Alexander Romagna

Dr. Alexander Romagna

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Research Focus & Metrics

Academic Career Length

12Years (2015-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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23 August 2015 in Acta Neurochirurgica
Verified
Journal Article
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CSChristoph Schwartz
Christoph Schwartz
ARAlexander Romagna
Alexander Romagna
NTNiklas Thon
Niklas Thon
MNMaximilian Niyazi
Maximilian Niyazi
JWJuliana Watson
Juliana Watson
SNSilke Birgit Nachbichler
Silke Birgit Nachbichler

26 January 2023 in The International Journal of Medical Robotics and Computer Assisted Surgery
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Journal Article
Closed access
ARAlexander Romagna
Alexander Romagna
SSSarah Sperker
Sarah Sperker
CLChristianto Lumenta
Christianto Lumenta
ATAndre Tomasino
Andre Tomasino
CSChristoph Schwartz
Christoph Schwartz
DSDavid Schul
David Schul

28 October 2018 in Interventional Neuroradiology
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Journal Article
Closed access
ARAlexander Romagna
Alexander Romagna
BLBarbara Ladisich
Barbara Ladisich
CSChristoph Schwartz
Christoph Schwartz
PWPeter A Winkler
Peter A Winkler
ARAl-Schameri Abdul Rahman
Al-Schameri Abdul Rahman
Background: The rate of intracranial aneurysm remnants/recurrences after microsurgical clipping varies widely. The optimal management for these patients remains a matter of debate. Repeat surgery in particular bears a high risk of periprocedural complications due to anatomical distortion from prior procedures. This study aims to evaluate the risk–benefit profile of flow-diverter stents in these patients. Methods: The patient database of our neurovascular centre was queried to identify patients with clipped aneurysms who subsequently underwent endovascular treatment with intraluminal flow-diverter stents. The outcome analysis consisted of an assessment of clinical parameters (modified Rankin scale) and the post-interventional angiographic occlusion status (according to the Raymond–Roy occlusion classification). Results: Six patients underwent endovascular treatment with flow-diverter stents of recurrent aneurysms after clipping. Treatment was necessary in two patients due to progressive neurological deficits, and due to angiographic proof of an increasing aneurysm size in the other four patients. Median aneurysm size was 0.45 cm. All patients had a prior history of subarachnoid haemorrhage. The time from primary clipping to recurrence was 10.6 years. Complete radiological aneurysm occlusion was feasible in five out of six cases. Two patients who had experienced pre-interventional neurological deficits showed a complete remission of symptoms on last follow-up. No periprocedural morbidity or mortality was recorded and no patient required retreatment within the median follow-up. Conclusion: This case series suggests that endovascular treatment with flow-diverter stents of aneurysm remnants after previous microsurgical clipping is a feasible treatment concept with a low-risk profile, which might prevent the treatment burden and risks of repeat surgery.

13 August 2024 in Acta Neurochirurgica
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Journal Article
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ARAlexander Romagna
Alexander Romagna
JLJens Lehmberg
Jens Lehmberg
MMMichael Meier
Michael Meier
MSMichael Stelzer
Michael Stelzer
ARArwin Rezai
Arwin Rezai
CSChristoph Schwartz
Christoph Schwartz

29 September 2021 in Child's Nervous System
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Journal Article
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ARAlexander Romagna
Alexander Romagna
FPFabian Potthast
Fabian Potthast
MSMarc-Matthias Steinborn
Marc-Matthias Steinborn
SBStefan Burdach
Stefan Burdach
JLJens Lehmberg
Jens Lehmberg

21 May 2024 in Acta Neurochirurgica
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Journal Article
Closed access
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ARAlexander Romagna
Alexander Romagna
AEAlbert Eckert
Albert Eckert
FSFlorian Scherg
Florian Scherg
KRKathrin Rothe
Kathrin Rothe
MMMichael Meier
Michael Meier
CSChristoph Schwartz
Christoph Schwartz