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  1. Article ; Online: Editorial. Assessment of the natural history of cerebral aneurysms in the setting of competing risk.

    Starke, Robert M

    Journal of neurosurgery

    2019  Volume 132, Issue 4, Page(s) 1059–1061

    Language English
    Publishing date 2019-03-08
    Publishing country United States
    Document type Editorial ; Journal Article
    ZDB-ID 3089-2
    ISSN 1933-0693 ; 0022-3085
    ISSN (online) 1933-0693
    ISSN 0022-3085
    DOI 10.3171/2018.12.JNS183135
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: "Stump Patch Rescue" Reclipping Using Divided Origin of Temporal M2 in a Recurrent Reruptured Bilobed Middle Cerebral Artery Bifurcation Aneurysm: 2-Dimensional Operative Video.

    Wu, Eva M / Sun, Matthew Z / Starke, Robert M / Morcos, Jacques J

    Operative neurosurgery (Hagerstown, Md.)

    2023  Volume 25, Issue 3, Page(s) e163

    MeSH term(s) Humans ; Middle Cerebral Artery/diagnostic imaging ; Middle Cerebral Artery/surgery ; Intracranial Aneurysm/diagnostic imaging ; Intracranial Aneurysm/surgery ; Cerebral Angiography
    Language English
    Publishing date 2023-05-17
    Publishing country United States
    Document type Video-Audio Media ; Journal Article
    ZDB-ID 2767575-0
    ISSN 2332-4260 ; 2332-4252
    ISSN (online) 2332-4260
    ISSN 2332-4252
    DOI 10.1227/ons.0000000000000769
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Clipping of Recurrent Right Middle Cerebral Artery Trifurcation Aneurysm With Extracranial-Intracranial and Intracranial-Intracranial Bypass Using a Radial Artery Graft: 2-Dimensional Operative Video.

    Sun, Matthew Z / Wu, Eva M / Starke, Robert M / Morcos, Jacques J

    Operative neurosurgery (Hagerstown, Md.)

    2023  Volume 26, Issue 2, Page(s) 233

    MeSH term(s) Humans ; Middle Cerebral Artery/diagnostic imaging ; Middle Cerebral Artery/surgery ; Radial Artery/diagnostic imaging ; Radial Artery/surgery ; Intracranial Aneurysm/diagnostic imaging ; Intracranial Aneurysm/surgery
    Language English
    Publishing date 2023-10-11
    Publishing country United States
    Document type Video-Audio Media ; Journal Article
    ZDB-ID 2767575-0
    ISSN 2332-4260 ; 2332-4252
    ISSN (online) 2332-4260
    ISSN 2332-4252
    DOI 10.1227/ons.0000000000000933
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Small Cerebral Aneurysms: Can We Identify Patients at Risk for Rupture?

    Starke, Robert M

    Annals of internal medicine

    2017  Volume 167, Issue 1, Page(s) 59–60

    MeSH term(s) Aneurysm, Ruptured/complications ; Humans ; Intracranial Aneurysm/complications ; Risk Assessment ; Risk Factors ; Rupture, Spontaneous
    Language English
    Publishing date 2017--04
    Publishing country United States
    Document type Editorial
    ZDB-ID 336-0
    ISSN 1539-3704 ; 0003-4819
    ISSN (online) 1539-3704
    ISSN 0003-4819
    DOI 10.7326/M17-1215
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  5. Article ; Online: Optimal management of patients with asymptomatic carotid stenosis.

    Starke, Robert M

    Neurology

    2017  Volume 88, Issue 21, Page(s) 1988–1989

    MeSH term(s) Carotid Stenosis ; Endarterectomy, Carotid ; Humans ; Stroke
    Language English
    Publishing date 2017-04-26
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 207147-2
    ISSN 1526-632X ; 0028-3878
    ISSN (online) 1526-632X
    ISSN 0028-3878
    DOI 10.1212/WNL.0000000000003965
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  6. Article: Unruptured cerebral aneurysm risk stratification: Background, current research, and future directions in aneurysm assessment.

    Silva, Michael A / Chen, Stephanie / Starke, Robert M

    Surgical neurology international

    2022  Volume 13, Page(s) 182

    Abstract: Background: The optimal management of unruptured cerebral aneurysms is widely debated in the medical field. Rapid technology advances, evolving understanding of underlying pathophysiology, and shifting practice patterns have made the cerebrovascular ... ...

    Abstract Background: The optimal management of unruptured cerebral aneurysms is widely debated in the medical field. Rapid technology advances, evolving understanding of underlying pathophysiology, and shifting practice patterns have made the cerebrovascular field particularly dynamic in recent years. Despite progress, there remains a dearth of large randomized studies to help guide the management of these controversial patients.
    Methods: We review the existing literature on the natural history of unruptured cerebral aneurysms and highlight ongoing research aimed at improving our ability to stratify risk in these patients.
    Results: Landmark natural history studies demonstrated the significance of size, location, and other risk factors for aneurysm rupture, but prior studies have significant limitations. We have begun to understand the underlying pathophysiology behind aneurysm formation and rupture and are now applying new tools such as flow dynamics simulations and machine learning to individualize rupture risk stratification.
    Conclusion: Prior studies have identified several key risk factors for aneurysmal rupture, but have limitations. New technology and research methods have enabled us to better understanding individual rupture risk for patients with unruptured cerebral aneurysms.
    Language English
    Publishing date 2022-04-29
    Publishing country United States
    Document type Journal Article ; Review
    ISSN 2229-5097
    ISSN 2229-5097
    DOI 10.25259/SNI_1112_2021
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  7. Article ; Online: Comment: Implications of non-moyamoya vessel formation in MCA steno-occlusive disease.

