55 e-Letters

  • Social Media Metrics: A New Way of Measuring Scientific Impact
    Andres M Lozano

    We read with great interest the article by Fargen et al(1), which reports the Journal of Neurointerventional Surgery (JNIS) experience in social media. The journal recently implemented a three-pronged social media strategy, along with the hiring of dedicated social media staffing, to enhance their online viewership. Since implementing this marketing approach, JNIS has had significantly more website accessions to their pe...

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  • Training Guidelines for Endovascular Ischemic Stroke Intervention: The Critical Missing Link....
    Deepak Sharma

    Optimal outcome of intra-arterial treatment for Acute ischemic stroke (AIS) requires the involvement of appropriately trained and qualified providers from diverse specialties working together in synchrony under tight time line, communicating effectively to provide evidence-based clinical care. Hence, we welcome the international multi-society consensus document on training guidelines for the interventionalists involved in...

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  • Letter to the Editor Regarding "Elderly patients with intracranial aneurysms have higher quality of life after coil embolization: a decision analysis"
    Ajay Malhotra

    Dear Editor: The study by Smith et al. is a valuable effort to look at outcomes in elderly patients with intracranial aneurysms.(1) However, we would like to raise a few questions about the study. The follow-up periods among the included studies are highly variable, which is a limitation that the authors acknowledged. The authors described in the Method section that a meta-regression was performed to measure the effects of...

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  • Full possible disclosure about possible Onyx extrusion but....
    Allan C Thomas

    Dear Sirs,

    I read with interest the article "Onyx extrusion through the scalp after embolization of dural arteriovenous fistula" by SIngla et al. The objective of the article is mainly to reinforce in our pre-treatment discussions the need to include as much as possible the outcomes arising from the use of Onyx that include, but are not exclusively related to, micro catheter retention or rupture, unintended ves...

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  • Susan C. Olenski

    Dr. Chen's article is an interesting change of format in Medical Journal articles. It is a "letter" presenting a unique perspective by addressing a young woman on the topic of philosophical and experiential aspects of his work as a neurosurgeon.

    This is a welcome addition to standard medical information. As a patient, intelligence and humanity are attributes I seek in a physician/surgeon. Dr. Chen's capacity...

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  • Considerations of alteplase as an intra-arterial lytic agent
    John J Connors

    J. J. (Buddy) Connors MD, Interventional Neuroradiology, Vanderbilt University Medical Center, Nashville, TN.

    Re: Understanding IMS III: old data shed new light on a futile trial

    I read this article with great interest. The issue of tPA and its risk/benefit ratio for intra-arterial treatment of acute ischemic stroke is essential to understanding the results of IMS III. While possible toxic effects of...

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  • Reply to: ADAPT FAST study: a direct aspiration first pass technique for acute stroke thrombectomy by Turk et al. Corrections of reported values of the STAR study.
    Vitor Mendes Pereira

    We read with interest the study published ADAPT FAST study article (Turk AS, et al.) as published first online in the Journal of NeuroInterventional Surgery on 25Feb2014. We would like to congratulate the authors for their work in improving aspiration technique for acute stroke treatment that have been quite disappointing on demonstrating improvement on clinical outcomes on previous publications (1, 2). The advent on th...

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  • Carotid artery stenting without post-stenting balloon dilatation
    David M. Pelz

    Re: Ogata A et al. Carotid artery stenting without post-stenting balloon dilatation. J NeuroIntervent Surg 2013; Dec 6: (Epub ahead of print)

    We read with interest this article regarding carotid stenting (CAS) without post-stent balloon angioplasty. The authors believe that this method reduces the risk of embolic complications. They point out that every passage of a device across a carotid stenosis can generate...

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  • Dissecting or dolichoectatic aneurysm?
    Paulo Puglia Jr

    To the editor,

    The interesting paper by Li et al. reports an important series of cases treated appropriately and carefully followed-up, but unfortunately the diagnosis may not be correct in all cases. Fusiform aneurysms appearing in angiograms may represent a variety of different histopathological pictures, including dissection, but also other types of aneurysms. A light to this question, quite recurrent in my p...

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    Lee-Anne Slater

    Dear Dr. Tarr,

    We read with interest the recent editorial by Fiorella et al., entitled "Should Neurointerventional fellowship training be suspended indefinitely?", detailing the potential hazards of neurointerventional (NI) overtraining in the United States (US).1 We face similar issues in Australia pertaining to our own current NI workforce demand and NI trainee employment outlook.

    The landmass of Aus...

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