Publications by authors named "Gilbert Gravino"

Ethmoidal dural arteriovenous fistulas are a rare entity accounting for 10 % of all dAVFs. Haemorrhage occurs in up to 91 % of cases, which is a particularly high risk and warrants therapeutic intervention. Endovascular treatment for these fistulas using the conventional detachable microcatheter technique is associated with certain limitations and risks; 8.

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Purpose: Intracranial arteriovenous malformations (AVMs) treated at our institution with modern techniques of endovascular intervention were analysed for the rate of complete occlusion, associated morbidity, and mortality. To our knowledge, this is the first series from the UK evaluating the effectiveness of endovascular embolisation as a primary treatment for selected cases.

Methods: All newly referred AVMs between January 2017 and June 2022 were reviewed and those treated with primary endovascular intervention were identified.

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Introduction: Endovascular mechanical thrombectomy for ischaemic stroke is one of the most effective treatments. Despite the devices and techniques that have been developed, thrombi are not always successfully retrieved. The incidence of futile reperfusion after successful clot retrieval also remains a major concern.

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Article Synopsis
  • The LVIS EVO is a new self-expandable stent designed for treating wide-necked intracranial aneurysms, offering full visibility and a high metal coverage ratio.
  • A study involving 103 patients showed a technical success rate of 100%, with 77.7% achieving complete occlusion immediately after the procedure and 89% maintaining this occlusion at follow-up.
  • The treatment proved to be safe and effective, with a low complication rate and most patients achieving good neurological outcomes.
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This review provides a thorough understanding of the developments in the field of interventional neuroradiology (INR). A concise overview of the pioneering past and current state of this field is presented first, followed by a greater emphasis on its future. Five main aspects predicted to undergo significant developments are identified and discussed.

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With increasing advances in technology, the breadth of aneurysms that are treatable via an endovascular approach has increased. Wide necked aneurysms remain difficult to treat but the emergence of dedicated intrasaccular flow disruption devices such as the Woven EndoBridge (WEB, Micorvention) has increasingly seen previously ruptured and unruptured wide necked aneurysms successfully embolised and secured from the circulation using a single device.We are reporting two cases of WEB device treatment from the earliest experience with this device at our institution.

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Malta is the only EU country where abortion remains illegal in all circumstances. This study aims to assess the previously unexplored views of Malta's medical doctors on the legality of contraception, abortion, assisted reproductive technology and surrogacy. Following ethics approval, 1578 out of a total of 2468 registered medical doctors in Malta were invited for an anonymous survey.

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Gilles de la Tourette syndrome.

Ann Clin Psychiatry

November 2013

Background: Tourette's syndrome is a developmental neuropsychiatric disorder characterized by multiple motor, stereotypical but non-rhythmic movements and vocalizations/phonics called tics. It is one of several disorders that have tics as their cardinal feature. These tics manifest themselves in various ways, ranging from simple eye blinking to coprolalia (involuntary swearing).

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