دورية أكاديمية
Single-center experience with a dual microcatheter technique for the endovascular treatment of wide-necked aneurysms.
| العنوان: | Single-center experience with a dual microcatheter technique for the endovascular treatment of wide-necked aneurysms. |
|---|---|
| المؤلفون: | Durst CR; Departments of Radiology and Medical Imaging and., Starke RM, Gaughen JR Jr, Geraghty S, Kreitel KD, Medel R, Demartini N, Liu KC, Jensen ME, Evans AJ |
| المصدر: | Journal of neurosurgery [J Neurosurg] 2014 Nov; Vol. 121 (5), pp. 1093-101. Date of Electronic Publication: 2014 Aug 22. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: American Association of Neurological Surgeons Country of Publication: United States NLM ID: 0253357 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1933-0693 (Electronic) Linking ISSN: 00223085 NLM ISO Abbreviation: J Neurosurg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Charlottesville, VA : American Association of Neurological Surgeons Original Publication: Chicago [etc.] |
| مواضيع طبية MeSH: | Catheterization/*methods , Endovascular Procedures/*methods , Intracranial Aneurysm/*surgery, Adult ; Aged ; Aged, 80 and over ; Catheterization/adverse effects ; Endovascular Procedures/adverse effects ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Postoperative Complications/epidemiology ; Reoperation ; Safety ; Treatment Outcome |
| مستخلص: | Object: The endovascular treatment of wide-necked aneurysms can be technically challenging due to distal coil migration or impingement of the parent vessel. In this paper, the authors illustrate an alternative method for the treatment of wide-necked intracranial aneurysms using a dual microcatheter technique. Methods: The authors' first 100 consecutive patients who underwent coil embolization of a wide-necked aneurysm using a dual microcatheter technique are reported. With this technique, 2 microcatheters are used to introduce coils into the aneurysm. The coils are deployed either sequentially or concurrently to form a stable construct and prevent coil herniation or migration. Angiographic and clinical outcomes are reported. Results: The technical success rate of the dual microcatheter technique is 91% with a morbidity and mortality of 1% and 2%, respectively. Clinical outcomes are excellent with 93% of patients demonstrating a modified Rankin Scale score of 0-2 at long-term follow-up regardless of their score at presentation. Retreatment rates are 18%. Conclusions: The dual microcatheter technique may be a safe and efficacious first line of treatment for widenecked aneurysms. |
| التعليقات: | Comment in: J Neurosurg. 2015 Jul;123(1):296. (PMID: 26054010) |
| فهرسة مساهمة: | Keywords: aneurysm; dual; interventional neurosurgery; mRS = modified Rankin Scale; microcatheter; outcomes; vascular disorders; wide-necked |
| تواريخ الأحداث: | Date Created: 20140823 Date Completed: 20141229 Latest Revision: 20150903 |
| رمز التحديث: | 20221213 |
| DOI: | 10.3171/2014.7.JNS132237 |
| PMID: | 25148003 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1933-0693 |
|---|---|
| DOI: | 10.3171/2014.7.JNS132237 |