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Efficacy and Safety of Flow-Diverter Therapy for Recurrent Aneurysms after Stent-Assisted Coiling [INTERVENTIONAL]

BACKGROUND AND PURPOSE:

Flow-diverter treatment for previously stented aneurysms has been reported to be less effective and prone to complications. In this study, we evaluated the effectiveness and safety of flow diverters for recurrent aneurysms after stent-assisted coiling.

MATERIALS AND METHODS:

Patients who underwent flow-diverter placement for recurrent aneurysms after stent-assisted coiling between March 2015 and March 2019 were recruited. Clinical and radiographic characteristics and clinical and angiographic outcomes were retrospectively evaluated.

RESULTS:

Among 133 patients who underwent flow-diverter insertion, 17 (male/female ratio = 5:12; mean age, 53.8 years) were treated for recurrent aneurysms after stent placement with (n = 16) or without (n = 1) coiling. Eight patients initially presented with subarachnoid hemorrhage; 7, with headache; and 2, with visual field defects. Angiographic morphology included large/giant saccular in 12 patients, dissecting in 2, fusiform in 1, traumatic pseudoaneurysm in 1, and ruptured blood blister-like aneurysm in 1. The duration between the first treatment and flow-diverter placement ranged from 2 weeks to 15 months (median, 6 months). Flow-diverter placement was successful in all cases without any complications. All patients had favorable outcomes (mRS, 0–2), without any newly appearing symptoms. Aneurysms were followed up with conventional angiography at least once in 6–18 months. Sixteen aneurysms showed complete occlusion, and 1 aneurysm was enlarged.

CONCLUSIONS:

Results from this case series investigating flow-diverter placement for recurrent aneurysms after stent-assisted coiling suggested that the procedure is safe and effective. Further study in a larger population may be warranted.




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Advice for Businesses and Individuals participating in 2015 Property Market

With many years of experience in field of real estate, Mr. Le Xuan Truong- CEO of Batdongsan.com.vn has shared very useful advice for those who intend to take part in this market in 2015.




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Shounen-y punch 'em up Indivisible now has a DLC with 40 new challenges

If you didn’t feel challenged enough by Indivisible‘s main platforming and punching campaign, here’s some good news for ya. Lab Zero have released a new DLC for their turn-ish-based RPG today that promises the “forty specially crafted levels await to test your platforming and combat skills.” The Razmi’s Challenges DLC is available now, so you […]




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RPGCast – Episode 330: “Divorce Chocobo”

Chris tries to get Anna to marry him in FFXIV. Alex tries to get pricing parity between the EU and the US. Disgaea gets desperate....




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Obesity is linked to gut microbiota disturbance, but not among statin-treated individuals

Scientists set out to investigate a potential role of the gut microbiota in the development of cardio-metabolic diseases. They ended up identifying the common cholesterol-lowering drug statins as a potential microbiota-modulating therapeutic.




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Dangerous Lies review – diverting yet dopey Netflix thriller

A ridiculously titled film about a couple who stumble upon a stash of money is absurd and cliched but mostly entertaining

One of the most surprising reveals of last October’s unprecedented Netflix data dump was the astounding popularity of cheap psycho-thriller Secret Obsession. While the streamer proudly touted new films from Alfonso Cuarón, Paul Greengrass and the Coens in the same period, it was a no-star, dim-plotted slab of schlock that netted more viewers, with an estimated 40m households eager to find out just how secret that obsession really was. Modelled after a Lifetime TV movie (with a Lifetime TV director at the helm), it was an important victory for Netflix because it revealed a substantial audience for tiny-budgeted thrillers with generic titles, a bracket they could easily fill at little expense.

Related: The Half of It review – charming Netflix teen comedy takes on Cyrano

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Lockdown-affected 'Divyangjan': MP NGO writes to CJI for help




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Hayley Williams entered rehab after Chad Gilbert divorce

Openly discussing her mental health has also helped Williams understand why she rushed to the altar with Gilbert.




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Ray J's wife files for divorce

Princess Love filed legal documents in Los Angeles on Thursday, according to The Blast.





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Businesses must promote diversity – not just because it's good for the bottom line | Tim Ryan

Too many of America’s workplaces are not representative of our communities. In a divided country, we have a duty to advance diversity and inclusion

We’re living in a country of growing division and tension, and it’s having an impact at work. But it’s often the case that when we walk into the office – where we spend the majority of our time – we don’t address these issues.

