Associazione Italiana di Neuroradiologia
The Neuroradiology Journal
Interventional Neuroradiology
European Society of Neuroradiology
The World Federation of Neuroradiological Societies
National Stroke Association
Deutsche Gesellschaft für Neuroradiologie
Sociedad Iberolatino Americana de Neuroradiolagia
Société Française de Neuroradiologie
Sociedad Española de Neurorradiología
Sociedade Portuguesa de Neurorradiologia
Indian Society of Neuroradiology
American Society of Neuroradiology
American Journal of Neuroradiology
American Society of Interventional & Therapeutic Neuroradiology
American Society of Pediatric Neuroradiology
MGH Interventional Neuroradiology
The Western Neuroradiological Societies
American Association of Neurological Surgeons
Federazione delle Società Medico Scientifiche Italiane
PubMed
Agenzia per i Servizi Sanitari Regionali
Istituto Superiore di Sanità
Unione Nazionale Medico Scientifica d'Informazione
Accademia Nazionale di Medicina
The Lancet
Società Italiana per lo Studio dello Stroke
Aneurisma non rotto stimato intorno ai 5mm di larghezza, a largo colletto (4-6mm) della comunicante anteriore. Nella sacca aneurismatica vengono introdotte spirali sfericoidali di misura decrescente dai 6mm ai 3mm. L'aneurisma viene completato con 2 spirali elicoidali del diametro di 2mm.
In questo caso la "Russian Doll Technique" aiuta il trattamento di un aneurisma a colletto largo senza l'utilizzo di alcun sistema di remodelling.
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Il caso tratta l'embolizzazione di un aneurisma di 6mm con colletto di 3mm dell'arteria ipofisiale superiore destra in una donna di 64 anni. Il caso è un significativo esempio di "Russian Doll Technique" nel quale l'aneurisma viene trattato esclusivamente con spirali bioattive dalla conformazione sfericoidale. Sono state introdotte nella sacca aneurismativa 11 spirali, partendo da una misura di 6mm fino ad arrivare ad una misura di 2mm.
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Lo studio ISAT è considerato il riferimento clinico assoluto per la terapia degli aneurismi rotti intracranici. Randomizzato e multicentrico, lo studio raffronta i risultati della terapia endovascolare con il trattamento neurochirurgico in 2143 pazienti affetti da emorragia subaracnoidea.
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L. Candelise, G. Micieli, R. Sterzi and A. Morabito
PROSIT (research PROject on Stroke services in ITaly) is a study performed to evaluate number and work organisation of acute in-hospital services (stroke units, SU) and general wards (GW), in seven Italian regions (Liguria, Lombardia, Lazio, Veneto, Friuli-Venezia-Giulia, Emilia Romagna, Toscana), which have a population of 29 169 811 inhabitants and a relative ratio of 225/100 000 hospitalisations for acute stroke. The registers of hospital discharges from January to December 1999 were looked at identify to services recording at least 50 acute stroke discharges (DRG14) per year. A structured questionnaire investigating stroke service characteristics was submitted to the doctors in charge of the identified units and completed in the presence of an external observer between October 2000 and February 2001. SUs were identified as units with dedicated beds (at least 80%) and team (at least 1 physician and 1 nurse) for acute stroke patients. SUs are still uncommon in many Italian regions because only, as 7% of the wards evaluated were found to be a SU and less than 10% of acute stroke patients resulted to be admitted to a SU. Great heterogeneity was found between the different regions surveyed. The most striking differences between SUs and GW were related to the staffing and care organisation, with higher number/patients ratio in SUs as far as physicians and nurses, speech therapists and social workers were concerned.
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