Document Detail


Endovascular Treatment of Ruptured Paraclinoid Aneurysms: Results, Complications, and Follow-Up.
MedLine Citation:
PMID:  22173755     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND AND PURPOSE:Paraclinoid aneurysms are an uncommon cause of aneurysmal SAH, and their treatment is challenging. To assess the effectiveness and safety of endovascular treatment of ruptured paraclinoid aneurysms, we performed a retrospective analysis of 33 patients.MATERIALS AND METHODS:Clinical and radiologic information on 33 patients undergoing endovascular therapy between 1999 and 2010 was retrospectively reviewed. Angiographic results were evaluated with the modified Raymond grading system, whereas clinical outcomes were evaluated with the mRS scale.RESULTS:Seventeen (52%) aneurysms were classified as clinoid segment aneurysms, and 16 (48%), as ophthalmic segment aneurysms. Twenty-six (79%) aneurysms were small, 6 (18%) were large, 1 was (3%) giant, and 39% were wide-neck. Coiling was done with balloon assistance in 36% of cases and stent-assistance in 6%. Technical complications occurred in 1 patient, contributing to death. Early clinical complications causing permanent disability occurred in 3% of cases. One patient (3%) had fatal rebleeding 18 days after treatment. Overall, procedure-related morbidity and mortality were, respectively, 3% and 6%. Complete occlusion of the aneurysm was achieved in 36% of patients after initial treatment and in 65% during follow-up (average, 29.3 months). Seven patients had recurrences requiring retreatment (30%). Clinical outcome (average, 32.9 months) was good in 75% of patients and poor in 25%. No delayed complications related to treatment and/or the aneurysm occurred.CONCLUSIONS:Ruptured paraclinoid aneurysms are challenging lesions from an endovascular and surgical point of view. Despite the high rate of recurrences, good clinical results and protection against rebleeding can be achieved with current endovascular techniques.
Authors:
I Loumiotis; P I D'Urso; R Tawk; H J Cloft; D F Kallmes; V Kairouz; R Hanel; G Lanzino
Related Documents :
22023955 - Persisting iliaco-caval fistula after evar maintained by a type ii endoleak.
1359915 - Opiate action in the pulmonary circulation.
19632445 - Acute pulmonary edema after pericardial drainage for cardiac tamponade.
15920185 - Infantile major airway stenosis and acute respiratory distress associated with cardiac ...
12594775 - Role of underlying pulmonary obstruction in short-term airway response to metal working...
10762975 - Cost-effectiveness of palmaz-schatzª stenting for patients with coronary artery diseas...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-12-15
Journal Detail:
Title:  AJNR. American journal of neuroradiology     Volume:  -     ISSN:  1936-959X     ISO Abbreviation:  -     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-12-16     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8003708     Medline TA:  AJNR Am J Neuroradiol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Departments of Neurosurgery and Radiology, Mayo Clinic, Rochester Minnesota; and Department of Neurosurgery, Mayo Clinic, Jacksonville, Florida.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Functional and Structural MR Imaging in Neuropsychiatric Disorders, Part 1: Imaging Techniques and T...
Next Document:  Quantitative Evaluation of C-Arm CT Cerebral Blood Volume in a Canine Model of Ischemic Stroke.