Endovascular treatment of proximal superior middle cerebral artery aneurysms.

Neuroradiology
Boris LubiczBenjamin Mine

Abstract

Aneurysms superiorly located on the proximal segment of the middle cerebral artery (PMCAA) are rare and challenging to treat. No information is available regarding their management by endovascular approach. The aim of this study was to report our experience with endovascular treatment (EVT) of PMCAA. A retrospective review of our prospectively maintained database identified all PMCAA treated in our institution. The clinical charts, procedural data, and angiographic results were reviewed. From April 2004 to December 2011, 17 patients were identified including six who presented with subarachnoid hemorrhage (SAH) and 11 with an unruptured PMCAA. All aneurysms were small (<6 mm) and had a branch arising from the neck or the sac, and 15/17 were wide-necked. All patients were successfully treated by balloon-assisted coiling (n = 10), stent-assisted coiling (n = 5), and coiling (n = 2). No technical or clinical complication occurred. Fifteen patients showed an excellent clinical outcome, and two kept a slight or a significant deficit that were both SAH-related. Immediate anatomical outcome includes nine complete occlusions and eight neck remnants. Imaging follow-up in 11 patients (mean = 21, range, 6 to 60 months) showed stable or imp...Continue Reading

References

Dec 1, 1988·Stroke; a Journal of Cerebral Circulation·R Bonita, R Beaglehole
Jan 11, 2007·Surgical Neurology·Reza DashtiJuha E Jääskeläinen
Mar 28, 2008·Clinical Neurology and Neurosurgery·Dong-Hyuk ParkHoon-Kap Lee
Sep 15, 2009·AJNR. American Journal of Neuroradiology·B M KimY S Won
Dec 5, 2009·Stroke; a Journal of Cerebral Circulation·Michel PiotinJacques Moret
Jan 11, 2011·Clinical Neurology and Neurosurgery·Sung-Kon HaYong-Gu Chung

❮ Previous
Next ❯

Citations

Jan 3, 2016·World Neurosurgery·Osman Melih TopcuogluAnil Arat
Jan 3, 2016·World Neurosurgery·Brian L Hoh, Amit Singla
Dec 3, 2014·Journal of Neuroradiology. Journal De Neuroradiologie·Benjamin MineBoris Lubicz
Jan 19, 2016·World Neurosurgery·Badih Daou, Pascal Jabbour
Jul 10, 2016·World Neurosurgery·Chuan-Chuan WangQing-Hai Huang

❮ 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.