Risk factors for recurrence and retreatment after endovascular treatment of intracranial saccular aneurysm larger than 8 mm
| Autor: | Bum-Soo Kim, Yong Sam Shin, Hong-Ju Bae, Yung Ki Park, Dong Young Cho, Jai Ho Choi |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Neurology Subgroup analysis 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Aneurysm Postoperative Complications Risk Factors Occlusion medicine Humans cardiovascular diseases Endovascular treatment Neuroradiology Aged medicine.diagnostic_test business.industry Endovascular Procedures Interventional radiology Intracranial Aneurysm Middle Aged medicine.disease Surgery Retreatment cardiovascular system Female Neurology (clinical) Neurosurgery business 030217 neurology & neurosurgery |
| Zdroj: | Acta neurochirurgica. 161(5) |
| ISSN: | 0942-0940 |
| Popis: | Large intracranial aneurysm is challenging for both surgical and endovascular treatment. High recurrence and retreatment rates are still limitations for endovascular treatment. Analysing risk factors of recurrence after endovascular treatment can be useful for planning future treatment strategies. We retrospectively reviewed patients with intracranial saccular aneurysm (≥ 8 mm) who underwent endovascular treatment from 2008 to 2017 at our institution. The demographic features, clinical information and angiographic results were analysed to reveal the risk factors for recurrence and retreatment. Subgroup analysis was performed according to packing density (PD) and stent insertion status. The total recurrence and retreatment rates were 25.7% (44/171) and 10.5% (18/171), respectively. Independent risk factors for recurrence after endovascular treatment were larger aneurysm size (OR 1.32; 95% CI 1.17–1.51; p |
| Databáze: | OpenAIRE |
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