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Research ArticleInterventionalE

Late Adverse Events in Coiled Ruptured Aneurysms with Incomplete Occlusion at 6-Month Angiographic Follow-Up

S.P. Ferns, C.B.L.M. Majoie, M. Sluzewski and W.J. van Rooij
American Journal of Neuroradiology March 2010, 31 (3) 464-469; DOI: https://doi.org/10.3174/ajnr.A1841
S.P. Ferns
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C.B.L.M. Majoie
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M. Sluzewski
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W.J. van Rooij
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    Fig 1.

    Flow chart showing patient selection.

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    Fig 2.

    Cumulative incidence of late adverse events in incompletely occluded aneurysms at 6-month follow-up.

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    Fig 3.

    Cumulative mortality from late adverse events in incompletely occluded aneurysms at 6-month follow-up.

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    Fig 4.

    Flow chart of all treatments.

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    Fig 5.

    Late mass effect by continuous growth of a large basilar tip aneurysm despite repeated coiling in a 39-year old man. A−C, MR imaging after 2 (A), 4 (B), and 8 (C) years shows gradual enlargement with brain stem compression and edema (arrow in C). D, Angiogram of the 17-mm basilar tip aneurysm at first presentation after SAH. E, Angiogram after 8 years and 4 coiling procedures at the time of presentation with new mass effect (compare with C). F, Angiogram after the fifth coiling with stent placement shows adequate aneurysm occlusion.

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  • Late adverse events from incompletely occluded aneurysms at 6-month follow-up angiography

    Sex, Age (yr)Aneurysm Size (mm)Aneurysm LocationInitial OcclusionType of Late EventTiming of Event (m)Outcome
    F, 7215Basilar tipAdequateRebleed12Recoil
    F, 5216PcomAAdequateRebleed40Died
    M, 6317AcomAAdequateRebleed36Recoil
    F, 6016Basilar trunkAdequateRebleed80Died
    F, 763PcomAIncompleteMass effect72Recoil
    M, 3930Basilar tipAdequateMass effect144Recoil
    F, 6930Basilar tipAdequateMass effect39Died
    M, 3917Basilar tipAdequateMass effect94Recoil
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American Journal of Neuroradiology: 31 (3)
American Journal of Neuroradiology
Vol. 31, Issue 3
1 Mar 2010
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Cite this article
S.P. Ferns, C.B.L.M. Majoie, M. Sluzewski, W.J. van Rooij
Late Adverse Events in Coiled Ruptured Aneurysms with Incomplete Occlusion at 6-Month Angiographic Follow-Up
American Journal of Neuroradiology Mar 2010, 31 (3) 464-469; DOI: 10.3174/ajnr.A1841

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Late Adverse Events in Coiled Ruptured Aneurysms with Incomplete Occlusion at 6-Month Angiographic Follow-Up
S.P. Ferns, C.B.L.M. Majoie, M. Sluzewski, W.J. van Rooij
American Journal of Neuroradiology Mar 2010, 31 (3) 464-469; DOI: 10.3174/ajnr.A1841
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  • New Generation of Flow Diverter (Surpass) for Unruptured Intracranial Aneurysms: A Prospective Single-Center Study in 37 Patients
  • Review of 2 Decades of Aneurysm-Recurrence Literature, Part 2: Managing Recurrence after Endovascular Coiling
  • Flow Diverters for Unruptured Internal Carotid Artery Aneurysms: Dangerous and Not Yet an Alternative for Conventional Endovascular Techniques
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  • Analysis of Complications and Recurrences of Aneurysm Coiling with Special Emphasis on the Stent-Assisted Technique
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  • Clinical and Imaging Follow-Up of Patients with Coiled Basilar Tip Aneurysms Up to 20 Years
    M. van Eijck, R.S. Bechan, M. Sluzewski, J.P. Peluso, G. Roks, W.J. van Rooij
    American Journal of Neuroradiology 2015 36 11
  • Flow Diverters for Unruptured Internal Carotid Artery Aneurysms: Dangerous and Not Yet an Alternative for Conventional Endovascular Techniques
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    American Journal of Neuroradiology 2013 34 1
  • Risk factors for recurrence and retreatment after endovascular treatment of intracranial saccular aneurysm larger than 8 mm
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    Acta Neurochirurgica 2019 161 5
  • Recurrence and retreatment of anterior communicating artery aneurysms after endovascular treatment: a retrospective study
    Chang Ki Jang, Joonho Chung, Jae Whan Lee, Seung Kon Huh, Nak-Hoon Son, Keun Young Park
    BMC Neurology 2020 20 1

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