Publications by authors named "Gaetano Risi"
Article Synopsis
- Idiopathic intracranial hypertension (IIH) is linked to chronic headaches driven by high intracranial pressure (ICP) and potentially influenced by cerebral venous sinus pressure, which needs more research to understand their relationship.
- A study investigated 52 patients suspected of having IIH, measuring both lumbar puncture opening pressure (LPOP) and cerebral venous sinus pressure, finding strong correlations between these measurements.
- Results confirmed that the torcular pressure aligns closely with LPOP, indicating that these two methods are consistent for assessing ICP in IIH patients, which can help in clinical decision-making.
Background: Cerebral venous thrombosis (CVT) is a rare complication of spontaneous intracranial hypotension (SIH). Therefore, its correct diagnosis and the corresponding optimal treatment-management identification remains challenging.
Methods: Over the last 10 years, 300 patients received a definite SIH diagnosis at our stroke center.
Background: Transvenous embolization is a recent treatment strategy for cerebrospinal fluid-venous fistulas (CSFVF), which are associated with spontaneous intracranial hypotension (SIH).
Methods: Participants were selected from a prospective database on patients with CSFVF that received transvenous Onyx embolization. All patients underwent a brain magnetic resonance imaging (MRI) before and after embolization with MRI follow-up performed at least 3 months after treatment.
Article Synopsis
- Endovascular thrombectomy is a common treatment for acute ischemic stroke but poses radiation risks to patients and medical staff.
- A high frames per second unmasked CINE protocol was tested against the traditional digital subtraction angiography (DSA) for its efficacy in reducing radiation exposure during the procedure.
- Results from a study involving 131 patients showed that the CINE protocol significantly lowered radiation exposure without negatively impacting safety or clinical outcomes, suggesting it could be a safer alternative in thrombectomy procedures.
Purpose: Mechanical thrombectomy (MT) is the standard of care for acute ischemic stroke (AIS) due to large vessel occlusion (LVO). The choice of a transradial approach (TRA) for anterior circulation LVOs is still debatable; the use of a specific tricoaxial system could help mitigate numerous issues related to transradial MT.
Materials And Methods: From November 2022 to November 2023, 22 patients underwent TRA-MT for anterior circulation LVOs, both as first-line and rescue from transfemoral approach (TFA) failure, with the same triaxial setup consisting of a 7F introducer sheath, 7F guide catheter, and aspiration catheters ranging from 5.
Background: The clinical value of high-risk coronary plaque characteristics (CPCs) to inform intensified medical therapy or revascularization of non-flow-limiting lesions remains uncertain.
Objectives: The authors performed a systematic review and meta-analysis to study the prognostic impact of CPCs on patient-level and lesion-level major cardiovascular adverse events (MACE).
Methods: Thirty studies (21 retrospective, 9 prospective) with 30,369 patients evaluating the association of CPCs with MACE were included.