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Article ; Online: Erratum. Predictors of 30-day hospital readmission after mechanical thrombectomy for acute ischemic stroke.

Mouchtouris, Nikolaos / Gooch, M Reid

2020 Volume 134, Issue 5, Page(s) 1676–1677

Language	English
Publishing date	2020-08-21
Publishing country	United States
Document type	Journal Article ; Published Erratum
ZDB-ID	3089-2
ISSN	1933-0693 ; 0022-3085
ISSN (online)	1933-0693
ISSN	0022-3085
DOI	10.3171/2020.7.JNS193249a
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Article ; Online: Resuming Anticoagulants in Patients With Intracranial Hemorrhage: A Meta-Analysis and Literature Review.

El Naamani, Kareem / Abbas, Rawad / Ghanem, Marc / Mounzer, Marc / Tjoumakaris, Stavropoula I / Gooch, M Reid / Rosenwasser, Robert H / Jabbour, Pascal M

Neurosurgery

2023 Volume 94, Issue 1, Page(s) 14–19

Abstract: Background and objectives: Intracerebral hemorrhage (ICH) is one of the most disabling cerebrovascular events. Several studies have discussed oral anticoagulant (OAC)-related ICH; however, the optimal timing of resuming OAC in patients with ICH is still ...

Abstract	Background and objectives: Intracerebral hemorrhage (ICH) is one of the most disabling cerebrovascular events. Several studies have discussed oral anticoagulant (OAC)-related ICH; however, the optimal timing of resuming OAC in patients with ICH is still a dilemma. In this literature review/meta-analysis, we will summarize, discuss, and provide the results of studies pertaining to OAC resumption in patients with ICH. Methods: Using PubMed, Ovid Medline, and Web science, a systemic literature review was performed in accordance with the Preferred Reporting Items for Systemic Reviews and Meta-Analyses statement on December 20, 2022. Inclusion criteria for the meta-analysis were all studies reporting mean, median, and standard deviation for the duration of anticoagulants resumption after ICH. Thirteen studies met the above criteria and were included in the meta-analysis. Results: Of the 271 articles found in the literature, pooled analysis was performed in 13 studies that included timing of OAC resumption after ICH. The pooled mean duration to OAC resumption after the index ICH was 31 days (95% CI: 13.7-48.3). There was significant variation among the mean duration to OAC resumption reported by the studies as observed in the heterogeneity test ( P -value ≈0). Conclusion: Based on our meta-analysis, the average time of resuming OAC in patients with ICH is around 30 days. Several factors including the type of intracranial hemorrhage, the type of OAC, and the indication for OACs should be taken into consideration for future studies to try and identify the best time to resume OAC in patients with ICH.
MeSH term(s)	Humans ; Anticoagulants/adverse effects ; Atrial Fibrillation ; Intracranial Hemorrhages ; Cerebral Hemorrhage/drug therapy ; Patients
Chemical Substances	Anticoagulants
Language	English
Publishing date	2023-07-17
Publishing country	United States
Document type	Systematic Review ; Meta-Analysis ; Journal Article
ZDB-ID	135446-2
ISSN	1524-4040 ; 0148-396X
ISSN (online)	1524-4040
ISSN	0148-396X
DOI	10.1227/neu.0000000000002625
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Article ; Online: Transverse Sinus Stenting for the Treatment of Idiopathic Intracranial Hypertension With a Pressure Gradient of 70 mm Hg: A Technical Note and Systematic Review.

Ghanem, Marc / El Naamani, Kareem / Rawad, Abbas / Tjoumakaris, Stavropoula I / Gooch, M Reid / Rosenwasser, Robert H / Jabbour, Pascal M

Operative neurosurgery (Hagerstown, Md.)

2023 Volume 25, Issue 6, Page(s) e338–e344

Abstract: Background and importance: Venous sinus stenosis is believed to play a role in the pathogenesis of idiopathic intracranial hypertension (IIH). Venous stenting has emerged as a promising treatment option for patients with IIH because of venous sinus ... ...

