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Nohra Chalouhi, Pascal Jabbour, Robert M. Starke, Stavropoula I. Tjoumakaris, L. Fernando Gonzalez, Samantha Witte, Robert H. Rosenwasser, and Aaron S. Dumont

artery complex dissecting aneurysms after endovascular embolization . AJNR Am J Neuroradiol 31 : 1232 – 1235 , 2010 20 Medel R , Crowley RW , Hamilton DK , Dumont AS : Endovascular obliteration of an intracranial pseudoaneurysm: the utility of Onyx. Technical note . J Neurosurg Pediatr 4 : 445 – 448 , 2009 21 Mericle RA , Reig AS , Burry MV , Eskioglu E , Firment CS , Santra S : Endovascular surgery for proximal posterior inferior cerebellar artery aneurysms: an analysis of Glasgow Outcome Score by Hunt-Hess grades

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Peter S. Amenta, Muhammad S. Ali, Aaron S. Dumont, L. Fernando Gonzalez, Stavropoula I. Tjoumakaris, David Hasan, Robert H. Rosenwasser, and Pascal Jabbour

result of treatment. 8 , 48 In addition to balloon angioplasty and stent placement, advances in technology have led to the development of multiple mechanical devices that use agitation, aspiration, and snaring of the thrombus to recanalize large caliber vessels. 9 , 57 Most importantly, the evolution of endovascular surgery has extended the therapeutic window for intervention ( http://clinicaltrials.gov/ct2/show/NCT00359424?term=IMS+III&rank=1 ). 27 , 28 Current Guidelines for Intravenous and Intraarterial Thrombolysis Current guidelines for intravenous and

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. 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