Late Reopening of Adequately Coiled Intracranial Aneurysms Frequency and Risk Factors in 400 Patients With 440 Aneurysms
| Autor: | Joanna D. Schaafsma, Wim H. van Zwam, Charles B. L. M. Majoie, Gerard A. P. de Kort, Menno Sluzewski, S.P. Ferns, Marieke E. S. Sprengers, Patrick A. Brouwer, B.K. Velthuis, Gabriel J.E. Rinkel, Willem Jan van Rooij, René van den Berg |
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| Přispěvatelé: | ANS - Amsterdam Neuroscience, Radiology and Nuclear Medicine, Other Research, ACS - Amsterdam Cardiovascular Sciences, University of Groningen, MUMC+: DA BV Medisch Specialisten Radiologie (9), Beeldvorming, Klinische Neurowetenschappen, RS: CARIM School for Cardiovascular Diseases, RS: MHeNs School for Mental Health and Neuroscience |
| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Předmět: |
Male
genetic structures interventional Magnetic resonance angiography RECURRENT SUBARACHNOID HEMORRHAGE DETACHABLE COILS 3T Cohort Studies TRIAL ISAT Recurrence Risk Factors Occlusion follow-up Stroke MR-ANGIOGRAPHY intracranial aneurysm radiology interventional coiling follow-up MRA term-follow-up recurrent subarachnoid hemorrhage endovascular treatment cerebral aneurysms detachable coils mr-angiography trial isat retreatment enlargement 3t medicine.diagnostic_test Incidence Endovascular Procedures Middle Aged intracranial aneurysm Treatment Outcome coiling MRA cardiovascular system Female Radiology Cardiology and Cardiovascular Medicine Adult medicine.medical_specialty RETREATMENT ENLARGEMENT Central nervous system disease Aneurysm medicine Humans cardiovascular diseases Risk factor Endovascular treatment TERM-FOLLOW-UP Aged Retrospective Studies Advanced and Specialized Nursing business.industry Vascular disease CEREBRAL ANEURYSMS medicine.disease radiology Surgery Logistic Models ENDOVASCULAR TREATMENT Neurology (clinical) business Magnetic Resonance Angiography Follow-Up Studies |
| Zdroj: | Stroke; a journal of cerebral circulation, 42(5), 1331-1337. Lippincott Williams and Wilkins Stroke, 42(5), 1331-1337 Stroke, 42(5), 1331-1337. LIPPINCOTT WILLIAMS & WILKINS |
| ISSN: | 0039-2499 |
| DOI: | 10.1161/strokeaha.110.605790 |
| Popis: | Background and Purpose— In aneurysms that are adequately occluded 6 months after coiling, the risk of late reopening is largely unknown. We assessed the occurrence of late aneurysm reopening and possible risk factors. Methods— From January 1995 to June 2005, 1808 intracranial aneurysms were coiled in 1675 patients at 7 medical centers. At 6 months, 1066 aneurysms in 971 patients were adequately occluded. At mean 6.0 years after coiling, of the 971 patients, 400 patients with 440 aneurysms underwent 3 Tesla magnetic resonance angiography to assess occlusion status of the aneurysms. Proportions and corresponding 95% CI of aneurysm reopening and retreatment were calculated. Risk factors for late reopening were assessed by univariate and multivariate logistic regression analysis, and included patient sex, rupture status of aneurysms, aneurysm size ≥10 mm, and aneurysm location. Results— In 11 of 400 patients (2.8%; 95% CI, 1.4–4.9%) with 440 aneurysms (2.5%; 95% CI, 1.0–4.0%), late reopening had occurred; 3 reopened aneurysms were retreated (0.7%; 95% CI, 0.2–1.5%). Independent predictors for late reopening were aneurysm size ≥10 mm (OR 4.7; 95% CI, 1.3–16.3) and location on basilar tip (OR 3.9; 95% CI, 1.1–14.6). There were no late reopenings in the 143 anterior cerebral artery aneurysms. Conclusions— For the vast majority of adequately occluded intracranial aneurysms 6 months after coiling (those |
| Databáze: | OpenAIRE |
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