Endovascular Coiling as the First Treatment Strategy for Ruptured Pericallosal Artery Aneurysms: Results, Complications, and Follow Up
スポンサーリンク
概要
- 論文の詳細を見る
We apply endovascular coiling as the first treatment option for ruptured pericallosal artery aneurysms. We conducted a retrospective analysis of the clinical and radiological outcomes of this treatment strategy and morphological factors associated with the success of endovascular coiling, to assess the safety and feasibility of our management strategy. From January 2003 to January 2012, we attempted endovascular coiling as the first-intention treatment for 30 consecutive patients with ruptured pericallosal artery aneurysms including those with intracerebral hematoma. Twenty-seven cases of ruptured pericallosal artery aneurysms were successfully embolized with coiling whereas three failures required surgery. Four patients experienced periprocedural complications including thromboembolic event in two and hematoma enlargement after coiling in two. A maximum aneurysm diameter of <3 mm was most strongly associated with failure of endovascular coiling. Of the 27 coil-treated aneurysms, immediate angiographic results showed complete aneurysm occlusion in 19 cases, neck remnant in 6, and residual aneurysm in 2. One patient had a major aneurysm recurrence that was uneventfully reembolized. Sixteen of our 30 patients had good outcomes (modified Rankin scale [mRS] 0-2), 7 had moderate disability (mRS 3), and 4 had severe disability (mRS 4-5) at 3 months after treatment. The management strategy for coiling as the first-intention treatment for ruptured pericallosal artery aneurysms has the potential to become an acceptable alternative to surgical clipping for selected cases, although a larger study population and longer follow-up periods are needed before definitive conclusions can be drawn.
著者
-
Yamazaki Tomosato
Department Of Neurosurgery Graduate School Of Comprehensive Human Sciences University Of Tsukuba
-
Ikeda Go
Department Of General Internal Medicine Tsukuba Medical Center
-
Sonobe Makoto
Department Of Abdominal And General Sugery Tenri Hospital
-
Nakai Yasunobu
Department Of Neurosurgery Hata Hospital
-
Ito Yoshiro
Department Of Applied Chemistry School Of Engineering Nagoya University
-
Kato Noriyuki
Department Of Cardiovascular Surgery Social Insurance Chukyo Hospital
-
Nakamura Kazuhiro
Department Of Applied Chemistry Faculty Of Science And Technology Keio University
-
MATSUMURA Akira
Department of Electronic Science and Engineering, Faculty of Engineering, Kyoto University
-
TSURUTA Wataro
Department of Neurosurgery, Faculty of Medicine, University of Tsukuba
-
TSURUTA Wataro
Department of Endovascular Neurosurgery, Toranomon Hospital
-
KASUYA HIROMICHI
Department of Neurosurgery, Fukushima Medical University
-
KATO Noriyuki
Department of Neurosurgery, National Hospital Organization, Mito Medical Center
-
MATSUMURA Akira
Department of Neurosurgery, Faculty of Medicine, University of Tsukuba
-
NAKAMURA Kazuhiro
Department of Neurosurgery, Tsukuba Medical Center Hospital
関連論文
- RECOVERY OF URANIUM BY CFBA USING A GRANULAR ORGANIC ADSORBENT
- Persistent Primitive Olfactory Artery Aneurysm : Case Report
- Apparently Asymptomatic Arachnoid Cyst : Postoperative Improvement of Subtle Neuropsychological Impediment : Case Report
- Perfusion-Weighted Magnetic Resonance Imaging of the Spinal Cord in Cervical Spondylotic Myelopathy
- Low Peripheral Lymphocyte Count Before Focal Radiotherapy Plus Concomitant Temozolomide Predicts Severe Lymphopenia During Malignant Glioma Treatment
- Use of FDG-microPET for detection of small nodules in a rabbit model of pulmonary metastatic cancer
- Accuracy of epidermal growth factor receptor gene mutation analysis by direct sequencing method based on small biopsy specimens from patients with non-small cell lung cancer : analysis of results in 19 patients
- Meningioma Associated With Werner Syndrome
- Lignification and peroxidase in tension wood of Eucalyptus viminalis seedlings
- Image-guided Procedures in Brain Biopsy
- Osteolytic Lumbar Discal Cyst
- Rapid Spontaneous Resolution of Acute Subdural Hematoma Occurs by Redistribution
- Application of Screen-Printed Catalytic E1ectrodes to MEMS-Based Fuel Cells (特集:燃料電池を支えるMEMS/NEMS技術)
- Transluminal Stent Graft Placements for the Treatments of Aortic Dissection
- Shaken Baby Syndrome Manifesting as Chronic Subdural Hematoma : Importance of Single Photon Emission Computed Tomography for Treatment Indications : Case Report
- A Case of Cervical Spondylosis presenting Meralgia Paresthetica-Like Symptoms
- Survival and relapse pattern after trimodality therapy for malignant pleural mesothelioma.
