Document Detail


Results of endovascular management for mid-basilar artery aneurysms.
MedLine Citation:
PMID:  20977855     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We evaluated the results of endovascular management of patients with mid-basilar artery aneurysm (mBAA). During a seven year period, 14 patients (mean age 39.6 years, male/female ratio 1:1) with mBAA were treated with endovascular techniques at our institute. Pretreatment clinical grades were determined using the Hunt-Hess scale. Outcome was evaluated using the Glasgow Outcome Scale scores (GOS) during a mean follow-up period of 15.6 months (range, three to 70 months). Fourteen patients with 15 mBAAs were treated endovascularly. Four (28.6%) patients died of rebleeding within one day after embolization. In ten mBAAs, immediate postprocedural angiograms showed that complete occlusion was achieved, subtotal occlusion in one, and incomplete occlusion in four. Follow-up angiographic results in ten patients confirmed complete occlusion of 11 aneurysms. Long-term outcome was good (GOS Score 4 or 5) in ten patients (71.4%) and fatal (GOS Score 1) in four (28.6%). Favorable overall long-term outcome can be achieved in 78.6% patients with mBAAs. Endovascular management of mBAAs is an effective treatment in the long-term. In our experience, the natural history of mBAAs is dismal.
Authors:
J Zhang; R Zhang; Z Wu; X Lv; B Liu
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Publication Detail:
Type:  Journal Article     Date:  2010-10-25
Journal Detail:
Title:  Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences     Volume:  16     ISSN:  1591-0199     ISO Abbreviation:  Interv Neuroradiol     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-10-27     Completed Date:  2010-12-30     Revised Date:  2013-07-03    
Medline Journal Info:
Nlm Unique ID:  9602695     Medline TA:  Interv Neuroradiol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  249-54     Citation Subset:  IM    
Affiliation:
Suqian People's Hospital Drum Tower Hospital Group, Nanjing, China.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aneurysm, Dissecting / therapy*
Cerebral Angiography
Child
Embolization, Therapeutic*
Female
Follow-Up Studies
Humans
Intracranial Aneurysm / radiography,  therapy*
Male
Middle Aged
Retrospective Studies
Stents
Treatment Outcome
Comments/Corrections

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