MD PhD FRCSC FAANS. Dual-trained cerebrovascular neurosurgeon. Clinical and research interest in aneurysmal subarachnoid hemorrhage. Tweets = My opinion.
Conservative management of 661 patients with
unruptured intracranial aneurysms: an observational
study over 4 decades
#SAH#aneurysm#neurosurgery
https://t.co/hSPFIisiO5
New multicenter study reveals limitations of medical management for infectious intracranial aneurysms (IIAs). Early surgical or endovascular intervention shows better outcomes for high-risk patients. 🧠💉 #NeuroSurgery#StrokeCare@JNIS_BMJ https://t.co/EpskUqrM4d
Global, Regional, and National Burden of Nontraumatic Subarachnoid Hemorrhage
The Global Burden of Disease Study 2021
“… SAH incidence was 8.3… prevalence was 92.2… mortality was 4.2… per 100 000 people”
#sah#aneurysm#neurosurgery
https://t.co/QpwlpmhbSe
#Cowboys need #lassos:
After post-deployment rotation of a WEB, the inferior M2 branch was occluded.
1. Flow matters- give #Integrilin
2. 5F catheter parked at aneurysms neck
3. Snare in an micro-catheter
4. Lasso the WEB around the detachment zone and extract
A Look Back on the History of Cerebral Revascularization for Acute Ischemic Stroke: A Neurosurgeon’s Perspective
#stroke#neurosurgery@jmfindlay@JournalCJNS
https://t.co/5UYkFg6qhX
Read our paper on risk of IA in ADPKD! Who needs screening?
Thanks to @BernardBendokMD for his support and guidance throughout this work and @nuhguyin for his great lead on this.
https://t.co/HTZk4CvsdH
"Nighttime treatment was defined when [>] 50% of the procedure was performed between 10pm&7am, with other times classified as daytime treatment. Off-hours treatment was defined when [>] 50% of the procedure was performed between 7pm&7am, with other times classified as on-hours."
"Given that this risk seems to be the highest among young individuals and during the first year after aSAH, early assessment and management of psychological distress, especially in young survivors of aSAH may be warranted."
"The primary clinical outcome, death or dependency at 1 year, was similar for EVT and surgery. This study provides the first randomized data on the surgery/embolization controversy since the last trial was completed 15 years ago."
"...compared the clinical outcomes of endovascular treatment (EVT) vs surgery for patients with ruptured intracranial aneurysms excluded from previous randomized trials. This underpowered study showed longer hospitalizations but better 1-year angiographic results with surgery"