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Research ArticleINTERVENTIONAL

Endovascular Treatment of Unruptured Intracranial Aneurysms

Isabel Wanke, Arnd Doerfler, Uwe Dietrich, Thomas Egelhof, Beate Schoch, Dietmar Stolke and Michael Forsting
American Journal of Neuroradiology May 2002, 23 (5) 756-761;
Isabel Wanke
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Arnd Doerfler
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Uwe Dietrich
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Thomas Egelhof
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Beate Schoch
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Dietmar Stolke
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Michael Forsting
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Article Figures & Data

Figures

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  • Fig 1.
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    Fig 1.

    Case 2. Images of a 9-year-old male patient with a giant left vertebral aneurysm.

    A, Towne projection.

    B, Lateral projection.

    C, After placing a coil at the neck of the aneurysm, complete elimination was achieved.

    D, No retrograde filling was observed during injection into the right vertebral artery.

    E and F, Cross-sectional images show complete regression of brain stem compression.

  • Fig 2.
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    Fig 2.

    Case 3. Images of a 61-year-old male patient with a medium anterior communicating artery aneurysm.

    A, Before intervention.

    B, After intervention, complete obliteration is achieved.

    C, Two hours after intervention, thrombus is revealed in the proximal A2 segment. Intra-arterial lysis was performed with 20 mg of recombinant tissue type plasminogen activator.

    D, Control angiogram shows partial recanalization, with marked improvement of anterior perfusion.

    E and F, MR images reveal partial infarction in the anterior territory.

  • Fig 3.
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    Fig 3.

    Case 1. Images of a 62-year-old female patient with headache.

    A, T2-weighted MR image shows possible left middle cerebral artery aneurysm.

    B, Digital subtraction angiogram confirms left middle cerebral artery aneurysm.

    C, Immediately after endovascular embolization, aneurysmal flow in the center is still observed.

    D, Follow-up angiogram obtained 6 months later shows complete obliteration of the aneurysm.

Tables

  • Figures
  • Patient, aneurysm, and treatment data

    Patient No.Aneurysm No.Patient Age (y)SexAneurysm LocationAneurysm Size95–100% (+)<95% (−)
    1148FICA6+
    2ICA3Failure
    2334FICA4+
    3447FAcoA2+
    4546FICA7−
    5658FICA40+
    6748MICA10−
    7861MAcoA7+
    8962FAcoA3+
    91046MMCA3+
    101137FICA13−
    111242MBA tip3+
    13BA trunk15+
    121460MMCA7+
    131545FBA tip6+
    141641FICA4+
    151767FICA30+
    161841MAcoA10+
    171962MAcoA7+
    182039FICA7+
    192176FICA25+
    202258MACA4+
    212359MBA tip11+
    222431MMCA5+
    232551FICA6+
    242674FBA tip11+
    252752MICA20+
    262874FICA3+
    272939FICA10−
    283040FICA3Failure
    293133FICA3+
    303211MICA25+
    313347MAcoA4+
    323448FBA tip12+
    333558MBA tip4+
    343662FMCA12+
    353740FICA5Failure
    363871FPICA4Failure
    37399MVA40+
    40PICA4+
    384112MICA35+
    394234FBA tip3+
    • Note.—ICA indicates internal carotid artery; AcoA, anterior communicating artery; MCA, middle cerebral artery; BA, basilar artery; PICA, posterior inferior cerebellar artery; VA, vertebral artery; 95–100%, subtotal to complete obliteration; <95%, incomplete obliteration.

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American Journal of Neuroradiology: 23 (5)
American Journal of Neuroradiology
Vol. 23, Issue 5
1 May 2002
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Cite this article
Isabel Wanke, Arnd Doerfler, Uwe Dietrich, Thomas Egelhof, Beate Schoch, Dietmar Stolke, Michael Forsting
Endovascular Treatment of Unruptured Intracranial Aneurysms
American Journal of Neuroradiology May 2002, 23 (5) 756-761;

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Endovascular Treatment of Unruptured Intracranial Aneurysms
Isabel Wanke, Arnd Doerfler, Uwe Dietrich, Thomas Egelhof, Beate Schoch, Dietmar Stolke, Michael Forsting
American Journal of Neuroradiology May 2002, 23 (5) 756-761;
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  • Long-Term Rupture Risk in Patients with Unruptured Intracranial Aneurysms Treated with Endovascular Therapy: A Systematic Review and Meta-Analysis
  • Assisted coiling of saccular wide-necked unruptured intracranial aneurysms: stent versus balloon
  • Elderly patients with intracranial aneurysms have higher quality of life after coil embolization: a decision analysis
  • Guidelines for the Management of Patients With Unruptured Intracranial Aneurysms: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association
  • Endovascular Therapy of 500 Small Asymptomatic Unruptured Intracranial Aneurysms
  • Endovascular treatment of unruptured intracranial aneurysms in the elderly: analysis of procedure related complications
  • Immediate Anatomic Results after the Endovascular Treatment of Unruptured Intracranial Aneurysms: Analysis of the ATENA Series
  • Immediate Clinical Outcome of Patients Harboring Unruptured Intracranial Aneurysms Treated by Endovascular Approach: Results of the ATENA Study
  • Treatment related morbidity of unruptured intracranial aneurysms: results of a prospective single centre series with an interdisciplinary approach over a 6 year period (1999 2005)
  • Endovascular management of unruptured intracranial aneurysms
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