Stent, balloon-assisted coiling and double microcatheter for treating wide-neck aneurysms in anterior cerebral circulation.

Abstract:

OBJECTIVE:To investigate the clinical application of adjuvant coiling techniques in treating anterior-circulation wide-necked aneurysms. METHODS:Over 4·5 years, 93 anterior-circulation wide-neck aneurysms in 81 patients were treated with different endovascular techniques: balloon-assisted, stent-assisted, and double-microcatheter coiling. Demographic, clinical, and angiographic data were reviewed retrospectively. RESULTS:Of the 93 aneurysms, 45 were treated using stent, 28 using balloon, and 20 using double microcatheter. The proportion of ruptured aneurysms was significantly lower in the stent group (53·3%) than in the balloon (71·4%) or the double-microcatheter group (75%). Stent embolization was used for 61·1% of aneurysms located in the internal carotid artery, whereas aneurysms in the anterior communicating and middle cerebral arteries were mainly treated with balloon remodeling (42·9%) and double microcatheter (52·4%). The majority of aneurysms with neck ≧ 7 mm (87·5%) and all aneurysms with a dome/neck ratio < 1·0 (100%) were treated by stent-assisted coiling. For aneurysms with neck < 4 mm, the mean dome/neck ratio was 0·93 in the stent group, 1·08 in the balloon group, and 1·16 in the double-microcatheter group. Total occlusion was achieved in 21 cases (46·7%), with the rates for stent being significantly lower than for balloon (78·6%) or double microcatheter (75·0%). Clinical outcome was favorable in 73 cases (Glasgow Outcome Scale (GOS) 4-5) and fair in 4 (GOS 3), while 2 were severely disabled (GOS 2) and 2 others died (GOS 1). CONCLUSION:Double microcatheter was better for distal aneurysms with dome/neck ratio of 1·1-1·2, while stent was better for proximal aneurysms with an extremely wide neck (≥ 7 mm) and for loudspeaker-shaped aneurysms (dome/neck ratio < 1·0) with poor vessel condition. For emergency cases, both balloon remodeling and double microcatheter are better choices than stent.

journal_name

Neurol Res

journal_title

Neurological research

authors

Pan J,Xiao F,Szeder V,Yan M,Fan W,Gu J,He L,Zhan R

doi

10.1179/1743132813Y.0000000234

subject

Has Abstract

pub_date

2013-12-01 00:00:00

pages

1002-8

issue

10

eissn

0161-6412

issn

1743-1328

pii

ner3235

journal_volume

35

pub_type

杂志文章
  • Mutations in GBA and risk of Parkinson's disease: a meta-analysis based on 25 case-control studies.

    abstract::The association between glucocerebrosidase (GBA) mutations and Parkinson's disease (PD) is attracting increased attention worldwide. Results from previous studies on the association of GBA mutations with PD in different ethnicities remain contradictory. In order to derive a more comprehensive understanding of the rela...

    journal_title:Neurological research

    pub_type: 杂志文章,meta分析,评审

    doi:10.1179/1743132813Y.0000000224

    authors: Mao X,Wang T,Peng R,Chang X,Li N,Gu Y,Zhao D,Liao Q,Liu M

    更新日期:2013-10-01 00:00:00

  • Somatosensory-evoked potentials and slow oscillations in patients with cerebral lesions.

    abstract::Somatosensory-evoked potentials induced by electrical stimulation of the median nerve were recorded in patients with intracerebral lesions and in normal controls and were studied by means of spectral analysis. The results shown that (1) there is a statistically-significant difference between spectral distributions obt...

    journal_title:Neurological research

    pub_type: 杂志文章

    doi:10.1080/01616412.1980.11739571

    authors: Kusske JA,Romiti JA,Porter RW,Verzeano M

    更新日期:1980-01-01 00:00:00

  • Stereotactic software for the GE 8800 CT scanner.

    abstract::A computer software program (Seapit) was developed for precise determination of intracranial targets identified by stereotactic computed tomography (CT). This program was added to the software of a GE 8800 CT scanner to perform the following operations: millimetre precise calculation and display of the rectilinear coo...

    journal_title:Neurological research

    pub_type: 杂志文章

    doi:10.1080/01616412.1987.11739781

    authors: Lunsford LD,Listerud JA,Rowberg AH,Latchaw RE

    更新日期:1987-06-01 00:00:00

  • Refractory status epilepticus: new insights in presentation, treatment, and outcome.