Abstract	Background and importance: Venous sinus stenosis is believed to play a role in the pathogenesis of idiopathic intracranial hypertension (IIH). Venous stenting has emerged as a promising treatment option for patients with IIH because of venous sinus stenosis refractory to medical management or unsuitable for shunt placement. In this technical note, we present a case of IIH with the highest recorded pressure gradient to date. Clinical presentation: This technical note presents the successful use of intracranial venous stenting in a patient with IIH because of severe venous sinus stenosis, leading to significant improvement in vision and reduction in intracranial pressure. A meticulous review of the literature revealed that our patient exhibited the highest recorded pressure gradient (70 mm Hg). This remarkable finding underscores the potential effectiveness of venous stenting as a viable treatment approach. The procedure involved the placement of a Zilver stent (Cook Medical) and balloon angioplasty after stenting of the right transverse sinus stenosis, resulting in a substantial decrease in pressure gradient. Following the procedure, another venous manometry showed no more gradient with a uniform pressure in the whole venous system at 18 mm Hg. Conclusion: To our knowledge, this case presents the highest pressure gradient reported in the literature and contributes to the growing evidence supporting venous stenting in patients with IIH and venous sinus stenosis.
MeSH term(s)	Humans ; Pseudotumor Cerebri/complications ; Pseudotumor Cerebri/diagnostic imaging ; Pseudotumor Cerebri/surgery ; Constriction, Pathologic/surgery ; Cranial Sinuses/diagnostic imaging ; Cranial Sinuses/surgery ; Intracranial Pressure ; Stents/adverse effects
Language	English
Publishing date	2023-08-17
Publishing country	United States
Document type	Systematic Review ; Case Reports ; Journal Article
ZDB-ID	2767575-0
ISSN	2332-4260 ; 2332-4252
ISSN (online)	2332-4260
ISSN	2332-4252
DOI	10.1227/ons.0000000000000858
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Article ; Online: Comparison between endovascular and surgical treatment of spinal dural arteriovenous fistulas: a single-center cohort and systematic review.

Naamani, Kareem El / Kaul, Anand / Mouchtouris, Nikolaos / Hunt, Adam / Ahmed, Meah T / Sizdahkhani, Saman / Majmundar, Shyam / Ghanem, Marc / Gooch, M Reid / Herial, Nabeel A / Jabbour, Pascal / Rosenwasser, Robert H / Tjoumakaris, Stavropoula I

Neurosurgical focus

2024 Volume 56, Issue 3, Page(s) E4

Abstract: Objective: With recent advancements in minimally invasive techniques, endovascular embolization has gained popularity as a first-line treatment option for spinal dural arteriovenous fistulas (sDAVFs). The authors present their institution's case series ... ...

Abstract	Objective: With recent advancements in minimally invasive techniques, endovascular embolization has gained popularity as a first-line treatment option for spinal dural arteriovenous fistulas (sDAVFs). The authors present their institution's case series of sDAVFs treated endovascularly and surgically, and they performed a systemic review to assess the outcomes of both modalities of treatment. Methods: The authors conducted a retrospective observational study of 24 consecutive patients with sDAVFs treated between 2013 and 2023. The primary outcome was the rate of occlusion, which was compared between the surgically and endovascularly treated sDAVFs. They also conducted a systemic review of all the literature comparing outcomes of endovascular and surgical treatment of sDAVFs. Results: A total of 24 patients with 24 sDAVFs were studied. The mean patient age was 63.8 ± 15.5 years, and the majority of patients were male (n = 19, 79.2%). Of the 24 patients, 8 (33.3%) received endovascular treatment, 15 (62.5%) received surgical treatment, and 1 (4.2%) patient received both. Complete occlusion at first follow-up was higher in the surgical cohort but did not achieve statistical significance (66.7% vs 25%, p = 0.52). Recurrence was higher in the endovascular cohort (37.5% vs 13.3%, p = 0.3), while the rate of postprocedural complications was higher in the surgical cohort (13.3% vs 0%, p = 0.52); however, neither of these differences was statistically significant. Conclusions: Endovascular embolization in the management of sDAVFs is an alternative treatment to surgery, whose long-term efficacy is still under investigation. These findings suggest overall comparable outcomes between endovascular and open surgical treatment of sDAVFs. Future studies are needed to determine the role of endovascular embolization in the overall management of sDAVFs.
MeSH term(s)	Humans ; Male ; Female ; Middle Aged ; Aged ; Treatment Outcome ; Neurosurgical Procedures/methods ; Endovascular Procedures/methods ; Spine ; Central Nervous System Vascular Malformations/diagnostic imaging ; Central Nervous System Vascular Malformations/surgery ; Observational Studies as Topic
Language	English
Publishing date	2024-02-29
Publishing country	United States
Document type	Systematic Review ; Journal Article
ZDB-ID	2026589-X
ISSN	1092-0684 ; 1092-0684
ISSN (online)	1092-0684
ISSN	1092-0684
DOI	10.3171/2023.12.FOCUS23747
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Article ; Online: Commentary: Percutaneous Balloon Compression vs Percutaneous Retrogasserian Glycerol Rhizotomy for the Primary Treatment of Trigeminal Neuralgia.

