of microsurgery versus endovascular surgery. In the first analysis, the authors looked at 1288 patients (60% of the total) who had no other risk factors for seizures (no shunt, no second craniotomy, no stroke, no rebleeding). In this cohort, the risk of seizures was equal between the 2 repair techniques as long as the lesion was not an MCA aneurysm. The second analysis looked at 1458 patients (68% of the total) who had made a good recovery (modified Rankin Scale Score 0–2) by 2 months after aneurysmal SAH, and who thus would probably want to drive. In this cohort
E. Sander Connolly Jr.
Ricardo J. Komotar, Robert M. Starke, Marc L. Otten, Maxwell B. Merkow, Matthew C. Garrett, Randolph S. Marshall, Mitchell S. V. Elkind, and E. Sander Connolly Jr.
a lengthy surgery, received only bur holes. None of the patients were candidates for endovascular surgery at the time of EDAS. The patients in Cases 1–4, 6, and 10–12 all had ICA occlusions that precluded endovascular access to the MCAs. The patient in Case 7 received a stent into the ICA just after the common carotid artery bifurcation, and also had lengthy sections of intracranial stenosis that would have required extensive stenting. The patient in Case 8 underwent intracranial stent placement; this patient became symptomatic ipsilateral to the stent and
Marjorie C. Wang, Frederick A. Boop, Douglas Kondziolka, Daniel K. Resnick, Steven N. Kalkanis, Elizabeth Koehnen, Nathan R. Selden, Carl B. Heilman, Alex B. Valadka, Kevin M. Cockroft, John A. Wilson, Richard G. Ellenbogen, Anthony L. Asher, Richard W. Byrne, Paul J. Camarata, Judy Huang, John J. Knightly, Elad I. Levy, Russell R. Lonser, E. Sander Connolly Jr., Fredric B. Meyer, and Linda M. Liau
neurosurgery, neurocritical care, and central nervous system endovascular surgery. Although the requirements are somewhat different for each of these subspecialty areas, candidates who wish to receive additional credentials in one or more of these areas generally must 1) successfully complete an accredited fellowship in their area of focused practice (or in some cases demonstrate practice experience that reflects an equivalent level of training), 2) successfully pass an online 100-question proctored examination in their area of focused practice (in addition to the ABNS
. Tjoumakaris , MD (Philadelphia, PA) 2 2011 30 2 A23 A23 2011 Introduction Recent advancements in endovascular surgery have introduced several closure devices for the femoral ateriotomy site. Two of the more commonly used devices are the AngioSeal (St. Jude Medical) and the Mynx (AccessClosure), both of which decrease time to hemostasis and expedite post-procedure ambulation. In this study, we retrospectively investigated closure efficacy, associated pain, and complications of each closure device. Methods A retrospective patient database