    Starke, Robert M

    Neurology

    2016  Volume 86, Issue 21, Page(s) 1962

    Language English
    Publishing date 2016-05-24
    Publishing country United States
    Document type Journal Article
    ZDB-ID 207147-2
    ISSN 1526-632X ; 0028-3878
    ISSN (online) 1526-632X
    ISSN 0028-3878
    DOI 10.1212/WNL.0000000000002706
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: A rare case of

    Avallone, Stephen V / Levy, Adam S / Starke, Robert M

    Surgical neurology international

    2021  Volume 12, Page(s) 487

    Abstract: Background: Infectious intracranial aneurysms (IIAs), sometimes referred to as cerebral mycotic aneurysms, are an uncommon but feared compilation of bacterial endocarditis, occurring in up to 5% of all bacterial endocarditis cases. While IIAs carry a ... ...

    Abstract Background: Infectious intracranial aneurysms (IIAs), sometimes referred to as cerebral mycotic aneurysms, are an uncommon but feared compilation of bacterial endocarditis, occurring in up to 5% of all bacterial endocarditis cases. While IIAs carry a low risk of rupture, a ruptured mycotic aneurysm carries devastating neurologic consequences with up to an 80% mortality rate secondary to subarachnoid and intracerebral hemorrhage.
    Case description: A 69-year-old man undergoing antibacterial therapy for
    Conclusion: This favorable outcome is the result of a tremendous deal of long-term coordination and efficient communication between neurosurgery, cardiology, neurology, physical medicine and rehabilitation, and primary care.
    Language English
    Publishing date 2021-09-30
    Publishing country United States
    Document type Case Reports
    ISSN 2229-5097
    ISSN 2229-5097
    DOI 10.25259/SNI_730_2021
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  9. Article ; Online: Lessons learned from a failed clinical trial of chronic subdural hematoma treatment.

    Raper, Daniel / Ding, Dale / Starke, Robert M

    Journal of neurointerventional surgery

    2021  Volume 13, Issue 10, Page(s) e23

    MeSH term(s) Clinical Trials as Topic ; Hematoma, Subdural, Chronic/diagnostic imaging ; Hematoma, Subdural, Chronic/surgery ; Humans ; Tomography, X-Ray Computed
    Language English
    Publishing date 2021-06-23
    Publishing country England
    Document type Letter
    ZDB-ID 2514982-9
    ISSN 1759-8486 ; 1759-8478
    ISSN (online) 1759-8486
    ISSN 1759-8478
    DOI 10.1136/neurintsurg-2021-017893
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    Zs.A 6845: Show issues Location:
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  10. Article ; Online: Impact of COVID-19 pandemic on treatment and outcomes of cerebral arteriovenous malformations.

    Ramsay, Ian A / Govindarajan, Vaidya / Elarjani, Turki / Abdelsalam, Ahmed / Silva, Michael / Starke, Robert M / Luther, Evan

    Journal of neurointerventional surgery

    2024  Volume 16, Issue 3, Page(s) 318–322

    Abstract: Background: There has been a recent decrease in interventional management of cerebral arteriovenous malformations (AVMs). The objective of our study was to evaluate the changing patterns in management of AVMs in the first year of the COVID-19 pandemic.!# ...

    Abstract Background: There has been a recent decrease in interventional management of cerebral arteriovenous malformations (AVMs). The objective of our study was to evaluate the changing patterns in management of AVMs in the first year of the COVID-19 pandemic.
    Methods: The National Inpatient Sample (NIS) database was used. From 2016 to 2020, patients with an International Classification of Diseases, 10th revision (ICD-10) diagnosis code for a cerebral AVM were included. An intervention was defined as ICD-10 code for surgical, endovascular, or stereotactic radiosurgery treatment. Odds ratios (ORs) were calculated using a logistic regression model with covariates deemed to be clinically relevant.
    Results: 63 610 patients with AVMs were identified between 2016 and 2020, 14 340 of which were ruptured. In 2020, patients had an OR of 0.69 for intervention of an unruptured AVM (P<0.0001) compared with 2016-19. The rate of intervention for unruptured AVMs decreased to 13.5% in 2020 from 17.6% in 2016-19 (P<0.0001). The rate of AVM rupture in 2020 increased to 23.9% from 22.2% in 2016-19 (P<0.0001). In 2020, patients with ruptured AVMs had an OR for inpatient mortality of 1.72 compared with 2016-19. Linear regression analysis from 2016 to 2020 showed an inverse relationship between intervention rate and rupture rate (slope -0.499, R
    Conclusion: In 2020, the rate of intervention for unruptured cerebral AVMs decreased compared with past years, with an associated increase in the rate of rupture. Patients with ruptured AVMs also had a higher odds of mortality.
    MeSH term(s) Humans ; Treatment Outcome ; Pandemics ; COVID-19 ; Intracranial Arteriovenous Malformations/epidemiology ; Intracranial Arteriovenous Malformations/therapy ; Intracranial Arteriovenous Malformations/complications ; Rupture/surgery ; Radiosurgery ; Retrospective Studies
    Language English
    Publishing date 2024-02-12
    Publishing country England
    Document type Journal Article
    ZDB-ID 2514982-9
    ISSN 1759-8486 ; 1759-8478
    ISSN (online) 1759-8486
    ISSN 1759-8478
    DOI 10.1136/jnis-2023-020735
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