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Microsurgical management of cranial dural arteriovenous fistulas: Treating the "Sheep in Wolf's clothing"? - Three decades of experience and lessons learned.
[INTRODUCTION] Cranial dural arteriovenous fistulas (dAVFs) are rare vascular lesions and a growing number are treated with endovascular techniques. However, drawing on over three decades of clinical experience, we contend that microsurgery…
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Contemporary adverse event profile of microsurgery for intracranial unruptured aneurysms in high-volume microsurgical centers: the international PRAEMIUM study.
[OBJECTIVE] Objective values on procedural risk are essential to facilitate informed consent and optimize clinical decision-making in patients with unruptured intracranial aneurysms (UIAs). While robust heuristics, such as the PHASES (popul…
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Risk Models for Adverse Events in Microsurgery for Intracranial Unruptured Aneurysms.
[BACKGROUND AND OBJECTIVES] Preventive treatment of unruptured intracranial aneurysms (UIAs) requires assessment of treatment risks vs expected benefit. Although established scores exist to estimate rupture and growth risk, currently, no ex…
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Defining activities in neurovascular microsurgery training: entrustable professional activities for vascular neurosurgery.
[BACKGROUND] Entrustable professional activities (EPAs) represent an assessment framework with an increased focus on competency-based assessment. Originally developed and adopted for undergraduate medical education, concerns over resident a…
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Endoscope-enhanced fluorescence-guided microsurgery increases survival in patients with glioblastoma.
[PURPOSE] Extent of resection (EOR) predicts progression-free survival (PFS) and may impact overall survival (OS) in patients with glioblastoma. We recently demonstrated that 5-aminolevulinic acid-(5-ALA)-fluorescence-enhanced endoscopic su…