Article ; Online: Endovascular treatment of 346 middle cerebral artery aneurysms: results of a 16-year single-center experience.
2015 Volume 76, Issue 1, Page(s) 54–60; discussion 60–1
Abstract: Background: The endovascular treatment of middle cerebral artery (MCA) aneurysms has been controversial because of the frequency of complex anatomy and the relative ease of surgical clipping in this location.: Objective: To present a large single- ... ...
| Abstract | Background: The endovascular treatment of middle cerebral artery (MCA) aneurysms has been controversial because of the frequency of complex anatomy and the relative ease of surgical clipping in this location. Objective: To present a large single-center experience with the endovascular treatment of MCA aneurysms. Methods: The neurointerventional database at our institution was reviewed for all endovascular treatments of MCA aneurysms. Demographics, aneurysm characteristics, treatment modality, intraprocedural hemorrhagic and thromboembolic events, 30-day neurological events, and follow-up angiographic studies were recorded. Results: From December 1996 to April 2013, 292 patients underwent endovascular treatment of 346 MCA aneurysms. Of these, 341 (98.6%) were successfully completed. Balloon neck remodeling was used in 230 procedures (66.5%). Ninety-five procedures (27.4%) were for ruptured aneurysms. The rate of intraprocedural hemorrhage was 2.6% (9 of 346). The overall rate of intraprocedural thromboembolic events was 13.6% (47 of 346), significantly more common in patients with acute subarachnoid hemorrhage (27.4%; P < .001). The 30-day major (modified Rankin Scale score > 2) neurological event rate was 2.9% (10 of 346), significantly more common in patients with subarachnoid hemorrhage (8.4%) compared with those without (0.8%; P < .001). The rate of complete or near-complete aneurysm occlusion at was 90.6% ≥ 6 months and 91.8% at ≥ 2 years, with an average of 24 months of follow-up available for 247 procedures. Conclusion: Endovascular treatment of MCA aneurysms can be safe and effective. However, it is associated with a high asymptomatic thromboembolic event rate that is more frequent in the setting of acute subarachnoid hemorrhage. |
||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| MeSH term(s) | Aneurysm, Ruptured/complications ; Aneurysm, Ruptured/therapy ; Embolization, Therapeutic/adverse effects ; Endovascular Procedures/adverse effects ; Female ; Follow-Up Studies ; Humans ; Intracranial Aneurysm/complications ; Intracranial Aneurysm/therapy ; Male ; Middle Aged ; Retrospective Studies ; Stents ; Subarachnoid Hemorrhage/epidemiology ; Subarachnoid Hemorrhage/therapy ; Thromboembolism/epidemiology ; Thromboembolism/therapy ; Treatment Outcome | ||||||||||
| Keywords | covid19 | ||||||||||
| Language | English | ||||||||||
| Publishing date | 2015-01 | ||||||||||
| Publishing country | United States | ||||||||||
| Document type | Journal Article | ||||||||||
| ZDB-ID | 135446-2 | ||||||||||
| ISSN | 1524-4040 ; 0148-396X | ||||||||||
| ISSN (online) | 1524-4040 | ||||||||||
| ISSN | 0148-396X | ||||||||||
| DOI | 10.1227/NEU.0000000000000562 | ||||||||||
| Shelf mark |
|
||||||||||
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
More links
Kategorien
In stock of ZB MED Cologne/Königswinter
| Zs.A 1424: Show issues | Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG) |
|||
| Zs.MO 539: Show issues |
Order via subito
This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.