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Endovascular treatment of an intracranial aneurysm with a ruptured bleb.
MedLine Citation:
PMID:  22465886     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
OBJECTIVE: To study the features and approaches of endovascular treatment for intracranial aneurysms with a ruptured bleb.
METHODS: This retrospective study was carried out from June 2007 to June 2009 in Jilin University, Jilin, China. Thirty patients with intracranial aneurysms with ruptured blebs were included. The aneurysms were diagnosed by digital subtraction angiography (DSA), and the endovascular treatment was planned according to the relationship between the aneurysm body and the ruptured bleb. The aneurysms were classified into 4 types (type I, II, III, IV) based on the size of the neck of the aneurysm connected with the parent artery, the size of the body of the aneurysm, and the size of the junction formed between the aneurysm and bleb. Endovascular treatment for each type of aneurysm was performed.
RESULTS: Type IV aneurysms were the most difficult operation performed, easily resulting in rupture and bleeding during surgery, whereas embolization of a type III aneurysm was relatively simple. Type I and II aneurysms resulted in better prognosis. Statistical analysis showed that the outcome of the treatment of type I and II aneurysms was better than that in type III and IV aneurysms, the outcome of type I, II, and III was better than that in type IV.
CONCLUSION: The outcome of the endovascular treatment of an intracranial aneurysm with a ruptured bleb was related to the aneurysm type. Treatment in a type-dependent manner is therefore recommended.
Authors:
Jin-Lu Yu; Hong-Lei Wang; Kan Xu; Bai Wang; Qi Luo
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Neurosciences (Riyadh, Saudi Arabia)     Volume:  17     ISSN:  1319-6138     ISO Abbreviation:  Neurosciences (Riyadh)     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-04-02     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101252453     Medline TA:  Neurosciences (Riyadh)     Country:  Saudi Arabia    
Other Details:
Languages:  eng     Pagination:  127-32     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, The First Hospital of Jilin University, Changchun, China.
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