کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3981749 1257703 2014 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Endovascular coil embolization in internal carotid artery bifurcation aneurysms
ترجمه فارسی عنوان
آمبولیزاسیون کوبی آندوویوسکوپی در آنوریسم های بیوفیزیکی شریان کاروتید داخلی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی تومور شناسی
چکیده انگلیسی

AimTo present the clinical and radiological results of coil embolization in internal carotid artery (ICA) bifurcation aneurysms (BA).Materials and methodsThe records of 65 patients with 66 ICA BA were retrieved from data prospectively accrued between September 1999 and July 2013. Clinical and morphological outcomes of the aneurysms were assessed, including technical aspects of treatment.ResultsThe aneurysms under study were directed either superiorly (41/66, 62.1%), anteriorly (24/66, 36.4%), or posteriorly (1/66, 1.5%), and all were devoid of perforators. Aneurysmal necks were situated symmetrically at the terminal ICA (37/66, 56.1%) or slightly deviated to the proximal A1 segment (29/66, 43.9%). The steam-shaped S microcatheter (73.8%) was most commonly used to select the aneurysms, and the single microcatheter technique was most commonly applied (56.1%) to perform coil embolization, followed by balloon remodelling (21.2%), multiple microcatheter (15.1%), and stent-protection (7.6%). Successful aneurysmal occlusion was achieved in 100% of cases, with no procedure-related morbidity or mortality. Imaging performed in the course of follow-up (mean duration 27.3 months) confirmed stable occlusion of most lesions (47/53, 88.7%).ConclusionThrough tailored technical strategies, ICA BA are amenable to safe and effective endovascular coil embolization, with a tendency for stable occlusion long-term.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Clinical Radiology - Volume 69, Issue 6, June 2014, Pages e273–e279
نویسندگان
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