Coil embolization in precommunicating (A1) segment aneurysms of anterior cerebral artery.

Abstract:

INTRODUCTION:Precommunicating (A1) segment aneurysms of the anterior cerebral artery are rare and often pose technical challenges for coil embolization due to their distinctive configurations. Clinical and radiologic outcomes of treating such aneurysms through endovascular coil embolization are presented herein. METHODS:Data accruing prospectively from May 2002 to August 2013 yielded 48 patients harboring 50 A1 segment aneurysms, each classified as proximal, middle, or distal by location. Clinical outcome of the patients and morphological outcome of the aneurysms were assessed, with emphasis on technical aspects of treatment. RESULTS:The aneurysms studied occupied either proximal (n = 39), middle (n = 6), or distal (n = 5). Proximal aneurysms were largely directed posteriorly (80 %), and most (97 %) were devoid of branches. Middle and distal aneurysms were associated with the medial lenticulostriate artery, cortical branches, or fenestrations. The preshaped "S" and steam-shaped "S" microcatheters facilitated aneurysm selection in 60 % of lesions. Single-microcatheter technique was most commonly applied for coil embolization (62 %), followed by balloon protection (16 %). Successful aneurysmal occlusion could be achieved in 76 % of the patients, with no procedure-related morbidity and mortality. At final follow-up (mean interval, 29.9 months), stable aneurysmal occlusion was sustained in 93 % of the patients (40/43). CONCLUSION:A1 segment aneurysms are amenable to safe and efficacious endovascular coil embolization by adjusting procedural strategy to accommodate distinctive anatomic configurations.

journal_name

Neuroradiology

journal_title

Neuroradiology

authors

Cho YD,Ahn JH,Jung SC,Kim CH,Kang HS,Kim JE,Son YJ,Han MH

doi

10.1007/s00234-014-1319-1

subject

Has Abstract

pub_date

2014-03-01 00:00:00

pages

219-25

issue

3

eissn

0028-3940

issn

1432-1920

journal_volume

56

pub_type

临床试验,杂志文章
  • Spontaneous dissection of the anterior inferior cerebellar artery.

    abstract::A patient presented with the clinical features of a brain stem infarct. MRI confirmed changes of infarction but also revealed an unusual lesion in the left cerebellopontine angle cistern. The evolution of this lesion on MRI, together with angiographic changes, indicated a dissecting aneurysm of the left anterior infer...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s002340000324

    authors: Hancock JH,Millar JS

    更新日期:2000-07-01 00:00:00

  • Endovascular treatment of intracranial aneurysms with the p64 flow diverter stent: mid-term results in 35 patients with 41 intracranial aneurysms.

    abstract:INTRODUCTION:The p64 flow diverter (FD) device is a fully resheathable and detachable stent dedicated for endovascular treatment (EVT) of intracranial aneurysms (IAs). We report our mid-term experience with this device. METHODS:Between January 2015 and February 2016, we retrospectively identified, in our prospectively...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00234-017-1786-2

    authors: Morais R,Mine B,Bruyère PJ,Naeije G,Lubicz B

    更新日期:2017-03-01 00:00:00

  • Metrizamide demonstration of the subarachnoid space surrounding the Gasserian ganglion.

    abstract::The chance opacification of the subarachnoid space surrounding the Gasserian ganglion, observed during metrizamide basal cisternography, is reported. This is compared to similar demonstrations of the optic subarachnoid space. Such infrequently observed images should be known because they may be related to the occurren...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/BF00376712

    authors: Christmann D,Babin E

    更新日期:1980-01-01 00:00:00

  • Postpartum cerebral angiopathy: atypical features and treatment with intracranial balloon angioplasty.

    abstract::Postpartum cerebral angiopathy (PCA) is an uncommon cause of ischemic and hemorrhagic stroke in young women. It is usually clinically benign and not relapsing. We describe a patient with nonhemorrhagic PCA who had an atypical progressive neurological deficit from bilateral hemisphere watershed ischemia despite treatme...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00234-003-1129-3

    authors: Song JK,Fisher S,Seifert TD,Cacayorin ED,Alexandrov AV,Malkoff MD,Grotta JC,Campbell MS

    更新日期:2004-12-01 00:00:00

  • Long-term outcome after angioplasty of symptomatic internal carotid artery stenosis with and without stent.

    abstract:INTRODUCTION:Carotid angioplasty and stenting (CAS) has widely replaced balloon angioplasty (percutaneous transluminal angioplasty, PTA) in the treatment of internal carotid artery stenosis (ICAS). Here we assess whether the use of stents increases the safety and long-term efficacy of angioplasty in patients with ICAS....

