Aneurysm Treatment – a Neuroradiologic Success Story

Schumacher, Martin; Weber, W.

doi:10.1007/s00062-008-8026-4

Cited by 3 publications

(3 citation statements)

References 51 publications

(57 reference statements)

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“…Aneurysms are vascular malformations of extreme importance in the group of cerebrovascular diseases, given that they represent the most common cause of spontaneous subarachnoid hemorrhage and are responsible for nearly a quarter of all intracranial hemorrhages 12 . The treatment of intracranial aneurysms may be performed by microsurgical clipping or endovascular coil embolization.…”

Section: Introductionmentioning

confidence: 99%

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Balloon remodeling technique in endovascular treatment of intracranial aneurysms

Aurich¹,

Leal²,

Ramina³

et al. 2018

jbnc

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RESUMOObjetivos: O tratamento endovascular de aneurismas intracranianos demonstra baixas taxas morbidade e mortalidade, entretanto, aneurismas complexos e de colo largo permanecem um desafio terapêutico. O objetivo deste estudo é avaliar o manejo endovascular de uma série de aneurismas intracranianos utilizando-se a técnica de remodelagem com balão.Método: Realizou-se uma avaliação retrospectiva de pacientes com aneurismas intracranianos submetidos a tratamento endovascular com a técnica de remodelagem com balão no Instituto de Neurologia de Curitiba (Outubro de 2006 a Junho de 2011).Resultados: Foram analisados 34 pacientes. A média de idade era de 55,12 anos e 78,79% eram do sexo feminino. Treze pacientes apresentavam aneurismas rotos (38,24%) e em 8 havia vasoespasmo (23,53%). A maioria dos aneurismas (61,76%) tinham entre 5-15 mm de tamanho e 41,18% apresentavam colo maior ou igual a 4 mm. Uma oclusão total foi obtida em 29 aneurismas (85,29%) e parcial em 2 aneurismas (5,88%). Ocorreu óbito por hemorragia subaracnóidea relacionada ao procedimento em 1 caso. Conclusão: O tratamento endovascular com a técnica de remodelagem com balão mostra-se segura e eficaz para o tratamento de aneurismas intracranianos, especialmente naqueles complexos e com colo largo.Palavras Chave: aneurisma intracraniano, tratamento endovascular, técnica de remodelagem. ABSTRACTObjectives: Endovascular treatment of intracranial aneurysms demonstrates low rates of morbidity and mortality. However, aneurysms with complex forms and wide neck remain a therapeutic challenge. The aim of this study is to evaluate the endovascular management of a series of intracranial aneurysms using the balloon remodeling technique. Curitiba (from October, 2006 to June, 2011. Method: A retrospective evaluation was performed on patients with intracranial aneurysms having undergone endovascular treatment with balloon remodeling technique at the Instituto de Neurologia deResults: Thirty-four patients were evaluated. The mean age was 55.12 years and 78.79% were female. Thirteen patients had ruptured aneurysms (38.24%) and 8 had vasospasm (23,53%). The majority of the aneurysms (61.76%) had dome measurements between 5 to 15mm and 41.18% had a neck size of greater than or equal to 4mm. Total occlusion was obtained in 29 aneurysms (85,29%) and partial occlusion in 2 (5.88%). One patient died from a procedure-related hemorrhage.Conclusion: Endovascular treatment with balloon remodeling techniques seems to be a safe and effective treatment for intracranial aneurysms, especially those with complex forms and wide neck. Original J Bras Neurocirurg 23 (3): 205-210, 2012 Aurich LA, Leal AG, Ramina R, Meneses MS -Balloon remodeling technique in endovascular treatment of intracranial aneurysms 13. Sluzewski M, Rooij WV, Beute G. Balloon-assisted coil embolization of intracranial aneurysms: incidence, complications, and angiography results.

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Section: Introductionmentioning

confidence: 99%

“…Clipping of aneurysm neck has been the method of choice for aneurysm obliteration. For decades it was the only option in treatment of ruptured and unruptured aneurysms 12 .…”

Section: Introductionmentioning

confidence: 99%

Balloon remodeling technique in endovascular treatment of intracranial aneurysms

Aurich¹,

Leal²,

Ramina³

et al. 2018

jbnc

View full text Add to dashboard Cite

show abstract

“…Besides aneurysm clipping, endovascular coil embolization is a frequently applied technique for the treatment of ruptured cerebral aneurysms [3,4]. During digital subtraction angiography (DSa), re-SaH can be observed as an extravasation of contrast agent from the aneurysm.…”

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confidence: 99%