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Stent-assisted coiling of intracranial carotid ophthalmic segment aneurysm segment aneurysms: Long-term follow-up from a single center

BACKGROUND: To evaluate the efficacy of stent-assisted coiling (SAC) for the treatment of carotid ophthalmic segment aneurysm segment aneurysms (OSAs) of the internal carotid artery (ICA) through detailed long-term follow-up of a large patient cohort. METHODS: We retrospectively analyzed 88 consecut...

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Autores principales: Gu, Wenquan, Zhou, Geng, Aldiyarova, Aizada, Liu, Tengyue, Zhang, Yi, Liu, Weidong, Meng, Lingping, Gu, Binxian, Li, MingHua, Su, Ming, Su, Chen, Liu, Aihua, Wang, Wu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Shanghai Journal of Interventional Radiology Press 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10577061/
https://www.ncbi.nlm.nih.gov/pubmed/37846339
http://dx.doi.org/10.1016/j.jimed.2023.07.004
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author Gu, Wenquan
Zhou, Geng
Aldiyarova, Aizada
Liu, Tengyue
Zhang, Yi
Liu, Weidong
Meng, Lingping
Gu, Binxian
Li, MingHua
Su, Ming
Su, Chen
Liu, Aihua
Wang, Wu
author_facet Gu, Wenquan
Zhou, Geng
Aldiyarova, Aizada
Liu, Tengyue
Zhang, Yi
Liu, Weidong
Meng, Lingping
Gu, Binxian
Li, MingHua
Su, Ming
Su, Chen
Liu, Aihua
Wang, Wu
author_sort Gu, Wenquan
collection PubMed
description BACKGROUND: To evaluate the efficacy of stent-assisted coiling (SAC) for the treatment of carotid ophthalmic segment aneurysm segment aneurysms (OSAs) of the internal carotid artery (ICA) through detailed long-term follow-up of a large patient cohort. METHODS: We retrospectively analyzed 88 consecutive patients with OSAs between January 2009 and January 2020 ​at our center. Angiographic results were evaluated using the modified Raymond grading system and clinical outcomes were evaluated using the mRS scale. The primary endpoints were major aneurysm recurrence and poor clinical outcomes for at least 18 months of follow-up. The patients were asked to attend clinical follow-up assessments and possibly undergo DSA or MR via telephone. RESULTS: We enrolled 88 patients with 99 OSAs treated with coiling, of whom 76 were treated with SAC. The coiling procedures were successful in all 88 patients. Overall, complications occurred in 8 patients (9.1%). No procedure-related mortality was observed. 67 (76.1%) experienced immediate aneurysm occlusion at the end of the procedure. Long-term angiographic follow-up (18 months) was available in 45/88 aneurysms (51%) (average 18.7 ​± ​5.2 months). Four patients continued their follow-up for 5 years after initial aneurysm treatment. After a clinical follow-up time of 28.7 months (range, 12–51 months), 85 patients (95.5%) achieved favorable clinical outcomes (mRS scores of 0–2). CONCLUSIONS: This study indicates that SAC treatment is a safe and effective therapeutic alternative for ruptured and unruptured OSAs. The procedural risks are low with relatively long-term effectiveness.
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spelling pubmed-105770612023-10-16 Stent-assisted coiling of intracranial carotid ophthalmic segment aneurysm segment aneurysms: Long-term follow-up from a single center Gu, Wenquan Zhou, Geng Aldiyarova, Aizada Liu, Tengyue Zhang, Yi Liu, Weidong Meng, Lingping Gu, Binxian Li, MingHua Su, Ming Su, Chen Liu, Aihua Wang, Wu J Interv Med Article BACKGROUND: To evaluate the efficacy of stent-assisted coiling (SAC) for the treatment of carotid ophthalmic segment aneurysm segment aneurysms (OSAs) of the internal carotid artery (ICA) through detailed long-term follow-up of a large patient cohort. METHODS: We retrospectively analyzed 88 consecutive patients with OSAs between January 2009 and January 2020 ​at our center. Angiographic results were evaluated using the modified Raymond grading system and clinical outcomes were evaluated using the mRS scale. The primary endpoints were major aneurysm recurrence and poor clinical outcomes for at least 18 months of follow-up. The patients were asked to attend clinical follow-up assessments and possibly undergo DSA or MR via telephone. RESULTS: We enrolled 88 patients with 99 OSAs treated with coiling, of whom 76 were treated with SAC. The coiling procedures were successful in all 88 patients. Overall, complications occurred in 8 patients (9.1%). No procedure-related mortality was observed. 67 (76.1%) experienced immediate aneurysm occlusion at the end of the procedure. Long-term angiographic follow-up (18 months) was available in 45/88 aneurysms (51%) (average 18.7 ​± ​5.2 months). Four patients continued their follow-up for 5 years after initial aneurysm treatment. After a clinical follow-up time of 28.7 months (range, 12–51 months), 85 patients (95.5%) achieved favorable clinical outcomes (mRS scores of 0–2). CONCLUSIONS: This study indicates that SAC treatment is a safe and effective therapeutic alternative for ruptured and unruptured OSAs. The procedural risks are low with relatively long-term effectiveness. Shanghai Journal of Interventional Radiology Press 2023-07-31 /pmc/articles/PMC10577061/ /pubmed/37846339 http://dx.doi.org/10.1016/j.jimed.2023.07.004 Text en © 2023 Shanghai Journal of Interventional Radiology Press. Publishing services by Elsevier B.V. on behalf of KeAi Communications Co. Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Gu, Wenquan
Zhou, Geng
Aldiyarova, Aizada
Liu, Tengyue
Zhang, Yi
Liu, Weidong
Meng, Lingping
Gu, Binxian
Li, MingHua
Su, Ming
Su, Chen
Liu, Aihua
Wang, Wu
Stent-assisted coiling of intracranial carotid ophthalmic segment aneurysm segment aneurysms: Long-term follow-up from a single center
title Stent-assisted coiling of intracranial carotid ophthalmic segment aneurysm segment aneurysms: Long-term follow-up from a single center
title_full Stent-assisted coiling of intracranial carotid ophthalmic segment aneurysm segment aneurysms: Long-term follow-up from a single center
title_fullStr Stent-assisted coiling of intracranial carotid ophthalmic segment aneurysm segment aneurysms: Long-term follow-up from a single center
title_full_unstemmed Stent-assisted coiling of intracranial carotid ophthalmic segment aneurysm segment aneurysms: Long-term follow-up from a single center
title_short Stent-assisted coiling of intracranial carotid ophthalmic segment aneurysm segment aneurysms: Long-term follow-up from a single center
title_sort stent-assisted coiling of intracranial carotid ophthalmic segment aneurysm segment aneurysms: long-term follow-up from a single center
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10577061/
https://www.ncbi.nlm.nih.gov/pubmed/37846339
http://dx.doi.org/10.1016/j.jimed.2023.07.004
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