Document Detail


Endovascular treatment of aneurysms arising from the basilar artery trunk and branches.
MedLine Citation:
PMID:  21162767     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study reports our experience with the endovascular treatment of basilar artery (BA) trunk and branch aneurysms. Subjects included 16 patients with BA trunk and branch aneurysms who underwent endovascular treatment in our hospital from October 2000 to October 2009, including four patients with associated arteriovenous malformation (AVM), two with associated moyamoya disease, one with multiple aneurysms at adjacent sites, and one with a distant aneurysm. Endovascular coil embolization, together with stent or balloon assistance when necessary, or while occluding the parent artery was performed. Associated diseases were managed intraoperatively or in the second stage, or treated with gamma knife radiotherapy, or followed up. Two patients with unsuccessful embolization died of re-rupture at the fourth month and fifth month follow-up. The remaining 14 patients reported good outcomes and experienced no re-rupture of either the aneurysm or associated disease. Angiographic follow-ups were conducted for the 14 patients for six to 12 months. Digital subtraction angiography (DSA) examination at the last follow-up showed no recurrence of the BA trunk and branch aneurysms. Together, BA trunk and branch aneurysms should be actively managed via endovascular techniques to prevent serious consequences due to aneurysm rupture and bleeding. Favorable outcomes can be obtained by the proper selection of endovascular treatment regimens.
Authors:
J-L Yu; H-L Wang; N Xu; K Xu; B Wang; Q Luo
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Publication Detail:
Type:  Journal Article     Date:  2010-12-17
Journal Detail:
Title:  Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences     Volume:  16     ISSN:  1591-0199     ISO Abbreviation:  Interv Neuroradiol     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-12-17     Completed Date:  2011-03-04     Revised Date:  2013-07-03    
Medline Journal Info:
Nlm Unique ID:  9602695     Medline TA:  Interv Neuroradiol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  369-83     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, First Hospital of Jilin University, Changchun, Jilin Province, China.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aneurysm, Ruptured / radiography,  therapy*
Cerebral Angiography
Embolization, Therapeutic*
Female
Humans
Intracranial Aneurysm / radiography,  therapy*
Intracranial Arteriovenous Malformations / radiography,  therapy*
Male
Middle Aged
Prognosis
Tomography, X-Ray Computed
Young Adult
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