Analysis of endovascular treatment of ruptured aneurysms of the middle cerebral artery compared to other anatomical locations

Abstract

<jats:sec><jats:title>Objective</jats:title><jats:p> The objective of this article is to compare the results of endovascular treatment of ruptured middle cerebral artery (MCA) aneurysms with ruptured aneurysms of other anatomic locations. </jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p> Fifty consecutive ruptured aneurysms of the MCA and 209 aneurysms at other anatomical locations were selected retrospectively. We compared epidemiological, clinical and radiological variables, prognosis and complications. </jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p> The MCA aneurysms had a greater size and a poor dome/neck ratio. There were no significant differences in endovascular technique complications, occlusion rate or rebleeding between the two groups ( p &gt; 0.1). There were no significant differences in the mortality and number of dependent patients after one month. </jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p> The endovascular treatment of ruptured MCA aneurysms without hematoma is as safe and effective as other aneurysm localizations. Complication rates, occlusion rates and rebleeding of ruptured MCA aneurysms are comparable to other locations. </jats:p></jats:sec>

Endovascular Treatment of Ruptured Middle Cerebral Artery Aneurysms With a Low-Profile Visualized Intraluminal Support Device

“…Endovascular treatment has been criticized for its lower complete occlusion and high recanalization rate during follow up for a long time. The previous series indicated a complete occlusion rate of 66.2–77.8%, a recanalization rate of 13.3–30%, and a re-treatment rate of 2.4–13.9% following the MCA aneurysm embolization ( 14 , 15 , 24 – 26 ). However, with the appliance of stent-assisted coiling, aneurysm angiographic outcome was improved, and the recanalization rate of MCA aneurysms also decreased to 4.9–7.1% ( 2 , 3 ).…”

Association between body mass index and presence of carotid plaque among low-income adults aged 45 years and older: a population-based cross-sectional study in rural China

“…In addition, although previous studies have shown that education level [ 6 ], cigarette smoking [ 6 , 9 , 10 , 12 – 14 ], DBP [ 26 , 27 ], HDL-C [ 10 , 19 ], and the LDL-C/HDL-C ratio [ 10 , 19 ] were predictors of carotid plaque, no significant link between carotid plaque and education level, cigarette smoking, DBP, HDL-C, or the LDL-C/HDL-C ratio was observed in this study. This finding might be explained by the fact that the previous study did not analyze the association between those variables with carotid plaque after stratification by BMI, which could have led to the disappearance of statistical significance.…”