Gooch, M Reid / Pilitsis, Julie G

Neurosurgery

2016 Volume 79, Issue 3, Page(s) E514

Language	English
Publishing date	2016-09
Publishing country	United States
Document type	Journal Article
ZDB-ID	135446-2
ISSN	1524-4040 ; 0148-396X
ISSN (online)	1524-4040
ISSN	0148-396X
DOI	10.1227/NEU.0000000000001343
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Article ; Online: Endovascular stenting of the superior sagittal sinus to alleviate venous compression caused by a parasagittal meningioma.

Entezami, Pouya / Gooch, M Reid / Dalfino, John

BMJ case reports

2019 Volume 12, Issue 4

Abstract: Idiopathic intracranial hypertension (IIH) is a challenging disease with unclear pathophysiology. Recognition of venous sinus stenting to improve intracranial pressure is increasing.We present a 56-year-old man diagnosed with IIH. A parasagittal ... ...

Abstract	Idiopathic intracranial hypertension (IIH) is a challenging disease with unclear pathophysiology. Recognition of venous sinus stenting to improve intracranial pressure is increasing.We present a 56-year-old man diagnosed with IIH. A parasagittal meningioma abutting the sagittal sinus causing venous compression was found. Venous sinus stenting via endovascular approach using a WALLSTENT was performed. Intravascular pressures recorded after stenting demonstrated resolution of the pressure gradient.The patient had no complications from the procedure and reported substantial symptomatic improvement. Subsequent ophthalmologic exam demonstrated resolution of the bilateral papilledema noted prior to stenting. Endovascular treatment of venous sinus stenosis in the treatment of IIH is an emerging technique. Treatment of venous compromise due to a mass lesion with stenting is a rarely described concept. For our patient, endovascular stenting was the primary treatment modality, allowing the tumour to be followed with serial imaging.
MeSH term(s)	Anticoagulants/therapeutic use ; Aspirin/therapeutic use ; Constriction, Pathologic/surgery ; Endovascular Procedures ; Fibrinolytic Agents/therapeutic use ; Heparin/therapeutic use ; Humans ; Intracranial Pressure ; Male ; Meningioma/complications ; Meningioma/diagnosis ; Meningioma/surgery ; Middle Aged ; Neurosurgical Procedures/methods ; Stents ; Superior Sagittal Sinus/pathology ; Treatment Outcome
Chemical Substances	Anticoagulants ; Fibrinolytic Agents ; Heparin (9005-49-6) ; Aspirin (R16CO5Y76E)
Language	English
Publishing date	2019-04-05
Publishing country	England
Document type	Case Reports ; Journal Article
ISSN	1757-790X
ISSN (online)	1757-790X
DOI	10.1136/bcr-2018-227935
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Article ; Conference proceedings: The Impact of Venous Stenting for Patients with Idiopathic Intracranial Hypertension and Spontaneous Cerebrospinal Fluid Leak on Symptoms and Quality of Life

Mandloi, Shreya / Duffy, Alexander / Kahn, Chase / Shing, Samuel R. / Nisar, Areeba / Naamani, Kareem E. / Yuan, Hsiangkuo / Gooch, M. Reid / Toskala, Elina / Evans, James J. / Farrell, Christopher J. / Rosen, Marc / Rabinowitz, Mindy / Nyquist, Gurston

