Document Detail


Intracranial aneurysms coiling with matrix: immediate results in 152 patients and midterm anatomic follow-up from 115 patients.
MedLine Citation:
PMID:  18988913     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND PURPOSE: We report our experience using Matrix coils in coiling of cerebral aneurysms. METHODS: Clinical and angiographic outcomes of 152 patients (165 aneurysms) treated exclusively with Matrix coils were retrospectively analyzed. RESULTS: There were 74 ruptured aneurysms (44.8%) and 91 unruptured (55.2%). After coiling, 84 (50.9%) aneurysms were occluded, 38 (23.0%) aneurysms had a neck remnant, and 43 (26.1%) aneurysms had a sac remnant. Packing ranged from 10% to 49% (mean and median, 27%). Overall treatment-induced morbidity was 6.6% and mortality was 1.3% (10 of 152 to 2 of 152, respectively). One hundred fifteen (69.7%) aneurysms were followed, disclosing 42 (36.5%) recurrences at a mean period of 9 months (median, 6 months; range, 1 to 28 months). The recurrence rate for small aneurysms (<10 mm) was 28 (31.1%) of 90, whereas for larger aneurysms (>/=10 mm), the recurrence rate was 14 (56.0%) of 25 (P=0.0336). When packing was </=25%, the recurrence rate was 44.4%, whereas for aneurysms with packing >25%, the recurrence rate was 29.8% (P=0.1588). Recurrence rate was not correlated to packing. Ruptured aneurysms recurred more frequently than unruptured aneurysms (P=0.0004). CONCLUSIONS: Matrix coils provided no better recanalization rates than those reported previously for bare platinum coils.
Authors:
Michel Piotin; Laurent Spelle; Charbel Mounayer; Carolina Loureiros; Askar Ghorbani; Jacques Moret
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Publication Detail:
Type:  Letter     Date:  2008-11-06
Journal Detail:
Title:  Stroke; a journal of cerebral circulation     Volume:  40     ISSN:  1524-4628     ISO Abbreviation:  Stroke     Publication Date:  2009 Jan 
Date Detail:
Created Date:  2008-12-30     Completed Date:  2009-02-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0235266     Medline TA:  Stroke     Country:  United States    
Other Details:
Languages:  eng     Pagination:  321-3     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Cerebral Arteries / pathology,  radiography
Embolization, Therapeutic / instrumentation*,  methods
Female
Follow-Up Studies
Humans
Intracranial Aneurysm / pathology,  radiography,  therapy*
Male
Middle Aged
Outcome Assessment (Health Care) / methods
Postoperative Complications / etiology,  physiopathology,  prevention & control
Prostheses and Implants / standards,  statistics & numerical data*
Recurrence / prevention & control
Retrospective Studies
Subarachnoid Hemorrhage / pathology,  radiography,  therapy*
Treatment Outcome

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


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