And yet there’s so much to talk about – from growing societal inequality and America’s racial divide to single-digit minority representation in corporate America. (Just 1% of the nation’s Fortune 500 CEOs are black, only 4% are women, and even fewer are openly gay).

Continue reading...




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To err is human, to learn, divine

New research describes a new model for how the brain interprets patterns in complex networks. They found that the ability to detect patterns stems in part from the brain's desire to represent things in the simplest way possible and that the brain is constantly weighing the pressures of complexity and simplicity when making decisions.




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Seahorse and pipefish study opens window to marine genetic diversity

The direction of ocean currents can determine the direction of gene flow in rafting species, but this depends on species traits that allow for rafting propensity. This is according to a study focusing on seahorse and pipefish species. And it could explain how high genetic diversity can contribute to extinction in small populations.




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Individualized mosaics of microbial strains transfer from the maternal to the infant gut

Researchers have used a microbiome 'fingerprint' method to report that an individualized mosaic of microbial strains is transmitted to the infant gut microbiome from a mother giving birth through vaginal delivery. They detailed this transmission by analyzing existing metagenomic databases of fecal samples from mother-infant pairs, as well as analyzing mouse dam and pup transmission in a germ-free, or gnotobiotic, mouse model, where the dams were inoculated with human fecal microbes.




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'Bi-national' divorce gets easier in parts of EU

European Union governments gave 14 states the go-ahead on Monday to simplify divorce rules for couples of different nationalities.




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Wall Street Week Ahead: U.S. data deluge to underscore divide between roaring market, plunging economy

A week packed with U.S. economic data is likely to provide investors with more evidence of the extent to which the coronavirus pandemic has hit growth, sharpening the debate on whether a rebound in stocks has been justified amid an unprecedented slowdown.




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UK weather forecast: Temperatures nosedive on Easter Monday as Brits thanked for staying home during coronavirus lockdown

Follow our live coronavirus updates HERE Coronavirus: the symptoms




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You Clap For Me Now: Poem celebrating diversity of coronavirus frontline workers prompts outpouring of support

Coronavirus: the symptoms Read our LIVE updates on the coronavirus here




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Prince Charles says humans are 'rapidly destroying' biodiversity as he urges care on Earth Day

Prince Charles has warned we are "rapidly destroying" biodiversity across the planet.




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Microplastic pollution crisis threatens biodiversity 'more than is currently recognised', research shows

Microplastics pollution is causing disruption and behavioural changes among hermit crab populations, researchers have claimed.





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Into the abyss: The diving suit that turns men into fish

Humans have proven themselves remarkably adept at learning to do what other animals can do naturally. We have taught ourselves to fly like birds, climb like monkeys and burrow like moles. But the one animal that has always proven beyond our reach is the fish.




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Princess Love Officially Files For Divorce From Ray J

After months of talk that Ray J and his wife Princess Love were doing all that they could to reconcile their relationship, it’s being reported that they’re headed to a permanent split. The pair first shared their troubles last year after Princess Love told the world on social media that her husband “abandoned” her while […]

The post Princess Love Officially Files For Divorce From Ray J appeared first on Chart Attack.




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Apple borrows on the cheap to fund buybacks, dividends

Apple capitalized on the Federal Reserve's emergency measures in response to the coronavirus outbreak to issue its cheapest bonds in year




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Outer Banks Deep-Dive: Your Guide to Netflix's Hottest New Cast

Confession: we are all about that Pogue life this summer. Wait, you don't know what that means? Gosh, you are a total Kook. In case you are the proverbial nerd that fell asleep first...





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Gogglebox divides viewers after stars mock Boris Johnson following coronavirus recovery

'Why so much anti-Boris clips in a time when the country should be united?'