Journal of Neurological Surgery Part B: Skull Base

2024 Volume 85, Issue S 01

Event/congress	33rd Annual Meeting North American Skull Base Society, Atlanta Marriott Marquis Atlanta, Georgia, United States, 2024-02-16
Language	English
Publishing date	2024-02-01
Publisher	Georg Thieme Verlag KG
Publishing place	Stuttgart ; New York
Document type	Article ; Conference proceedings
ZDB-ID	2654269-9
ISSN	2193-634X ; 2193-6331
ISSN (online)	2193-634X
ISSN	2193-6331
DOI	10.1055/s-0044-1779946
Database	Thieme publisher's database

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Article ; Online: General Versus Nongeneral Anesthesia for Carotid Endarterectomy: A Prospective Multicenter Registry-Based Study on 25 000 Patients.

El-Hajj, Victor Gabriel / Ghaith, Abdul Karim / Gharios, Maria / El Naamani, Kareem / Atallah, Elias / Glener, Steven / Habashy, Karl John / Hoang, Harry / Sizdahkhani, Saman / Mouchtouris, Nikolaos / Kaul, Anand / Elmi-Terander, Adrian / Tjoumakaris, Stavropoula / Gooch, M Reid / Rosenwasser, Robert H / Jabbour, Pascal

Neurosurgery

2024

Abstract: Background and objectives: Carotid endarterectomy (CEA) is a well-established treatment option for carotid stenosis. The choice between general anesthesia (GA) and nongeneral anesthesia (non-GA) during CEA remains a subject of debate, with concerns ... ...

Abstract	Background and objectives: Carotid endarterectomy (CEA) is a well-established treatment option for carotid stenosis. The choice between general anesthesia (GA) and nongeneral anesthesia (non-GA) during CEA remains a subject of debate, with concerns regarding perioperative complications, particularly myocardial infarctions. This study aimed to evaluate the outcomes associated with GA vs non-GA CEA using a large, nationwide database. Methods: The National Surgical Quality Improvement Project database was queried for patients undergoing CEA between 2013 and 2020. Primary outcome measures including surgical outcomes and 30-day postoperative complications were compared between the 2 anesthesia methods, after 2:1 propensity score matching. Results: After propensity score matching, a total of 25 356 patients (16 904 in the GA and 8452 in the non-GA group) were included. Non-GA compared with GA CEA was associated with significantly shorter operative times (101.9, 95% CI: 100.5-103.3 vs 115.8 95% CI: 114.4-117.2 minutes, P < .001), reduced length of hospital stays (2.3, 95% CI: 2.15-2.4 vs 2.5, 95% CI: 2.4-2.6 days, P < .001), and lower rates of 30-day postoperative complications, including myocardial infarctions (0.8% vs 1.2%, P = .003), unplanned intubations (0.8% vs 1.1%, P = .016), pneumonia (0.5% vs 1%, P < .001), and urinary tract infections (0.4% vs 0.7%, P = .003). These outcomes were notably more pronounced in the younger (≤70 years) and high morbidity (American Society of Anesthesiologists 3-5) cohorts. Conclusion: In this nationwide registry-based study, non-GA CEA was associated with better short-term outcomes in terms of perioperative complications, compared with GA CEA. The findings suggest that non-GA CEA may be a safer alternative, especially in younger patients and those with more comorbidities.
Language	English
Publishing date	2024-02-23
Publishing country	United States
Document type	Journal Article
ZDB-ID	135446-2
ISSN	1524-4040 ; 0148-396X
ISSN (online)	1524-4040
ISSN	0148-396X
DOI	10.1227/neu.0000000000002887
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Article ; Online: Comparison of the transarterial, transvenous, and superior ophthalmic vein approaches in the treatment of indirect carotid-cavernous fistulas.