    abstract::Refractory status epilepticus (RSE), defined as status epilepticus that fails to respond to the acute administration of two antiepileptic medications, occurs in approximately a third of patients with status epilepticus, and is associated with increased hospital length of stay, mortality, and functional disability. Com...

    journal_title:Neurological research

    pub_type: 杂志文章,评审

    doi:10.1179/1743132812Y.0000000128

    authors: Hocker S,Wijdicks EF,Rabinstein AA

    更新日期:2013-03-01 00:00:00

  • Multidisciplinary treatment of posterior circulation ischemia.

    abstract::Compromise of blood flow to the brain leads to cerebral ischemia, which if left untreated may even result in cerebral infarction. This has been the main cause of major morbidity and mortality over the years in the US and around the world. Cerebral ischemia to the posterior fossa is more critical and difficult to treat...

    journal_title:Neurological research

    pub_type: 杂志文章,评审

    doi:10.1179/016164104773026552

    authors: Misra M,Alp MS,Hier D,Ausman JI

    更新日期:2004-01-01 00:00:00

  • Endolymphatic sac tumor: staged endovascular-neurosurgical approach.

    abstract::Endolymphatic sac tumors are rare, low-grade adenocarcinomas of the petrous bone. These tumors are highly vascularized and surgical removal is often challenging. We present a staged endovascular-neurosurgical approach consisting of stent-assisted angioplasty of the petrous carotid, selective endovascular embolization ...

    journal_title:Neurological research

    pub_type: 杂志文章

    doi:10.1179/016164103101201436

    authors: Cohen JE,Spektor S,Valarezo J,Fellig Y,Umansky F

    更新日期:2003-04-01 00:00:00

  • Homocysteine and ischemic stroke subtype: a relationship study in Chinese patients.

    abstract:OBJECTIVE:Elevated homocysteine level is a risk factor for ischemic stroke and associated with small vessel disease such as confluent leukoaraiosis in white and black population. We investigated the relationship between the total serum homocysteine level and ischemic stroke subtypes in Chinese population. METHODS:Thre...

    journal_title:Neurological research

    pub_type: 杂志文章

    doi:10.1179/016164109X12445616596445

    authors: Ma Y,Zhao X,Zhang W,Liu L,Wang Y,Fang R,Wang Y

    更新日期:2010-07-01 00:00:00

  • Nitric oxide synthase inhibitor augments post-ischemic leukocyte adhesion in the cerebral microcirculation in vivo.

    abstract::The objective was to examine the effect of the nitric oxide synthase inhibitor, N omega-nitro-L-arginine methyl ester (L-NAME) on leukocyte adhesion in the cerebral microcirculation during reperfusion following partial forebrain ischemia in the rat. Intravital fluorescence video-microscopy through a closed cranial win...

    journal_title:Neurological research

    pub_type: 杂志文章

    doi:10.1080/01616412.1999.11740947

    authors: Hudetz AG,Wood JD,Kampine JP

    更新日期:1999-06-01 00:00:00

  • Cortical spreading depression and the pathogenesis of brain disorders: a computational and neural network-based investigation.

    abstract::This paper reviews our recent studies of the role of cortical spreading depression (CSD) in the pathogenesis of brain disorders. Our investigation is a computational one, involving the development and utilization of a complex neuro-metabolic model of the interactions assumed to occur in the cortex during the passage o...

    journal_title:Neurological research

    pub_type: 杂志文章

    doi:10.1179/016164101101198839

    authors: Ruppin E,Reggia JA

    更新日期:2001-07-01 00:00:00

  • Measurement of regional cerebrovascular haemoglobin oxygen saturation in cats using optical spectroscopy.

    abstract::We describe the use of optical spectroscopy in the near infra-red light range to non-invasively measure regional cerebral haemoglobin oxygen saturation (rSHbO2) in cats during progressive cerebral hypoxia. This technique differs from spectroscopic techniques previously described in that the concentration ratio--percen...

    journal_title:Neurological research

    pub_type: 杂志文章

    doi:10.1080/01616412.1991.11739967

    authors: McCormick PW,Stewart M,Ray P,Lewis G,Dujovny M,Ausman JI

    更新日期:1991-03-01 00:00:00

  • Oral creatine supplementation in Duchenne muscular dystrophy: a clinical and 31P magnetic resonance spectroscopy study.

