scholarly journals Endovascular Treatment of Middle Cerebral Artery Aneurysms for 120 Nonselected Patients: A Prospective Cohort Study

2013 ◽  
Vol 35 (4) ◽  
pp. 715-720 ◽  
Author(s):  
B. Gory ◽  
A. Rouchaud ◽  
S. Saleme ◽  
F. Dalmay ◽  
R. Riva ◽  
...  
Keyword(s):  
Cohort Study ◽  
Endovascular Treatment ◽  
Middle Cerebral Artery ◽  
Prospective Cohort Study ◽  
Cerebral Artery ◽  
Prospective Cohort ◽  
Middle Cerebral Artery Aneurysms

scholarly journals Remote results of endovascular treatment of middle cerebral artery aneurysms

2015 ◽  
Vol 17 (2) ◽  
pp. 28
Author(s):  
D. V. Shcheglov
Keyword(s):  
Postoperative Complications ◽  
Endovascular Treatment ◽  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Considerable Increase ◽  
Mass Effect ◽  
Endovascular Occlusion ◽  
Middle Cerebral Artery Aneurysms

Our objective was to study the dynamics of remote results of MCA SA endovascular occlusion. 149 patients with MCA SA were examined and operated, 127 patients were selected for 36 months follow-up, 112 patients in 1 year follow-up, 52 patients were to be examined in 23 years, 17 in 45 years and 14 patients in more than 5 years. Endovascular occlusion was carried out by means of different coils during reconstructive 138 (92.6%) and unplanned deconstructive occlusions 8 (5.4%). For planned deconstructions detachable balloons were used 3 (2%). 17 (11.4%) recurrences were diagnosed and 12 (8%) repeated operations were performed. 19 (12.8%) intra-and postoperative complications/ predictors and 18 (12.1%) complications unrelated to surgery were observed in the first 30 days and only 1 (1.1%) mass effect was identified in 36 months. After our research we were ableto trackthe dynamicsof thepatientslife quality according totheRankinscale; tomonitorthe changes in SA occlusion degree; to define the frequency of recurrences and complications/predictors of complications and to determine the amount of reoperations. We noted a considerable increase in the quantity of total occlusions after reoperations, which resulted in much better filling of the CA cavity, because the prophylaxis of the repeated hemorrhages is the main goal of SA endovascular treatment.

scholarly journals Endovascular treatment of middle cerebral artery aneurysms – single-centre results

2020 ◽  
Vol 85 (1) ◽  
pp. 650-656
Author(s):  
Paweł Brzegowy ◽  
Jakub Polak ◽  
Jakub Wnuk ◽  
Bartłomiej Łasocha ◽  
Borys Kwinta ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Single Centre ◽  
Middle Cerebral Artery Aneurysms

Flow diverter device for the treatment of small middle cerebral artery aneurysms

2015 ◽  
Vol 8 (3) ◽  
pp. 287-294 ◽  
Author(s):  
Francesco Briganti ◽  
Luigi Delehaye ◽  
Giuseppe Leone ◽  
Carmine Sicignano ◽  
Giuseppe Buono ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Flow Diverter ◽  
Aneurysm Rupture ◽  
Side Branch ◽  
Neurological Deficits ◽  
Complete Occlusion ◽  
Ischemic Complications ◽  
Middle Cerebral Artery Aneurysms

PurposeExperience with the endovascular treatment of middle cerebral artery (MCA) aneurysms by flow diverter devices (FDD) is still limited. This study examines the results and complications of FDD for small aneurysms at this location.MethodsFrom February 2010 to December 2013, 14 patients (10 women; mean age 59 years) with 15 small MCA aneurysms were treated with FDD. All procedures were performed with the Pipeline embolization device (PED).ResultsComplete occlusion was obtained in 12/15 aneurysms (80%) and partial occlusion in 3 (20%). Among 13 aneurysms with a side branch, this was patent at the angiographic control in 4 cases, showed decreased filling in 6, and was occluded in 3 (with neurological deficits in 2). All PEDs were patent at follow-up. Post-procedural ischemic complications occurred in 4 (27%) procedures with permanent neurological deficit (modified Rankin score 2) in 3 (21%). No early or delayed aneurysm rupture, no subarachnoid or intraparenchymal hemorrhage and no deaths occurred.ConclusionsEndovascular treatment with FDD is a relatively safe treatment for small MCA aneurysms resulting in a high occlusion rate. The findings of this study suggest that complete occlusion after endovascular treatment with FDD can be delayed (>6 months). Ischemic complications may occur as early or delayed, particularly at clopidogrel interruption.

Sign in / Sign up

Export Citation Format

Share Document