Assessment of long-term results of intracranial aneurysm clipping by means of computed tomography angiography

Kunert, Przemysław; Prokopienko, Marek; Gola, Magdalena; Dziedzic, Tomasz; Jaworski, Maciej; Marchel, Andrzej

doi:10.5114/ninp.2012.31549

Cited by 6 publications

(4 citation statements)

References 35 publications

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“…CT angiography (CTA) is a convenient, noninvasive and reliable method for evaluation before treatment and after coiling or clipping treatment. 1,2 When metal coils or clips are placed in the cerebral artery, artefacts from metals may be produced, which usually influences the post-operative evaluation, especially the detection of residual aneurysm. Digital subtraction angiography is invasive and expensive even though it is the gold standard for diagnosis of the vascular diseases.…”

Section: Introductionmentioning

confidence: 99%

Gemstone spectral imaging reduced artefacts from metal coils or clips after treatment of cerebral aneurysms: a retrospective study of 35 patients

Jia¹,

Zhang²,

Fan³

et al. 2015

BJR

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Section: Introductionmentioning

confidence: 99%

Gemstone spectral imaging reduced artefacts from metal coils or clips after treatment of cerebral aneurysms: a retrospective study of 35 patients

Jia¹,

Zhang²,

Fan³

et al. 2015

BJR

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“…Basic information of case series in review of literature (Supplementary Digital Content, Table 3, http://links.lww.com/ SCS/D690): De novo aneurysms accounted for 8.5% (95% confidence interval [CI]: 0-0.1) of the total follow-up in case series. 2,[5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] The average follow-up time was 9.6 (95% CI: 6.7-12.4). The annual incidence rate was 1.1% (95% CI: 0.7-1.5).…”

Section: Results Basic Informationmentioning

confidence: 99%

Pathogenic Factors and Prognosis of De Novo Aneurysms After Aneurysm Clipping

Wang

Tang

et al. 2021

Journal of Craniofacial Surgery

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Objective: To confirm this hypothesis, this study aimed to explore the pathogenic factors, prognosis, and their relationship in de novo aneurysms and to reach a consensus on their management. Methods: First, the clinical data of 5 patients with de novo aneurysms from April 1998 to October 2021 were analyzed retrospectively. Then, the English literature on de novo aneurysms reported in Pubmed from 1985 to 2021 was systematically reviewed, and 18 case reports from 17 articles and 16 case series were identified. Univariate and multivariate analyses and modified Fisher test were used to analyze the relationship between pathogenic factors and prognosis. Results: Hypertension was noted in 60% of our clinical cases, 50% of the case series identified in the literature review, and 66.7% of the case reports in the literature review. In the case reports identified from our literature review, the proportion of original aneurysms in the anterior circulation was 96.3%. Moreover, in our 5 cases, all original aneurysms occurred in the anterior circulation. The rupture rate of original aneurysms in our 5 cases was 100%, and that of the cases reported in the literature review was 88.9%. Univariate logistic analysis showed that the time interval was related to the prognosis of de novo aneurysms with a P value of 0.048 and an odds ratio of 0.968 (95% confidence interval 0.938-1.000). Modified Fisher exact tests showed that patient age at the occurrence of de novo aneurysm P = 0.029) was related to the prognosis of de novo aneurysms. Conclusions: Hypertension, an original aneurysms located in the anterior circulation and rupture represent the pathogenic factors associated with de novo aneurysms. The time interval to de novo aneurysm and patient age at the occurrence of de novo aneurysm are predictive of prognosis. Based on the above information, we can prevent and improve the prognosis of de novo aneurysms.

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“…It may be one of the reasons the retreatment rate of 3.6% achieved in our study is comparatively low. This relatively aggressive approach is particularly applied in the treatment of the AcomA aneurysms, as it is documented that these aneurysms treated with microsurgical clipping are amongst those with the highest recurrence rate in comparison to aneurysms at other locations [25].…”

Section: Discussionmentioning

confidence: 99%

Stent-assisted embolization of wide-neck anterior communicating artery aneurysms: Review of consecutive 34 cases

Kocur

Zbroszczyk

Przybyłko

et al. 2016

Neurologia i Neurochirurgia Polska

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Assessment of long-term results of intracranial aneurysm clipping by means of computed tomography angiography

Cited by 6 publications

References 35 publications

Gemstone spectral imaging reduced artefacts from metal coils or clips after treatment of cerebral aneurysms: a retrospective study of 35 patients

Gemstone spectral imaging reduced artefacts from metal coils or clips after treatment of cerebral aneurysms: a retrospective study of 35 patients

Pathogenic Factors and Prognosis of De Novo Aneurysms After Aneurysm Clipping

Stent-assisted embolization of wide-neck anterior communicating artery aneurysms: Review of consecutive 34 cases

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