Document Detail


Endovascular treatment of anterior choroidal artery aneurysms.
MedLine Citation:
PMID:  19766311     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Endovascular treatment (EVT) of anterior choroidal artery aneurysms (AChAA) may be challenging because of the close relationship with the parent artery. The aim of this study was to report our experience with EVT of AChAA. METHODS: A retrospective review of our prospectively maintained database identified all AChAA treated by embolization. The clinical charts, procedural data and angiographic results were reviewed. RESULTS: From April 2004-August 2008, 11 patients were identified. Five patients presented with a subarachnoid hemorrhage (SAH) and six patients were asymptomatic. Aneurysms size varied from two to 13 mm (mean size=3.6 mm) and nine had an unfavourable neck/sac ratio (>or=0.7). The anterior choroidal artery was arising from the sac (n=6) or from the neck (n=5). Endovascular treatment consisted of balloon-assisted coiling (n=8), coiling (n=2) and stent-assisted coiling (n=1). No procedural complication occurred and all patients had an excellent outcome except one patient who died because of severe vasospasm 8 days after an uneventful EVT. Immediate angiographic control showed six complete occlusions, one neck remnant and four incomplete occlusions. Follow-up controls (mean=18 months) were obtained in eight patients and showed five stable occlusions and three further thrombosis achieving complete occlusion. CONCLUSION: EVT of AChAA is associated with very good clinical and long-term anatomical results. Because of their small size, unfavourable neck/sac ratio and close relationship with the parent artery, EVT frequently requires the use of adjunctive techniques such as balloon or stent-assisted coiling.
Authors:
C Senturk; A Bandeira; M Bruneau; A Dewindt; D Bal??riaux; O De Witte; B Lubicz
Publication Detail:
Type:  Journal Article     Date:  2009-09-18
Journal Detail:
Title:  Journal of neuroradiology. Journal de neuroradiologie     Volume:  36     ISSN:  0150-9861     ISO Abbreviation:  J Neuroradiol     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-10-12     Completed Date:  2009-12-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7705086     Medline TA:  J Neuroradiol     Country:  France    
Other Details:
Languages:  eng     Pagination:  228-32     Citation Subset:  IM    
Affiliation:
Department of Neuroradiology, Erasme University Hospital, Brussels, Belgium.
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MeSH Terms
Descriptor/Qualifier:
Adult
Cerebral Angiography
Choroid Plexus / blood supply*
Embolization, Therapeutic / methods*
Female
Humans
Intracranial Aneurysm / therapy*
Male
Middle Aged
Radiography, Interventional
Retrospective Studies
Treatment Outcome

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


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