Document Detail


Endovascular embolization of small ruptured intracranial aneurysms using a biplane angiographic system with three-dimensional rotational digital subtraction angiography.
MedLine Citation:
PMID:  19427786     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Endovascular coiling of small, ruptured intracranial aneurysms is controversial because of technical difficulties. We analyzed the clinical and angiographic effects of endovascular treatment of 39 small (5mm) ruptured intracranial aneurysms (in 37 patients) at our institution between March 2004 and March 2007. Procedures were carried out on a biplane angiographic system with three-dimensional rotational digital subtraction angiography. Immediately after embolization, 30 aneurysms were completely occluded and nine had a residual neck. The volumetric percentage occlusion was 45.2+/-9.7%. Angiographic and clinical follow-up was at 6.1 months and 15.9 months, respectively. Delayed rebleeding was not observed. Complications directly related to the procedure were encountered in two patients (one coil migration and one intraoperative rupture). For 34 patients, the final outcome was excellent or good, one suffered a moderate disability, one a severe disability and one patient died. The results suggest that endovascular embolization is effective and safe for patients with small ruptured intracranial aneurysms.
Authors:
Jian Hai; Dong-Feng Deng; Zuo-Quan Chen; Qing-Gang Pan
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Publication Detail:
Type:  Journal Article     Date:  2009-05-08
Journal Detail:
Title:  Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia     Volume:  16     ISSN:  0967-5868     ISO Abbreviation:  J Clin Neurosci     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-07-14     Completed Date:  2009-09-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9433352     Medline TA:  J Clin Neurosci     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  1028-33     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, Tongji Hospital, Tongji University, 389 Xin-Cun Road, Shanghai 200065, China. haijiandoc@yahoo.com.cn
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aneurysm, Ruptured / radiography*,  therapy*
Angiography, Digital Subtraction*
Carotid Arteries / radiography
Cerebral Angiography / methods
Cerebral Arterial Diseases / mortality,  radiography,  therapy
Cerebral Arteries / radiography
Embolization, Therapeutic* / adverse effects,  mortality
Female
Follow-Up Studies
Humans
Imaging, Three-Dimensional
Intracranial Aneurysm / mortality,  radiography*,  therapy*
Male
Middle Aged
Middle Cerebral Artery / radiography
Severity of Illness Index
Treatment Outcome

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


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