Endovascular treatment of middle cerebral artery aneurysms.

Détails

ID Serval
serval:BIB_D177443C7A12
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Endovascular treatment of middle cerebral artery aneurysms.
Périodique
Neurocritical Care
Auteur(s)
Lubicz B., Graca J., Levivier M., Lefranc F., Dewitte O., Pirotte B., Brotchi J., Balériaux D.
ISSN
1541-6933 (Print)
ISSN-L
1541-6933
Statut éditorial
Publié
Date de publication
2006
Peer-reviewed
Oui
Volume
5
Numéro
2
Pages
93-101
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
INTRODUCTION: Until recently, middle cerebral artery (MCA) aneurysms were mostly treated by surgery, and endovascular treatment (EVT) was only performed in selected cases. We prospectively evaluated the feasibility and the results of EVT when it is considered as the first therapeutic option for the treatment of MCA aneurysms.
METHODS: From April 2004 to April 2005, 32 patients with 32 MCA aneurysms were treated in our institution. Of these, 12 patients presented with subarachnoid hemorrhage and 20 were asymptomatic. Seven patients were surgically treated because of a compressive haematoma (n = 4), a failure of EVT (n = 1), or because EVT was judged unfeasible (n = 2). In 25 patients, EVT was performed and required the use of the remodelling technique in 16 cases and a stent alone in two. Clinical and anatomical outcome were assessed with the modified Rankin Scale (mRS) at 1 month and a conventional angiography at 6 months.
RESULTS: EVT was successfully performed and resulted in an excellent outcome (mRS = 0) in all patients but one, who experienced a thromboembolic complication and maintained a slight lack of vocabulary (mRS = 1). Immediate anatomical results included 15 complete occlusions, 8 neck remnants, and 2 incomplete occlusions in two patients treated by stenting alone. Control angiographies were obtained in 23 patients and showed 17 unchanged occlusions, five slight recanalisations, and one recanalisation that required a retreatment.
CONCLUSION: This study showed that EVT of MCA aneurysms is feasible with good results in most patients thanks to new endovascular techniques. However, long-term imaging follow-up is mandatory to confirm these preliminary findings, mostly in terms of anatomical stability.
Mots-clé
Adult, Aged, Aged, 80 and over, Cerebral Angiography, Female, Follow-Up Studies, Humans, Intracranial Aneurysm/pathology, Intracranial Aneurysm/surgery, Male, Middle Aged, Retrospective Studies, Treatment Outcome, Vascular Surgical Procedures
Pubmed
Web of science
Création de la notice
20/01/2008 17:35
Dernière modification de la notice
20/08/2019 15:51
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