| Endovascular embolization of small ruptured intracranial aneurysms using a biplane angiographic system with three-dimensional rotational digital subtraction angiography. | |
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MedLine Citation:
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PMID: 19427786 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Jian Hai; Dong-Feng Deng; Zuo-Quan Chen; Qing-Gang Pan |
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Publication Detail:
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Type: Journal Article Date: 2009-05-08 |
Journal Detail:
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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:
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Created Date: 2009-07-14 Completed Date: 2009-09-23 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9433352 Medline TA: J Clin Neurosci Country: Scotland |
Other Details:
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Languages: eng Pagination: 1028-33 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, Tongji Hospital, Tongji University, 389 Xin-Cun Road, Shanghai 200065, China. haijiandoc@yahoo.com.cn |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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 |
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