Marc Kotowski
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View article: A Pragmatic Randomized Trial Comparing Surgical Clipping and Endovascular Treatment of Unruptured Intracranial Aneurysms
A Pragmatic Randomized Trial Comparing Surgical Clipping and Endovascular Treatment of Unruptured Intracranial Aneurysms Open
Surgical clipping is more effective than endovascular treatment of unruptured intracranial aneurysms in terms of the frequency of the primary outcome of treatment failure. Results were mainly driven by angiographic results at 1 year.
View article: Noninvasive Angiographic Results of Clipped or Coiled Intracranial Aneurysms: An Inter- and Intraobserver Reliability Study
Noninvasive Angiographic Results of Clipped or Coiled Intracranial Aneurysms: An Inter- and Intraobserver Reliability Study Open
A standardized 3-grade scale was found to be a reliable and clinically meaningful tool to compare the results of clipping and coiling of aneurysms using CTA or MRA.
View article: Reliability of CT Angiography in Cerebral Vasospasm: A Systematic Review of the Literature and an Inter- and Intraobserver Study
Reliability of CT Angiography in Cerebral Vasospasm: A Systematic Review of the Literature and an Inter- and Intraobserver Study Open
The diagnosis of vasospasm using CTA alone was not sufficiently repeatable among observers to support its general use to guide decisions in the clinical management of patients with SAH.
View article: The Treatment of Brain AVMs Study (TOBAS): an all-inclusive framework to integrate clinical care and research
The Treatment of Brain AVMs Study (TOBAS): an all-inclusive framework to integrate clinical care and research Open
OBJECTIVE The management of brain arteriovenous malformations (bAVMs) remains controversial. The Treatment of Brain AVMs Study (TOBAS) was designed to manage patients with bAVMs within a clinical research framework. The objective of this s…
View article: Surgical clipping or endovascular coiling for unruptured intracranial aneurysms: a pragmatic randomised trial
Surgical clipping or endovascular coiling for unruptured intracranial aneurysms: a pragmatic randomised trial Open
Surgical clipping or endovascular coiling of UIAs did not show differences in morbidity at 1 year. Trial continuation and additional randomised evidence will be necessary to establish the supposed superior efficacy of clipping.
View article: Unexpected complications with head and neck hydrogel microsphere particle embolization: A case series and a technical note
Unexpected complications with head and neck hydrogel microsphere particle embolization: A case series and a technical note Open
Endovascular particle embolization is a common procedure with a relatively safe profile. We report here four cases in which cranial nerves, skin and mucosal ischemic complications occurred with the use of hydrogel microspheres (250–500 µm …
View article: Embolization with larger-caliber coils can increase packing density: Evidence from the pilot phase of a randomized trial
Embolization with larger-caliber coils can increase packing density: Evidence from the pilot phase of a randomized trial Open
Background and purpose Endovascular coil embolization of cerebral aneurysms is associated with suboptimal angiographic results in up to 20–30% of patients. Coil packing density has been used as an index of the success of the initial proced…
View article: Endovascular treatment of aneurysms and platinum coil caliber: Study protocol of a randomized, controlled trial
Endovascular treatment of aneurysms and platinum coil caliber: Study protocol of a randomized, controlled trial Open
Background Endovascular coil embolization of cerebral aneurysms is an effective treatment for the prevention of aneurysm rebleeding after subarachnoid hemorrhage. It is also often used in unruptured aneurysms, but it is associated with ane…