Publications by authors named "H Desal"

Article Synopsis
  • The study aimed to track the outcomes of patients with brain arteriovenous malformations (AVMs) who were managed conservatively, revealing key statistics on related morbidity and mortality over a 10-year period.
  • Out of 1010 patients initially recruited, 434 were analyzed, with a majority having unruptured low-grade AVMs, demonstrating a 5% occurrence of serious outcomes and a higher risk in those with a history of rupture or older age.
  • During the follow-up of approximately 3.2 years, 8% of patients experienced major intracranial hemorrhages, highlighting the ongoing risks associated with conservative management of AVMs.
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Article Synopsis
  • The ACET study investigates the occurrence of thromboembolic events (TEEs) after endovascular treatment (EVT) for unruptured intracranial aneurysms using diffusion-weighted imaging (DWI) MRI, aiming to standardize the evaluation of these complications.
  • Out of 233 patients treated across six centers, 58.8% exhibited DWI lesions post-procedure, with significantly higher rates in those undergoing techniques involving device placement like balloon-assisted coiling and stent-assisted coiling.
  • The findings suggest that the EVT techniques themselves notably influence the likelihood of DWI lesions, highlighting the need for careful consideration of the methods adopted in EVT procedures.*
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Purpose: Intracranial aneurysms present significant health risks, as their rupture leads to subarachnoid haemorrhage, which in turn has high morbidity and mortality rates. There are several elements affecting the complexity of an intracranial aneurysm. However, criteria for defining a complex intracranial aneurysm (CIA) in open surgery and endovascular treatment could differ, and actually there is no consensus on the definition of a "complex" aneurysm.

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Background: Positive susceptibility vessel sign (SVS) in patients with acute ischaemic stroke has been associated with friable red blood cell-rich clots and more effective recanalisation using stent retrievers versus contact aspiration. We compared the safety and efficacy of stent retrievers plus contact aspiration (combined technique) versus contact aspiration alone as the first-line thrombectomy technique in patients with acute ischaemic anterior circulation stroke and SVS-positive occlusions.

Methods: Adaptive Endovascular Strategy to the Clot MRI in Large Intracranial Vessel Occlusion (VECTOR) was a prospective, randomised, open-label study with blinded evaluation.

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