BACKGROUND MR CLEAN was the first randomized trial to demonstrate the short-term clinical effectiveness of endovascular treatment in patients with acute ischemic stroke caused by large vessel occlusion in the anterior circulation. Several other trials confirmed that endovascular treatment improves clinical outcome at three months. However, limited data are available on long-term clinical outcom...

The purpose of this study was to review current treatment options in acute ischemic stroke, focusing on the latest advances in the field of mechanical recanalization. These devices recently made available for endovascular intracranial thrombectomy show great potential in acute stroke treatments. Compelling evidence of their recanalization efficacy comes from current mechanical embolectomy trial...

Epistaxis is a common condition that can be managed conservatively in most cases. When these measures, including anterior and posterior packing of the nasal cavity, are unsuccessful at controlling the bleeding, interruption of the blood supply to the sinonasal area can be performed, either by surgical ligation or by transarterial embolization. Embolization should be preceded by thorough diagnos...

Department of Neurosurgery, Hospital de Força Aérea do Galeão, Rio de Janeiro RJ, Brazil; Department of Neurosurgery, University of Arkansas for Medical Sciences, Little Rock, USA; Department of Neurosurgery, Hospital São José do Avaí, Itaperuna RJ, Brazil; Chief of Department of Neurosurgery, Hospital de Força de Aérea do Galeão, Rio de Janeiro RJ, Brazil. Endovascular treatments have evolved ...

Carotid artery thrombosis and concomitant brain infarction after blunt trauma are rare conditions. We report a 34-year-old woman with multiple traumas due to pedestrian car accident. At the time of initial visiting, she was somnolent and her Glasgow coma scale (GCS) score was 14. Initial vital signs (V/S) and brain computed tomography (CT) scan were normal. One day after admission to the emerge...

BACKGROUND The anatomy of carotid stenosis may influence the outcome of endovascular treatment or carotid endarterectomy. Whether anatomy favors one treatment over the other in terms of safety or efficacy has not been investigated in randomized trials. METHODS In 414 patients with mostly symptomatic carotid stenosis randomized to endovascular treatment (angioplasty or stenting; n = 213) or ca...

Endovascular treatment has emerged as the primary treatment option for the management of spinal dural arteriovenous fistula (SDAVF). The goal of endovascular embolization is to achieve embolic penetration into the nidus and proximal segment of the draining vein. Though less invasive, the successful obliteration of fistula is achieved in 70 to 90% of the patients and recurrence of fistula is obs...

Therapeutic interventions unique to the neuroradiology suite include the endovascular treatment of cerebral aneurysms, arteriovenous malformations (AVM), acute thromboembolic disease, cerebral vasospasm, and extracranial and intracranial cerebrovascular atherosclerotic disease. A recent review of the National Inpatient Sample reported a doubling of the number of endovascular cases from 1993 to ...

one of the signifiant risk factor of ischemic stroke is carotid artery occlusion. although surgical treatment was disappointing in these patient but there is a growing reports of sucessful endovascular treatment recently. in this technical note 56 year-old man who suffered from bilateral carotid occlusion was revascularized. the penumbra thrombosuction system was applied to reduce the risk of d...

Application of endovascular method for type B aortic dissection treatment is valuable option compared with open surgery. Despite the lower rate, complications in the endovascular treatment remain important issue. One of them is collapse of the prosthesis. The aim of the study was to present case of stent-graft collapse after endovascular treatment due to aortic dissection and management of this...