Endovascular surgery for very small ruptured intracranial aneurysms
| Autor: | Taketomo Ohmomo, Jun Niki, Masaru Yamada, Kiyotaka Fujii, Takao Sagiuchi, Akira Kurata, Sachio Suzuki, Shinichi Kan, Hidehiro Oka |
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| Rok vydání: | 2006 |
| Předmět: |
Adult
Male medicine.medical_specialty Subarachnoid hemorrhage medicine.medical_treatment Aneurysm Ruptured Aneurysm medicine.artery medicine Humans cardiovascular diseases Embolization Aged Retrospective Studies Aged 80 and over Guglielmi detachable coil medicine.diagnostic_test business.industry Angioplasty Intracranial Aneurysm Middle Aged medicine.disease Embolization Therapeutic Surgery Radiography Anterior communicating artery Treatment Outcome Middle cerebral artery Angiography cardiovascular system Female Radiology Internal carotid artery business Follow-Up Studies |
| Zdroj: | Journal of Neurosurgery. 105:777-780 |
| ISSN: | 0022-3085 |
| Popis: | ✓Application of endovascular surgery for very small aneurysms is controversial because of technical difficulties and high complication rates. The aim in the present study was to assess treatment results in a series of such lesions at one institution. Since 1997, endovascular surgery has been advocated for very small ruptured aneurysms ( All aneurysms were completely obliterated as confirmed by postembolization angiography, without procedure-related complications. During the follow-up period only one patient needed additional coil embolization for a growing aneurysm. Final outcomes were good recovery in 15 patients, moderate disability in five, and severe disability in one. Appropriate selection of patients and coils, and use of sophisticated techniques allow a good outcome for patients with very small aneurysms. |
| Databáze: | OpenAIRE |
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