El Naamani, Kareem / Mouchtouris, Nikolaos / Majmundar, Shyam / Sah, Eric / Kaul, Anand / Sizdahkhani, Saman / Momin, Arbaz A / Ghanem, Marc / Al Saiegh, Fadi / Gooch, M Reid / Herial, Nabeel A / Rosenwasser, Robert H / Tjoumakaris, Stavropoula I / Bilyk, Jurij R / Jabbour, Pascal

Neurosurgical focus

2024 Volume 56, Issue 3, Page(s) E7

Abstract: Objective: Indirect carotid-cavernous fistulas (CCFs) are abnormal arteriovenous shunting lesions with a highly variable clinical presentation that depends on the drainage pattern. Based on venous drainage, treatment can be either transarterial (TA) or ... ...

Abstract	Objective: Indirect carotid-cavernous fistulas (CCFs) are abnormal arteriovenous shunting lesions with a highly variable clinical presentation that depends on the drainage pattern. Based on venous drainage, treatment can be either transarterial (TA) or transvenous (TV). The aim of this study was to compare the outcomes of indirect CCF embolization via the TA, TV, and direct superior ophthalmic vein (SOV) approaches. Methods: The authors conducted a retrospective analysis of 74 patients admitted to their institution from 2010 to 2023 with the diagnosis of 77 indirect CCFs as confirmed on digital subtraction angiography. Results: A total of 74 patients with 77 indirect CCFs were included in this study. Embolization was performed via the TA approach in 4 cases, the TV approach in 50 cases, and the SOV in 23 cases. At the end of the procedure, complete occlusion was achieved in 76 (98.7%) cases. The rate of complete occlusion at the end of the procedure and at last radiological follow-up was significantly higher in the SOV and TV cohorts than in the TA cohort. The rate of recurrence was highest in the TA cohort (25% for TA vs 5.3% for TV vs 0% for SOV, p = 0.68). Conclusions: The rate of immediate complete occlusion was higher in the TV and SOV cohorts than in the TA cohort while the rate of complete occlusion at final follow-up was highest in the SOV cohort. The SOV approach was significantly associated with higher rates of postoperative complications. Indirect CCFs require careful examination of the fistulous point and the venous drainage to provide the most effective patient-tailored approach.
MeSH term(s)	Humans ; Carotid-Cavernous Sinus Fistula/diagnostic imaging ; Carotid-Cavernous Sinus Fistula/surgery ; Retrospective Studies ; Cavernous Sinus/surgery ; Arteriovenous Fistula/therapy ; Embolization, Therapeutic/methods
Language	English
Publishing date	2024-02-29
Publishing country	United States
Document type	Journal Article
ZDB-ID	2026589-X
ISSN	1092-0684 ; 1092-0684
ISSN (online)	1092-0684
ISSN	1092-0684
DOI	10.3171/2023.12.FOCUS23776
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Article ; Online: Venous sinus stenting for idiopathic intracranial hypertension patients with functioning ventriculoperitoneal shunts: A case series.

El Naamani, Kareem / Abbas, Rawad / Tjoumakaris, Stavropoula I / Herial, Nabeel A / Zarzour, Hekmat / Schmidt, Richard F / Rosenwasser, Robert H / Jabbour, Pascal M / Evans, James / Gooch, M Reid

Clinical neurology and neurosurgery

2023 Volume 233, Page(s) 107894

Abstract: Idiopathic intracranial hypertension (IIH) is a disease defined by increased intracranial pressure and associated with a variety of symptoms ranging from headaches to tinnitus. Ventricular peritoneal shunting has been the mainstay treatment for patients ... ...

Abstract	Idiopathic intracranial hypertension (IIH) is a disease defined by increased intracranial pressure and associated with a variety of symptoms ranging from headaches to tinnitus. Ventricular peritoneal shunting has been the mainstay treatment for patients with IIH. Although VPS's have shown efficacy in treating IIH, some patients complain of refractory symptoms even with functioning VPS's. Venus stenting has emerged as a new technique for treating these refractory symptoms. Despite the scarce literature pertaining its efficacy and safety profile, several small studies have shown promising results. In this case series, four patients with IIH complained of refractory symptoms despite functioning VPS's and were treated with venous stenting.
Language	English
Publishing date	2023-07-13
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	193107-6
ISSN	1872-6968 ; 0303-8467
ISSN (online)	1872-6968
ISSN	0303-8467
DOI	10.1016/j.clineuro.2023.107894
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