Harry J. Cloft
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View article: Radial access with the Piraeus 7Fr 87 NeuGlide catheter: A single center study of 40 patients
Radial access with the Piraeus 7Fr 87 NeuGlide catheter: A single center study of 40 patients Open
Background There has been growing interest in transradial procedures over the past decade due to substantial reductions in access site complications as well as improved patient recovery. While several radial-specific neurovascular catheter…
View article: Percutaneous polymethylmethacrylate vertebroplasty in the treatment of osteoporotic vertebral body compression fractures: technical aspects
Percutaneous polymethylmethacrylate vertebroplasty in the treatment of osteoporotic vertebral body compression fractures: technical aspects Open
Vertebroplasty is a valuable tool in the treatment of painful osteoporotic vertebral fractures, providing acute pain relief and early mobilization in appropriate patients.
View article: Optimizing the hemodynamics of hand injections in neuroangiography
Optimizing the hemodynamics of hand injections in neuroangiography Open
Purpose Optimizing the preparation of a 10 ml syringe for manual injection of contrast media can help operators obtain easier and faster injections. This study aims to compare the flow rates of different contrast media injection methods. M…
View article: Clinical and radiological features of parasagittal dural arteriovenous fistulas: a report of 8 cases from a single institution
Clinical and radiological features of parasagittal dural arteriovenous fistulas: a report of 8 cases from a single institution Open
OBJECTIVE Dural arteriovenous fistulas (dAVFs) of the superior sagittal sinus (SSS) are uncommon and represent 5%–12% of all intracranial dAVFs. SSS dAVFs can be divided into two main subtypes. The first type involves direct arterializatio…
View article: Middle meningeal artery embolization without surgical evacuation for chronic subdural hematoma: a single-center experience of 209 cases
Middle meningeal artery embolization without surgical evacuation for chronic subdural hematoma: a single-center experience of 209 cases Open
Background Middle meningeal artery (MMA) embolization is a minimally invasive treatment option for new and recurrent chronic subdural hematomas (cSDH). Objective To examine the safety and efficacy profile of MMA embolization without surgic…
View article: Trends in utilization and outcomes of mechanical thrombectomy for cerebral venous thrombosis: A National Inpatient Sample study
Trends in utilization and outcomes of mechanical thrombectomy for cerebral venous thrombosis: A National Inpatient Sample study Open
Background and purpose Cerebral venous thrombosis (CVT) is usually treated with systemic anticoagulation, but mechanical thrombectomy (MT) and local infusion of a thrombolytic agent have been proposed as an alternative therapy. In this stu…
View article: Percutaneous transorbital transvenous embolization of a cavernous sinus dural arteriovenous fistula via the superior orbital fissure—technical video
Percutaneous transorbital transvenous embolization of a cavernous sinus dural arteriovenous fistula via the superior orbital fissure—technical video Open
Carotid-cavernous dural arteriovenous fistulas causing debilitating ocular symptoms and/or retrograde cortical venous drainage necessitate curative treatment, which is achieved by disrupting the proximal draining vein. Transvenous emboliza…
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View article: Embolization of Large and Giant Posterior Fossa Hemangioblastomas: The Experience of a Single Tertiary Care Center
Embolization of Large and Giant Posterior Fossa Hemangioblastomas: The Experience of a Single Tertiary Care Center Open
Background Hemangioblastomas pose an inherent surgical risk due to the potential for high intraoperative blood loss, especially in larger tumors. One approach to minimize this risk is to use preoperative embolization. Herein, we present ou…
View article: Use of intravascular optical coherence tomography to confirm the diagnosis of a carotid web in a patient with recurrent ipsilateral embolic strokes and evaluate the response to stenting
