Endovascular Treatment of Middle Cerebral Artery Aneurysms Overall Perioperative Results. Apropos of 113 Cases

被引：22
作者：
Guglielmi, G.
Vinuela, F. [1 ]
Duckwiler, G. [1 ]
Jahan, R. [1 ]
Cotroneo, E. [2 ]
Gigli, R. [2 ]
机构：
[1] Univ Calif Los Angeles, Sch Med, Div Intervent Neuroradiol, Los Angeles, CA USA
[2] San Camillo Hosp, Div Neuroradiol, Rome, Italy
来源：
INTERVENTIONAL NEURORADIOLOGY | 2008年 / 14卷 / 03期
关键词：
MCA aneurysms; endovascular treatment; coils;
D O I：
10.1177/159101990801400303
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
The endovascular approach is described in 113 middle cerebral artery (MCA) aneurysms. The treatment failed in six cases with no adverse clinical consequences. Out of the 107 treated cases, it was possible to obtain a complete occlusion in 50 aneurysms (47%), whereas a residual aneurysm neck was observed in 54 cases (50%). Follow-up angiograms were performed in 60 cases, showing a 22% rate of further thrombosis of the aneurysm. Recanalization of the aneurysm was observed in 8% of cases, which required retreatment. The technique-related permanent morbidity rate was 9% while the mortality rate was 2%. A review of the surgical and endovascular literature is presented. The endovascular approach is particularly indicated when normal MCA branches do not arise from the aneurysm base. It must be meticulously planned in all other cases. Endovascular coil treatment of MCA aneurysms is feasible, with acceptable morbi-mortality rates.
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收藏
页码：241 / 245
页数：5
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