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MAY 2018 AJNR VOLUME 39 • PP 797–992 MAY 2018 THE JOURNAL OF DIAGNOSTIC AND VOLUME 39 INTERVENTIONAL NEURORADIOLOGY NUMBER 5 WWW.AJNR.ORG Current status of vertebroplasty and kyphoplasty Treatment of giant aneurysms with Tubridge flow diverter Ear malformations in 22q11.2 deletion syndrome Official Journal ASNR • ASFNR • ASHNR • ASPNR • ASSR Low-profile Visualized Intraluminal Support Stent Deployment. Refined. Braided Coil Assist Stents with High Neck Coverage, Excellent Visibility and Improved Conformability* Aneurysm Therapy Solutions For more information or a product demonstration, contact your local MicroVention representative: MicroVention Worldwide Innovation Center PH +1.714.247.8000 35 Enterprise *Humanitarian Device: Authorized by Federal Law for use with bare platinum Aliso Viejo, CA 92656 USA embolic coils for the treatment of unruptured, wide neck (neck ≥ 4 mm or dome to neck ratio < 2), intracranial, saccular aneurysms arising from a parent MicroVention UK Limited PH +44 (0) 191 258 6777 vessel with a diameter ≥ 2.5 mm and ≤ 4.5 mm. The effectiveness of this device MicroVention Europe, S.A.R.L. PH +33 (1) 39 21 77 46 for this use has not been demonstrated. MicroVention Deutschland GmbH PH +49 211 210 798-0 microvention.com MICROVENTION and LVIS are registered trademarks of MicroVention, Inc. • Refer to Instructions for Use, contraindications and warnings for additional information. Federal (USA) law restricts this device for sale by or on the order of a physician. ©2018 MicroVention, Inc. Jan. 2018 Now you have 24 hours to make a lifetime of difference in stroke patients like Nora The Trevo Retriever is the only device cleared to reduce disability in stroke patients up to 24 hours from time last seen well. For more information, visit strykerneurovascular.com/trevo24hours Copyright © 2018 Stryker AP002078 v1.0 Not for sale within the territory States Not for of the United VISIBLE ADAPTABILITY DERIVO® Embolisation Device • Very good visibility • Excellent navigation and precise positioning • BlueXide® surface • Low level artefacts on MRI www.acandis.com A Complete Coil Portfolio MicroVention’s comprehensive portfolio features clinically proven Aneurysm Hydrogel coils, which can be used exclusively or in combination Therapy with our trusted Platinum coils to treat a wide range of aneurysms Solutions and neurovascular lesions. Breakthrough Hydrogel Technology • Less Recurrence • Less Retreatment • More Progressive Occlusion Compared to platinum coils with comparable safety1 REFERENCES: 1. Taschner et al. Second-Generation Hydrogel Coils for the Endovascular Treatment of Intracranial Aneurysm; A Randomized Controlled Trial. 2018;49:00-00. DOI:10.1161/ STROKEAHA.117.018707 INDICATIONS FOR USE: The HydroCoil® Embolic System (HES) and MicroPlex® Coil System (MCS) are intended for the endovascular embolization of intracranial aneurysms and other neurovascular abnormalities such as arteriovenous malformations and arteriovenous fistulae. The HES and MCS are also intended for vascular occlusion of blood vessels within the neurovascular system to permanently obstruct blood flow to an aneurysm or other vascular malformation and for arterial and venous embolizations in the peripheral vasculature. The device should only be used by physicians who have undergone pre-clinical training in all aspects of HES/MCS procedures as prescribed by MicroVention. MicroVention Worldwide For more information or a product demonstration, Innovation Center PH +1.714.247.8000 contact your local MicroVention representative: 35 Enterprise Aliso Viejo, CA 92656 USA MicroVention UK Limited PH +44 (0) 191 258 6777 MicroVention Europe, S.A.R.L. PH +33 (1) 39 21 77 46 MicroVention Deutschland GmbH PH +49 211 210 798-0 microvention.com MICROVENTION, MicroPlex and HydroCoil are registered trademarks of MicroVention, Inc. • Refer to Instructions for Use, contraindications and warnings for additional information. Federal (USA) law restricts this device for sale by or on the order of a physician. ©2018 MicroVention, Inc. Jan. 2018 Bending expectations of conformability and stability. Enhanced conformability – The hybrid cell structure is designed to enhance stent opening and conformability in bifurcations and tight curves. Ease of use – All sizes of the Neuroform Atlas Stent are deliverable through Excelsior® SL-10 ® and Excelsior XT-17™ Microcatheters. Higher deployment accuracy – The Neuroform Atlas Stent is designed to have very low foreshortening, which enables very high deployment accuracy. The Neuroform Atlas Stent System is authorized under a Humanitarian Device Exemption (HDE). Copyright © 2017 Stryker IRB approval is required prior to use. AP001839 v1.0 | Page 1 of 2 AJNRAMERICAN JOURNAL OF NEURORADIOLOGY 2017 LUCIEN