Use of intravascular optical coherence tomography to confirm the diagnosis of a carotid web in a patient with recurrent ipsilateral embolic strokes and evaluate the response to stenting Open
A Carotid web (CaW) is defined as a focal shelf-like projection of non-atheromatous, fibrous tissue along the posterior wall of the carotid bulb. CaW are rare and commonly overlooked lesions increasingly recognized as a cause of stroke in …
View article: Risk of Early Versus Later Rebleeding From Dural Arteriovenous Fistulas With Cortical Venous Drainage
Risk of Early Versus Later Rebleeding From Dural Arteriovenous Fistulas With Cortical Venous Drainage Open
Background: Cranial dural arteriovenous fistulas with cortical venous drainage are rare lesions that can present with hemorrhage. A high rate of rebleeding in the early period following hemorrhage has been reported, but published long-term…
View article: Postprocedural Thrombosis following Endovascular Treatment of Intracranial Aneurysm with Flow Diverters or Coiling: A Histologic Study
Postprocedural Thrombosis following Endovascular Treatment of Intracranial Aneurysm with Flow Diverters or Coiling: A Histologic Study Open
Endovascular treatment of aneurysms with flow diverters or coiling is sometimes complicated by intraprocedural or postprocedural thrombosis along or within the devices. Thrombus composition and structure associated with such complications …
View article: Quantification of clot spatial heterogeneity and its impact on thrombectomy
Quantification of clot spatial heterogeneity and its impact on thrombectomy Open
Background Compositional and structural features of retrieved clots by thrombectomy can provide insight into improving the endovascular treatment of ischemic stroke. Currently, histological analysis is limited to quantification of composit…
View article: Assessing the rate, natural history, and treatment trends of intracranial aneurysms in patients with intracranial dural arteriovenous fistulas: a Consortium for Dural Arteriovenous Fistula Outcomes Research (CONDOR) investigation
Assessing the rate, natural history, and treatment trends of intracranial aneurysms in patients with intracranial dural arteriovenous fistulas: a Consortium for Dural Arteriovenous Fistula Outcomes Research (CONDOR) investigation Open
OBJECTIVE There is a reported elevated risk of cerebral aneurysms in patients with intracranial dural arteriovenous fistulas (dAVFs). However, the natural history, rate of spontaneous regression, and ideal treatment regimen are not well ch…
View article: Preoperative embolization of jugular paraganglioma tumors using particles is safe and effective
Preoperative embolization of jugular paraganglioma tumors using particles is safe and effective Open
Background Jugular paragangliomas represent a surgical challenge due to their vascularity and proximity to vital neurovascular structures. Preoperative embolization aids in reducing intraoperative blood loss, transfusion requirements, and …
View article: Histological evaluation of acute ischemic stroke thrombi may indicate the occurrence of vessel wall injury during mechanical thrombectomy
Histological evaluation of acute ischemic stroke thrombi may indicate the occurrence of vessel wall injury during mechanical thrombectomy Open
Background Several animal studies have demonstrated that mechanical thrombectomy (MT) for acute ischemic stroke (AIS) may cause vessel wall injury (VWI). However, the histological changes in human cerebral arteries following MT are difficu…
View article: Per pass analysis of thrombus composition retrieved by mechanical thrombectomy
Per pass analysis of thrombus composition retrieved by mechanical thrombectomy Open
Background and aim Mechanical thrombectomy (MT) for large vessel occlusion often requires multiple passes to retrieve the entire thrombus load. In this multi-institutional study we sought to examine the composition of thrombus fragments re…
View article: Iatrogenic Foreign Materials Associated with Retrieved Clot Tissue via Mechanical Thrombectomy
Iatrogenic Foreign Materials Associated with Retrieved Clot Tissue via Mechanical Thrombectomy Open
Foreign polymer materials are present in approximately half of retrieved thrombi, most commonly polytetrafluoroethylene from catheter liners and less from hydrophilic coatings.
