Predictors of Incomplete Occlusion following Pipeline Embolization of Intracranial Aneurysms: Is It Less Effective in Older Patients?
| Autor: | Raghav Gupta, Nimer Adeeb, Adnan H. Siddiqui, Mirja M. Wirtz, Adam A Dmytriw, Justin M. Moore, Ajith J. Thomas, Rouzbeh Motiei-Langroudi, Christoph J. Griessenauer, Hussain Shallwani, Mark R. Harrigan, Christopher S. Ogilvy, Elad I. Levy, Paul M. Foreman, Abdulrahman Y. Alturki |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Aneurysm Text mining Older patients Complete occlusion Occlusion medicine Humans Radiology Nuclear Medicine and imaging In patient Embolization cardiovascular diseases Aged Retrospective Studies Interventional business.industry Retrospective cohort study Intracranial Aneurysm Middle Aged medicine.disease Embolization Therapeutic Surgery Treatment Outcome cardiovascular system Female Neurology (clinical) business 030217 neurology & neurosurgery |
| Zdroj: | AJNR Am J Neuroradiol |
| ISSN: | 1936-959X |
| Popis: | BACKGROUND AND PURPOSE: Flow diversion with the Pipeline Embolization Device (PED) for the treatment of intracranial aneurysms is associated with a high rate of aneurysm occlusion. However, clinical and radiographic predictors of incomplete aneurysm occlusion are poorly defined. In this study, predictors of incomplete occlusion at last angiographic follow-up after PED treatment were assessed. MATERIALS AND METHODS: A retrospective analysis of consecutive aneurysms treated with the PED between 2009 and 2016, at 3 academic institutions in the United States, was performed. Cases with angiographic follow-up were selected to evaluate factors predictive of incomplete aneurysm occlusion at last follow-up. RESULTS: We identified 465 aneurysms treated with the PED; 380 (81.7%) aneurysms (329 procedures; median age, 58 years; female/male ratio, 4.8:1) had angiographic follow-up, and were included. Complete occlusion (100%) was achieved in 78.2% of aneurysms. Near-complete (90%–99%) and partial ( |
| Databáze: | OpenAIRE |
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