- Role of lactate in the brain energy metabolism : revealed by Bioradiography
- Clinical trial of autologous formalin-fixed tumor vaccine for glioblastoma multiforme patients
- Anti-angiogenic and Immunomodulatory Effect of the Herbal Medicine "Juzen-taiho-to" on Malignant Glioma(Pharmacognosy)
- Combined Laminoplasty With Posterior Lateral Mass Plate for Unstable Spondylotic Cervical Canal Stenosis : Technical Note
- Familial Association of Basilar Bifurcation Aneurysm and Moyamoya Disease(Four Case Reports)
- Posterior Fusion for Odontoid Fracture in an Infant : Case Report
- Cervical Myelopathy Caused by Hypoplasia of the Atlas and Ossification of the Transverse Ligament
- Simple New Method for Making a Rat Carotid Artery Post-angioplasty Stenosis Model
- Factors predictive of pseudoarthrosis following osteoporotic vertebral fracture : A prospective multicenter study
- Reduction of End-stage Malignant Glioma by Injection with Autologous Cytotoxic T Lymphocytes
- A Case of Adolescent Primary Adrenal Natural Killer Cell Lymphoma
- Intrasyringal Hemorrhage of the Cervical Cord Associated with Chiari Type I Malformation : Case Report
- Use of totally implantable central venous access port via the basilic vein in patients with thoracic malignancies.
- Therapeutic Efficacy of Basic Fibroblast Growth Factor on Experimental Focal Ischemia Studied by Magnetic Resonance Imaging
- Dynamic Computed Tomography Myelography for the Investigation of Cervical Degenerative Disease
- Improvement of Wear Resistance of Magnesium by Laser-Alloying with Silicon
- Giant primary liposarcoma of the chest
- Postmortem computed tomography and magnetic resonance imaging in a case of terminal-stage small cell lung cancer : an experience of autopsy imaging in tumor-related death
- Predictors of Angiographic Changes in Neck Remnants of Ruptured Cerebral Aneurysms Treated With Guglielmi Detachable Coils
- Characterization of End Groups in Polycarbonates by Reactive Pyrolysis-Gas Chromatography
- Intraosseous Meningioma of the Posterior Fossa
- Subdural Hematoma Caused by Intracranial Hypotension After Syringosubarachnoid Shunting : Case Report
- Neurocysticercosis as Solitary Parenchymal Lesion Confirmed by Mitochondrial Deoxyribonucleic Acid Sequence Analysis : Case Report
- Strain in GaP Films Heteroepitaxially Grown on Si by Metalorganic Chemical Vapor Deposition
- Heavily Sn-doped n-Type InGaP Grown by Metalorganic Chemical Vapor Deposition
- Effects of Gibberellins and Their Methyl Esters on Dark Germination and antheridium Formation in Lygodium japonicum and Anemia phyllitidis
- IL-4Rα polymorphism in regulation of IL-4 synthesis by T cells : implication in susceptibility to a subset of murine lupus
- Preparation of Poly(β-malic acid)by Enzymatic Ring-Opening Polymerization of Benzyl β-Malolactonate
- Impaired Cognitive Function Due to Cerebellar Infarction and Improvement After Stent-Assisted Angioplasty for Intracranial Vertebral Artery Stenosis : Case Report
- IMPROVEMENTS IN URANIUM ADSORPTION ABILITY OF A CIRCULATING FLUIDIZED BED ADSORBER
- Infratentorial Arteriovenous Malformation Associated With Persistent Primitive Trigeminal Artery
- Mild Encephalitis/Encephalopathy With a Reversible Splenial Lesion : Evaluation by Diffusion Tensor Imaging : Three Case Reports
- Clinical Application of Diffusion-weighted Magnetic Resonance Imaging to Intracranial Disorders
- Malignant Thymoma with Direct Invasion into the Peritoneal Cavity : Report of a Case
- A case of Mucinous Carcinoma of the Male Breast With Unusual Ultrasonographic Findings Mimicking Phyllodes Tumor
- Cerebral Infarction Following Pituitary Apoplexy : Case Report
- Gadolinium-enhanced Magnetic Resonance Angiography in the Planning of Supratentorial Glioma Surgery
- Early Endovascular Treatment for Ruptured Basilar Bifurcation Aneurysm : Case Report
- Right Atrial Myxoma Associated with Atrial Septal Defect : A Case Report and Review of the Literature
- Descending Necrotizing Mediastinitis with Sternocostoclavicular Osteomyelitis and Partial Thoracic Empyema: Report of a Case
- Anterior Communicating Artery Aneurysm associated with Bilateral Occlusion of the Middle Cerebral Artery : Case Report
- Osteomas of the Skull : Comparison of Magnetic Resonance Imaging and Histological Findings
- Sympathetic premotor neurons mediating thermoregulatory functions
- Tumor Cell Proliferation of Hepatocellular Carcinoma, with Special Reference to Ultrasonographic Findings and Arterial Vascularity by US Angiography
