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| http://dx.doi.org/10.1093/ehjcr/yty001 | DOI Listing |
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Practical Aspects of Patent Foramen Ovale Closure: Ultrasound and Fluoroscopic Guidance.
Cardiol Clin
November 2024
Cardiovascular Center Frankfurt, Frankfurt, Germany. Electronic address:
Article Synopsis
- Percutaneous PFO closure is a common procedure aimed at preventing paradoxic embolism and reducing the risk of stroke in selected patients.
- Different guidance methods, like transesophageal echocardiography and intracardiac echocardiography, are used during the procedure, each with specific benefits and drawbacks.
- Transesophageal echocardiography provides detailed imaging but requires additional staff and patient sedation, while intracardiac echocardiography allows a single operator to perform the procedure without needing conscious sedation.
Transfemoral hepatic vein catheterization reduces procedure time in double vein embolization.
CVIR Endovasc
May 2024
Department of Radiology and Nuclear Medicine, Cantonal Hospital Winterthur, Brauerstrasse 15, Winterthur, CH-8401, Switzerland.
Background: Double vein embolization with simultaneous embolization of the portal and hepatic vein aims to grow the future liver remnant in preparation for major hepatectomy. Transvenous hepatic vein embolization is usually done via a transjugular access. The purpose of this study is to describe the transfemoral approach as an alternative option and to discuss potential advantages.
View Article and Find Full Text PDFEndovascular Treatment and Peri-interventional Management of Ruptured Cerebrovascular Lesions During Pregnancy : Case Series and Case-based Systematic Review.
Clin Neuroradiol
September 2023
Department of Neuroradiology, Clinic of Radiology and Nuclear Medicine, University Hospital Basel, Petersgraben 4, 4031, Basel, Switzerland.
Purpose: Hemorrhagic stroke, particularly occurring from ruptured cerebrovascular malformations, is responsible for 5-12% of all maternal deaths during pregnancy and the puerperium. Whether endovascular treatment is feasible and safe for both the mother and the fetus, is still a matter of debate. The main objective of this case series and systematic review was to share our multi-institutional experience and to assess the feasibility and safety of endovascular treatment during pregnancy, as well as the corresponding maternal and fetal outcomes based on currently available evidence.
View Article and Find Full Text PDFIncidence and Outcome of Peri-interventional Vasospasm During Endovascular or Microsurgical Treatment of Unruptured Intracranial Aneurysms.
Neurosurgery
March 2023
Department of Neurosurgery, Kantonsspital Aarau, University of Bern, Aarau, Switzerland.
Background: Peri-interventional vasospasm (PIVS) is associated with high risk of delayed cerebral vasospasm (DCVS), delayed cerebral ischemia, and poor outcome after aneurysmal subarachnoid hemorrhage. However, the incidence rate associated with treatment of unruptured intracranial aneurysm (UIA) remains unclear.
Objective: To define the incidence and clinical significance of PIVS in UIA repair based on intraoperative/peri-interventional digital subtraction angiography.
Single-antiplatelet regimen in ruptured cerebral blood blister and dissecting aneurysms treated with flow-diverter stent reconstruction.
J Neurointerv Surg
October 2023
Department of Neuroradiology, Clinical Neuroscience Center, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Background: Flow diversion treatment of ruptured cerebral aneurysms remains challenging due to the need for double-antiplatelet therapy. We report our experience with flow-diverter stent (FDS) reconstruction with single-antiplatelet therapy of ruptured cerebral blood blister and dissecting aneurysms.
Methods: In this case series we performed a retrospective analysis of all patients with ruptured cerebral aneurysms who were treated with a phosphoryl-bonded FDS between 2019 and 2022 in a single center.
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