Endovascular treatment of largely thrombosed saccular aneurysms: follow-up results in ten patients.

Neuroradiology
Young Dae ChoMoon Hee Han

Abstract

Partially thrombosed aneurysms are known to be vulnerable to recanalization after coiling. However, concerns about the extent or age of intra-aneurysmal thrombosis have not been addressed in relation to the recanalization. We evaluated the follow-up results in ten patients with largely thrombosed (>or=80% in volume) saccular aneurysms treated by coil embolization. Medical records of ten patients with largely thrombosed saccular aneurysms treated by coil embolization were retrospectively reviewed. The aneurysm size measured on MR/CT images and angiograms was 25.6 +/- 8.1 and 8.7 +/- 2.9 mm, respectively. None of the aneurysms were ruptured, and four were symptomatic due to mass effect. Angiographic occlusion rates after coiling were total occlusion in two, neck remnant in seven, and residual aneurysm in one. Follow-up anatomical and clinical outcomes were assessed. No permanent complication developed after procedures. Recanalization occurred in three (30%) during a mean follow-up period of 17.4 +/- 16.3 months. Only aneurysm neck size (P = 0.03) was found to be significantly associated with recanalization. All three patients with recanalization underwent repeat embolization. The symptoms related to mass effects were improved in ...Continue Reading

References

Dec 1, 1979·Journal of Neurosurgery·Y Hosobuchi
Feb 1, 1974·Journal of Neurology, Neurosurgery, and Psychiatry·W F Michael
Feb 1, 1981·Neurosurgery·L N Sekhar, R C Heros
Nov 1, 1982·Journal of Neurology, Neurosurgery, and Psychiatry·I R WhittleM Besser
Nov 1, 1981·Journal of Neurosurgery·A Spallone, G Cantore
Dec 29, 1998·The New England Journal of Medicine·UNKNOWN International Study of Unruptured Intracranial Aneurysms Investigators
May 22, 2003·European Journal of Radiology·In Sup Choi, Carlos David
May 31, 2003·Stroke; a Journal of Cerebral Circulation·Jean RaymondDaniel Roy
Jul 11, 2003·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Michael Mu-Huo TengCheng-Yen Chang
Jul 18, 2003·Lancet·P M White, Joanna Wardlaw
Jul 18, 2003·Lancet·David O WiebersUNKNOWN International Study of Unruptured Intracranial Aneurysms Investigators
Jul 1, 1958·Journal of Neuropathology and Experimental Neurology·E M HOUSEPIAN, J L POOL
Feb 1, 1965·Journal of Neurosurgery·A R SADIKK SHULMAN
Mar 30, 2000·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·S J Kim, I S Choi

❮ Previous
Next ❯

Citations

Apr 6, 2011·Neuroradiology·Peter W A WillemsTimo Krings
Jul 14, 2012·Neurosurgical Review·Marcio L Tostes dos SantosWaldir Antônio Tognola
Sep 23, 2014·World Neurosurgery·Justin C Clark, Robert F Spetzler
Mar 8, 2012·Journal of Korean Neurosurgical Society·Young-Joon Kim, Jung Ho Ko
Nov 21, 2015·AJNR. American Journal of Neuroradiology·G AnilT Patankar
Dec 6, 2012·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·K O'BrienT Abruzzo
Dec 4, 2020·Clinical Neurology and Neurosurgery·Alberto VandenbulckeGiulia Cossu
Feb 27, 2021·Journal of Korean Neurosurgical Society·Jeongjun LeeJeong Eun Kim

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.

Cajal Bodies & Gems

Cajal bodies or coiled bodies are dense foci of coilin protein. Gemini of Cajal bodies, or gems, are microscopically similar to Cajal bodies. It is believed that Cajal bodies play important roles in RNA processing while gems assist the Cajal bodies. Find the latest research on Cajal bodies and gems here.