当前位置： SCI文献检索 > Therapeutic Advances in Neurological Disorders期刊下所有文献 > Intracranial aneurysms: optimized diagnostic tools call for thorough interdisciplinary treatment strategies.

Intracranial aneurysms: optimized diagnostic tools call for thorough interdisciplinary treatment strategies.

Abstract：

OBJECTIVE:Intracranial aneurysms (IAs) require deliberately selected treatment strategies as they are incrementally found prior to rupture and deleterious subarachnoid haemorrhage (SAH). Multiple and recurrent aneurysms necessitate both neurointerventionalists and neurosurgeons to optimize aneurysmal occlusion in an interdisciplinary effort. The present study was conducted to condense essential strategies from a single neurovascular centre with regard to the lessons learned. METHOD:Medical charts of 321 consecutive patients treated for IAs at our centre from September 2008 until December 2010 were retrospectively analysed for clinical presentation of the aneurysms, multiplicity and treatment pathways. In addition, a selective Medline search was performed. RESULTS:A total of 321 patients with 492 aneurysms underwent occlusion of their symptomatic aneurysm: 132 (41.1%) individuals were treated surgically, 189 (58.2%) interventionally; 138 patients presented with a SAH, of these 44.2% were clipped and 55.8% were coiled. Aneurysms of the middle cerebral artery were primarily occluded surgically (88), whereas most of the aneurysms of the internal carotid artery and anterior communicating artery (114) were treated endovascularly. Multiple aneurysms (range 2-5 aneurysms/individual) were diagnosed in 98 patients (30.2%). During the study period 12 patients with recurrent aneurysms were allocated to another treatment modality (previously clip to coil and vice versa). CONCLUSIONS:Our data show that successful interdisciplinary occlusion of IAs is based on both neurosurgical and neurointerventional therapy. In particular, multiple and recurrent aneurysms require tailored individual approaches to aneurysmal occlusion. This is achieved by a consequent interdisciplinary pondering of the optimal strategy to occlude IAs in order to prevent SAH.

journal_name

Ther Adv Neurol Disord

journal_title

Therapeutic advances in neurological disorders

authors

Mueller OM,Schlamann M,Mueller D,Sandalcioglu IE,Forsting M,Sure U

doi

10.1177/1756285611415309

subject

Has Abstract

pub_date

2011-09-01 00:00:00

pages

267-79

issue

eissn

1756-2856

issn

1756-2864

pii

10.1177_1756285611415309

journal_volume

pub_type

杂志文章

在线工具

Intracranial aneurysms: optimized diagnostic tools call for thorough interdisciplinary treatment strategies.