Page 48 - WNS 2022 E-Program Booklet

Scientific Session V
Complex Aneurysm Treatment

Arjun Pendharkar MD, Stanford University
Intracranial aneurysms continue to present a technical challenge for the cere-
brovascular neurosurgeon. The advent of novel flow diverting stents and en-
dosaccular flow disruptors combined with improvements in catheter design
allowing more distal intervention has significantly widened the array of treat-
ment options beyond simple coiling for aneurysms. Similarly, supplemented by
ongoing innovation in microsurgical techniques including cerebral bypass,
there are many reconstructive options for complex aneurysms beyond simple
clipping. This presentation aims to provide a broad overview of the microsurgi-
cal and endovascular treatments options available for anterior and posterior
circulation complex aneurysms.

Stroke Thrombectomy: Current indications and Results
Phil Taussky, MD, Beth Israel Deaconess Medical Center, Boston

Stroke thrombectomy has been described as the procedure of the century with
a current number to treat of 2.5 to prevent one death/disability from an acute
large vessel occlusion. It proves to have a much lower NNT number than
STEMI, which was previously seen as one of the most efficacious procedures,
which has a NNT of 13. Additionally, indications for stroke thrombectomy wid-
en in terms of time window (up to 24 hours), age, co-morbidities, size of core
infarct and penumbra as well as many other factors. As a result, acute stroke
has become a surgical disease to a large degree. In this talk, the latest litera-
ture on stroke thrombectomy including indications and results are being
reviewed for the audience.

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