Endovascular Treatment of Spontaneous Intracranial Fusiform and Dissecting Aneurysms: Outcomes Related to Imaging Classification of 309 Cases

Zhang, Yisen; Tian, Zhongbin; Sui, Binbin; Wang, Yang; Liu, Jian; Li, Miao; Li, Youxiang; Jiang, Chuhan; Yang, Xinjian

doi:10.1016/j.wneu.2016.11.074

Cited by 27 publications

(45 citation statements)

References 19 publications

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“…Zhang et al . [ 25 ] analyzed a total of 309 patients that presented with an intracranial dissecting aneurysm. The average age was 50.43.…”

Section: Resultsmentioning

confidence: 99%

“…[ 10 16 18 ] Zhang et al . [ 25 ] proposed a modified classification for the intracranial dissecting aneurysms, where they are classified into five subtypes (Ia, Ib, II, III, and IV). Type I is divided into two subgroups, but both of them present a thrombus inside the aneurysm; the MRI findings indicate an acute intramural hematoma.…”

Section: Introductionmentioning

confidence: 99%

“…Type IV is characterized by a large mural bleeding ectasia, formed by chronic intramural bleeding; this type of aneurysm is usually bigger than 10 mm. [ 25 ]…”

Section: Introductionmentioning

confidence: 99%

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Fusiform aneurysms: A review from its pathogenesis to treatment options

Barletta¹,

Ricci²,

Silva³

et al. 2018

Surg Neurol Int

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Background:This study aims to present the most important considerations when it comes to patients features, clinical presentation, localization, and morphology of the aneurysm and the treatments outcomes of the fusiform aneurysms.Methods:We performed a literature review using PubMed. The search was limited to the studies published in English, from 2003 to 2017.Results:The studies analyzed that showed data about the patient features, clinical presentation, the aneurysm localization, morphology, and pathogenesis didn't present much divergence. The surgical and the endovascular approach showed similar treatments outcomes. The reconstructive techniques seem to be safer than the deconstructive. The flow diversion is a technique that showed great results.Conclusion:Most of the patients are men, younger than 50 years old, pediatric patients are the most affected. Surgical procedures still have an important place in this field. Reconstructive and deconstructive techniques are both effective; the reconstructive techniques are possibly safer than deconstructive techniques. The most important feature of an aneurysm to predict a bad prognose is to determine if the aneurysm is ruptured. The reconstructive EVT accompanied by dual antiplatelet after and before the procedure showed the best results to treat the basilar fusiform aneurysms. Deconstructive treatment including posterior inferior cerebellar artery occlusion should be considered.

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“…Zhang et al . [ 25 ] analyzed a total of 309 patients that presented with an intracranial dissecting aneurysm. The average age was 50.43.…”

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Fusiform aneurysms: A review from its pathogenesis to treatment options

Barletta¹,

Ricci²,

Silva³

et al. 2018

Surg Neurol Int

View full text Add to dashboard Cite

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“…l Magnetic resonance angiographydissecting aneurysms are categorized into four types: classical type, segmental ectasia, dolichoectatic type, and large mural bleeding ectasia(Fig. 13)[53].…”

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confidence: 99%

Chinese specialist consensus on imaging diagnosis of intracranial arterial dissection

et al. 2017

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Intracranial arterial dissection is an important cause of stroke in young and middle-aged adults, but there are no domestic or globally-accepted criteria for the diagnosis and classification of intracranial arterial dissections. The evidence base for the benefits of diagnostic and interventional angiography techniques is lacking, and the imaging features of intracranial arterial dissections are not yet universally recognized or understood by clinicians. These issues influence the diagnosis and treatment of intracranial arterial dissection. Therefore, a consensus conference was convened by Neurointerventional Expert Committee of Chinese Congress of Neurological Surgeons, Chinese Interventional Neuroradiology Society of Chinese Stroke Association and Young Physicians Committee of Chinese Congress of Neurological Surgeons. The aim of this document is to report an expert consensus on the imaging diagnosis of intracranial arterial dissection. The participating clinical experts utilized their judgment and experience. Every effort was made to achieve consensus among the committee members. The expert consensus was intended to provide guidance, but they are not to be considered prescriptive for any individual patient and cannot replace the judgment of a clinician.

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“…W e read with great interest the article by Zhang et al 1 titled "Endovascular Treatment of Spontaneous Intracranial Fusiform and Dissecting Aneurysms: Outcomes Related to Imaging Classification of 309 Cases." We appreciate the authors' attempt to try to classify an unusual and diverse (rather black spot) pathology, i.e., various forms of dilations of intracranial artery segments, in a single setting.…”

mentioning

confidence: 99%