Document Detail


Endovascular coil embolization for anterior choroidal artery aneurysms.
MedLine Citation:
PMID:  17994230     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: We retrospectively evaluated the ischemic complications related to the anterior choroidal artery (AChA) and clinical outcome after coiling of AChA aneurysms. METHODS: We included 37 patients (27 with subarachnoid hemorrhage, 10 without) harboring 38 AChA aneurysms (23 ruptured, 15 unruptured) who were treated by coiling at four institutions. Ischemic complications related to the AChA and clinical outcomes were retrospectively evaluated. RESULTS: Intraprocedural transient AChA occlusion occurred in five aneurysms, all of which had AChA incorporated into the aneurysm neck. Two of the five patients suffered postprocedural transient contralateral hemiparesis, but recovered completely. The remaining three patients had no postprocedural symptoms. Incidence of transient AChA occlusion was significantly higher in those aneurysms in which the AChA was incorporated into aneurysm neck (group 2) than in those in which the AChA was not incorporated (group 1). Of the 37 patients, 31 (83.8%) had good recoveries (modified Rankin scale score 0-2). Two patients died from the consequences of subarachnoid hemorrhage. During follow-up for a mean of 27 months (range 4-72 months), none of the 35 living patients re-bled. A total of 29 aneurysms in 28 patients were followed-up angiographically. Recurrences were found in 5 of the 29 aneurysms during follow-up (mean 18 months, range 6-45 months). Re-embolization achieved near complete occlusion of two recurrent aneurysms, both of which were still stable at the time of the next two follow-up angiographies. The other three recurrent aneurysms were not retreated due to the small size of the recurrences. CONCLUSION: Coiling of AChA aneurysms resulted in good outcomes without AChA-related permanent ischemic complications. Transient AChA occlusion, potentially associated with ischemic complications, was significantly more frequent in the aneurysm in which the AChA was incorporated into the aneurysm neck.
Authors:
Byung Moon Kim; Dong Ik Kim; Eun Chul Chung; Sun Yong Kim; Yong Sam Shin; Sung Il Park; Dong Joon Kim; Sang Hyun Suh; Chun Sik Choi; Yu Sam Won
Publication Detail:
Type:  Journal Article     Date:  2007-11-10
Journal Detail:
Title:  Neuroradiology     Volume:  50     ISSN:  0028-3940     ISO Abbreviation:  Neuroradiology     Publication Date:  2008 Mar 
Date Detail:
Created Date:  2008-02-21     Completed Date:  2008-07-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  1302751     Medline TA:  Neuroradiology     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  251-7     Citation Subset:  IM    
Affiliation:
Department of Radiology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, 108 Pyung-Dong, Jongro-Ku, Seoul 110-746, South Korea. bmoon21@hanmail.net
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aneurysm, Ruptured / complications,  diagnosis,  therapy*
Cerebral Angiography
Chi-Square Distribution
Embolization, Therapeutic / methods*
Female
Humans
Intracranial Aneurysm / complications,  diagnosis,  therapy*
Male
Middle Aged
Recurrence
Retrospective Studies
Subarachnoid Hemorrhage / diagnosis,  etiology,  therapy
Treatment Outcome

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


Previous Document:  Combination of 13C/ 113Cd NMR, potentiometry, and voltammetry in characterizing the interactions bet...
Next Document:  Cushing proximal symphalangism and the NOG and GDF5 genes.