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Ovie Soko's new lockdown haircut leaves fans divided

Like many, Ovie Soko has staved off lockdown boredom by getting rid of his hair




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Gemma Collins breaks down as dream house purchase falls through in Diva on Lockdown

The episode also saw the star close her shop as the pandemic took hold




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Maldives government builds luxury coronavirus quarantine resort

Luxury self-isolation




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Alternative honeymoons: 10 destinations that aren't the Maldives

​Use this enforced downtime to dream up your perfect honeymoon. Stay home and start planning, says Suzannah Ramsdale




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Divorce, solo parenting and crowded flatshares: 5 tales of self-isolation around the capital

From the now-trapped together couple who had just decided to divorce, to a cramped houseshare of ten people... Londoners on their new lockdown lives




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Meet the Hoteliers: Abhishek Sharma runs the original barefoot luxury hotel in the Maldives

From a road trip along Spain's Costa Brava to the rolling tea fields of Munnar in India, Soneva Fushi's general manager shares his post-pandemic travel wishlist




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Chelsea keep Stamford Bridge open for individual training during government lockdown

Marco van Ginkel has revealed local Chelsea players remain able to train at Stamford Bridge, although the club insist on individual sessions only.




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Hakim Ziyech set to seal Chelsea transfer on July 1 as Eredivisie is cancelled

Hakim Ziyech will be free to join Chelsea without delay this summer after the Eredivisie season was cancelled.




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Eredivisie cancelled: No title for Ajax with no promotion or relegation from Dutch football's top league

The 2019/20 Eredivisie season has been cancelled, meaning Duch league leaders Ajax will miss out on the title.




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Eredivisie cancelled: Why this is bad news for Liverpool ahead of Premier League decision

The Eredivisie season has been cancelled, with the title, relegation out of and promotion into the league scrapped.




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Coronavirus sport news LIVE: Eredivisie cancelled, cricket season delayed until July, Champions League latest

Welcome to the Evening Standard's LIVE coverage as the coronavirus crisis continues to heavily impact sport across the globe.




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Edwin van der Sar reflects as Eredivisie cancellation ends Ajax title hopes

Ajax CEO Edwin van der Sar has admitted to his disappointment after the Eredivisie was cancelled on Friday, meaning his side will not be awarded the title.




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Liverpool should sign Timo Werner because he's 'a little bit better' than Divock Origi, says Phil Thompson

Liverpool legend Phil Thompson has backed calls for his former club to sign RB Leipzig striker Timo Werner.




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Alan Pardew denies receiving bonus as ADO Den Haag avoid relegation due to Eredivisie cancellation

Alan Pardew insists he will not take a bonus from ADO Den Haag after the Dutch outfit avoided relegation from the Eredivisie.




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Alan Pardew leaves ADO Den Haag after just four months as manager following Eredivisie cancellation

ADO Den Haag have announced that Alan Pardew and his coaching team have left the club by mutual consent after four months in charge.




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Spanish clubs given green light to return to individual training with LaLiga committed to finishing season

Spanish clubs have been given the green light to return to individual training next week by prime minister Pedro Sanchez.




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Liverpool only need 'a better Divock Origi' this summer, says Jamie Carragher

Liverpool legend Jamie Carragher believes signing "a better Divock Origi" is the top priority for his former club when the summer transfer window opens.




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Divock Origi responds to Liverpool transfer speculation and talks development under Jurgen Klopp

Divock Origi has insisted that he still sees his future at Liverpool, despite suggestions that he could be jettisoned to make way for attacking reinforcements this summer.




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Outer Banks Deep-Dive: Your Guide to Netflix's Hottest New Cast

Confession: we are all about that Pogue life this summer. Wait, you don't know what that means? Gosh, you are a total Kook. In case you are the proverbial nerd that fell asleep first...




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Harvard didn’t divest from fossil fuels. So what does its ‘net-zero’ pledge mean?

Harvard has a new net-zero by 2050 plan for its endowment. But it’s not yet clear what it will entail, and whether the school will be able to fulfill it.




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Early scuba diver's diaries provide new historical view of ocean

Researchers uncover long-term patterns in Sydney's underwater ecosystem from illustrated diaries made by a 1950s scuba diver.




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Treatment for Diverticulitis -- updated ASCRS Guidelines published in Diseases of the Colon & Rectum

Reflecting research-driven changes in clinical practice, a revised set of evidence-based recommendations for the medical and surgical treatment of left-sided colonic diverticulitis has been published in Diseases of the Colon & Rectum (DC&R), the official journal of the American Society of Colon and Rectal Surgeons (ASCRS). The journal is published by Wolters Kluwer.