Pedro Lylyk

Instituto Cardiovascular de Rosario

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Iván Lylyk

University of Pennsylvania

Esteban Scrivano

Instituto Cardiovascular de Rosario

Carlos Bleise

Instituto Cardiovascular de Rosario

Juan Cirio

Instituto Cardiovascular de Rosario

ÁF

Ángel Ferrario

Instituto de Neurologia Y Neurocirugia

Javier Lundquist

Instituto Cardiovascular de Rosario

Adnan H. Siddiqui

University at Buffalo, State University of New York

Gastón A. Rodríguez-Granillo

Consejo Nacional de Investigaciones Científicas y Técnicas

Celina Ciardi

Instituto Cardiovascular de Rosario

Rene Viso

Hospital Privado de Comunidad

Cooperative Institutions

Neurological Surgery

106

Boston University

Society of Interventional Radiology

Ibero-American University Puebla

Ibero American University

Brigham and Women's Hospital

Instituto Cardiovascular de Rosario

Boston Medical Center

Harvard University

Neuroscience Institute

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Reconstrucción endovascular con stents en el tratamiento de aneurismas cerebrales.

Revista Argentina de Radiología / Argentinian Journal of Radiology (2006)

Ángel Ferrario Gustavo Doroszuk Carlos Miranda Pablo Angelani Esteban Scrivano

Resumen es: Objetivo: Presentamos nuestra experiencia clinica y los resultados del seguimiento a mediano plazo de las lesiones aneurismaticas complejas tratadas medi...

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Pipeline Embolization Devices for the Treatment of Intracranial Aneurysms, Single-Center Registry: Long-Term Angiographic and Clinical Outcomes from 1000 Aneurysms

Neurosurgery (2021)

Iván Lylyk Esteban Scrivano Javier Lundquist Ángel Ferrario Carlos Bleise

Abstract BACKGROUND Prospective studies have established the safety and efficacy of the Pipeline TM Embolization Device (PED; Medtronic) for treatment of intracranial aneurysms (IA). OBJECTIVE To investigate long-term outcomes from the Pipeline Embolization Devices for the Treatment of Intracranial Aneurysms (PEDESTRIAN) Registry. METHODS The PEDESTRIAN Registry data were retrospectively reviewed, which included patients (March 2006 to July 2019) with complex IAs treated with PED. Patients with unfavorable anatomy and/or recurrence following previous treatment were included and excluded those with acute subarachnoid hemorrhage. The primary angiographic endpoint was complete occlusion and long-term stability. Clinical and radiological follow-up was performed at 3 to 6 mo, 12 mo, and yearly thereafter. RESULTS A total of 835 patients (mean age 55.9 ± 14.7 yr; 80.0% female) with 1000 aneurysms were included. Aneurysms varied in size: 64.6% were small (≤10 mm), 25.6% were large (11-24 mm), and 9.8% were giant (≥25 mm). A total of 1214 PEDs were deployed. Follow-up angiography was available for 85.1% of patients with 776 aneurysms at 24.6 ± 25.0 mo (mean). Complete occlusion was demonstrated in 75.8% of aneurysms at 12 mo, 92.9% at 2 to 4 yr, and 96.4% at >5 yr. During the postprocedural period, modified Rankin Scale scores remained stable or improved in 96.2% of patients, with stability or improvement in 99.1% of patients >5 yr. The overall major morbidity and neurological mortality rate was 5.8%. CONCLUSION This study demonstrated high rates of long-term complete aneurysm occlusion, stable or improved functional outcomes, and low rates of complications and mortality. Clinical and angiographic outcomes improved over long-term follow-up, demonstrating that endovascular treatment of IA with PED is safe and effective.

