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Vascular Neurosurgery

This group is referred to vascular & endovascular neurosurgeons as well as interventional neuroradiologists or physicians with special interest in CNS vascular disease treatment. Interesting cases are going to be presented and thoroughly discussed.

Members: 23
Latest Activity: Sep 18, 2013

Member Forum

MCA lobar shape wide neck aneurysm involving M1, M2 and M3, case followup!! 1 Reply

This 47 year old man has been treated with stent assist GDC embolization, the plan was to use one stent to protect M2 and M3, but end-up, two stent in coaxis manner applied. The patient has been…Continue

Started by Kuok Cheong U. Last reply by Siba Dalai Jul 4, 2010.

The plan to treat MCA aneurysm involving M1,M2 and M3

Here is my plan, please commentContinue

Started by Kuok Cheong U Jun 20, 2010.

MCA lobar shape wide neck aneurysm, involving M1,M2, M3, How to treat? 2 Replies

47 years old man, spontaneous intracranial hemorrhage underwent unsuccessful open surgery for clipping right MCA aneurysm, closed and re-bleeding again, transferred to our hospital for further…Continue

Started by Kuok Cheong U. Last reply by Kuok Cheong U Jun 20, 2010.

Brain AVM 6 Replies

15 year old male presented with the following symptoms for 15 days1.headache2.slight bulging of the left eye3. one episode of vomitingMR suggests a brainstem AVM. Angiogram shows an AVMKindly opine…Continue

Tags: stem, dalai, AVM, brain

Started by Siba Dalai. Last reply by Kuok Cheong U Jun 17, 2010.

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Comment by Vasilios Katsaridis on April 11, 2010 at 5:24pm
Hi Vasilis.
I dont generally use the jailed cath technique. I am concerned that in small aneurysms, placing the stent over the cath might cause aneurysm perforation. I prefer stenting and then catheterizing. Sometimes it is difficult but only once impossible...
Anticoagulation is always the same as I have described it some years ago. Start only with heparine and when everything is finished cover the patient with LMWH for 3 days untl the antiplatelets start working.
Best regards
Vasilis
Comment by Vasileios Panagiotopoulos on April 11, 2010 at 2:35pm
Hi Vasilis and welcome to the group. Your idea for loading embo-videos in youtube is excellent! I liked very much the perfect result of PICA embo. I would like to ask if you would prefer jailed technique (catheterization firstly and then stenting and afterwards coiling). Did you use your standard protocoll with IV Heparin for ruptured aneurysms ?
Comment by Vasilios Katsaridis on April 11, 2010 at 2:08pm
Comment by Vasilios Katsaridis on April 11, 2010 at 2:07pm
Comment by Vasilios Katsaridis on April 11, 2010 at 2:07pm
Comment by Vasilios Katsaridis on April 11, 2010 at 2:06pm
Comment by Vasilios Katsaridis on April 11, 2010 at 2:06pm
 

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