Neurosurgery · 2014
Treatment of blister-like aneurysms with the pipeline embolization device.
Клинический случайОценочное исследованиеСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Chalouhi Nohra, Zanaty Mario, Tjoumakaris Stavropoula, Gonzalez L Fernando, Hasan David, Kung David, Rosenwasser Robert H, Jabbour Pascal
Аннотация
BACKGROUND: Endovascular vessel reconstruction with the pipeline embolization device (PED) has become common practice. Data on the safety and efficacy of the PED in blister-like aneurysms (BLAs) are limited.
OBJECTIVE: To retrospectively present our experience with use of the PED in BLAs.
METHODS: A total of 8 patients harboring 8 BLAs were treated with the PED at our institution between November 2011 and April 2013.
RESULTS: Aneurysm size was 2.5 mm on average. Five patients had sustained a subarachnoid hemorrhage (SAH), 1 patient presented with sentinel headaches, and in 2 patients the aneurysm was incidentally discovered. Seven aneurysms arose from the ICA and 1 from the basilar artery. Placement of the PED was successful in all 8 patients. There were no procedural or perioperative complications in any of the patients. At the latest follow-up, all 8 patients achieved a favorable outcome (mRS 0-2). Angiographic follow-up was available for 6 patients at a mean time point of 3.9 months. Follow-up angiography showed 100% aneurysm occlusion in 5 patients and marked decrease in aneurysm size in 1 patient.
CONCLUSION: The findings of this study suggest that the PED may be a safe and effective treatment for BLAs. Given the limitations of other treatment modalities and the challenging nature of BLAs, flow diversion may be a valuable option for these lesions.
OBJECTIVE: To retrospectively present our experience with use of the PED in BLAs.
METHODS: A total of 8 patients harboring 8 BLAs were treated with the PED at our institution between November 2011 and April 2013.
RESULTS: Aneurysm size was 2.5 mm on average. Five patients had sustained a subarachnoid hemorrhage (SAH), 1 patient presented with sentinel headaches, and in 2 patients the aneurysm was incidentally discovered. Seven aneurysms arose from the ICA and 1 from the basilar artery. Placement of the PED was successful in all 8 patients. There were no procedural or perioperative complications in any of the patients. At the latest follow-up, all 8 patients achieved a favorable outcome (mRS 0-2). Angiographic follow-up was available for 6 patients at a mean time point of 3.9 months. Follow-up angiography showed 100% aneurysm occlusion in 5 patients and marked decrease in aneurysm size in 1 patient.
CONCLUSION: The findings of this study suggest that the PED may be a safe and effective treatment for BLAs. Given the limitations of other treatment modalities and the challenging nature of BLAs, flow diversion may be a valuable option for these lesions.
Предметные рубрики MeSH
AdultAgedAged, 80 and overAneurysm, RupturedAngioplastyAspirinBasilar ArteryCarotid Artery DiseasesCarotid Artery, InternalCerebral AngiographyClopidogrelDrug Therapy, CombinationEmbolization, TherapeuticFemaleFollow-Up StudiesHeparinHumansIntracranial AneurysmMagnetic Resonance AngiographyMaleMiddle AgedPlatelet Aggregation InhibitorsPremedicationRetrospective StudiesStentsTiclopidineTomography, X-Ray ComputedTreatment Outcome