eLetters

62 e-Letters

  • Re:Comment on The Medina Embolic Device: early clinical experience from a single center
    Marta Aguilar Perez

    We would like to thank our colleagues for reading our publication and for the thorough review of the paper. We greatly look forward to reading their own experience and believe that it will add substantially to the literature on this new and interesting device.

    At the outset we would like to make it clear that we stand by our initial comment in saying that we believe the combination of a MED and other devices,...

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  • Thrombectomy in low NIHSS stroke - a diagnostic and therapeutic challenge
    Anselm Angermaier

    We read with great interest the article of Haussen et al. 1 outlining the problem of identifying patients with minor stroke symptoms (low NIHSS) despite proximal vessel occlusion who should undergo thrombectomy. Intension-to-treat analysis showed significantly higher reduction of stroke severity in the primary thrombectomy group compared to the medical group. But more interestingly, per-protocol analysis revealed a high propo...

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  • Use of flat panal angio CT for navigation through a stent
    Gerhard Schroth

    Thank you for your technical considerations regarding stent in stent placement without hooking the first stent.

    Use of 3 D Roadmap may be helpful. Moreover, following passage of the microwire, reconstructions of a second flat panel angioCT with the microwire in place clearly outlines the relationship between the microwire and the struts of the first stent, especially if reconstructions perpendicular to the orientati...

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  • Trying to catch the "ghost ischemic core": CT perfusion versus DWI
    Nicola Morelli

    Dear Editor, We read with great interest the original article by Boned S. et al. (1) which demonstrates that CT perfusion (CTP) may overestimate the final infarct core, especially in the early time window. Interestingly, the authors introduce the "ghost infarct core" concept in ischemic stroke, referring to that particular condition where the final infarct core at follow up imaging may be smaller than the one observed on...

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  • Comment on The Medina Embolic Device: early clinical experience from a single center
    Frederic Clarencon

    Frederic Clarencon, MD, PhD 1, 2, Nader-Antoine Sourour, MD 1 *

    1. Department of Interventional Neuroradiology. Pitie-Salpetriere Hospital.

    APHP. Paris France. 2. Paris VI University Pierre et Marie Curie. Paris. France

    * Corresponding author

    We read with great interest the case series entitled: "The Medina Embolic Device: early clinical experience from a single center" by Aguilar Per...

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  • Comments on "Prevalence of dural venous sinus stenosis and hypoplasia in a generalized population"
    Roberto De Simone

    Dear Editor, we read with great interest the paper by Durst at al. [1], aimed to define the anatomy of cerebral dural sinus system in the generalized population, evaluating the prevalence of sinus venous stenosis and hypoplasia. This condition is considered of pathogenetic relevance in idiopathic intracranial hypertension (IIH) [2-4] and has been also associated to chronic and, mostly, to refractory headaches [5-7]. We a...

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  • Letter by Parthasarathy et al. regarding article, "Unwanted detachment of the Solitaire device during mechanical thrombectomy in acute ischemic stroke ".
    Vipul Gupta

    Letter by Parthasarathy et al. regarding article, "Unwanted detachment of the Solitaire device during mechanical thrombectomy in acute ischemic stroke ".

    Rajsrinivas Parthasarathy MRCP (UK) Neurology, Vipul Gupta MD, Gaurav Goel MD DM

    Department of Neurointerventional surgery, Institute of Neuroscience, Medanta, the Medicity, Gurgaon, India.

    Title word count: 14

    Word Count: Abstract: 1...

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  • 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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