Targeted and Staged Treatment for Ruptured Wide-neck Intracranial Aneurysms: Bleb Coiling Strategy as a New Approach.

Autor:	Onay M; Dr. Ersin Arslan Training and Research Hospital, Department of Radiology, Eyüpoğlu Mahallesi, Hürriyet Cd. No:40, 27010 Şahinbey, Gaziantep. Electronic address: mehmetonay079@hotmail.com., Altay CM; Dr. Ersin Arslan Training and Research Hospital, Department of Radiology, Eyüpoğlu Mahallesi, Hürriyet Cd. No:40, 27010 Şahinbey, Gaziantep., Binboga AB; Dr. Ersin Arslan Training and Research Hospital, Department of Radiology, Eyüpoğlu Mahallesi, Hürriyet Cd. No:40, 27010 Şahinbey, Gaziantep.
Jazyk:	angličtina
Zdroj:	Academic radiology [Acad Radiol] 2022 Mar; Vol. 29 Suppl 3, pp. S132-S140. Date of Electronic Publication: 2021 Jun 24.
DOI:	10.1016/j.acra.2021.05.020
Abstrakt:	Rationale and Objective: This study aimed to investigate the feasibility, safety, and efficiency rates of the bleb coiling technique for the treatment of acute ruptured wide-neck bifurcation aneurysm (WBNAs) by comparing it with device-assisted coiling. Materials and Methods: Patients with ruptured WNBAs who underwent endovascular treatment (EVT) were reviewed. The study sample was divided into five groups according to treatment type: bleb coiling, single catheter coiling, balloon-assisted coiling (BAC), neck remodeling mesh-assisted coiling, and stent-assisted coiling (SAC). The feasibility, safety, efficiency and complication rates of the bleb coiling technique were compared with each group. Results: This study included 109 patients with ruptured WNBAs. Bleb coiling was performed in 24 blebs of 20 WNBAs. The mean time interval between initial and complementary treatment in the bleb coiling group was 12.53± 5 .27 weeks (min-max: 4-23 weeks). No rebleeding occurred during this interval time, and no mortality or new permanent neurologic deficit caused by the bleb coiling technique was noted. The bleb coiling technique had a lower complication rate than other techniques (p <0.05). Conclusion: The bleb coiling strategy led to favourable clinical outcomes with low complication rates and it can be considered as an alternative treatment option at acute phase of SAH in the endovascular treatment of ruptured WBNAs with coilable-bleb. Competing Interests: Conflict of interest The authors declare that there is no conflict of interest. (Copyright © 2021 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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