Document Detail


Provocative tests and parent artery occlusion in the endovascular treatment of distal middle cerebral artery pseudoaneurysms.
MedLine Citation:
PMID:  21992743     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
We retrospectively analyzed the angiographic results and endovascular outcomes of 13 patients with pseudoaneurysms (PA) of the distal middle cerebral artery (dMCA). Endovascular provocative tests such as the temporary balloon occlusion test (BOT), and the super-selective intra-arterial "amytal" (amobarbital) test (IAT) were performed in these patients. Four patients underwent the BOT test and all patients underwent the IAT. The provocative tests were negative in 11 patients, after which successful parent artery occlusion (PAO) with detachable coils and onyx-18 was feasibly achieved. Immediate and 6-36months of follow-up clinical evaluations showed a favorable outcome. Provocative tests are important in not only the selection of endovascular therapeutic methods for PA of the dMCA, but also to assist in accurately assessing patient prognosis.
Authors:
Qihong Wang; Gong Chen; Yuxiang Gu; Donglei Song
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-10-10
Journal Detail:
Title:  Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia     Volume:  -     ISSN:  1532-2653     ISO Abbreviation:  -     Publication Date:  2011 Oct 
Date Detail:
Created Date:  2011-10-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9433352     Medline TA:  J Clin Neurosci     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 Elsevier Ltd. All rights reserved.
Affiliation:
Department of Neurosurgery, Huashan Hospital, Fudan University, 12 Wulumuqi Mid Road, Shanghai 200040, China; Neurosurgical Department, Shanghai Medical College, Fudan University, Shanghai, China.
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