Publications by authors named "Jose Alberto Almeida Filho"

Open cell stents (OC) and closed cell stents (CC) each offer unique advantages and potential drawbacks in the context of idiopathic intracranial hypertension (IIH) treatment. We aim to investigate the safety and efficacy of using OC and CC for IIH. We conducted a systematic review in PubMed, Embase, and Cochrane Library databases following the PRISMA guidelines.

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  • Researchers studied if local anesthesia (LA) is safe for treating brain aneurysms instead of general anesthesia (GA), which puts you to sleep.
  • They looked at data from many studies, finding that using LA had really low risks like almost no deaths and very few serious problems.
  • The results suggest that LA is a good choice for these procedures because it can help patients recover faster and cost less.
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  • Large and giant cerebral aneurysms are challenging to treat with surgery, especially in places like Brazil where costs matter a lot.
  • This study looked at how much different treatments, like flow diverters (FD) and traditional stent assisted coiling (SAC), cost for these types of aneurysms between 2013 and 2023.
  • The results showed that for giant aneurysms, using flow diverters was much cheaper than using traditional methods, making it a better option financially.
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Background: The Woven EndoBridge (WEB) device is a minimally invasive endovascular treatment option for patients with cerebral aneurysms. Transradial access (TRA) is a technique that involves accessing the arterial system through the radial artery in the wrist rather than the femoral artery in the groin. Several studies have investigated the use of TRA for WEB device deployment in treating intracranial aneurysms.

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Introduction: Stent-assisted coil embolization (SACE) for cerebral aneurysms requires dual antiplatelet therapy (DAPT), commonly clopidogrel plus aspirin is preferable to ticagrelor or prasugrel plus aspirin. However, there are few studies assessing the safety of the association of ticagrelor or prasugrel plus aspirin.

Objectives: Compare the safety of newer P2Y12 inhibitors with clopidogrel in patients that underwent a SACE for cerebral aneurysms.

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Background: Cerebral Venous Sinus Thrombosis (CVST) is a rare but potentially life-threatening condition, often associated with specific risk factors. The primary treatment for CVST is anticoagulation, but some cases progress to Refractory CVST (rCVST), requiring endovascular treatment. A combination of stent retriever and catheter aspiration is emerging as a promising technique to enhance treatment effectiveness.

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Background: Head and Neck Paragangliomas are characterized by having a rich blood supply. Presurgical embolization with Onyx as a neoadjuvant treatment is not a consensus regarding its efficacy and safety. Our study aimed to answer this matter through a single-arm meta-analysis.

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Introduction: Carotid artery stenting (CAS) through transradial access (TRA) is emerging as an alternative to carotid endarterectomy. However, the current evidence base is limited, mainly comprising single-center studies.

Objective: This systematic review and meta-analysis aim to assess the safety and effectiveness of TRA for CAS, providing evidence to support clinical decisions.

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Introduction: Intracranial mycotic or infectious aneurysms result from the infection of arterial walls, most caused by bacterial or fungal organisms. These infections can weaken the arterial wall, leading to the formation of an aneurysm, a localized dilation, or a bulge. The management can be conservative mainly based on antibiotics or invasive methods such as clipping or endovascular treatment.

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Presurgical embolization (PE) has emerged as an interesting strategy to help turn brain tumor resection more amenable. This study aims to systematically review the safety and effectiveness of Onyx™ PE in meningioma resection. We followed Cochrane Collaboration and PRISMA for systematic review and meta-analysis, querying PUBMED, Cochrane Library, Web of Science, and Embase databases.

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  • Two common ways to perform cerebral angiography are through the wrist (transradial) and the thigh (transfemoral), and there's no clear winner yet.!
  • A review of 18 studies with nearly 9,400 patients showed that both methods had similar success rates and times, but the wrist method had fewer complications.!
  • The results suggest that using the wrist method is better for patient safety, though the choice also depends on what the doctor prefers and is experienced with.!
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Background: Hemangioblastomas (HBs) are highly vascular tumors linked to substantial morbidity and mortality. Recently, interventional neuroradiology has evolved rapidly, spurring interest in preoperative embolization as a possible HB treatment.

Purpose: This study evaluates the effectiveness and safety of preoperative embolization in managing HB.

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Background: Transvenous embolization is a potential therapy for brain arteriovenous malformation, involving the use of microcatheters to guide an ethylene vinyl alcohol coil for vessel occlusion. However, the safety and efficacy of transvenous embolization are not fully established.

Objective: To evaluate the safety and efficacy of transvenous embolization for brain arteriovenous malformation.

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Background: The carotid artery stenting (CAS) has two common access sites: transradial access (TRA) and transfemoral access (TFA). However, there's no definitive answer to which one is superior.

Objective: Compare TRA and TFA for the CAS.

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Background: The silk + flow-diverter stent is increasingly used to treat complex intracranial aneurysms including wide-neck and fusiform aneurysms. Balloon angioplasty has been used to better appose the flow diverter (FD) to the vessel wall and, thus, improve aneurysm occlusion rates and decrease periprocedural complications. Sparse data are available concerning the results of this technique.

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Background: The technique of endovascular transvenous embolization for brain arteriovenous malformations (AVMs) has emerged in the last 8 years as a very promising therapeutic alternative for otherwise incurable cases. Selective temporary flow arrest during transvenous endovascular embolization (TFATVE) is a novel adaptation of our previously described transvenous approach, which employs hyper-compliant balloons intra-arterially for the selective occlusion of arterial feeders during ethylene vinyl copolymer (EVOH) injection, in order to reduce intra-nidal pressure and increase nidi occlusion rates.

Methods: We performed a feasibility study of the TFATVE technique between January 2016 and April 2020.

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  • Gunshot injuries are a major cause of serious brain damage, and many people in the hospital don't survive.
  • A new surgical method using special technology called neuronavigation helps doctors make smaller cuts and safely remove bullets when needed.
  • In a case of a 15-year-old boy who got hurt in an accident, this technique worked well, and he went home without any problems just one week after the surgery.
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