LEVY BEST RESEARCH ARTICLE AWARD WINNER AND NOMINEES NAMED This award is named for the late AJNR Senior Editor who championed its establishment and recognizes the best original research paper accepted in 2017. The winning paper was published electronically on April 27, 2017 and appeared in the June print issue. It was selected by a vote of the Journal’s Editor-in-Chief and Senior Editors. The Editors of AJNR are pleased to announce the annual Lucien Levy Best Research Article Award has been presented to “ Synthetic MRI for Clinical Neuroimaging: Results of the Magnetic Resonance Image Compilation (MAGiC) Prospective, Multicenter, Multireader Trial” by L.N. Tanenbaum, A.J. Tsiouris, A.N. Johnson, T.P. Naidich, M.C. DeLano, E.R. Melhem, P. Quarterman, S.X. Parameswaran, A. Shankaranarayanan, M. Goyen, and A.S. Field Other nominated papers were: " Understanding Angiography-Based Aneurysm Flow Fields through Comparison with Computational Fluid Dynamics" by J.R. Cebral, F. Mut, B.J. Chung, L. Spelle, J. Moret, F. van Nijnatten, and D. Ruijters " Apparent Diffusion Coefficient Histograms of Human Papillomavirus–Positive and Human Papillomavirus–Negative Head and Neck Squamous Cell Carcinoma: Assessment of Tumor Heterogeneity and Comparison with Histopathology" by T. de Perrot, V. Lenoir, M. Domingo Ayllón, N. Dulguerov, M. Pusztaszeri, and M. Becker " Risk Factor Analysis of Recanalization Timing in Coiled Aneurysms: Early versus Late Recanalization" by J.P. Jeon, Y.D. Cho, D.H. Yoo, J. Moon, J. Lee, W.-S. Cho, H.-S. Kang, J.E. Kim, and M.H. Han "Prediction of IDH1-Mutation and 1p/19q-Codeletion Status Using Preoperative MR Imaging Phenotypes in Lower Grade Gliomas" by Y.W. Park, K. Han, S.S. Ahn, S. Bae, Y.S. Choi, J.H. Chang, S.H. Kim, S.-G. Kang, and S.-K. Lee " MR Elastography Analysis of Glioma Stiffness and IDH1-Mutation Status" by K.M. Pepin, K.P. McGee, A. Arani, D.S. Lake, K.J. Glaser, A. Manduca, I.F. Parney, R.L. Ehman, and J. Huston III " Multiparametric Analysis of Permeability and ADC Histogram Metrics for Classification of Pediatric Brain Tumors by Tumor Grade" by S. Vajapeyam, D. Brown, P.R. Johnston, K.I. Ricci, M.W. Kieran, H.G.W. Lidov, and T.Y. Poussaint We’re Inside Every Great Neuroradiologist! Join the leaders in neuroradiology today! Learn more at www.asnr.org/join 800 Enterprise Dr., Suite 205, Oak Brook, IL 60523 • (630)574-0220 • [email protected] • www.asnr.org 52nd Annual Meeting | American Society of Head & Neck Radiology The Westin Savannah Harbor Golf Resort & Spa Savannah, GA September 26 - 30, 2018 Please contact Educational Symposia at 813-806-1000 or [email protected] or visit www.ASHNR.org for additional information. Neuroform Atlas™ Stent System • Standard interventional devices with distal tips > 1.8 F may not be able to • Discontinue use of microcatheter for infusion if increased resistance is to injury, illness or death of the patient. pass through the interstices of the stent. noted. Resistance indicates possible blockage. Remove and replace blocked • After use, dispose of product and packaging in accordance with hospital, See package insert for complete indications, contraindications, microcatheter immediately. DO NOT attempt to clear blockage by over- warnings and instructions for use. • Safety of the Neuroform Atlas Stent System in patients below the age of 18 administrative and/or local government policy. has not been established. pressurization. Doing so may cause the microcatheter to rupture, resulting in • These devices are intended for use only by physicians trained in Humanitarian Device. Authorized by Federal law for use with • In cases where multiple aneurysms are to be treated, start at the most vascular damage or patient injury. performing endovascular procedures. neurovascular embolic coils in patients who are ≥ 18 years of age for distal aneurysm first. • Do not exceed 2,070 kPa (300 psi) infusion pressure. Excessive pressure • Limited testing has been performed with solutions such as contrast the treatment of wide neck, intracranial, saccular aneurysms arising could dislodge a clot, causing thromboemboli, or could result in a ruptured from a parent vessel with a diameter of ≥ 2 mm and ≤ 4.5 mm that are MAGNETIC RESONANCE IMAGING (MRI) media, saline and suspended embolic particles. The use of these catheters microcatheter or severed tip, causing vessel injury. for delivery of solutions other than the types that have been tested for not amenable to treatment with surgical clipping. Wide neck aneurysms Safety Information Magnetic Resonance Conditional are defined as having a neck ≥ 4 mm or a dome-to-neck ratio < 2. The CAUTIONS / PRECAUTIONS compatibility is not recommended. Do not use with glue or glue mixtures. effectiveness of this device for this use has not been demonstrated. Non-clinical