Carotid-cavernous fistula caused by a ruptured intracavernous aneurysm: endovascular treatment by electrothrombosis with detachable coils

A CASE OF carotid-cavernous fistula caused by a ruptured intracavernous aneurysm is reported. The fistula was treated with electrothrombosis by the detachment of two platinum coils into the aneurysm via an endovascular transvenous approach; the fistula was closed, and the patient has recovered completely. The advantages of using electrodetachable platinum coils include thrombogenicity, controllable deposit, radiopacity, and biocompatibilit

WEB device for endovascular treatment of wide-neck bifurcation aneurysms.

The WEB is an intrasaccular flow disrupter dedicated to EVT of IA. We report our initial experience in a series of patients treated with this device.Case ReportsClinical TrialJournal ArticleResearch Support, Non-U.S. Gov'tSCOPUS: ar.jinfo:eu-repo/semantics/publishe

Disappearance of a small intracranial aneurysm as a result of vessel straightening and in-stent stenosis following use of an Enterprise vascular reconstruction device

"Also known as a dergah, a tekke is a lodge for dervishes. Tekkes are a frequent occurrence in Turkish architecture and are usually part of a complex which includes a mosque and memorial tomb. They may be regarded as the counterpart of the more orthodox madrassa. A tekke often consists of a number of individual cells which are used as shelters for the dervishes.""Jalal al-Din al-Rumi, or Mevlana, was a mystic of the Sufi order who died in Konya in 1273. His tomb is a striking conical tower covered in turquoise tiles. It is incorporated into an Ottoman mosque complex, but the mausoleum itself dates from the Seljuk period."exterior, view along arched entrance portico of Selimiye Mosque with turquoise tiled dome of adjacent Mevlana Museum in the background, July 201

Interobserver variability in the assessment of aneurysm occlusion with the WEB aneurysm embolization system.

OBJECTIVE: The WEB (WEB aneurysm embolization system, Sequent Medical, Aliso Viejo, California, USA) is a self-expanding, nitinol, mesh device designed to achieve aneurysm occlusion after endosaccular deployment. The WEB Occlusion Scale (WOS) is a standardized angiographic assessment scale for reporting aneurysm occlusion achieved with intrasaccular mesh implants. This study was performed to assess the interobserver variability of the WOS. METHODS: Seven experienced neurovascular specialists were trained to apply the WOS. These physicians independently reviewed angiographic image sets from 30 patients treated with the WEB under blinded conditions. No additional clinical information was provided. Raters graded each image according to the WOS (complete occlusion, residual neck or residual aneurysm). Final statistics were calculated using the dichotomous outcomes of complete occlusion or incomplete occlusion. The interobserver agreement was measured by the generalized κ statistic. RESULTS: In this series of 30 test case aneurysms, observers rated 12-17 as completely occluded, 3-9 as nearly completely occluded, and 9-11 as demonstrating residual aneurysm filling. Agreement was perfect across all seven observers for the presence or absence of complete occlusion in 22 of 30 cases. Overall, interobserver agreement was substantial (κ statistic 0.779 with a 95% CI of 0.700 to 0.857). CONCLUSIONS: The WOS allows a consistent means of reporting angiographic occlusion for aneurysms treated with the WEB device