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00234-007-0326-x

    authors: Wittkugel O,Gbadamosi J,Rosenkranz M,Fiehler J,Zeumer H,Grzyska U

    更新日期:2008-03-01 00:00:00

  • Unilateral absence of cerebellar hemisphere: a case report.

    abstract::We describe a 38-year-old woman with absence of right cerebellar hemisphere incidentally discovered by MR imaging. No cerebellar abnormality was detected on neurological examination. Tissue probably representing dysgenetic cerebellar tissue with no corticomedullary differentiation was present, connected to the right s...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s002340100679

    authors: Erdogan N,Kocakoc E,Bekar D,Ozturk

    更新日期:2002-01-01 00:00:00

  • Neuroimaging in lissencephaly type I.

    abstract::The CT scan's of 22 patients with lissencephaly type I, a severe developmental disorder of the cerebral cortex, were studied. In 6 patients a magnetic resonance (MR), scan was also performed. The CT and MR scans of the lissencephaly patients were compared to a control group consisting of 49 patients with a normal CT o...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/BF00588223

    authors: de Rijk-van Andel JF,van der Knaap MS,Valk J,Arts WF

    更新日期:1991-01-01 00:00:00

  • Posterior fossa epidural hematoma. A report of three cases diagnosed with computed tomography.

    abstract::CT demonstrated posterior fossa epidural hematoma in three patients with head trauma in whom this diagnosis was not clinically apparent. No patient was in stupor or coma and no patient experienced a lucid interval. Only one patient had signs referable to the posterior fossa. Two patients had occipital skull fracture d...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:

    authors: Kushner MJ,Luken MG 3rd

    更新日期:1983-01-01 00:00:00

  • Conservative management of extra-axial hematomas diagnosed by CT.

    abstract::Our purpose was to assess the role of serial CT in recently traumatized patients with clinically stable extra-axial intracranial hematomas (EACH) and a midline shift of less than 0.5 cm. A retrospective review of 91 imaging studies in 41 patients (with 45 EACH) was done to assess the time between trauma and CT; the pr...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s002340050859

    authors: Muszynski CA,Hayman LA,Weingarten K,Prow HW,Cole JW,Contant CF

    更新日期:1999-12-01 00:00:00

  • Quantitative diffusion characteristics of the human brain depend on MRI sequence parameters.

    abstract::Quantitative diffusion-weighted MRI has been applied to the study of neurological diseases, including multiple sclerosis, where the molecular self-diffusion coefficient D has been measured in both lesions and normal-appearing white matter. Histograms of D have been used as a novel measure of the "lesion load", with po...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00234-002-0797-8

    authors: Wilson M,Morgan PS,Blumhardt LD

    更新日期:2002-07-01 00:00:00

  • Sclerotherapy for venous malformations using a "negative subtraction" technique.

    abstract::We describe a technique of injecting alcohol into venous malformations (VM) under slow digital subtraction angiography (DSA) which eliminates the need to pre-mix the alcohol with a contrast agent. The technique presented here is especially helpful when Metrizamide is not available or not permitted for use. It offers a...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00234-005-0019-2

    authors: Agid R,Burvin R,Gomori JM

    更新日期:2006-02-01 00:00:00

  • The impact of reliable prebolus T 1 measurements or a fixed T 1 value in the assessment of glioma patients with dynamic contrast enhancing MRI.

    abstract:INTRODUCTION:Accurate quantification of hemodynamic parameters using dynamic contrast enhanced (DCE) MRI requires a measurement of tissue T 1 prior to contrast injection (T 1). We evaluate (i) T 1 estimation using the variable flip angle (VFA) and the saturation recovery (SR) techniques and (ii) investigate if accurate...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00234-015-1502-z

    authors: Tietze A,Mouridsen K,Mikkelsen IK

    更新日期:2015-06-01 00:00:00

  • Type III occipital condylar fracture presenting with hydrocephalus, vertebral artery injury and vasospasm: case report.

    abstract::Occipital condylar fractures (OCF) are rare and have a high mortality rate. We report a patient with OCF who presented with acute hydrocephalus and died from diffuse vasospasm secondary to vertebral artery injury. A 45-year-old man fell 20 feet from a deer stand and landed on his head. CT showed a type III OCF continu...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s002340000441

    authors: Menéndez JA,Başkaya MK,Day MA,Nanda A

    更新日期:2001-03-01 00:00:00

  • Resolving MRI abnormalities with progression of subacute sclerosing panencephalitis.

    abstract::Serial MRI was performed on a 15 year old girl with Subacute Sclerosing Pan-encephalitis (SSPE]. After a period of remission she entered a phase of progressive deterioration. A repeat MRI showed significant resolution of the previous abnormalities. Her pathology and MRI scans are discussed. ...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/BF00588264

    authors: Winer JB,Pires M,Kermode A,Ginsberg L,Rossor M

    更新日期:1991-01-01 00:00:00

  • Transcriptomic analysis of the harvested endothelial cells in a swine model of mechanical thrombectomy.

