied with results obtained from only one of these services. The term " deep Web " refers to high-quality Internet contents that are not immediately obvious without specific browsers. The contents of the deep Web are growing at a much faster pace than those of the surface Web. Brightplanet is a Website that " harvests, federates and norma...

We read with interest Luzardo et al’s technical note in the December issue of the AJNR. Although we are pleased that the new Envoy 6F guide catheter (Cordis, Miami Lakes, Fla) facilitated a dualmicrocatheter procedure with a single arterial access, it should be noted that this is by no means a new technique. The 6F Envoy guide catheter with an inner diameter of 0.070 inches and outer diameter o...

BACKGROUND AND PURPOSE The use of arterial closure device in patients with prolonged high ACT values has not been extensively studied. The aim of this study was to compare the safety and efficacy of an arterial closure device, Angio-Seal, with manual compression in patients on anticoagulation following neurointerventional procedures. MATERIALS AND METHODS This was a 2-center prospective study...