- In vivo function of Rnd2 in the development of neocortical pyramidal neurons
- Efficacy of Keishibukuryogan, a Traditional Japanese Herbal Medicine, in Treating Cold Sensation and Numbness After Stroke : Clinical Improvement and Skin Temperature Normalization in 22 Stroke Patients
- Migraine impact reduction with decreased cutaneous electroconductivity after administration of Japanese herbal medicine goshuyuto : two case reports
- Significance of immature platelet fraction and CD41-positive cells at birth in early onset neonatal thrombocytopenia
- Effect of Expression of P-glycoprotein on Technetium-99m Methoxyisobutylisonitrile Single Photon Emission Computed Tomography of Brain Tumors
- Pathological Changes After Autologous Formalin-Fixed Tumor Vaccine Therapy Combined With Temozolomide for Glioblastoma : Three Case Reports
- Primary Cerebellar Pilocytic Astrocytoma With Anaplastic Features in a Patient With Neurofibromatosis Type 1 : Case Report
- Vernet's Syndrome Caused by Large Mycotic Aneurysm of the Extracranial Internal Carotid Artery After Acute Otitis Media : Case Report
- A nonradiation-containing, intermediate-dose methotrexate regimen for elderly patients with primary central nervous system lymphoma
- Lung Cancer-related Genes in the Blood
- Activation of natural killer cells by the mAb YTA-1 that recognizes leukocyte function-associated antigen-1
- Retrograde coronary sinus cardioplegia cannula placement under short-time circulatory arrest in surgery for a ruptured type A dissection with a previous coronary artery bypass
- Microfabrication of Cemented Tungsten Carbide by a Femtosecond Laser
- EFFECTS OF HUMAN SUPEROXIDE DISMUTASE ON ISCHEMIC AND REPERFUSED MYOCARDIUM IN ISOLATED PERFUSED RAT HEART
- Long-Term Outcome of Proton Beam Radiosurgery for Arteriovenous Malformations Larger Than 30mm in Diameter
- Resuspension of the Uninfarcted Papillary Muscle at the Time of Mitral Valve Replacement in a Patient with Post Myocardial Infarction Papillary Muscle Rupture
- Development of Peptide PET Tracer Using ^Ge/Ga Generator for Diagnosis of Alzheimer's Disease
- Postoperative pleural effusion in living lobar lung transplant donors
- Management of patients with coronary stents in elective thoracic surgery
- New Instrument for Creating Bone Graft Cavities for Anterior Cervical Decompression and Fusion : the Anterior Fusion Spinal Fork
- Annealing Effect on Enlargement of Grain Size in Nanocrystalline Silicon Films Deposited by Silicon Evaporation with Oxygen and Argon Radicals
- Endoscopic Third Ventriculostomy for Obstructive Hydrocephalus Caused by a Large Upper Basilar Artery Aneurysm After Coil Embolization : Case Report
- Risk Factors of Ischemic Lesions Related to Cerebral Angiography and Neuro-interventional Procedures
- Endovascular Coiling as the First Treatment Strategy for Ruptured Pericallosal Artery Aneurysms: Results, Complications, and Follow Up
- Hemodynamic Instability Increases New Ischemic Brain Lesions on Diffusion-Weighted Imaging After Carotid Artery Stenting
- Spinal Dural Arteriovenous Fistula With Lipomyelodysplasia:—Case Report—
- Lattice Distortion in GaAsP Heteroepitaxially Grown on GaP and Si by Metalorganic Molecular Beam Epitaxy
- Multimodality Treatment for Cerebral Arteriovenous Malformations : Complementary Role of Proton Beam Radiotherapy
- Influences of Focusing Conditions on Dynamics of Laser Ablation at a Solid--Liquid Interface
- Preoperative Endovascular Embolization for Hemangioblastoma in the Posterior Fossa
- Temperature effect on decay of ions and radicals in supercooled liquids as studied by pulse radiolysis and .GAMMA.-radiolysis: 1-propanol and ethanol.
- Multiple Dural Arteriovenous Fistulas Causing Rapid Progressive Dementia Successfully Treated by Endovascular Surgery: Case Report
- A Photoconductivity Study of Trapped Ionic Species in γ-Irradiated Ethylcyclohexane Glass at 77 K
- Impurity Doping and Electrical Properties of GaAsP Heteroepitaxially Grown on GaP and Si by Metalorganic Molecular Beam Epitaxy
- Postnatal Changes in mRNA Expression of the K+ Channel in Rat Cardiac Ventricles.
- ENDOVASCULAR SURGERY AS A LESS INVASIVE TREATMENT FOR CEREBROVASCULAR DISEASE
- Spinal Dural Arteriovenous Fistula With Lipomyelodysplasia -Case Report-
- Hemodynamic Instability Increases New Ischemic Brain Lesions on Diffusion-Weighted Imaging After Carotid Artery Stenting
- Clostridium difficile Infection Induced by Pregabalin-associated Agranulocytosis