11 results match your criteria: "University of Toledo; Department of Biological Sciences; Toledo[Affiliation]"
Artisse intrasaccular device for intracranial aneurysm treatment: a technical video case.
J Neurointerv Surg
January 2025
Lyerly Neurosurgery, Baptist Medical Center Jacksonville, Jacksonville, Florida, USA
The Artisse intrasaccular device (Medtronic) offers a novel treatment option for unruptured and ruptured wide-neck bifurcating intracranial aneurysms.1 2The Artisse device features enhancements including a distal tip for dome protection, platinum band markers for improved visibility, and a bilayer high-density platinum core nitinol mesh basket for enhanced flexibility and visibility when compared with previous devices.2-7 Data from case series demonstrate the procedural safety and efficacy of the Artisse device.
View Article and Find Full Text PDFAneurysm clipping on WEB device: A feasibility study using a human ex-vivo aneurysm model.
Clin Neurol Neurosurg
December 2024
Lyerly Neurosurgery, Baptist Neurological Institute, Jacksonville, FL, USA. Electronic address:
Background And Objectives: The Woven EndoBridge (WEB) device is a breakthrough in brain aneurysm treatment, widely used for intracranial wide neck and complex aneurysms, especially at bifurcations. Although effective, aneurysm recurrence can occur post-treatment and the impact of clipping angle on the WEB mesh remains unclear. In this study, using a human placenta-based ex-vivo aneurysm model, we simulated the application of aneurysm clipping on WEB-treated aneurysms to elucidate the technical aspects and nuances, particularly the influence of the angle of clip application on WEB collapse.
View Article and Find Full Text PDFAdjunctive intravascular lithotripsy for heavily calcified carotid stenosis: a dual-center experience and technical case series.
J Neurointerv Surg
November 2024
Neurosurgery, Gates Vascular Institute, Buffalo, New York, USA
Article Synopsis
- Heavily calcified carotid stenosis (HCCS) has traditionally been challenging to treat with carotid angioplasty and stenting (CAS), but this study explores the use of the Shockwave S intravascular lithotripsy (IVL) system as a potential solution.
- A retrospective analysis of 17 procedures combining IVL and CAS on patients with HCCS showed technical success in all cases and significant reductions in stenosis levels post-procedure.
- The results indicated that the combined approach is safe, with a low major adverse event (MAE) rate and a promising outcome in managing both symptomatic and asymptomatic patients with HCCS.
Recurrent syncope during mastication.
J Surg Case Rep
October 2024
Lyerly Neurosurgery, Baptist Neurological Institute, 800 Prudential Dr Suite 1100, Jacksonville, FL 32207, United States.
Article Synopsis
- Steal syndrome occurs when blood flow is redirected through collateral vessels due to an obstruction in an artery, which can lead to conditions like subclavian steal syndrome and double steal phenomenon.
- A case study presented involves an elderly patient suffering from cerebrovascular issues who experienced neurological symptoms while chewing, linked to specific artery blockages discovered via angiography.
- Successful treatment was achieved by performing endovascular revascularization on the affected arteries using a specialized stent, which resolved the patient’s symptoms.
Braids and beyond: a comprehensive study on pipeline device braid stability from PREMIER data.
J Neurointerv Surg
October 2024
Lyerly Neurosurgery, Baptist Medical Center Downtown, Jacksonville, Florida, USA
Article Synopsis
- The study examines the stability of the Pipeline Embolization Device (PED) in treating brain aneurysms, focusing on early generations and potential braid deformations.
- Data was gathered from the PREMIER trial, reviewing 133 out of 141 aneurysms for issues like braid bumping and foreshortening, assessing both safety and effectiveness.
- The results show that while a small percentage experienced braid deformations, they didn't significantly impact the device's safety or effectiveness over the follow-up period.
Ruptured Perinidal Aneurysm Clipping and Spinal Arteriovenous Malformation Resection: 2-Dimensional Operative Video.
Oper Neurosurg (Hagerstown)
August 2024
Lyerly Neurosurgery, Baptist Neurological Institute, Jacksonville, Florida, USA.
Are ventriculopleural shunts the second option for treating hydrocephalus? A meta-analysis of 543 patients.
Clin Neurol Neurosurg
September 2024
Department of Neurosurgery, University of São Paulo, São Paulo, SP, Brazil. Electronic address:
Background: Some centers utilize ventriculopleural shunt (VPLS) for treating hydrocephalus when conventional approaches are not feasible. Nonetheless, the literature regarding this approach is scarce.
Purpose: Evaluate the outcomes of VPLS through a single-arm meta-analysis.
Multicenter early United States feasibility study and periprocedural safety of LVIS EVO for the treatment of unruptured intracranial aneurysms.
J Neurointerv Surg
June 2024
Neurosurgery, Albany Medical Center, Albany, New York, USA
Background: Stent development has focused recently on low-profile, self-expandable stents compatible with 0.0165 inch microcatheters. The LVIS EVO is the second-generation version of the Low-Profile Visualized Intraluminal Support (LVIS) with improved visibility and resheathability.
View Article and Find Full Text PDFEndovascular Rescue of Previously Treated Carotid Aneurysm: Higher Radial Force 48-Wire Flow Diverter for Salvage of Collapsed 64-Wire Device With Braid Deformation: 2-Dimensional Operative Video.
Oper Neurosurg (Hagerstown)
May 2024
Lyerly Neurosurgery, Baptist Neurological Institute, Jacksonville, Florida, USA.
Aneurysm treatment presents various therapeutic options. Flow diverters (FD) stents are a revolutionizing endovascular technique for previously untreatable aneurysms.1 FD stents have documented success rates up to 95% and complication rates as low as 2.
View Article and Find Full Text PDFUse of Artificial Intelligence Software to Detect Intracranial Aneurysms: A Comprehensive Stroke Center Experience.
World Neurosurg
August 2024
Lyerly Neurosurgery, Baptist Neurological Institute, Jacksonville, Florida, USA. Electronic address:
Objective: To evaluate variability in aneurysm detection and the potential of artificial intelligence (AI) software as a screening tool by comparing conventional computed tomography angiography (CTA) images (standard care) with AI software.
Methods: Neuroradiologists reviewed 770 CTA images and reported the presence or absence of saccular aneurysms. Subsequently, the images were analyzed by AI software.
Heavily Calcified Symptomatic Carotid Stenosis Treated With Off-Label Use of Lithotripsy Balloon Plus Stenting: 2-Dimensional Operative Video.
Oper Neurosurg (Hagerstown)
July 2024
Lyerly Neurosurgery, Baptist Neurological Institute, Jacksonville , Florida , USA.