    abstract::The decrease in intracellular creatine concentration in Duchenne muscular dystrophy may contribute to the deterioration of intracellular energy homeostasis and may thus be one of the factors aggravating muscle weakness and degeneration. Oral creatine supplementation should have potential in alleviating the clinical sy...

    journal_title:Neurological research

    pub_type: 杂志文章

    doi:10.1080/01616412.2000.11741051

    authors: Felber S,Skladal D,Wyss M,Kremser C,Koller A,Sperl W

    更新日期:2000-03-01 00:00:00

  • Ramipril prevents extracellular matrix accumulation in cerebral microvessels.

    abstract:OBJECTIVES:The stroke-prone spontaneously hypertensive rat is a genetic model of severe hypertension with secondary vascular alterations. The aim of this study was to determine the influence of chronic hypertension and ramipril treatment on the extracellular matrix in the cerebral microvasculature. METHODS:The study c...

    journal_title:Neurological research

    pub_type: 杂志文章

    doi:10.1179/016164105X49256

    authors: Liebetrau M,Burggraf D,Büscher C,Linz W,Hamann GF

    更新日期:2005-07-01 00:00:00

  • A proposed ethical framework for interventional cognitive neuroscience: a consideration of deep brain stimulation in impaired consciousness.

    abstract::Advances in neuromodulation techniques offer the promise of new therapeutic interventions for patients with neuropsychiatric maladies. Several complex social, ethical and policy issues will attend developments in this area. In this paper an ethical framework for clinical research in interventional cognitive neuroscien...

    journal_title:Neurological research

    pub_type: 杂志文章,评审

    doi:10.1080/01616412.2000.11740670

    authors: Fins JJ

    更新日期:2000-04-01 00:00:00

  • Mapping the primary motor cortex in healthy subjects and patients with peri-rolandic brain lesions before neurosurgery.

    abstract:OBJECTIVE:The aim of this study was to establish a robust set of motor tasks that could be used to functionally delineate the motor cortex with blood oxygenation level dependent functional magnetic resonance imaging (BOLD fMRI) at 3 T and produce precise functional maps for pre-operative planning and functional neurona...

    journal_title:Neurological research

    pub_type: 临床试验,杂志文章

    doi:10.1179/016164108X323753

    authors: Berntsen EM,Samuelsen P,Lagopoulos J,Rasmussen IA Jr,Håberg AK,Haraldseth O

    更新日期:2008-11-01 00:00:00

  • A new method of noninvasive brain-edema monitoring in stroke: cerebral electrical impedance measurement.

    abstract:OBJECTIVE:To explore the primary regularity of cerebral electrical impedance (CEI) change in healthy people, patients with intracerebral hemorrhage (ICH) and patients with cerebral infarction (CI). METHODS:CEI of 200 healthy volunteers, 78 patients with ICH and 51 patients with CI were measured by noninvasive brain-ed...

    journal_title:Neurological research

    pub_type: 杂志文章

    doi:10.1179/016164106X91843

    authors: Liu L,Dong W,Ji X,Chen L,Chen L,He W,Jia J

    更新日期:2006-01-01 00:00:00

  • The role of CD8+ T-cells in lesion formation and axonal dysfunction in multiple sclerosis.

    abstract::The etiology of multiple sclerosis (MS) remains unknown. However, both genetic and environmental factors play important roles in its pathogenesis. While demyelination of axons is a hallmark histological feature of MS, axonal and neuronal dysfunction may correlate better with clinical disability. All major immune cell ...

    journal_title:Neurological research

    pub_type: 杂志文章,评审

    doi:10.1179/016164106X98125

    authors: McDole J,Johnson AJ,Pirko I

    更新日期:2006-04-01 00:00:00

  • Relation of supersensitivity to cerebral vasospasm induced by oxyhaemoglobin.

    abstract::There have been reports that superior cervical ganglionectomy (SCG) is effective as a treatment for cerebral vasospasm following subarachnoid haemorrhage (SAH). On the other hand, denervation supersensitivity is supposed to play an important role in vasospasm. The two accounts contradict each other. To investigate thi...

