Cargando…
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...
Autores principales: | , , , , , , , , , , , , |
---|---|
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 |
_version_ | 1785121245550870528 |
---|---|
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. |
format | Online Article Text |
id | pubmed-10577061 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Shanghai Journal of Interventional Radiology Press |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT guwenquan stentassistedcoilingofintracranialcarotidophthalmicsegmentaneurysmsegmentaneurysmslongtermfollowupfromasinglecenter AT zhougeng stentassistedcoilingofintracranialcarotidophthalmicsegmentaneurysmsegmentaneurysmslongtermfollowupfromasinglecenter AT aldiyarovaaizada stentassistedcoilingofintracranialcarotidophthalmicsegmentaneurysmsegmentaneurysmslongtermfollowupfromasinglecenter AT liutengyue stentassistedcoilingofintracranialcarotidophthalmicsegmentaneurysmsegmentaneurysmslongtermfollowupfromasinglecenter AT zhangyi stentassistedcoilingofintracranialcarotidophthalmicsegmentaneurysmsegmentaneurysmslongtermfollowupfromasinglecenter AT liuweidong stentassistedcoilingofintracranialcarotidophthalmicsegmentaneurysmsegmentaneurysmslongtermfollowupfromasinglecenter AT menglingping stentassistedcoilingofintracranialcarotidophthalmicsegmentaneurysmsegmentaneurysmslongtermfollowupfromasinglecenter AT gubinxian stentassistedcoilingofintracranialcarotidophthalmicsegmentaneurysmsegmentaneurysmslongtermfollowupfromasinglecenter AT liminghua stentassistedcoilingofintracranialcarotidophthalmicsegmentaneurysmsegmentaneurysmslongtermfollowupfromasinglecenter AT suming stentassistedcoilingofintracranialcarotidophthalmicsegmentaneurysmsegmentaneurysmslongtermfollowupfromasinglecenter AT suchen stentassistedcoilingofintracranialcarotidophthalmicsegmentaneurysmsegmentaneurysmslongtermfollowupfromasinglecenter AT liuaihua stentassistedcoilingofintracranialcarotidophthalmicsegmentaneurysmsegmentaneurysmslongtermfollowupfromasinglecenter AT wangwu stentassistedcoilingofintracranialcarotidophthalmicsegmentaneurysmsegmentaneurysmslongtermfollowupfromasinglecenter |