Document Detail

Technical strategy in endovascular treatment of proximal anterior cerebral artery aneurysms.
MedLine Citation:
PMID:  20872259     Owner:  NLM     Status:  In-Data-Review    
PURPOSE: There have been few reports on the endovascular treatment of aneurysms arising from A1 due to their rarity. We report the angiographic results, clinical outcomes, and technical aspects of endovascular treatment for 13 A1 aneurysms in 12 patients.
METHODS: From January 2002 to November 2007, 12 patients (9 females and 3 males) with 13 A1 aneurysms underwent endovascular treatment. Three of these patients presented with subarachnoid hemorrhage, and 10 unruptured aneurysms were detected in 9 patients. All of the aneurysms were successfully treated with coil embolization. Most of the aneurysms projected posteriorly (61.5%) and were located in the proximal A1 segment (69.2%). Procedural, clinical, and radiological follow-up data were reviewed.
RESULTS: Procedure-related complications occurred in 3 patients (25%) and included 1 non-leaking aneurysmal perforation and 2 thromboembolic events; none of them were clinically significant. No bleeding or rebleeding occurred during the follow-up period in this cohort of patients.
CONCLUSIONS: Endovascular coil embolization is an effective treatment modality for A1 aneurysms. Tailored microcatheter shaping according to aneurysm projection and location is necessary. Long-term follow-up studies involving a larger number of patients and further comparisons with surgical data are needed.
Hyuk Won Chang; Sung Won Youn; Cheolkyu Jung; Hyun-Seung Kang; Chul Ho Sohn; Bae Ju Kwon; Moon Hee Han
Related Documents :
18728039 - Shaft aneurysm of femoropopliteal expanded polytetrafluoroethylene graft treated with a...
15597759 - Simultaneous microscopic and endoscopic monitoring during surgery for internal carotid ...
3185279 - Mural repair following obliteration of aneurysms: ii. pathomorphology of treated aneury...
10337419 - Posterior circulation aneurysms. technical strategies based on angiographic anatomical ...
2454779 - The molecular organization of collagen in saccular aneurysms assessed by polarized ligh...
12764279 - Paracrine secretion of transforming growth factor-beta1 in aneurysm healing and stabili...
19577119 - Pulmonary complications of cirrhosis.
24917599 - Bacteria present in carotid arterial plaques are found as biofilm deposits which may co...
1081829 - Changes in native coronary arteries after coronary bypass surgery. role of graft patenc...
Publication Detail:
Type:  Journal Article     Date:  2010-09-26
Journal Detail:
Title:  Acta neurochirurgica     Volume:  153     ISSN:  0942-0940     ISO Abbreviation:  Acta Neurochir (Wien)     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-01-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0151000     Medline TA:  Acta Neurochir (Wien)     Country:  Austria    
Other Details:
Languages:  eng     Pagination:  279-85     Citation Subset:  IM    
Department of Radiology, Keimyung University Dongsan Medical Center, Daegu, South Korea.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

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

Previous Document:  Surgical treatment of orbital cavernomas: clinical and functional outcome in a series of 20 patients...
Next Document:  Microwave-assisted solid-phase peptide synthesis of the 60-110 domain of human pleiotrophin on 2-chl...