    abstract:PURPOSE:In mechanical thrombectomy (MT) for ischemic stroke, endothelial cells (ECs) from intracranial blood vessels adhere to the stent retriever device and can be harvested. However, understanding the molecular biology and the role of the endothelium in different pathological conditions remains insufficient. The purp...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00234-018-2033-1

    authors: Jaff N,Grankvist R,Muhl L,Chireh A,Sandell M,Jonsson S,Arnberg F,Eriksson U,Holmin S

    更新日期:2018-07-01 00:00:00

  • Chronological changes in nonhaemorrhagic brain infarcts with short T1 in the cerebellum and basal ganglia.

    abstract::Our purpose was to investigate nonhaemorrhagic infarcts with a short T1 in the cerebellum and basal ganglia. We carried out repeat MRI on 12 patients with infarcts in the cerebellum or basal ganglia with a short T1. Cerebellar cortical lesions showed high signal on T1-weighted spin-echo images beginning at 2 weeks, wh...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s002349900242

    authors: Komiyama M,Nakajima H,Nishikawa M,Yasui T

    更新日期:2000-07-01 00:00:00

  • Pure sensory stroke resulting from thalamic haemorrhage.

    abstract::Pure sensory stroke has not previously been reported with thalamic haemorrhage and had indeed been considered to exclude cerebral haemorrhage. We describe a case of thalamic haemorrhage causing a pure sensory stroke and propose that we should bear in mind the possibility of haemorrhage in such cases. ...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/BF00596336

    authors: Abe K,Yorifuji S,Nishikawa Y

    更新日期:1992-01-01 00:00:00

  • Treatment of elastase-induced intracranial aneurysms in New Zealand white rabbits by use of a novel neurovascular embolization stent device.

    abstract:INTRODUCTION:This study aims to test a novel balloon expandable stent covered with a polytetrafluoroethylene membrane (neurovascular embolization cover (NEC), NFocus Neuromedical, Palo Alto, California) regarding angiographic and histologic aneurysm occlusion. Radiopacity, stent placement, navigation, flexibility, and ...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00234-009-0605-9

    authors: Kühn AL,Roth C,Romeike B,Grunwald IQ

    更新日期:2014-01-01 00:00:00

  • Extended diffusion weighted magnetic resonance imaging with two-compartment and anomalous diffusion models for differentiation of low-grade and high-grade brain tumors in pediatric patients.

    abstract:PURPOSE:The purpose of this study was to examine advanced diffusion-weighted magnetic resonance imaging (DW-MRI) models for differentiation of low- and high-grade tumors in the diagnosis of pediatric brain neoplasms. METHODS:Sixty-two pediatric patients with various types and grades of brain tumors were evaluated in a...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00234-017-1865-4

    authors: Burrowes D,Fangusaro JR,Nelson PC,Zhang B,Wadhwani NR,Rozenfeld MJ,Deng J

    更新日期:2017-08-01 00:00:00

  • Detection of intracranial aneurysms by three-dimensional time-of-flight magnetic resonance angiography.

    abstract::The purpose of this study was to investigate the reliability of magnetic resonance angiography (MRA) for detection of intracranial aneurysms. Ninety-six consecutive patients who underwent both MRA using the three-dimensional time-of-flight technique (3D TOF) with the rephase/dephase subtraction method and conventional...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/BF00588131

    authors: Horikoshi T,Fukamachi A,Nishi H,Fukasawa I

    更新日期:1994-04-01 00:00:00

  • Symptomatic cerebrospinal fluid dissemination of cerebral glioblastoma. Computed tomographic findings in 11 cases.

    abstract::Computed tomography (CT) findings in eleven patients with symptomatic cerebrospinal fluid (CSF) dissemination from cerebral glioblastoma were analyzed and, in seven cases subsequently autopsied, they were compared with histological observations. Each patient had multiple CT abnormalities including periventricular enha...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/BF00588565

    authors: Onda K,Tanaka R,Takahashi H,Takeda N,Ikuta F

    更新日期:1990-01-01 00:00:00

  • Prediction of pituitary adenoma surgical consistency: radiomic data mining and machine learning on T2-weighted MRI.

    abstract:PURPOSE:Pituitary macroadenoma consistency can influence the ease of lesion removal during surgery, especially when using a transsphenoidal approach. Unfortunately, it is not assessable on standard qualitative MRI. Radiomic texture analysis could help in extracting mineable quantitative tissue characteristics. We aimed...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00234-020-02502-z

    authors: Cuocolo R,Ugga L,Solari D,Corvino S,D'Amico A,Russo D,Cappabianca P,Cavallo LM,Elefante A

