Radiological follow-up of endovascularly treated intracranial aneurysms: a survey of current practice in the UK and Ireland

被引：1

作者：

Hannan, Cathal John ^{[1
]}

Islim, Abdurrahman I. ^{[1
]}

Alalade, Andrew F. ^{[2
]}

Bacon, Andrew ^{[3
]}

Ghosh, Anthony ^{[4
]}

Dalton, Arthur ^{[5
]}

Abouharb, Ashraf ^{[6
]}

Walsh, Daniel Colman ^{[7
]}

Bulters, Diederik ^{[8
]}

White, Edward ^{[9
]}

Chavredakis, Emmanouil ^{[10
]}

Kounin, George ^{[11
]}

Critchley, Giles ^{[12
]}

Dow, Graham ^{[13
]}

Patel, Hiren C. ^{[1
]}

Brydon, Howard ^{[14
]}

Anderson, Ian A. ^{[15
]}

Fouyas, Ioannis ^{[16
]}

Galea, James ^{[17
]}

St George, Jerome ^{[18
]}

Bal, Jarnail ^{[19
]}

Patel, Krunal ^{[20
]}

Kamel, Mahmoud ^{[21
]}

Teo, Mario ^{[22
]}

Fanning, Noel ^{[21
]}

Mukerji, Nitin ^{[23
]}

Grover, Patrick ^{[24
]}

Mitchell, Patrick ^{[25
]}

Whitfield, Peter C. ^{[26
]}

Trivedi, Rikin ^{[27
]}

Crockett, Matthew T. ^{[28
]}

Brennan, Paul ^{[28
]}

Javadpour, Mohsen ^{[29
,30
,31
]}

机构：

[1] Manchester Ctr Clin Neurosci, Manchester, Lancs, England

[2] Royal Preston Hosp, Dept Neurosurg, Preston, Lancs, England

[3] Royal Hallamshire Hosp, Dept Neurosurg, Sheffield, S Yorkshire, England

[4] Queens Hosp Romford, Dept Neurosurg, Romford, Essex, England

[5] Charing Cross Hosp, Dept Neurosurg, London, England

[6] Royal Victoria Hosp, Dept Neurosurg, Belfast, Antrim, North Ireland

[7] Kings Coll Hosp London, Dept Neurosurg, London, England

[8] Univ Hosp Southampton, Wessex Neurol Ctr, Dept Neurosurg, Southampton, Hants, England

[9] Queen Elizabeth Hosp, Dept Neurosurg, Birmingham, W Midlands, England

[10] Walton Ctr Neurol & Neurosurg, Dept Neurosurg, Liverpool, Merseyside, England

[11] Hull Royal Infirm, Dept Neurosurg, Kingston Upon Hull, N Humberside, England

[12] Univ Hosp Sussex, Dept Neurosurg, Brighton, E Sussex, England

[13] Queens Med Ctr, Dept Neurosurg, Nottingham, England

[14] Royal Stoke Univ Hosp, Dept Neurosurg, Stoke, England

[15] Leeds Gen Infirm, Dept Neurosurg, Leeds, W Yorkshire, England

[16] Western Gen Hosp, Dept Neurosurg, Edinburgh, Midlothian, Scotland

[17] Univ Hosp Wales, Dept Neurosurg, Cardiff, Wales

[18] Queen Elizabeth Univ Hosp, Dept Neurosurg, Glasgow, Lanark, Scotland

[19] Royal London Hosp, Dept Neurosurg, London, England

[20] Univ Hosp Coventry, Dept Neurosurg, Coventry, W Midlands, England

[21] Cork Univ Hosp, Dept Neurosurg, Cork, Ireland

[22] Southmead Hosp, Dept Neurosurg, Bristol, Avon, England

[23] James Cook Univ Hosp, Dept Neurosurg, Middlesbrough, Cleveland, England

[24] Natl Hosp Neurol & Neurosurg, Dept Neurosurg, London, England

[25] Royal Victoria Infirm, Dept Neurosurg, Newcastle, England

[26] Univ Hosp Plymouth NHS Trust, South West Neurosurg Ctr, Plymouth, Devon, England

[27] Addenbrookes Hosp, Dept Neurosurg, Cambridge, England

[28] Beaumont Hosp, Dept Neuroradiol, Dublin, Ireland

[29] Beaumont Hosp, Dept Neurosurg, Dublin, Ireland

[30] Trinity Coll Dublin, Sch Med, Dublin, Ireland

[31] Royal Coll Surgeons Ireland, Dublin, Ireland

来源：

ACTA NEUROCHIRURGICA | 2023年 / 165卷 / 02期

关键词：

Intracranial aneurysm; Magnetic resonance angiography; Digital subtraction angiography; Recanalization; CEREBRAL ANEURYSMS; COILING; RISK; RETREATMENT; RERUPTURE; SERIES;

D O I：

10.1007/s00701-022-05379-4

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Purpose Due to the risk of intracranial aneurysm (IA) recurrence and the potential requirement for re-treatment following endovascular treatment (EVT), radiological follow-up of these aneurysms is necessary. There is little evidence to guide the duration and frequency of this follow-up. The aim of this study was to establish the current practice in neurosurgical units in the UK and Ireland. Methods A survey was designed with input from interventional neuroradiologists and neurosurgeons. Neurovascular consultants in each of the 30 neurosurgical units providing a neurovascular service in the UK and Ireland were contacted and asked to respond to questions regarding the follow-up practice for IA treated with EVT in their department. Results Responses were obtained from 28/30 (94%) of departments. There was evidence of wide variations in the duration and frequency of follow-up, with a minimum follow-up duration for ruptured IA that varied from 18 months in 5/28 (18%) units to 5 years in 11/28 (39%) of units. Young patient age, previous subarachnoid haemorrhage and incomplete IA occlusion were cited as factors that would prompt more intensive surveillance, although larger and broad-necked IA were not followed-up more closely in the majority of departments. Conclusions There is a wide variation in the radiological follow-up of IA treated with EVT in the UK and Ireland. Further standardisation of this aspect of patient care is likely to be beneficial, but further evidence on the behaviour of IA following EVT is required in order to inform this process.

引用

页码：451 / 459

页数：9

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