PMID- 26657113
OWN - NLM
STAT- MEDLINE
DCOM- 20161213
LR  - 20161230
IS  - 1532-8511 (Electronic)
IS  - 1052-3057 (Linking)
VI  - 25
IP  - 3
DP  - 2016 Mar
TI  - Relationship between Angiographic Results and Morphology in Sidewall Intracranial 
      Aneurysms after Stent-Assisted Coil Embolization.
PG  - 533-9
LID - S1052-3057(15)00583-2 [pii]
LID - 10.1016/j.jstrokecerebrovasdis.2015.11.001 [doi]
AB  - BACKGROUND: Stent-assisted coil embolization (SACE) is used to address 
      wide-necked or complex aneurysms. However, as they may recanalize after SACE, 
      predictors of recanalization are needed. We investigated the relationship between 
      follow-up angiographic results and the morphology of sidewall (SW) aneurysms in 
      patients treated by SACE. METHODS: Between September 2010 and September 2014, we 
      performed 80 SACE procedures for SW intracranial aneurysms. Angiographic 
      findings, obtained immediately after the procedure, 3-6 months thereafter, and 
      when aneurysmal recanalization was suspected on MR angiogram scan, were recorded. 
      Morphologically, the SW aneurysms were classified as "outside" (OS) and 
      "partially inside" (PI) based on the curve of the axes of the proximal or distal 
      parent artery with respect to the aneurysmal neck. Follow-up angiographic studies 
      on OS- and PI SW aneurysms were compared. RESULTS: On the initial angiograms, we 
      classified 42 aneurysms as OS and 38 as PI. Immediately after SACE, there was no 
      significant difference in the angiographic findings on OS and PI aneurysms. 
      However, on follow-up angiograms, there was a significant difference in the rate 
      of spontaneous improvement (4 of 42 [OS] versus 21 of 38 [PI], P = .001). We 
      performed additional coil embolization to treat 3 recanalized OS aneurysms. 
      CONCLUSIONS: SW aneurysms classified morphologically as PI tended to occlude 
      progressively even after incomplete occlusion by SACE. In contrast, aneurysms 
      classified as OS must be observed carefully after SACE.
CI  - Copyright (c) 2016 National Stroke Association. Published by Elsevier Inc. All 
      rights reserved.
FAU - Nii, Kouhei
AU  - Nii K
AD  - Department of Neurosurgery, Fukuoka University Chikushi Hospital, Fukuoka, Japan. 
      Electronic address: k.nii@cis.fukuoka-u.ac.jp.
FAU - Aikawa, Hiroshi
AU  - Aikawa H
AD  - Department of Neurosurgery, Fukuoka University Chikushi Hospital, Fukuoka, Japan.
FAU - Tsutsumi, Masanori
AU  - Tsutsumi M
AD  - Department of Neurosurgery, Fukuoka University Chikushi Hospital, Fukuoka, Japan.
FAU - Eto, Ayumu
AU  - Eto A
AD  - Department of Neurosurgery, Fukuoka University Chikushi Hospital, Fukuoka, Japan.
FAU - Iko, Minoru
AU  - Iko M
AD  - Department of Neurosurgery, Fukuoka University Chikushi Hospital, Fukuoka, Japan.
FAU - Sakamoto, Kimiya
AU  - Sakamoto K
AD  - Department of Neurosurgery, Fukuoka University Chikushi Hospital, Fukuoka, Japan.
FAU - Inoue, Ritsuro
AU  - Inoue R
AD  - Department of Neurosurgery, Fukuoka University Chikushi Hospital, Fukuoka, Japan.
FAU - Mitsutake, Takafumi
AU  - Mitsutake T
AD  - Department of Neurosurgery, Fukuoka University Chikushi Hospital, Fukuoka, Japan.
FAU - Hanada, Hayatsura
AU  - Hanada H
AD  - Department of Neurosurgery, Fukuoka University Chikushi Hospital, Fukuoka, Japan.
FAU - Kazekawa, Kiyoshi
AU  - Kazekawa K
AD  - Department of Neurosurgery, Fukuoka University Chikushi Hospital, Fukuoka, Japan.
LA  - eng
PT  - Journal Article
DEP - 20151204
PL  - United States
TA  - J Stroke Cerebrovasc Dis
JT  - Journal of stroke and cerebrovascular diseases : the official journal of National 
      Stroke Association
JID - 9111633
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Embolization, Therapeutic/*adverse effects
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Imaging, Three-Dimensional
MH  - Intracranial Aneurysm/*diagnostic imaging/*etiology/therapy
MH  - Magnetic Resonance Angiography/*methods
MH  - Male
MH  - Middle Aged
MH  - Retrospective Studies
MH  - Stents/*adverse effects
OTO - NOTNLM
OT  - Angiographic results
OT  - intracranial aneurysm
OT  - morphology
OT  - sidewall
OT  - stent-assisted coil embolization
EDAT- 2015/12/15 06:00
MHDA- 2016/12/15 06:00
CRDT- 2015/12/15 06:00
PHST- 2015/06/19 00:00 [received]
PHST- 2015/09/29 00:00 [revised]
PHST- 2015/11/01 00:00 [accepted]
PHST- 2015/12/15 06:00 [entrez]
PHST- 2015/12/15 06:00 [pubmed]
PHST- 2016/12/15 06:00 [medline]
AID - S1052-3057(15)00583-2 [pii]
AID - 10.1016/j.jstrokecerebrovasdis.2015.11.001 [doi]
PST - ppublish
SO  - J Stroke Cerebrovasc Dis. 2016 Mar;25(3):533-9. doi: 
      10.1016/j.jstrokecerebrovasdis.2015.11.001. Epub 2015 Dec 4.