Endovascular treatment of middle cerebral artery aneurysms: a systematic review and single-center series.


BACKGROUND:Middle cerebral artery (MCA) aneurysms are often considered unsuitable for endovascular coiling because of unfavorable morphological features. With improvements in endovascular techniques, several series have detailed the results and complications of endovascular treatment of MCA aneurysms. OBJECTIVE:We performed a systematic review of published series on endovascular treatment of MCA aneurysms including our experience. METHODS:We conducted a computerized MEDLINE search of the literature on endovascular treatment of MCA aneurysms. Only studies examining a consecutive case series of MCA aneurysms were included. We then extracted information regarding intraprocedural complications, procedural mortality and morbidity, immediate and long-term angiographic outcomes, and re-treatment rate. Analysis was done including 40 MCA aneurysms treated at our institution. RESULTS:Twelve studies including our institution's consecutive case series were included. Approximately 50% of the aneurysms presented as ruptured. Intraprocedural rupture rate in unruptured aneurysms was 1.7% (95% confidence interval [CI] = 0.7%-3.6%) compared with 4.8% (95% CI = 3.1%-7.4%) for ruptured aneurysms (P = .02). The risk of early postprocedural hemorrhage was 1.1% (95% CI = 0.5%-2.5%) for ruptured aneurysms. Overall procedure-related permanent morbidity and mortality were 5.1% and 6.0% for unruptured and ruptured aneurysms, respectively. The overall rate of complete or near-complete obliteration at angiographic follow-up was 82.4%. CONCLUSION:Endovascular treatment of MCA aneurysms is feasible and effective in selected cases. The combined periprocedural mortality and morbidity is not negligible (5.1%) and the overall rate of complete or near-complete angiographic obliteration at follow-up approaches 82%.






Brinjikji W,Lanzino G,Cloft HJ,Rabinstein A,Kallmes DF




Has Abstract


2011-02-01 00:00:00


397-402; discussion 402










  • Neurofibromatosis and optic glioma: clinical and morphological correlations.

    abstract::Although an association between optic glioma and neurofibromatosis is well recognized, there has been no previous analysis of cases relating the locus of tumor to the presence or absence of von Recklinghausen's disease. This paper presents the results of such an analysis as well as a description of the comparative his...


    pub_type: 杂志文章


    authors: Stern J,DiGiacinto GV,Housepian EM

    更新日期:1979-06-01 00:00:00

  • Surgical and electrophysiological observations during clipping of 134 aneurysms with evoked potential monitoring.

    abstract::Somatosensory evoked potentials (SEPs) were monitored during 113 operations for the clipping of 134 cerebral aneurysms. Changes in peak latency and amplitude of early cortical SEP as well as central conduction time were evaluated. In 58 cases surgical occlusion of arterial vessels or other events occurred, and in 17 o...


    pub_type: 杂志文章


    authors: Schramm J,Koht A,Schmidt G,Pechstein U,Taniguchi M,Fahlbusch R

    更新日期:1990-01-01 00:00:00

  • Capillary hemangioma in the superior sagittal sinus as a rare cause of intracranial hypertension in a child: case report.

    abstract:OBJECTIVE AND IMPORTANCE:The etiological factors involved in idiopathic intracranial hypertension are not easy to identify. This case of idiopathic intracranial hypertension was associated with a capillary hemangioma growing in the lumen of the superior sagittal sinus. CLINICAL PRESENTATION:A 10-year-old girl had expe...


    pub_type: 杂志文章


    authors: Brotchi J,Baleriaux D,Kalangu KK,Morelli D,Rodesch G,Rorive S,Pirotte B

    更新日期:2005-10-01 00:00:00

  • Medial forebrain bundle stimulation as a pathophysiological mechanism for hypomania in subthalamic nucleus deep brain stimulation for Parkinson's disease.

    abstract:OBJECTIVE:Hypomania accounts for approximately 4% to 13% of psychotropic adverse events during subthalamic nucleus (STN) deep brain stimulation (DBS) for Parkinson's disease. Diffusion of current into the inferior and medial "limbic" STN is often reported to be the cause. We suggest a different explanation, in which th...


    pub_type: 临床试验,杂志文章


    authors: Coenen VA,Honey CR,Hurwitz T,Rahman AA,McMaster J,Bürgel U,Mädler B

    更新日期:2009-06-01 00:00:00

  • Neurophysiological intraoperative monitoring of the glossopharyngeal nerve: technical case report.

    abstract:OBJECTIVE:Neurophysiological intraoperative monitoring of the glossopharyngeal nerve has been performed only with needle electrodes inserted into the pharyngeal muscles or soft palate. We describe a noninvasive method of monitoring this cranial nerve. METHODS:A 30-year-old man who presented with headache, as well as s...