    journal_title:Neurological research

    pub_type: 杂志文章

    doi:10.1080/01616412.1988.11739836

    authors: Iwai R,Kamiyama K,Nagahori T,Ohtsuji T,Endo S,Takaku A

    更新日期:1988-09-01 00:00:00

  • Relief of intractable cancer pain by human chromaffin cell transplants: experience at two medical centers.

    abstract::In addition to its possible role as a replacement source in CNS degenerative diseases, neural transplantation may be used to augment the normal production of neuroactive substances. Our laboratory at the University of Illinois at Chicago has shown, in both acute and chronic pain models, that transplantation of adrenal...

    journal_title:Neurological research

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1080/01616412.1997.11740775

    authors: Pappas GD,Lazorthes Y,Bès JC,Tafani M,Winnie AP

    更新日期:1997-02-01 00:00:00

  • Safely performing neurosurgical procedures during COVID-19 pandemic.

    abstract:INTRODUCTION:The novel coronavirus disease (COVID-19) pandemic poses a substantial threat to the health of healthcare personnel on the front line of caring for COVID-19 patients. The Centers for Medicare and Medicaid Services previously announced that all non-essential planned surgeries and procedures should be postpon...

    journal_title:Neurological research

    pub_type: 杂志文章

    doi:10.1080/01616412.2020.1781455

    authors: Reed LK,Wen J,Liang B,Wang X,Feng D,Huang JH

    更新日期:2020-10-01 00:00:00

  • Cerebral venous sinus thrombosis may be associated with hepatitis B virus infection: a preliminary finding.

    abstract:OBJECTIVE:To assess the clinical significance of hepatitis B virus (HBV) infection in patients with cerebral venous sinus thrombosis (CVST). METHODS:Twenty-two patients with CVST confirmed by magnetic resonance venography (MRV) or digital subtraction angiography (DSA) and 743 controls with ischemic stroke confirmed by...

    journal_title:Neurological research

    pub_type: 杂志文章

    doi:10.1179/1743132815Y.0000000003

    authors: Shan F,Gao C,Long Y,Huang L,Zheng Y,Chen M,Fan Y,Yin J

    更新日期:2015-06-01 00:00:00

  • Bone mesenchymal stem cell-conditioned medium induces the upregulation of Smad6, which inhibits the BMP-4/Smad1/5/8 signaling pathway.

    abstract:OBJECTIVES:In this study, we aimed to investigate the effect of bone mesenchymal stem cells (BMSCs) conditioned medium on BMP4-induced activation of the Smad signaling pathway during the process of neural stem cells differentiation. METHODS:We designed four experimental groups: (A) control group, (B) BMP-4 treatment g...

    journal_title:Neurological research

    pub_type: 杂志文章

    doi:10.1080/01616412.2016.1232549

    authors: Fang H,Song P,Shen C,Liu X,Li H

    更新日期:2016-11-01 00:00:00

  • Temporal profile of neural stem cell proliferation in the subventricular zone after ischemia/hypoxia in the neonatal rat brain.

    abstract:OBJECTIVES:Ischemia/hypoxia (I/H) causes severe neonatal brain injury, such as periventricular leukomaracia and hypoxic/ischemic encephalopathy. Neural stem cell research could lead to a treatment for such disorders. In order to elucidate the dynamic changes in neural stem cells in the neonatal brain after I/H, we inve...

    journal_title:Neurological research

    pub_type: 杂志文章

    doi:10.1179/016164105X49283

    authors: Iwai M,Ikeda T,Hayashi T,Sato K,Nagata T,Nagano I,Shoji M,Ikenoue T,Abe K

    更新日期:2006-06-01 00:00:00

  • Angiogenic capacity of human omental stem cells.

    abstract:OBJECTIVES:The goals of the present study are to obtain, expand and characterize a stem cell population from human omentum and to evaluate its in vivo angiogenic capacities. METHODS:Human omental CD34+ cells were obtained from samples of human omentum by density gradient centrifugation in Ficoll. Proliferative pattern...

    journal_title:Neurological research

    pub_type: 杂志文章

    doi:10.1179/016164105X63674

    authors: García-Gómez I,Goldsmith HS,Angulo J,Prados A,López-Hervás P,Cuevas B,Dujovny M,Cuevas P

    更新日期:2005-12-01 00:00:00

  • Neuroprotection with NBQX and thrombolysis with rt-PA in rat embolic stroke.

