Recurrence of A.com – ACA Complex Cerebral Aneurysms after Coiling
Keywords:
Cerebral aneurysm, endovascular coiling, A.com – ACA complexAbstract
Objective: To assess the recurrence of A.com – ACA complex cerebral aneurysms after coiling.
Materials and Methods: This study was conducted from July 2010 to December 2013 at the department of Neuroradiology, PGMI, Lahore General Hospital, Lahore. A total of 50 patients with cerebral aneurysms at the level of A.com – ACA complex were included in this study of both gender (male and female) and in the age range of 45 – 65 years.
Results: Out of 50 patients, there were 20 (40%) males and 30 (60%) female patients. Their age ranged from 45 – 65 years. The maximum numbers of patients were in their fifth and sixth decade of life. In our study successful coiling was done in all patients with minimal recurrence/recanalization of cerebral aneurysms at A.com – ACA complex.
Conclusion: Coiling is minimally invasive endovascular procedure routinely performed to treat cerebral aneurysms with an aim to highlight the significance of recognizing the large sized aneurysms recurrence / recanalization by regular follow up and early intervention to decrease morbidity and mortality of the patients.
Abbreviations: GDCs = Guglielmi detachable coils. SAH = Subarachnoid hemorrhage.
References
2. Serbinenko FA. [Catheterization, and occlusion of major cerebral vessels and prospects for the development of vascular neurosurgery]. VoprNeirokhir. 1971; 35: 17–27.
3. Serbinenko FA. Balloon catheterization and occlusion of major cerebral vessels. J Neurosurg. 1974; 41: 125– 145.
4. Guglielmi G, Vinuela F, Dion J, Duckwiler G. Electrothrombosis of saccular aneurysms via endovascular approach, part 2: preliminary clinical experience. J Neurosurg. 1991; 75: 8–14.
5. Guglielmi G, Vinuela F, Sepetka I, Macellari V. Electrothrombosis of saccular aneurysms via endovascular approach, part 1: electrochemical basis, technique, and experimental results. J Neurosurg. 1991; 75: 1–7.
6. Johnston SC, Wilson CB, Halbach VV, Higashida RT, Dowd CF, McDermott MW, Applebury CB, Farley TL, Gress DR. Endovascular and surgical treatment of unruptured cerebral aneurysms: comparison of risks. Ann Neurol. 2000; 48: 11–19.
7. Johnston SC, Zhao S, Dudley RA, Berman MF, Gress DR. Treatment of unruptured cerebral aneurysms in California. Stroke, 2001; 32: 597–605
8. Raftopoulos C, Mathurin P, Boscherini D, Billa RF, Van Boven M, Hantson P. Prospective analysis of aneurysm treatment in a series of 103 consecutive patients when endovascular embolization is considered the first option. J Neurosurg. 2000; 93: 175–182.
9. Mitchell P, Kerr R, Mendelow AD, Molyneux A. Could late re-bleeding overturn the superiority of cranial aneurysm coil embolization over clip ligation seen in ISAT? Journal of Neurosurgery, 2008; 108: 437-442.
10. M; Spelle, L, Mounayer, C, Salles – Rezende, MT, Giansante – Abud, D, Vanzin – Santos, R, Moret. “Intracranial aneurysms: treatment with bare platinum coils – aneurysm packing, complex coils, and angiographic recurrence”, 2007; 243 (2): 500–8.
11. Raymond, J; Guilbert, F, Weill, A, Georganos, SA, Juravsky, L, Lambert, A, Lamoureux, J, Chagnon, M, Roy. “Long-term angiographic recurrences after selective endovascular treatment of aneurysms with detachable coils”. Stroke, 2003; 34 (6): 1398–1403.
12. Campi, A; Ramzi N, Molyneaux AJ, Summers, PE, Kerr, RS, Sneade, M, Yarnold, JA, Rischmiller, J, Byrne. “Retreatment of ruptured cerebral aneurysms in patients randomized by coiling or clipping in the International Subarachnoid Aneurysm Trial (ISAT)”. Stroke, 2007; 38 (5): 1538–44.
Downloads
Published
Issue
Section
License
The work published by PJNS is licensed under a Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). Copyrights on any open access article published by Pakistan Journal of Neurological Surgery are retained by the author(s).