Repeated endovascular coil occlusion in 350 of 2759 intracranial aneurysms: safety and effectiveness aspects.

Abstract:

OBJECTIVE:Evaluation of the safety and effectiveness of endovascular retreatment of intracranial aneurysms with detachable coils. METHODS:Retrospective analysis of clinical outcome as well as angiographic studies both before and after coil retreatment. The indication for retreatment was based on either inadequate occlusion after previous treatment or recurrent perfusion of the aneurysm. RESULTS:A total of 2759 intracranial aneurysms in 2360 patients were treated by endovascular coil occlusion. Of those, 350 (12.3%) aneurysms underwent a second treatment, and 94 (3.4%) aneurysms underwent three or more treatment sessions. The second treatment sessions were performed an average of 27.2 months after the previous procedure. The third and following treatment sessions were conducted an average of 25.3 months after the previous procedure. Initial treatment resulted in 100% occlusion in 63.7% of aneurysms. One hundred percent occlusion was achieved in only 46.9% of the second and 35.2% of the third and following sessions. Stent-assisted coil treatment was used in 5.6% of initial, 28.0% of second, and 20.7% of third and following sessions. Initial treatment sessions were uneventful in 83.2% of cases, second sessions in 86.9% of cases, and third and following sessions in 87.6% of cases. The morbidity-mortality rate for 495 retreatment sessions was 2.2% (n = 11). CONCLUSION:The natural course of aneurysm remnants or recurrent aneurysm perfusion after coil treatment is not completely understood. The low risk of bleeding from partially filled aneurysms must be balanced against the procedure-related risks of retreatment. Great caution is recommended for the treatment of asymptomatic recurrent aneurysms.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Henkes H,Fischer S,Liebig T,Weber W,Reinartz J,Miloslavski E,Kühne D

doi

10.1227/01.neu.0000333815.79777.3b

subject

Has Abstract

pub_date

2008-06-01 00:00:00

pages

1532-7

issue

6 Suppl 3

eissn

0148-396X

issn

1524-4040

pii

00006123-200806001-00057

journal_volume

62

pub_type

杂志文章
  • Postoperative regression of desmoplastic infantile gangliogliomas: report of two cases.

    abstract:OBJECTIVE AND IMPORTANCE:Desmoplastic infantile gangliogliomas (DIGs) are extremely rare tumors that respond well to treatment. However, their biological behavior remains to be clarified. We describe two patients whose DIGs spontaneously regressed after surgery, without adjuvant therapy. CLINICAL PRESENTATION:A 9-mont...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/01.neu.0000084165.60662.6d

    authors: Takeshima H,Kawahara Y,Hirano H,Obara S,Niiro M,Kuratsu J

    更新日期:2003-10-01 00:00:00

  • Rupture of a pseudoaneurysm of the posterior meningeal artery at its anomalous origin from the posteroinferior cerebellar artery: case report.

    abstract:OBJECTIVE:The posterior meningeal artery (PMA) normally arises from the vertebral artery; however, its origin varies considerably as the result of its embryological development. This gains clinical significance when associated with vascular pathology. CLINICAL PRESENTATION:A 65-year-old man presented to his local hosp...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000325256.72308.AF

    authors: Aronson JP,Murray PJ,Ogilvy CS

    更新日期:2008-09-01 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...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000255523.50203.FC

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

    更新日期:2007-08-01 00:00:00

  • Magnetic resonance imaging and intraoperative neurosonography in syringomyelia.

    abstract::Treatment of syringomyelia remains a difficult and controversial problem. However, the recent advent of magnetic resonance imaging (MRI) and intraoperative ultrasound allows a more precise approach to the diagnosis and management of this disorder. Experience with 27 cases of syringomyelia has shown that MRI is superio...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198704000-00016

    authors: Wilberger JE Jr,Maroon JC,Prostko ER,Baghai P,Beckman I,Deeb Z

    更新日期:1987-04-01 00:00:00

  • Dangerous rises in blood pressure upon heating of trigeminal rootlets; increased bleeding times in patients with trigeminal neuralgia.