    abstract::The efficacy of delayed thrombolysis with recombinant tissue plasminogen activator was tested in combination with the ischaemic protecting drug NBQX in an embolic stroke model. In 113 rats the carotid territory was embolized with a fibrin-rich clot formed in polyethylene tube. Hemispheric cerebral blood flow (CBF) was...

    journal_title:Neurological research

    pub_type: 杂志文章

    doi:10.1080/01616412.1993.11740159

    authors: Overgaard K,Sereghy T,Pedersen H,Boysen G

    更新日期:1993-10-01 00:00:00

  • Does the nutritional status of acute stroke patients affect the neurological status in the early post-stroke period?

    abstract::According to recent reports, malnutrition may be associated with a worse prognosis in stroke patients. The aim of this study was to determine the nutritional status of stroke patients and its impact on neurological and functional status of patients in the early post-stroke period. Our prospective study included a tota...

    journal_title:Neurological research

    pub_type: 杂志文章

    doi:10.1080/01616412.2019.1672379

    authors: Wierzbicki K,Horyniecki M,Mamak D,Szopa M,Buchała J,Stawarz G,Florek S,Adamczyk-Sowa M

    更新日期:2020-01-01 00:00:00

  • An endoscopic pedicle probe: preliminary development.

    abstract::Insertion of pedicle screws in the thoracolumbar spine can be challenging. Incorrect placement can lead to a failure of fusion or to significant neurologic morbidity. Recently, techniques utilizing intraoperative monitoring and stereotaxis have been developed to achieve proper screw placement. While these techniques m...

    journal_title:Neurological research

    pub_type: 杂志文章

    doi:10.1080/01616412.1997.11740877

    authors: Frank EH,Chamberland DL

    更新日期:1997-12-01 00:00:00

  • AST to ALT ratio and risk of hemorrhagic transformation in patients with acute ischemic stroke.

    abstract:BACKGROUND:Hemorrhagic transformation (HT) is a common complication of ischemic stroke. We performed this study to determine whether aspartate aminotransferase (AST) to alanine aminotransferase (ALT) ratio (AAR) was related to HT, as well as compare the predictive values of AAR, ALT and AST for HT in patients with isch...

    journal_title:Neurological research

    pub_type: 杂志文章

    doi:10.1080/01616412.2020.1796403

    authors: Wang Y,Qiu K,Song Q,Cheng Y,Liu J,Liu M

    更新日期:2020-11-01 00:00:00

  • Feasibility and limitations of the rat model by C6 gliomas implanted at the subcutaneous region.

    abstract::Although rat models implanted with C6 glioma cells have been widely utilized for the assessment of new therapeutic modalities, a convenient in vivo model is still required. We implanted C6 glioma cells into the brains and the abdominal subcutaneous regions of Wistar rats, and evaluated the volumes of the growing tumor...

    journal_title:Neurological research

    pub_type: 杂志文章

    doi:10.1179/016164102101200221

    authors: Watanabe K,Sakamoto M,Somiya M,Amin MR,Kamitani H,Watanabe T

    更新日期:2002-07-01 00:00:00

  • Thrombosis and recanalization of symptomatic nongiant saccular aneurysm.

    abstract::Complete thrombosis followed by recanalization of giant aneurysms is an infrequent process that has been exceptionally mentioned in relation to nongiant saccular aneurysms. A 25-year-old male presented with a right temporal hematoma and associated subarachnoid hemorrhage. Cerebral angiography revealed a small blister-...

    journal_title:Neurological research

    pub_type: 杂志文章

    doi:10.1179/016164103771953961

    authors: Cohen JE,Rajz G,Umansky F,Spektor S

    更新日期:2003-12-01 00:00:00

  • Stretching and electrical stimulation regulate the metalloproteinase-2 in rat denervated skeletal muscle.

    abstract:OBJECTIVE:To evaluate the effects of electrical stimulation (ES), stretching and their combined effects in matrix metalloproteinases (MMPs) gene expression and activity during early denervation of rat tibialis anterior (TA) muscle by axonotmesis. METHODS:Thirty adult male Wistar rats were divided into five groups: no...

    journal_title:Neurological research

    pub_type: 杂志文章

    doi:10.1179/174313209X459093

    authors: Peviani SM,Russo TL,Durigan JL,Vieira BS,Pinheiro CM,Galassi MS,Salvini TF

    更新日期:2010-10-01 00:00:00