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Aneurysm formation and postcoiling recurrence in HIV-associated vasculopathy: illustrative case.
[BACKGROUND] Human immunodeficiency virus (HIV) infection is linked with an uncommon vasculopathy syndrome, increasing the susceptibility of infected individuals to develop aneurysms across systemic vasculature, notably in the cerebral vasc…
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Motion Tracking Analysis of Robotic Versus Hand-Sewn Sutures in End-To-Side Microanastomoses.
[BACKGROUND AND OBJECTIVES] Hand-sewn (HS) microsuturing is limited by tremor and fatigue. Robotic systems may improve performance, but quantitative comparisons remain limited. This study evaluates the precision of robot-assisted vs manual …
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Thrombotic, Dolichoectatic, Distal Posterior Cerebral Artery Aneurysm Treated with Excision and P2-P2 Reanastomosis.
Posterior cerebral artery aneurysms are rare and often optimally treated with clip reconstruction. Complex cases may require aneurysm excision with in situ reanastomosis. A woman in her early 40s presented with 2 weeks of severe headache an…
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Microsurgical Treatment of Cerebral Aneurysms.
Despite advances in endovascular techniques, microsurgery continues to play an important role in the treatment of cerebral aneurysms. This article reviews the history of surgical treatment of intracranial aneurysms and the evolving role of …
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The Times They Are a-Changin': Increasing Complexity of Aneurysmal Subarachnoid Hemorrhages in Patients Treated from 2004 to 2018.
[BACKGROUND] Nationwide study results have suggested varying trends in the incidence of aneurysmal subarachnoid hemorrhage (aSAH) over time. Herein, trends over time for aSAH treated at a quaternary care center are compared with low-volume …
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Saccular aneurysms in the post-Barrow Ruptured Aneurysm Trial era.
[OBJECTIVE] The Barrow Ruptured Aneurysm Trial (BRAT) was a single-center trial that compared endovascular coiling to microsurgical clipping in patients treated for aneurysmal subarachnoid hemorrhage (aSAH). However, because patients in the…
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The Glossopharyngo-Cochlear Triangle-Part II: Case Series Highlighting the Clinical Application to High-Riding Posterior Inferior Cerebellar Artery Aneurysms Exposed Through the Extended Retrosigmoid Approach.
[BACKGROUND] Use of the far lateral transcondylar (FL) approach and vagoaccessory triangle is the standard exposure for clipping most posterior inferior cerebellar artery (PICA) aneurysms. However, a distal PICA origin or high-lying vertebr…
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Treatment of octogenarians and nonagenarians with aneurysmal subarachnoid hemorrhage: a 17-year institutional analysis.
[BACKGROUND] Outcomes for octogenarians and nonagenarians after an aneurysmal subarachnoid hemorrhage (aSAH) are particularly ominous, with mortality rates well above 50%. The present analysis examines the neurologic outcomes of patients ≥ …