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Research ArticleINTERVENTIONAL

Can Neck Size in Elastase-Induced Aneurysms Be Controlled? A Retrospective Study

Y.H. Ding, D. Dai, D.A. Lewis, M.A. Danielson, R. Kadirvel, J.N. Mandrekar, H.J. Cloft and D.F. Kallmes
American Journal of Neuroradiology September 2006, 27 (8) 1681-1684;
Y.H. Ding
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D. Dai
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D.A. Lewis
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M.A. Danielson
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R. Kadirvel
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J.N. Mandrekar
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H.J. Cloft
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D.F. Kallmes
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    Fig 1.

    Group 1 subject (low balloon position).

    A, Anteroposterior (AP) spot film obtained during aneurysm creation surgery. The right common carotid artery (RCCA) is opacified with the elastase/iodinated contrast mixture. The RCCA is denoted by the black arrow. Note that the inflated balloon is completely in the right subclavian artery and brachiocephalic artery (white arrow).

    B, Same subject as in A. Intra-arterial digital subtraction angiogram, right anterior oblique view, demonstrating a wide-neck aneurysm (black arrow). Neck size is 5.3 mm.

  • Fig 2.
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    Fig 2.

    Group 2 subject (intermediate balloon position).

    A, Anteroposterior (AP) spot film obtained during aneurysm creation surgery. The right common carotid artery (RCCA) is opacified with the elastase/iodinated contrast mixture. The RCCA is denoted by the black arrow. Note that a small portion of the inflated balloon has herniated into the proximal RCCA (white arrow).

    B, Same subject as in A. Intra-arterial digital subtraction angiogram, right anterior oblique view, demonstrating a narrow-neck aneurysm (black arrow). Neck size is 2.5 mm.

  • Fig 3.
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    Fig 3.

    Group 3 subject (high balloon position).

    A, Anteroposterior (AP) spot film obtained during aneurysm creation surgery. The right common carotid artery (RCCA) is opacified with the elastase/iodinated contrast mixture. The RCCA is denoted by the black arrow. Note that the inflated balloon is completely in RCCA (white arrow).

    B, Same subject as in A. Intraarterial digital subtraction angiogram, right anterior oblique view, demonstrating a remnant of RCCA (black arrow). The maximum diameter of RCCA is 1.5 mm.

Tables

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  • Aneurysm sizes in groups 1 and 2

    Group 1 (n = 35)Group 2 (n = 32)P Value
    Aneurysm width, mm (mean ± SD)4.12 ± 1.023.85 ± 0.80.43
    Aneurysm height, mm (mean ± SD)8.64 ± 2.268.08 ± 1.92.1
    Neck width, mm (mean ± SD)3.93 ± 0.912.89 ± 0.76< .0001
    Dome:neck ratio (mean ± SD)1.32 ± 0.401.79 ± 0.99.0031
    Parent artery dilation present1812.25
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American Journal of Neuroradiology: 27 (8)
American Journal of Neuroradiology
Vol. 27, Issue 8
September 2006
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Can Neck Size in Elastase-Induced Aneurysms Be Controlled? A Retrospective Study
Y.H. Ding, D. Dai, D.A. Lewis, M.A. Danielson, R. Kadirvel, J.N. Mandrekar, H.J. Cloft, D.F. Kallmes
American Journal of Neuroradiology Sep 2006, 27 (8) 1681-1684;

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Can Neck Size in Elastase-Induced Aneurysms Be Controlled? A Retrospective Study
Y.H. Ding, D. Dai, D.A. Lewis, M.A. Danielson, R. Kadirvel, J.N. Mandrekar, H.J. Cloft, D.F. Kallmes
American Journal of Neuroradiology Sep 2006, 27 (8) 1681-1684;
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