PMID- 24257503
OWN - NLM
STAT- MEDLINE
DCOM- 20150410
LR  - 20211021
IS  - 1349-8029 (Electronic)
IS  - 0470-8105 (Print)
IS  - 0470-8105 (Linking)
VI  - 54
IP  - 2
DP  - 2014
TI  - Stent-assisted coil embolization for cavernous carotid artery aneurysms.
PG  - 126-32
AB  - Internal carotid artery (ICA) occlusion with or without a bypass surgery is the 
      traditional treatment for cavernous sinus (CS) aneurysms with cranial nerve (CN) 
      dysfunction. Coil embolization without stents frequently requires retreatment 
      because of the large size of CS aneurysms. We report the mid-term results of six 
      unruptured CS aneurysms treated with stent-assisted coil embolization (SACE). The 
      mean age of the patients was 72 years. The mean size of the aneurysms was 19.8 mm 
      (range: 13-26 mm). Before treatment, four patients presented with CN dysfunction 
      and two patients had no symptoms. SACE was performed under local or general 
      anesthesia in three patients each. Mean packing density was 29.1% and tight 
      packing was achieved. There were no neurological complications. CN dysfunction 
      was cured in three patients (75%) and partly resolved in one patient (25%). 
      Transient new CN dysfunction was observed in two patients (33%). Clinical and 
      imaging follow-up ranged from 6 to 26 months (median: 16 months). Recanalization 
      was observed in three patients (50%; neck remnant in two patients and dome 
      filling in one patient), but no retreatment has yet been required. No recurrence 
      of CN dysfunction has occurred yet. In summary, SACE increases packing density 
      and may reduce requirement of retreatment with an acceptable cure rate of CN 
      dysfunction. SACE may be a superior treatment for coiling without stents and be 
      an alternative treatment of ICA occlusion for selected patients, such as older 
      patients and those who require a high-flow bypass surgery or cannot receive 
      general anesthesia.
FAU - Kono, Kenichi
AU  - Kono K
AD  - Department of Neurosurgery, Wakayama Rosai Hospital.
FAU - Shintani, Aki
AU  - Shintani A
FAU - Okada, Hideo
AU  - Okada H
FAU - Tanaka, Yuko
AU  - Tanaka Y
FAU - Terada, Tomoaki
AU  - Terada T
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20131120
PL  - Japan
TA  - Neurol Med Chir (Tokyo)
JT  - Neurologia medico-chirurgica
JID - 0400775
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Balloon Occlusion
MH  - *Carotid Artery, Internal
MH  - *Cavernous Sinus
MH  - Cerebral Angiography
MH  - Cranial Nerve Diseases/etiology
MH  - Embolization, Therapeutic/instrumentation/*methods
MH  - Endovascular Procedures/instrumentation/*methods
MH  - Female
MH  - Humans
MH  - Intracranial Aneurysm/complications/*therapy
MH  - Intracranial Thrombosis/etiology/therapy
MH  - Male
MH  - Middle Aged
MH  - Nerve Compression Syndromes/etiology
MH  - Retrospective Studies
MH  - *Stents
PMC - PMC4508706
COIS- Conflicts of Interest Disclosure The authors have no conflict of interest and 
      have registered online self-reported conflict of interest disclosure statement 
      forms through the website for Japan Neurosurgical Society members.
EDAT- 2013/11/22 06:00
MHDA- 2015/04/11 06:00
PMCR- 2014/02/01
CRDT- 2013/11/22 06:00
PHST- 2013/11/22 06:00 [entrez]
PHST- 2013/11/22 06:00 [pubmed]
PHST- 2015/04/11 06:00 [medline]
PHST- 2014/02/01 00:00 [pmc-release]
AID - DN/JST.JSTAGE/nmc/oa2013-0013 [pii]
AID - nmc-54-126 [pii]
AID - 10.2176/nmc.oa2013-0013 [doi]
PST - ppublish
SO  - Neurol Med Chir (Tokyo). 2014;54(2):126-32. doi: 10.2176/nmc.oa2013-0013. Epub 
      2013 Nov 20.