Endovascular treatment of intracranial aneurysms with a branch arising from the sac.

Détails

ID Serval
serval:BIB_48B822B23839
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Endovascular treatment of intracranial aneurysms with a branch arising from the sac.
Périodique
AJRN. American Journal of Neuroradiology
Auteur(s)
Lubicz B., Lefranc F., Levivier M., Dewitte O., Pirotte B., Brotchi J., Balériaux D.
ISSN
0195-6108 (Print)
ISSN-L
0195-6108
Statut éditorial
Publié
Date de publication
2006
Peer-reviewed
Oui
Volume
27
Numéro
1
Pages
142-147
Langue
anglais
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Résumé
BACKGROUND AND PURPOSE: The endovascular treatment (EVT) of intracranial aneurysms is no more limited by the presence of a branch at the neck or by the neck width. Saccular aneurysms with a branch arising from the sac, however, are mostly candidates for surgery rather than embolization. We prospectively evaluated the feasibility and safety of the EVT in such cases.
METHODS: Between May and November 2004, 9 consecutive patients with a saccular aneurysm that presents a branch arising from the sac were treated by embolization. There were 7 women and 2 men (mean age, 58 years). Six patients presented with a subarachnoid hemorrhage (SAH), and 3 were asymptomatic. All patients were treated by selective coiling with (n = 6) or without (n = 3) the remodeling technique. Clinical outcome was assessed with a modified Glasgow Outcome Scale at 3 months.
RESULTS: EVT was successfully performed in all patients and resulted in 7 excellent outcomes and 2 deaths related to SAH complications. The arterial branch could be preserved in 7 cases and intentionally occluded in 2. Neither embolic nor ischemic complication occurred in the vascular territory of the involved branch. Angiographic results showed 5 neck remnants, 2 incomplete occlusions, and 2 complete occlusions. No rebleeding occurred.
CONCLUSION: Our study, though limited by its small patient population, suggests that saccular intracranial aneurysms with a branch arising from the sac may be treated by endovascular approach with excellent clinical results; however, larger series with long-term follow-up are mandatory to confirm these preliminary results mostly in terms of anatomic stability.
Mots-clé
Adult, Aged, Embolization, Therapeutic, Female, Humans, Imaging, Three-Dimensional, Intracranial Aneurysm/pathology, Intracranial Aneurysm/radiography, Male, Middle Aged
Pubmed
Web of science
Création de la notice
20/01/2008 17:35
Dernière modification de la notice
20/08/2019 13:55
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