医学
闭塞
动脉瘤
临床终点
血管内治疗
人口统计学的
改良兰金量表
外科
回顾性队列研究
放射科
大脑前动脉
大脑中动脉
随机对照试验
内科学
缺血
人口学
社会学
缺血性中风
作者
Guilherme Porto,Sami Al Kasab,Mithun G. Sattur,Eyad Almallouhi,Orgest Lajthia,Michael A. Casey,Robert M. Starke,Giuseppe Lanzino,Christopher S. Ogilvy,Ajith J. Thomas,Louis J. Kim,Robert F. James,Michael R. Levitt,Alejandro M Spiotta
标识
DOI:10.1016/j.wneu.2021.07.055
摘要
Distal anterior cerebral artery aneurysms (DACAA) are a rare and difficult entity to manage. Endovascular treatment has evolved for safe and durable treatment of these lesions. The objective of this study is to report the safety, efficacy, and outcomes of endovascular treatment of DACAA.A retrospective review of DACAA endovascularly treated at 5 different institutions was performed. Data included demographics, rupture status, radiographic features, endovascular technique, complication rates, and long-term angiographic and clinical outcomes. A primary endpoint was a good clinical outcome (modified Rankin scale 0-2). Secondary endpoints included complications and radiographic occlusion at follow-up.A total of 84 patients were reviewed. The mean age was 56, and 64 (71.4%) were female. Fifty-two (61.9%) aneurysms were ruptured. A good functional outcome was achieved in 59 patients (85.5%). Sixty (71.4%) aneurysms were treated with primary coiling, and the remaining 24 were treated with flow diversion. Adequate occlusion was achieved in 41 (95.3%) aneurysms treated with coiling, and 17 (89.5%) with flow diversion. There were total 11 (13%) complications. In the flow diversion category, there were 2, both related to femoral access. In the coiling category, there were 9: 5 thromboembolic, 3 ruptures, and 1 related to femoral access.Endovascular treatment, and in particular, flow diversion for DACAA, is safe, feasible, and associated with good long-term angiographic and clinical outcomes.
科研通智能强力驱动
Strongly Powered by AbleSci AI