Vision Outcomes of Endovascular Treatment for Unruptured Ophthalmic Artery Aneurysms
| Autor: | Dong Joon Kim, Jae Whan Lee, Yu Shik Shim, Keun Young Park, Byung Moon Kim, Yong Cheol Lim, Jung Woo Yu, Joonho Chung |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Asymptomatic 030218 nuclear medicine & medical imaging Ophthalmic Artery 03 medical and health sciences 0302 clinical medicine Aneurysm Risk Factors medicine.artery Occlusion medicine Humans Aged Retrospective Studies business.industry Endovascular Procedures Intracranial Aneurysm Retrospective cohort study Odds ratio Middle Aged medicine.disease Embolization Therapeutic Confidence interval Surgery Treatment Outcome Ophthalmic artery Female Neurology (clinical) medicine.symptom business Complication 030217 neurology & neurosurgery |
| Zdroj: | World Neurosurgery. 116:e1223-e1229 |
| ISSN: | 1878-8750 |
| Popis: | Objective The purpose of this study was to report the authors' experience with endovascular treatment (EVT) of ophthalmic artery (OA) aneurysms and to investigate risk factors for visual complications of EVT for unruptured OA aneurysms. Methods Fifty-four patients with unruptured OA aneurysms subjected to EVT were recruited for this study from March 2010 to December 2017. The clinical and angiographic outcomes of all 54 patients were investigated and analyzed retrospectively. Results Of the 54 patients included in this study, 5 patients (9.3%) had visual complications, including asymptomatic unintended OA occlusion in 2 patients (3.7%) and symptomatic complications in 3 patients (5.6%); 2 patients (3.7%) had transient visual complications, and 1 (1.9%) had a permanent complication. No subacute or delayed visual complications occurred during the 20.8-month follow-up period. OA incorporation by the aneurysm (odds ratio [OR], 3.471; 95% confidence interval [CI], 1.115–9.184; P = 0.038) and intentional OA occlusion (OR, 1.820; 95% CI, 1.248–6.221; P = 0.044) were independent risk factors for visual complications in a multivariate logistic regression analysis. Conclusions The visual complication rate was 9.3% when performing EVT for unruptured OA aneurysms. OA aneurysms with OA incorporation by the aneurysm might be at higher risk of visual complications when performing EVT. Intentional OA occlusion should be performed with caution, even though a patient may have favorable collaterals during balloon test occlusion. |
| Databáze: | OpenAIRE |
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