    pub_type: 杂志文章


    authors: Husain AM,Wright DR,Stolp BW,Friedman AH,Keifer JC

    更新日期:2008-10-01 00:00:00

  • Bilateral mycotic aneurysms of the intracavernous carotid artery.

    abstract::A rare case of bilateral intracavernous internal carotid artery aneurysms is presented. The clinical and laboratory data strongly suggested the mycotic nature of the aneurysms. Internal carotid artery ligation was performed because of clinical evidence of progressive enlargement of the right-sided aneurysm. The left-s...


    pub_type: 杂志文章


    authors: Abbassioun K,Amirjamshidi A,Rahmat H

    更新日期:1985-02-01 00:00:00

  • Use of the telescopic plate spacer in treatment of cervical and cervicothoracic spine tumors.

    abstract:OBJECTIVE:We investigated the mechanical and in vivo properties of a novel device, called the telescopic plate spacer (TPS), designed to promote restoration of height, alignment, and stability after cervical corpectomy for tumor. METHODS:The device first underwent mechanical testing. Comparisons were made with a comme...


    pub_type: 临床试验,杂志文章


    authors: Coumans JV,Marchek CP,Henderson FC

    更新日期:2002-08-01 00:00:00

  • Extracranial-intracranial (EC-IC) arterial bypass: past performance and current concepts.

    abstract::The authors present a review of published experience with intracranial-extracranial arterial bypass grafting. The procedure is technically feasible and has a relatively low morbidity and mortality when performed by experienced microvascular surgeons. However, its therapeutic value is still unproven. ...


    pub_type: 杂志文章


    authors: Samson DS,Boone S

    更新日期:1978-07-01 00:00:00

  • Solitaire Flow Restoration thrombectomy for acute ischemic stroke: retrospective multicenter analysis of early postmarket experience after FDA approval.

    abstract:BACKGROUND:The promising results of the Solitaire Flow Restoration (FR) With the Intention for Thrombectomy (SWIFT) trial recently led to Food and Drug Administration (FDA) approval of the Solitaire FR stent retriever device for recanalization of cerebral vessels in patients with acute ischemic stroke. OBJECTIVE:To re...


    pub_type: 杂志文章,多中心研究


    authors: Mokin M,Dumont TM,Veznedaroglu E,Binning MJ,Liebman KM,Fessler RD 2nd,To CY,Turner RD 4th,Turk AS,Chaudry MI,Arthur AS,Fox BD,Hanel RA,Tawk RG,Kan P,Gaughen JR Jr,Lanzino G,Lopes DK,Chen M,Moftakhar R,Billingsley

    更新日期:2013-07-01 00:00:00

  • The association between weather and spontaneous subarachnoid hemorrhage: an analysis of 155 US hospitals.

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    pub_type: 杂志文章


    authors: Cowperthwaite MC,Burnett MG

    更新日期:2011-01-01 00:00:00

  • Flash fluorescence with indocyanine green videoangiography to identify the recipient artery for bypass with distal middle cerebral artery aneurysms: operative technique.

    abstract:BACKGROUND:Distal middle cerebral artery (MCA) aneurysms frequently have nonsaccular morphology that necessitates trapping and bypass. Bypasses can be difficult because efferent arteries lie deep in the opercular cleft and may not be easily identifiable. OBJECTIVE:We introduce the "flash fluorescence" technique, which...


    pub_type: 杂志文章,评审


    authors: Rodríguez-Hernández A,Lawton MT

    更新日期:2012-06-01 00:00:00

  • Surgical excision of a cavernous hemangioma of the rostral brain stem: case report.

    abstract::A 23-year-old pregnant woman presented with sudden diplopia, ataxia, hemiparesis, and headache secondary to a brain stem hemorrhage. Magnetic resonance imaging (MRI) revealed a hematoma associated with a probable cavernous hemangioma of the rostral brain stem. In this report, we discuss the MRI findings leading to the...


    pub_type: 杂志文章


    authors: Ondra SL,Doty JR,Mahla ME,George ED

    更新日期:1988-10-01 00:00:00

  • Strategies for Computed Tomography Radiation Dose Reduction in Pediatric Neuroimaging.

    abstract:BACKGROUND:Radiation exposure from diagnostic imaging is a significant concern, particularly in the care of pediatric patients. Computed tomography (CT) scanning is a significant source of radiation. OBJECTIVE:To demonstrate that diagnostic quality CT images can be obtained while minimizing the effective radiation dos...


    pub_type: 杂志文章


    authors: Albert GW,Glasier CM

    更新日期:2015-08-01 00:00:00

  • Symptomatic Chiari malformation in adults: a new classification based on magnetic resonance imaging with clinical and prognostic significance.