View article: Association between clot composition and stroke origin in mechanical thrombectomy patients: analysis of the Stroke Thromboembolism Registry of Imaging and Pathology
Association between clot composition and stroke origin in mechanical thrombectomy patients: analysis of the Stroke Thromboembolism Registry of Imaging and Pathology Open
Background We retrospectively evaluated the composition of retrieved clots from ischemic stroke patients to study the association between histological composition and stroke etiology Methods Consecutive patients enrolled in the Stroke Thro…
View article: Contemporary Surgical Management of Juvenile Nasopharyngeal Angiofibroma
Contemporary Surgical Management of Juvenile Nasopharyngeal Angiofibroma Open
Objectives Juvenile nasopharyngeal angiofibromas (JNAs) are uncommon tumors with an evolving treatment paradigm. The objective of this study was to compare our prior experience reported in 2005 with our most contemporary series to compare …
View article: Safety and efficacy of Angio-Seal device for transfemoral neuroendovascular procedures: A systematic review and meta-analysis
Safety and efficacy of Angio-Seal device for transfemoral neuroendovascular procedures: A systematic review and meta-analysis Open
Introduction Angio-Seal is a commonly used device for femoral hemostasis in neuroendovascular procedures. This meta-analysis investigates of the safety and efficacy of Angio-Seal in patients undergoing endovascular neurointerventional proc…
View article: Observation Versus Intervention for Low-Grade Intracranial Dural Arteriovenous Fistulas
Observation Versus Intervention for Low-Grade Intracranial Dural Arteriovenous Fistulas Open
BACKGROUND Low-grade intracranial dural arteriovenous fistulas (dAVF) have a benign natural history in the majority of cases. The benefit from treatment of these lesions is controversial. OBJECTIVE To compare the outcomes of observation ve…
View article: Clinical Presentation and Imaging Findings of Patients with Dural Arteriovenous Fistulas with an Angiographic Pseudophlebitic Pattern
Clinical Presentation and Imaging Findings of Patients with Dural Arteriovenous Fistulas with an Angiographic Pseudophlebitic Pattern Open
The pseudophlebitic pattern was associated with high rates of brain parenchymal changes and neurologic symptoms in this cohort of patients with dural arteriovenous fistulas.
View article: Efficacy of Asahi Fubuki as a Guiding Catheter for Mechanical Thrombectomy: An Institutional Case Series
Efficacy of Asahi Fubuki as a Guiding Catheter for Mechanical Thrombectomy: An Institutional Case Series Open
Treatment outcomes of mechanical thrombectomy for acute stroke secondary to large-vessel occlusion in which the Asahi Fubuki was used as a guide catheter were reviewed. Among 154 patients treated with mechanical thrombectomy, the Fubuki wa…
View article: E-029 Clinical, angioarchitectural and treatment characteristics of spinal dural arteriovenous fistulas versus spinal epidural arteriovenous fistulas
E-029 Clinical, angioarchitectural and treatment characteristics of spinal dural arteriovenous fistulas versus spinal epidural arteriovenous fistulas Open
Background and Purpose Spinal epidural arteriovenous fistulas (SEDAVFs) are an increasingly recognized form of spinal vascular malformation. The aim of this study was to analyze the clinical presentation, imaging findings and treatment out…
View article: E-113 Middle meningeal artery embolization for treatment of chronic subdural hematoma: A prospective institutional case series
E-113 Middle meningeal artery embolization for treatment of chronic subdural hematoma: A prospective institutional case series Open
Background Embolization of the middle meningeal artery (MMA) has emerged a potential treatment for chronic subdural hematoma (cSDH), either as a stand-alone therapy or an adjunct to surgical evacuation. Methods Information on patients with…
View article: O-030 Long-term clinical and radiographic follow-up of pure arterial malformations
O-030 Long-term clinical and radiographic follow-up of pure arterial malformations Open
Introduction Pure arterial malformations (PAM) are rare vascular lesions characterized by dilated, tortuous arterial loops without venous shunting. The natural history of these lesions remains unclear. We report the long-term clinical and …
View article: E-106 Efficacy of asahi fubuki as a guiding catheter for mechanical thrombectomy: an institutional case series
E-106 Efficacy of asahi fubuki as a guiding catheter for mechanical thrombectomy: an institutional case series Open
Background Delivery of a guiding catheter to a suitable position is a critical step in performing mechanical thrombectomy (MT) for treatment of acute stroke secondary to large vessel occlusion. Over the past several years, we have employed…
View article: E-085 Multicenter retrospective study of the sofia for aspiration in acute ischemic stroke (mrs sofia)
E-085 Multicenter retrospective study of the sofia for aspiration in acute ischemic stroke (mrs sofia) Open
Background and Purpose There are a myriad of aspiration catheters used for primary aspiration for mechanical embolectomy for acute ischemic stroke. Over the past several years there has been increased interest in the use of the 6Fr Sofia P…
View article: Physician factors influencing endovascular treatment decisions in the management of unruptured intracranial aneurysms
Physician factors influencing endovascular treatment decisions in the management of unruptured intracranial aneurysms Open