Methods and time schedule for follow-up of intracranial aneurysms treated with endovascular embolization: a systematic review

Serafin, Zbigniew; Strześniewski, Piotr; Lasek, Władysław; Beuth, Wojciech

doi:10.1016/s0028-3843(14)60309-1

Cited by 15 publications

(14 citation statements)

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“…Good examples of this dilemma are attempts to verify the value of 3D-DSA in follow-up. A recent systematic review revealed only three papers directly comparing 2D-DSA and 3D-DSA [26]. In the article by Kiyosue et al [16], 3D-DSA presented as virtual endoscopy yielded the sensitivity and specificity of 100 % and 58.3 %, respectively.…”

Section: Discussionmentioning

confidence: 99%

Follow-up after embolization of ruptured intracranial aneurysms: A prospective comparison of two-dimensional digital subtraction angiography, three-dimensional digital subtraction angiography, and time-of-flight magnetic resonance angiography

et al. 2012

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IntroductionTo prospectively compare of the diagnostic value of digital subtraction angiography (DSA) and time-of-flight magnetic resonance angiography (TOF-MRA) in the follow-up of intracranial aneurysms after endovascular treatment.MethodsSeventy-two consecutive patients were examined 3 months after the embolization. The index tests included: two-dimensional DSA (2D-DSA), three-dimensional DSA (3D-DSA), and TOF-MRA. The reference test was a retrospective consensus between 2D-DSA images, 3D-DSA images, and source rotational DSA images. The evaluation included: detection of the residual flow, quantification of the flow, and validity of the decision regarding retreatment. Intraobserver agreement and interobserver agreement were determined.ResultsThe sensitivity and specificity of residual flow detection ranged from 84.6 % (2D-DSA and TOF-MRA) to 92.3 % (3D-DSA) and from 91.3 % (TOF-MRA) to 97.8 % (3D-DSA), respectively. The accuracy of occlusion degree evaluation ranged from 0.78 (2D-DSA) to 0.92 (3D-DSA, Cohen’s kappa). The 2D-DSA method presented lower performance in the decision on retreatment than 3D-DSA (P < 0.05, ROC analysis). The intraobserver agreement was very good for all techniques (κ = 0.80–0.97). The interobserver agreement was moderate for TOF-MRA and very good for 2D-DSA and 3D-DSA (κ = 0.72–0.94).ConclusionConsidering the invasiveness of DSA and the minor difference in the diagnostic performance between 3D-DSA and TOF-MRA, the latter method should be the first-line modality for follow-up after aneurysm embolization.

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Section: Discussionmentioning

confidence: 99%

Follow-up after embolization of ruptured intracranial aneurysms: A prospective comparison of two-dimensional digital subtraction angiography, three-dimensional digital subtraction angiography, and time-of-flight magnetic resonance angiography

et al. 2012

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“…161,[163][164][165][166][167][168]173 Timing of the later follow-ups is variable and depends on the occlusion status of the initial and early follow-up, as well as the condition of the patient. However, with residual aneurysms after coiling, long-term follow-up is indicated because there are late hemorrhages and aneurysm recurrences.…”

Section: Analysis and Reportingmentioning

confidence: 99%

Guidelines for the Management of Patients With Unruptured Intracranial Aneurysms

Thompson¹,

Brown²,

Amin‐Hanjani³

et al. 2015

Stroke

836

352

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Purpose— The aim of this updated statement is to provide comprehensive and evidence-based recommendations for management of patients with unruptured intracranial aneurysms. Methods— Writing group members used systematic literature reviews from January 1977 up to June 2014. They also reviewed contemporary published evidence-based guidelines, personal files, and published expert opinion to summarize existing evidence, indicate gaps in current knowledge, and when appropriate, formulated recommendations using standard American Heart Association criteria. The guideline underwent extensive peer review, including review by the Stroke Council Leadership and Stroke Scientific Statement Oversight Committees, before consideration and approval by the American Heart Association Science Advisory and Coordinating Committee. Results— Evidence-based guidelines are presented for the care of patients presenting with unruptured intracranial aneurysms. The guidelines address presentation, natural history, epidemiology, risk factors, screening, diagnosis, imaging and outcomes from surgical and endovascular treatment.

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“…Due to simplicity and availability, CTA is now widely used in the diagnosis of patients after subarachnoid haemorrhage (SAH), and the use of this method is encouraged to control the completeness of aneurysm clipping. A similar trend toward less invasive methods can be seen in interventional radiology, where the long-term results of coiling can be effectively evaluated with magnetic resonance angiography (MRA) instead of DSA [7].…”

mentioning

confidence: 76%

“…Several years ago, the neurosurgical community demanded from interventional radiologists a long-term evaluation of coiling effectiveness. Currently, this is well documented [7] and it should be balanced by an objective assessment of clipping durability. Thus, we initiated long-term follow-up examinations in patients after aneurysmal subarachnoid haemorrhage treated by clipping.…”

mentioning

confidence: 99%

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

Kunert

Prokopienko

Gola

et al. 2013

Neurologia i Neurochirurgia Polska

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Methods and time schedule for follow-up of intracranial aneurysms treated with endovascular embolization: a systematic review

Cited by 15 publications

References 55 publications

Follow-up after embolization of ruptured intracranial aneurysms: A prospective comparison of two-dimensional digital subtraction angiography, three-dimensional digital subtraction angiography, and time-of-flight magnetic resonance angiography

Follow-up after embolization of ruptured intracranial aneurysms: A prospective comparison of two-dimensional digital subtraction angiography, three-dimensional digital subtraction angiography, and time-of-flight magnetic resonance angiography

Guidelines for the Management of Patients With Unruptured Intracranial Aneurysms

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

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