Clinical and Angiographic Outcomes of Endovascular Treatment for Ruptured Posterior Circulation Cerebral Aneurysms
| Autor: | Xinguo Li, Jihui Liu, Peizhuo Zang, Yunjie Wang, Shengxue Sun |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment Aneurysm Ruptured Young Adult Aneurysm Recurrence Medicine Humans Embolization Endovascular treatment Young adult Aged Retrospective Studies medicine.diagnostic_test business.industry Endovascular Procedures Retrospective cohort study Intracranial Aneurysm Middle Aged medicine.disease Embolization Therapeutic Surgery Cerebral Angiography Treatment Outcome Angiography Female Stents Neurology (clinical) Complication business Cerebral angiography Follow-Up Studies |
| Zdroj: | Turkish neurosurgery. 26(4) |
| ISSN: | 1019-5149 |
| Popis: | Aim To report the angiographic and clinical results achieved in endovascular treatment of ruptured posterior circulation cerebral aneurysms over a 3-year period. Material and methods A retrospective analysis of 45 patients was performed between June 2008 and June 2011. Clinical follow-up was achieved in all patients, with a mean duration of 17 months. Angiographic follow-up was obtained in 88.9% of cases, with a mean duration of 7.2 months. Results A clinical improvement, or stable outcome was achieved in all patients. There was one case of re-bleeding as a periprocedural complication 2 days after incomplete stent-assisted coiling of a vertebral artery aneurysm. There was no death in our patients. In 40 of the 45 patients (88.9%), angiographic follow-up was obtained at a mean of 7.2 months (range, 1 to 24 months). Recurrences in 5 patients (12.5%) at 2 days, 3, 6, 8, and 13 months required re-treatment. Conclusion Endovascular embolization is an attractive option for ruptured posterior circulation aneurysms with stable long-term outcome. This study confirmed that endovascular treatment is associated with low mobidity and mortality. However, re-canalization may be observed up to 2 years after the initial obliteration. Long-term follow-up with angiography is needed. |
| Databáze: | OpenAIRE |
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