Direct Impact

Concepts for which Gerard M Debrun has direct influence:

cavernous sinus
intracranial aneurysms
arteriovenous malformations
carotid artery
remodeling technique
detachable balloon
male mice

External impact

Concepts related to the work of other authors for which Gerard M Debrun has influence:

carotid artery
retrograde thrombosis
feeding arteries
cerebral arteriovenous malformations
subarachnoid hemorrhage
cavernous fistula
transcranial doppler

Prominent publications by Gerard M. Debrun

KOL-Index: 37 A series of 54 traumatic carotid-cavernous fistulas has been treated with detachable balloon catheters. The balloon was introduced through one of three different approaches: the endarterial route; the venous route through the jugular vein, the inferior petrosal sinus, and the cavernous sinus; or surgical exposure of the cavernous sinus; with occlusion of the fistula by a detachable balloon ...
Known for
Occluded Balloon | Hemiparesis | Inferior Petrosal Sinus | Minimal Angiographic Leak
KOL-Index: 31 OBJECTIVE: To demonstrate that nidus embolization of brain arteriovenous malformations (AVMs) with Histoacryl (B. Braun, Melsungen, Germany) is effective and yields low morbidity and mortality rates. METHODS: We present a retrospective analysis of 54 brain AVMs treated at the University of Illinois at Chicago from April 1994 to December 1995. Treatment modalities included embolization in all ...
Known for
Embolization Surgical | Resection Radiosurgery | 54 Brain Avms | Effective Technique
KOL-Index: 30 BACKGROUND: Patients with intracranial arteriosclerotic disease have significant morbidity and mortality rates, and some are unresponsive to medical treatment and have unacceptable surgical risks. Percutaneous transluminal angioplasty of the intracranial vessels is a possible alternative to surgery. OBJECTIVES: To present our experience with percutaneous transluminal angioplasty and to ...
Known for
3 Basilar Arteries | Morbidity Rates | Stenosis Angioplasty | Tortuous Vascular Anatomy
KOL-Index: 24 The management of carotid cavernous fistulas (CCFs) depends on their physiopathology. The classification into traumatic and spontaneous CCFs is usually considered obsolete; it is, however, the first question that we ask when a patient with a CCF is referred to us. Knowing that a fistula is traumatic immediately tells us that we have a 95% chance of treating this fistula with a detachable ...
Known for
Fistulas Ccfs | Fistula Traumatic | Knowing History | Management Carotid
KOL-Index: 23 The authors describe a system comprising a small latex balloon attached to a Teflon catheter. The balloon has a distal calibrated leak which is used for intravascular embolization with isobutyl-2-cyanoacrylate. The balloon is easily detached after embolization. The combination of manual control of the balloon-catheter system, plus the ability of the balloon to navigate intra-arterially with ...
Known for
Isobutyl-2-Cyanoacrylate | External Carotid Artery | Small Latex Balloon | Distal Calibrated Leak
KOL-Index: 20 BACKGROUND: More than 200 aneurysms have been coiled at the UIC Medical Center within the last 5 years. We describe in detail the technical factors that increase the chance of complete occlusion of a cerebral aneurysm with coils. Aneurysms selected for coiling have good geometry or are in a location that is difficult to reach surgically. Patients with medical conditions that preclude ...
Known for
Rebled | Aneurysm Morbidity | Rates Morphological | Procedure Dome
KOL-Index: 20 The subarachnoid space continues into the orbit as part of the optic nerve sheath. This space varies in size but is usually tiny. Occasionally, prominent (one case in our experience) enhancement of the optic nerve as part of metrizamide computed tomography (CT) cisternography is seen on transverse and coronal scans presumably because of a patulous optic subarachnoid space. In five cases, we ...
Known for
Enhancement Optic | Sheath Space | Transverse Coronal Scans | Metrizamide Computed Tomography Cisternography
KOL-Index: 18 The transcranial cerebral oximeter is a reliable, low-cost, noninvasive device that provides real-time evaluation of regional brain oxygen saturation during endovascular treatment of cerebrovascular diseases. We discuss three patients with carotid-cavernous fistulae treated by endovascular balloon occlusion, each monitored continuously before, during, and after the procedure with ...
Known for
Oximetry Endovascular | Carotid Cavernous | Occlusion Fistula
KOL-Index: 17 OBJECTIVE: The postangioplasty evaluation of a stenotic vessel is often conducted by studying serial angiograms to determine the anatomic reduction in stenosis. In flow-limiting stenosis, the hemodynamic change that accompanies these anatomic changes is of great importance in evaluating the success of the angioplasty. The purpose of this article is to demonstrate the usefulness of phase ...
Known for
Basilar Artery Flow Rate | Far-Reaching Implications | Noninvasive Method | Stenosis Hemodynamic
KOL-Index: 17 A patient presenting with progressive paraparesis was found to have a spinal arteriovenous fistula at the T3-4 vertebral level. The lesion consisted of a direct communication of the anterior spinal artery with a very distended venous varix that drained mostly superiorly to the posterior fossa and simulated a posterior fossa arteriovenous malformation (AVM) on vertebral angiography. The ...
Known for
Intrinsic Arterial Supply | Enlarged Anterior Spinal Artery | Anterior Transthoracic Approach | Direct Arteriovenous Fistulas

Department of Neuroradiology, Massachusetts General Hospital, Boston, USA

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