Angiographic and Clinical Result of Endovascular Treatment in Paraclinoid Aneurysms
PurposeThe purpose of this study was to analyze the results of an immediate and mid-term angiographic and clinical follow-up of endovascular treatment for paraclinoid aneurysms.Materials and MethodsFrom January 2002 to December 2012, a total of 113 consecutive patients (mean age: 56.2 years) with 11...
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| Format: | Article |
| Language: | English |
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Korean Society of Interventional Neuroradiology
2014-09-01
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| Series: | Neurointervention |
| Subjects: | |
| Online Access: | http://neurointervention.org/upload/pdf/ni-9-83.pdf |
| _version_ | 1797332173272907776 |
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| author | Wi Hyun Kwon Hae Woong Jeong Sung Tae Kim Jung Hwa Seo |
| author_facet | Wi Hyun Kwon Hae Woong Jeong Sung Tae Kim Jung Hwa Seo |
| author_sort | Wi Hyun Kwon |
| collection | DOAJ |
| description | PurposeThe purpose of this study was to analyze the results of an immediate and mid-term angiographic and clinical follow-up of endovascular treatment for paraclinoid aneurysms.Materials and MethodsFrom January 2002 to December 2012, a total of 113 consecutive patients (mean age: 56.2 years) with 116 paraclinoid saccular aneurysms (ruptured or unruptured) were treated with endovascular coiling procedures. Clinical and angiographic outcomes were retrospectively evaluated.ResultsNinety-three patients (82.3%) were female. The mean size of the aneurysm was 5.5 mm, and 101 aneurysms (87.1%) had a wide neck. Immediate catheter angiography showed complete occlusion in 40 aneurysms (34.5%), remnant sac in 51 (43.9%), and remnant neck in 25 (21.6%). Follow-up angiographic studies were performed on 80 aneurysms (69%) at a mean period of 20.4 months. Compared with immediate angiographic results, follow-up angiograms showed no change in 38 aneurysms, improvement in 37 (Fig. 2), and recanalization in 5. There were 6 procedure-related complications (5.2%), with permanent morbidity in one patient.ConclusionOut study suggests that properly selected patients with paraclinoid aneurysms can be successfully treated by endovascular means. |
| first_indexed | 2024-03-08T07:45:44Z |
| format | Article |
| id | doaj.art-30ee48e2d6b5476aa0c859205d6457ef |
| institution | Directory Open Access Journal |
| issn | 2093-9043 2233-6273 |
| language | English |
| last_indexed | 2024-03-08T07:45:44Z |
| publishDate | 2014-09-01 |
| publisher | Korean Society of Interventional Neuroradiology |
| record_format | Article |
| series | Neurointervention |
| spelling | doaj.art-30ee48e2d6b5476aa0c859205d6457ef2024-02-02T16:07:31ZengKorean Society of Interventional NeuroradiologyNeurointervention2093-90432233-62732014-09-0192838810.5469/neuroint.2014.9.2.83229Angiographic and Clinical Result of Endovascular Treatment in Paraclinoid AneurysmsWi Hyun Kwon0Hae Woong Jeong1Sung Tae Kim2Jung Hwa Seo3Department of Neurosurgery, Good Samsun Hospital, Busan, Korea.Department of Diagnostic Radiology, Busan Paik Hospital, Inje University, Busan, Korea.Department of Neurosurgery, Busan Paik Hospital, Inje University, Busan, Korea.Department of Neurology, Busan Paik Hospital, Inje University, Busan, Korea.PurposeThe purpose of this study was to analyze the results of an immediate and mid-term angiographic and clinical follow-up of endovascular treatment for paraclinoid aneurysms.Materials and MethodsFrom January 2002 to December 2012, a total of 113 consecutive patients (mean age: 56.2 years) with 116 paraclinoid saccular aneurysms (ruptured or unruptured) were treated with endovascular coiling procedures. Clinical and angiographic outcomes were retrospectively evaluated.ResultsNinety-three patients (82.3%) were female. The mean size of the aneurysm was 5.5 mm, and 101 aneurysms (87.1%) had a wide neck. Immediate catheter angiography showed complete occlusion in 40 aneurysms (34.5%), remnant sac in 51 (43.9%), and remnant neck in 25 (21.6%). Follow-up angiographic studies were performed on 80 aneurysms (69%) at a mean period of 20.4 months. Compared with immediate angiographic results, follow-up angiograms showed no change in 38 aneurysms, improvement in 37 (Fig. 2), and recanalization in 5. There were 6 procedure-related complications (5.2%), with permanent morbidity in one patient.ConclusionOut study suggests that properly selected patients with paraclinoid aneurysms can be successfully treated by endovascular means.http://neurointervention.org/upload/pdf/ni-9-83.pdfparaclinoid aneurysmembolizationangiographic follow-up |
| spellingShingle | Wi Hyun Kwon Hae Woong Jeong Sung Tae Kim Jung Hwa Seo Angiographic and Clinical Result of Endovascular Treatment in Paraclinoid Aneurysms Neurointervention paraclinoid aneurysm embolization angiographic follow-up |
| title | Angiographic and Clinical Result of Endovascular Treatment in Paraclinoid Aneurysms |
| title_full | Angiographic and Clinical Result of Endovascular Treatment in Paraclinoid Aneurysms |
| title_fullStr | Angiographic and Clinical Result of Endovascular Treatment in Paraclinoid Aneurysms |
| title_full_unstemmed | Angiographic and Clinical Result of Endovascular Treatment in Paraclinoid Aneurysms |
| title_short | Angiographic and Clinical Result of Endovascular Treatment in Paraclinoid Aneurysms |
| title_sort | angiographic and clinical result of endovascular treatment in paraclinoid aneurysms |
| topic | paraclinoid aneurysm embolization angiographic follow-up |
| url | http://neurointervention.org/upload/pdf/ni-9-83.pdf |
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