    更新日期:2020-12-01 00:00:00

  • Endovascular treatment in patients with carotid artery dissection and intracranial occlusion: a systematic review.

    abstract:PURPOSE:Recently, multiple randomised controlled trials showed efficacy of endovascular treatment over traditional care in patients with acute ischemic stroke due to an intracranial anterior circulation occlusion. Internal carotid artery (ICA) dissection with a concomitant intracranial occlusion is a rare but important...

    journal_title:Neuroradiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00234-017-1850-y

    authors: Hoving JW,Marquering HA,Majoie CBLM

    更新日期:2017-07-01 00:00:00

  • Angiotomography for aneurysms and arteriovenous malformations of the head and neck.

    abstract::Angiotomographic studies were performed preoperatively on 201 arterial aneurysms and arteriovenous malformations (AVMs) of the head and neck. There were two extracranial aneurysms, 186 intracranial aneurysms and 13 intracranial AVMs. The equipment used was the Philips NeuroDiagnost, either armed with a single multisec...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/BF00556024

    authors: Sartor K,Nadjmi M

    更新日期:1979-02-26 00:00:00

  • Delayed coil migration from a small wide-necked aneurysm after stent-assisted embolization: case report and literature review.

    abstract:INTRODUCTION:We present a previously unreported complication following the treatment of a patient with two small, wide-necked, posterior communicating artery aneurysms. METHODS:Endovascular embolization of one aneurysm was performed using a stent-assisted technique. Follow-up angiography 5 months later revealed that a...

    journal_title:Neuroradiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00234-005-0044-1

    authors: Gao BL,Li MH,Wang YL,Fang C

    更新日期:2006-05-01 00:00:00

  • Iodide and xenon enhancement of computed tomography (CT) in multiple sclerosis (MS).

    abstract::The characteristic findings on computed tomography (CT) in multiple sclerosis (MS) are discussed. In a series of 49 cases plain CT was normal in 21 (43%), cerebral atrophy alone was present in 17 (35%) and plaques were visible in 11 (23%). These were most often adjacent to the lateral ventricles (14 plaques) and in th...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/BF00329059

    authors: Radue EW,Kendall BE

    更新日期:1978-05-31 00:00:00

  • Chemical shift magnetic resonance spectroscopy of cingulate grey matter in patients with minimal hepatic encephalopathy.

    abstract::Minimal hepatic encephalopathy (MHE) is frequently diagnosed in patients with liver cirrhosis who do not show overt clinical cirrhosis-associated neurological deficits. This condition manifests primarily with visuo-motor and attention deficits. We studied the association between visuo-motor deficits and magnetic reson...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00234-004-1298-8

    authors: Mechtcheriakov S,Schocke M,Kugener A,Graziadei IW,Mattedi M,Hinterhuber H,Vogel W,Marksteiner J

    更新日期:2005-01-01 00:00:00

  • Magnetic resonance imaging in temporal bone fracture.

    abstract::In seven patients with temporal bone fractures examined by both CT and MRI, thin section CT proved superior to MRI in demonstrating the full extent of the fractures and the status of the ossicular chain. MR studies were able to demonstrate fractures, when these fractures contained blood or CSF, and the presence of oss...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/BF00451761

    authors: Zimmerman RA,Bilaniuk LT,Hackney DB,Goldberg HI,Grossman RI

    更新日期:1987-01-01 00:00:00

  • Hema and latex: a dangerous combination?

    abstract::The endovascular treatment of intracranial aneurysms with detachable balloons requires filling materials that harden reliably and are compatible with the balloon. While the incompatibility of latex balloons and hema from different manufacturers is known, no incompatibility has been assumed thus far if both balloon and...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/BF00587819

    authors: Forsting M,Sartor K

    更新日期:1991-01-01 00:00:00

  • Cerebral amyloid angiopathy with focal presentation-about 3 cases.

    abstract::Cerebral amyloid angiopathy (CAA) is a common cerebrovascular disease involved in ischemic and hemorrhagic strokes, and its progression is correlated to cognitive decline. In vivo diagnosis of CAA is guided by the modified Boston criteria, with the presence of multiple intracerebral hemorrhage or cerebral microbleeds ...

    journal_title:Neuroradiology

    pub_type: 杂志文章

    doi:10.1007/s00234-020-02450-8

    authors: Garnier-Crussard A,Taki A,Bonnefoy M,Bar JY,Krolak-Salmon P,Cotton F,Gilbert T

    更新日期:2020-09-01 00:00:00