Single Center

Clinical endpoint

10.1093/neuros/nyab183

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Update on interventional neuroradiology

American Journal of Roentgenology (1989)

Fernando Viñuela Jacques E. Dion Pedro Lylyk Gary Duckwiler

Update on interventional neuroradiologyF Vinuela, J Dion, P Lylyk and G DuckwilerAudio Available | Share

Neuroradiology

Interventional radiology

Interventional neuroradiology

10.2214/ajr.153.1.23

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Middle Cerebral Artery Aneurysm: Ruptured Mycotic Distal Aneurysm: Treatment by Deconstructive Technique Using a Liquid Embolic Agent

Springer eBooks (2018)

Jorge Chudyk Esteban Scrivano Nicolás Pérez Carlos Bleise Pedro Lylyk

Mycotic aneurysm

Lipiodol

10.1007/978-3-319-70267-4_53-1

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Accidente cerebrovascular isquémico secundario a embolia cálcica Ischemic stroke related to calcified embolism

Javier Moschini Javier Martínez José F. Vila Carlos A. Ingino Pedro Lylyk

Stroke

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Training Guidelines for Endovascular Ischemic Stroke Intervention: An International Multi-Society Consensus Document

American Journal of Neuroradiology (2016)

S. D. Lavine Kevin M. Cockroft Brian L. Hoh Nicholas C. Bambakidis Alexander A. Khalessi

Ischemic stroke is a leading cause of death and disability worldwide. Much of the long-term disability occurs in patients with Emergent Large Vessel Occlusion (ELVO). In fact, in these patients, occlusion of a major intracerebral artery results in a large area of brain injury often resulting in

Stroke

10.3174/ajnr.a4766

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Citations (59)

Transradial Versus Transfemoral Access for Woven EndoBridge (WEB) Embolization of Intracranial Aneurysms: A Propensity-Score Matched Multicenter Study (P1-1.Virtual)

Neurology (2022)

Mahmoud Dibas Nimer Adeeb Jose Danilo Bengzon Diestro Hugo Cuellar Ahmad Sweid

10.1212/wnl.98.18_supplement.314

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Protected stent-assisted angioplasty in radiation-induced carotid artery stenosis

Neurological Research (2005)

José E. Cohen Gustavo Rajz Pedro Lylyk Tamir Ben‐Hur John M. Gomori

The surgical treatment of radiation-induced carotid stenosis is challenging and presents a high rate of complications. This has led several investigators to propose stent-assisted angioplasty as the treatment of choice for this condition. The aim of this study is to evaluate the potential risks of intra-procedural embolic stroke in this setting using cerebral protection devices.We describe our recent experience in the endovascular treatment by means of stent-assisted angioplasty with the aid of a filter cerebral protection device of eight patients presenting with radiation-induced carotid stenosis.Procedural success, defined as residual stenosis of less than 30% was obtained in all cases. The mean percentage stenosis was reduced from mean 80+/-6.3% (range 70-90%) to 13+/-4% (range 10-20%). Predilation was performed in five cases, post-dilation in all the cases. Mild-to-moderate bradycardia while inflating the balloon was present in three cases and was severe in one case. No patient sustained myocardial infarction, stroke or TIA during the procedure or hospital stay. During a mean clinical follow-up of 16+/-7.3 months (range 5-25) there were no neurological events. On sonographic follow-up, no patient presented in-stent de novo stenosis.Carotid angioplasty with cerebral protection can be performed safely in radiation-induced carotid stenosis with a high technical success rate. With the recent innovations and improvements in angioplasty technique, its indications and results will have to be redefined. Given the complexity and complications of surgical approaches for this condition, and the encouraging results obtained with endovascular techniques, carotid angioplasty emerges as the preferred treatment option.

Stroke

Carotid stenting

10.1179/016164105x25333

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Variación de la técnica de compresión manual guiada por ultrasonido (CMGU) en el tratamiento del pseudoaneurisma femoral gigante. Reporte de caso

Revista Argentina de Radiología / Argentinian Journal of Radiology (2007)

Pablo Angelani I. Hernández-Lahoz Ortiz Ángel Ferrario Carlos Miranda Marta Kura

Purpose: To present a case report of a iatrogenic femoral pseudoaneurysm treated by means of percutaneous punction and ultrasound guided compression. Mater...

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O-037 One-year follow-up of the eShunt® System for the treatment of normal pressure hydrocephalus

Pedro Lylyk Charles Matouk Adnan H. Siddiqui Howard A. Riina Iván Lylyk

Normal pressure hydrocephalus

10.1136/jnis-2024-snis.37

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