Clinical and angiographic outcome in patients with completely occluded intracranial aneurysms by endovascular coiling: our experience

Xavier, Andrew; Abdelbaky, Abdelaal; Rayes, Mahmoud; Tiwari, Ambooj; Narayanan, Sandra

doi:10.1136/jnis.2010.003889

Cited by 7 publications

(5 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It is generally accepted that the quality of the initial occlusion of an intracranial aneurysm conditions its evolution thereafter. (3,23,(25)(26)(27) This appeared to hold true for the DACA aneurysms in our series: recanalization occurred in 29.3% of the aneurysms initially occluded subtotally, but in only 4.8% of those occluded totally.…”

Section: Discussionsupporting

confidence: 61%

Endovascular treatment of distal anterior cerebral artery aneurysms: Long-term results

Liao

Derelle

Merlot

et al. 2020

Journal of Neuroradiology

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 61%

Endovascular treatment of distal anterior cerebral artery aneurysms: Long-term results

Liao

Derelle

Merlot

et al. 2020

Journal of Neuroradiology

View full text Add to dashboard Cite

“…Choi et al reported a series of 91 completely coiled aneurysms, with the recanalization rate of 26.4% [ 19 ]. Xavier et al reported a series of 83 completely coiled aneurysms, with the recanalization rate of 24% [ 20 ]. In our study, the recanalization rate was 7.4% in the SAC group and was 32.7% in the non-SAC group.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Stent-Assisted Coil Placement and Coiling-Only for the Treatment of Ruptured Intracranial Aneurysms

Liu

Wang

et al. 2017

Med Sci Monit

View full text Add to dashboard Cite

BackgroundThe use of a stent during the acute post-hemorrhage period is controversial. We conducted a retrospective analysis on the clinical and angiographic outcomes of the ruptured aneurysms that were embolized with stent-assisted coiling or coiling-only.Material/MethodsWe reviewed data of 279 patients with 279 ruptured intracranial aneurysms who underwent coil embolization between July 2004 and June 2015. The baseline data on age, sex, medical history, aneurysm size, location, and Hunt and Hess grade were recorded.ResultsOne hundred and thirteen aneurysms were treated with stent-assisted coiling. Adverse events occurred in similar proportions of patients in the two groups (11.5% in the stenting group and 9.0% in the coiling alone group). The incidence of permanent disabling neurologic deficit was also similar in the two groups (7.1% and 5.4% in the stenting group and coiling alone group respectively). Clinical follow-up data were available in 207 patients with a median period of 28 months. Angiographic follow-up was available in 106 aneurysms with a median period of 7.5 months. Clinical outcomes were correlated with adverse events (p=0.043, odds ratio=4.59), large aneurysms (p=0.013, odds ratio=10.24), and Hunt and Hess grade (p=0.001, odds ratio=13.51). Stent-assisted coiling for ruptured aneurysm, as compared with coiling-only, was not associated with an increased incidence of poor clinical outcome at follow-up. Aneurysm-occlusion status at follow-up were correlated with stent placement (p<0.001, odds ratio=5.85) and initial aneurysm-occlusion status (p=0.027, odds ratio=3.78).ConclusionsCompared with coiling-only, stent-assisted coil placement may have better durability, with comparable safety for ruptured intracranial aneurysm.

show abstract

“…Recurrence after endovascular coiling was reported to be associated with aneurysm dome size. 15,23,28) Follow-up angiographic results after complete aneurysm embolization showed recurrence rates of 14% for aneurysms º5 mm, 27% for those 5-10 mm, and 57% for those À10 mm. 28) Therefore, the lower rate of recurrence in our series may be attributable to the lower proportion of cases with aneurysms AE5 mm.…”

Section: Discussionmentioning

confidence: 99%

Endovascular Coiling as the First Treatment Strategy for Ruptured Pericallosal Artery Aneurysms: Results, Complications, and Follow Up

Yamazaki

Sonobe

Kato

et al. 2013

Neurol. Med. Chir.(Tokyo)

View full text Add to dashboard Cite

We apply endovascular coiling as the first treatment option for ruptured pericallosal artery aneurysms. We conducted a retrospective analysis of the clinical and radiological outcomes of this treatment strategy and morphological factors associated with the success of endovascular coiling, to assess the safety and feasibility of our management strategy. From January 2003 to January 2012, we attempted endovascular coiling as the first-intention treatment for 30 consecutive patients with ruptured pericallosal artery aneurysms including those with intracerebral hematoma. Twenty-seven cases of ruptured pericallosal artery aneurysms were successfully embolized with coiling whereas three failures required surgery. Four patients experienced periprocedural complications including thromboembolic event in two and hematoma enlargement after coiling in two. A maximum aneurysm diameter of º3 mm was most strongly associated with failure of endovascular coiling. Of the 27 coil-treated aneurysms, immediate angiographic results showed complete aneurysm occlusion in 19 cases, neck remnant in 6, and residual aneurysm in 2. One patient had a major aneurysm recurrence that was uneventfully reembolized. Sixteen of our 30 patients had good outcomes (modified Rankin scale [mRS] 0-2), 7 had moderate disability (mRS 3), and 4 had severe disability (mRS 4-5) at 3 months after treatment. The management strategy for coiling as the first-intention treatment for ruptured pericallosal artery aneurysms has the potential to become an acceptable alternative to surgical clipping for selected cases, although a larger study population and longer follow-up periods are needed before definitive conclusions can be drawn.

show abstract

Clinical and angiographic outcome in patients with completely occluded intracranial aneurysms by endovascular coiling: our experience

Abstract: Complete endovascular occlusion of IA is certainly effective in preventing aneurysmal bleeding. However, recanalization rate, despite being lower when compared with subtotal occlusion, remains an issue. Longer follow-up is required.

Cited by 7 publications

References 17 publications

Endovascular treatment of distal anterior cerebral artery aneurysms: Long-term results

Endovascular treatment of distal anterior cerebral artery aneurysms: Long-term results

Comparison of Stent-Assisted Coil Placement and Coiling-Only for the Treatment of Ruptured Intracranial Aneurysms

Endovascular Coiling as the First Treatment Strategy for Ruptured Pericallosal Artery Aneurysms: Results, Complications, and Follow Up

Contact Info

Product

Resources

About