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- 저자 : Ezequiel Garcia-Ballestas (검색결과 3 건)
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William A Florez,Ezequiel Garcia-Ballestas,Gabriel Alexander Quiñones-Ossa,Tariq Janjua,Subhas Konar,Amit Agrawal,Luis Rafael Moscote-Salazar 대한신경중재치료의학회 2021 Neurointervention Vol.16 No.3
Flow diverters have become a critical instrument for complex aneurysms treatment. However, limited data are currently available regarding short and long-term outcomes for the Silk flow diverter. The objective of the study is to determine neurological prognosis and mortality rates for the Silk flow diversion device used in intracranial aneurysms. A systematic review with meta-analysis was performed using databases. The following descriptors were used for the search: “SILK”, “Flow Diverter”, “Mortality”, and “Prognosis”. The following data were extracted: mortality, good functional outcome, Glasgow outcome scale, complete or near-complete occlusion rates, rate of retreatment, and complications (thromboembolic and hemorrhagic complications). A total of 14 studies were selected. Among the 14 studies, 13 were retrospective observational cohort studies and 1 was a prospective observational cohort study. The mortality rate was 2.84%. The clinical good outcomes rate was 93.3%. The poor outcome rate was 6.6%. The overall thromboembolic complication rate was 6.06% (95% confidence interval [CI] 0.00–6.37, P=0.12, I2=3.13%). The total hemorrhagic complication rate was 1.62% (95% CI 0.00–5.34, P=0.28, I2=1.56%). The complete aneurysm occlusion rate was 80.4% (95% CI 8.65–9.38, P<0.0001, I2=9.09%). The Silk diverter device has a good safety and efficacy profile for treating intracranial aneurysms with high complete occlusion rates.
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Re: Comparison of the Surgical Approaches for Frontal Traumatic Intracerebral Hemorrhage
( Luis Rafael Moscote-salazar ),( Ezequiel Garcia-ballestas ),( Pradeep Chouksey ),( Amit Agrawal ) 대한외상학회 2020 大韓外傷學會誌 Vol.33 No.1
Dear editor, in an interesting article, Park et al. [1] report their experience with minimally invasive surgery for the management of frontal traumatic intracranial hematomas. We all know that cerebral contusions are dynamic lesions and the size of the lesions and peri-lesional edema can increase over a period of time. The management of these lesions not only aims to remove radiologically visible lesions (parenchymal hematoma and/or contused brain), but also to reduce the intracranial pressure. The literature suggests that techniques that require minimal access may not be a good option in non-elderly patients if the size of the contusion is moderate or massive or follow-up imaging suggests an increase in lesion size [2]. Thus, it is important that while planning the evacuation of these lesions, we should make sure that there will also be a sufficient reduction in intracranial pressure [2]. Additionally, as an alternative to the burr hole as a minimally invasive approach, trephination has been suggested as a surgical procedure that can be used to evacuate intracerebral hematoma, particularly in elderly patients [3]. We suggest that if the surgical approach presented by Park et al. [1] could be supplemented with intracranial pressure monitoring to show that the minimally invasive approach is safe and effective for evacuating the intracerebral hematoma/ contusion and also reduces the intracranial pressure, then it will be a good adjunct in the neurosurgical armamentarium.
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Obesity and Stroke: Does the Paradox Apply for Stroke?
Quiñones-Ossa Gabriel A,Lobo Carolina,Garcia-Ballestas Ezequiel,Florez William A,Moscote-Salazar Luis Rafael,Agrawal Amit 대한신경중재치료의학회 2021 Neurointervention Vol.16 No.1
Historically, obesity has been identified as one of the most important risk factors for developing cardiovascular diseases including stroke; however, a theory called “The Obesity Paradox” has been recently considered. The paradoxical theory is that obese or overweight patients (according to body mass index score) can have better outcomes compared to leaner or malnourished patients. The paradox was initially discovered in patients with heart failure. The purpose of this manuscript was to investigate whether this paradox also applies to stroke patients, according to information available in the current literature.
ScienceON
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