Document Detail


Endovascular treatment of paraclinoid aneurysms.
MedLine Citation:
PMID:  22192545     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The anatomical complexity of the paraclinoid region has made surgical treatment of intracranial ophthalmic segment aneurysms (OSAs) difficult. This study evaluated the safety and efficacy of endovascular treatment of paraclinoid aneurysms. We conducted a retrospective study of 28 patients with 30 aneurysms of the paraclinoid in whom treatment with endovascular techniques was attempted. Patient age, sex, presence of subarachnoid hemorrhage, aneurysm type, size of aneurismal sac and treatment modality were reviewed. Clinical evaluation and control angiography were performed between one and 43 months. Overall, complete occlusion was obtained in 26 aneurysms (86.6%), nearly complete (>90%) occlusion in two aneurysms (6.7%) and incomplete occlusion was observed in two aneurysms (6.7%). All endovascular techniques were successful. Procedure-related complications were observed in two patients (7.1%). Patients underwent follow-up for a mean of 14.8 months (range 1-43 months). Repeated coil treatment was performed in one patient. One patient died of massive brain infarction six days postoperatively and thus no follow-up data were available for this case. In 27 patients with follow-up studies, aneurysm closure was complete in 22 (81.5%) and incomplete in five (18.5%). Endovascular treatment is a safe and efficient alternative approach for paraclinoid aneurysms.
Authors:
Y Sun; Y Li; Ai-min Li
Related Documents :
21655745 - Trends and predictors of changes in pulmonary function after treatment for pulmonary tu...
21968585 - The current surgical management of intracranial aneurysms.
567425 - Respiratory dysfunction in thrombotic thrombocytopenic purpura.
22173755 - Endovascular treatment of ruptured paraclinoid aneurysms: results, complications, and f...
15390345 - Percutaneous closure of patent foramen ovale guided by intracardiac echocardiography an...
12766505 - Acute and chronic effects of cryoablation of the pulmonary veins in the dog as a potent...
Publication Detail:
Type:  Journal Article     Date:  2011-12-16
Journal Detail:
Title:  Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences     Volume:  17     ISSN:  1591-0199     ISO Abbreviation:  Interv Neuroradiol     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-12-23     Completed Date:  2012-03-01     Revised Date:  2013-06-26    
Medline Journal Info:
Nlm Unique ID:  9602695     Medline TA:  Interv Neuroradiol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  425-30     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery Lianyungang Hospital of Xuzhou Medical College, Jiang Su, China.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aneurysm, Ruptured / radiography,  therapy*
Anticoagulants / administration & dosage
Cerebral Angiography
Embolization, Therapeutic / methods*
Female
Heparin / administration & dosage
Humans
Intracranial Aneurysm / radiography,  therapy*
Male
Middle Aged
Retrospective Studies
Survival Rate
Treatment Outcome
Chemical
Reg. No./Substance:
0/Anticoagulants; 9005-49-6/Heparin
Comments/Corrections

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


Previous Document:  Endovascular treatment of unruptured intracranial aneurysms.
Next Document:  The management of very small/blister internal carotid artery aneurysms.