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    pub_type: 杂志文章


    authors: Pillay PK,Awad IA,Little JR,Hahn JF

    更新日期:1991-05-01 00:00:00

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    abstract:OBJECTIVE:Total brain water content changes in several cerebral pathological conditions and the measurement of brain water content are important for the selection of appropriate therapeutic procedures. We present a quantitative, in vivo, bioelectrical impedance analysis (BIA) method and propose its use for the accurate...


    pub_type: 杂志文章


    authors: Grasso G,Alafaci C,Passalacqua M,Morabito A,Buemi M,Salpietro FM,Tomasello F

    更新日期:2002-05-01 00:00:00

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    pub_type: 杂志文章


    authors: Keane JR,Gamal R

    更新日期:1993-08-01 00:00:00

  • In vitro study of biomechanical behavior of anterior and transforaminal lumbar interbody instrumentation techniques.

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    authors: Niemeyer TK,Koriller M,Claes L,Kettler A,Werner K,Wilke HJ

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    abstract::Recent advances in electronics and microprocessors have enabled the development of a compact portable cerebral blood flow (CBF) machine capable of being transported to the patient's bedside. We have used such a device, the Novo Cerebrograph 2a, during the past 7 months on a regular basis in the day to day management o...


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    authors: Rosenstein J,Suzuki M,Symon L,Redmond S

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  • Quality of British and American Nationwide Quality of Care and Patient Safety Benchmarking Programs: Case Neurosurgery.

    abstract:BACKGROUND:Multiple nationwide outcome registries are utilized for quality benchmarking between institutions and individual surgeons. OBJECTIVE:To evaluate whether nationwide quality of care programs in the United Kingdom and United States can measure differences in neurosurgical quality. METHODS:This prospective obs...


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  • Bypass coaptation for cervical root avulsion: indications for optimal outcome.

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    authors: Yamada S,Lonser RR,Colohan AR,Yamada SM,Won DJ

    更新日期:2009-10-01 00:00:00

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    pub_type: 杂志文章


    authors: Sandhu JS,McLaughlin JR,Gomez CR

    更新日期:1989-10-01 00:00:00

  • Ibudilast inhibits cerebral aneurysms by down-regulating inflammation-related molecules in the vascular wall of rats.

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    pub_type: 杂志文章


    authors: Yagi K,Tada Y,Kitazato KT,Tamura T,Satomi J,Nagahiro S

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  • Critical influence of framing coil orientation on intra-aneurysmal and neck region hemodynamics in a sidewall aneurysm model.

    abstract:BACKGROUND:Although coiling of intracranial aneurysms is thought to rely on obstruction of blood flow into the aneurysm and induction of intra-aneurysmal thrombosis, little data exist regarding the effect of coil deployment on hemodynamics. OBJECTIVE:To evaluate the effects of simulated coiling of a model aneurysm on ...


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    authors: Tu YK,Liu HM,Hu SC

    更新日期:1997-10-01 00:00:00

  • Transient syringomyelia leading to acute neurological deterioration after repair of a lipomyelomeningocele: case report.

    abstract:OBJECTIVE:Transient paraplegia in the immediate postoperative period after lipomyelomeningocele repair is uncommon and is not discussed in the literature. We present the unique case of a patient who developed transient paraplegia 48 hours after lipomyelomeningocele repair attributable to the acute development of a thor...


    pub_type: 杂志文章


    authors: Post NH,Wisoff JH,Thorne CH,Weiner HL

    更新日期:2007-08-01 00:00:00

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    abstract::The authors report two patients with a rare complication of parent artery narrowing that occurred 3 and 6 months after aneurysm surgery. In both cases, the stenosed arteries had been wrapped around their entire circumferences with neurosurgical sponge (cotton linter) and coated with plastic adhesive (cyanoacrylate com...


    pub_type: 杂志文章


    authors: Kurita H,Shiokawa Y,Segawa H,Kirino T

    更新日期:1995-06-01 00:00:00

  • Resolution of hemifacial spasm after surgical obliteration of a tentorial arteriovenous fistula: case report.

    abstract:OBJECTIVE AND IMPORTANCE:We describe a patient with a tentorial dural arteriovenous fistula who presented with ipsilateral hemifacial spasm. CLINICAL PRESENTATION:A 50-year-old man sought treatment for left facial twitching that worsened over 6 months. Magnetic resonance imaging and catheter angiography demonstrated a...


    pub_type: 杂志文章


    authors: Deshmukh VR,Maughan PH,Spetzler RF

    更新日期:2006-01-01 00:00:00

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    pub_type: 杂志文章


    authors: Coenen VA,Allert N,Paus S,Kronenbürger M,Urbach H,Mädler B

    更新日期:2014-12-01 00:00:00

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    pub_type: 杂志文章


    authors: Dehdashti AR,Karabatsou K,Ganna A,Witterick I,Gentili F

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    pub_type: 杂志文章,评审


    authors: Salehi F,Agur A,Scheithauer BW,Kovacs K,Lloyd RV,Cusimano M

    更新日期:2010-12-01 00:00:00