Publications by authors named "L M Monsignore"
Background: A new generation of modified surface flow diverters (FDs) and monotherapy using new antiplatelets may reduce both ischemic and hemorrhagic complications during the treatment of intracranial aneurysms. Previous preliminary safety analysis of distal unruptured intracranial aneurysms treated with the FD p48 MW HPC (phenox-Wallaby, Bochum, Germany) under antiplatelet monotherapy with prasugrel showed promising results. However, the long term outcomes of distal intracranial aneurysms treated with FDs under antiplatelet monotherapy are not known.
View Article and Find Full Text PDFIntroduction: Thrombectomy is the standard treatment for anterior circulation stroke due to large vessel occlusions in a late time window (6 to 24 hours) for patients selected based on perfusion imaging. Most patients treated in late time window studies presented as unwitnessed or wake-up strokes. Whether patients presenting with unwitnessed stroke have an actual time window greater than 6 hours is unclear.
View Article and Find Full Text PDFThe image-guided gastrostomy techniques, as transoral and transabdominal, can be performed when there is a failure of the endoscopic procedure or in some specific clinical scenarios. This pictorial essay intends to show the percutaneous gastrostomy techniques, indications, technical approaches, post-procedure care, and complications.
View Article and Find Full Text PDFIntroduction: The benefits of mechanical thrombectomy in the treatment of patients with acute stroke due to large vessel occlusions (LVOs) have been extensively demonstrated by randomized trials and registries in developed countries. However, data on thrombectomy outside controlled trials are scarce in developing countries. The aim of this study was to assess the safety and efficacy, and to investigate the predictors for good and poor outcomes of thrombectomy for treatment of AIS due to anterior circulation LVOs in Brazil.
View Article and Find Full Text PDFArticle Synopsis
- The study investigates the safety and effectiveness of endovascular selective embolization using N-butyl cyanoacrylate glue (NBCA) for treating active abdominal pelvic bleeding (APB) in polytraumatized patients.
- Conducted as a retrospective analysis of 47 patients treated between January 2013 and June 2019, the study found a 100% efficacy rate and no procedural complications, although the overall mortality rate was 14.8% mainly due to neurological issues.
- The findings suggest that endovascular embolization is a highly safe and effective alternative to emergency exploratory surgeries for traumatic abdominopelvic bleeding.