| Autor: |
Mardjono Tjahjadi, MD, Tackeun Kim, MD, Devendra Ojar, MD, Hyoung Soo Byoun, MD, Si Un Lee, MD, Seung Pil Ban, MD, Gyojun Hwang, MD, PhD, O-Ki Kwon, MD, PhD |
| Jazyk: |
angličtina |
| Rok vydání: |
2017 |
| Předmět: |
|
| Zdroj: |
Interdisciplinary Neurosurgery, Vol 8, Iss C, Pp 50-56 (2017) |
| Druh dokumentu: |
article |
| ISSN: |
2214-7519 |
| DOI: |
10.1016/j.inat.2017.01.005 |
| Popis: |
Background: Several endovascular techniques and devices are presently available for the non-surgical treatment of basilar-tip aneurysms in dedicated neurovascular departments. However, the revolving drawback to treatment to angiographic approach remains the long-term coil-mass durability and less patent published results regarding treatment outcome and long-term efficacy. We aim to share our experience of selected endovascular techniques for treating basilar-tip aneurysms and its long-term clinical and angiographic outcome. Material and methods: We retrospectively reviewed 109 patients basilar-tip aneurysm who had endovascular treatment in our department from 2003 to 2014. Three groups were based on treatment method: single microcatheter (SM), multiple microcatheters (MM), and stent-assisted (SA) coiling techniques. All procedural-related complications and outcomes were followed and analyzed. Angiographic follow-up with accompanying skull-series review were evaluated from initial coil-mass occlusion time to the last follow-up outpatient attendance. Results: In our study, sac size (p 11 mm (p 4 mm (p = 0.006). Conclusion: Small aneurysms particularly those with a small-neck size can be treated with SM or MM approach. Medium-large sized aneurysm can be treated effectively by combined MM and SA techniques. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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