    abstract::During radiofrequency (RF) heating of trigeminal rootlets, we regularly measured blood pressure rises to 250 to 300 mm Hg, confirming two previous reports. We also found abnormally increased bleeding times in 12% of 127 patients awaiting operation for trigeminal neuralgia. These two facts probably explain 6 fatalities...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198511000-00022

    authors: Sweet WH,Poletti CE,Roberts JT

    更新日期:1985-11-01 00:00:00

  • Ranging accuracy test of the sonic microstereometric system.

    abstract::We have recently introduced a new type of ultrasonic-based, three-dimensional ranging system for the localization of small handheld surgical tools to be used during operation in open stereotactic brain surgery. This targeting system has now been extensively laboratory tested during thousands of measuring cycles with a...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199404000-00030

    authors: Horstmann GA,Reinhardt HF

    更新日期:1994-04-01 00:00:00

  • Isolated paraplegia from a remote stab wound.

    abstract::A stab wound to the right flank of a 24-year-old man produced immediate paralysis of both legs but spared sensation. Recovery was slow but sufficient to allow walking with a cane. Radicular artery interruption, in combination with systemic hypotension, is presumed to have caused selective watershed infarction of the s...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199308000-00014

    authors: Keane JR,Gamal R

    更新日期:1993-08-01 00:00:00

  • Arteriovenous malformation in meningothelial meningioma: case report.

    abstract::An unusual association of a meningioma and an arteriovenous malformation is reported. A 68-year-old man developed left homonymous hemianopsia, left hemiparesis, and gaze palsy. Magnetic resonance imaging showed a right occipital mass lesion containing multiple signal-void areas with tubular and honeycomb appearance, s...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:

    authors: Sawamura Y,Janzer RC,Fankhauser H,de Tribolet N

    更新日期:1991-07-01 00:00:00

  • Neurocutaneous melanosis presenting as an intradural mass of the cervical canal: magnetic resonance features and the presence of melanin as a clue to diagnosis: case report.

    abstract::We present a case of neurocutaneous melanosis in a 1-year-old child who presented with progressive quadriparesis created by an infiltrating extra-axial neoplastic melanin-producing tumor at the foramen magnum. This extensive intra-arachnoid mass filled the basal cisterns of the brain and surrounded the upper cervical ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199410000-00023

    authors: Poe LB,Roitberg D,Galyon DD

    更新日期:1994-10-01 00:00:00

  • Cerebral Aneurysms in Autosomal Dominant Polycystic Kidney Disease: A Comparison of Management Approaches.

    abstract:BACKGROUND:Autosomal dominant polycystic kidney disease (ADPKD) is a risk factor for formation of intracranial aneurysms (IAs), though the ideal screening and treatment strategies in this population are unclear. OBJECTIVE:To report outcomes of observation, open surgical, or endovascular management of ruptured and unru...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neuros/nyy336

    authors: Wilkinson DA,Heung M,Deol A,Chaudhary N,Gemmete JJ,Thompson BG,Pandey AS

    更新日期:2019-06-01 00:00:00

  • Linear accelerator radiosurgery of cerebral arteriovenous malformations: an update.

    abstract::One hundred eighty patients affected by cerebral arteriovenous malformations (AVMs) underwent radiosurgical treatment in our department. One hundred fifty-three patients have been treated with complete irradiation of the entire AVM nidus. In 27 patients (with large and/or three-dimensional irregular target volumes), o...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:

    authors: Colombo F,Pozza F,Chierego G,Casentini L,De Luca G,Francescon P

    更新日期:1994-01-01 00:00:00

  • Surgical monitoring of spinal cord function: cauda equina stimulation technique.

    abstract::Spinal cord and subcortical brain stem evoked potentials had an amplitude at least 2 times higher when the cauda equina rather than bilateral peripheral nerves was stimulated. Cauda equina stimulation is indicated when potentials to peripheral nerve stimulation are absent or are too low in amplitude to permit reliable...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:

    authors: Lueders H,Hahn J,Gurd A,Tsuji S,Dinner D,Lesser R,Klem G

    更新日期:1982-10-01 00:00:00

  • Temporal lobe arteriovenous malformations: surgical outcomes with a focus on visual field defects and epilepsy.

    abstract:BACKGROUND:Temporal lobe arteriovenous malformations (AVMs) represent a subgroup of intracranial AVMs with particular characteristics and management issues. OBJECTIVE:To characterize the surgical outcomes of temporal lobe AVMs with emphasis on visual field deficits (VFDs) and seizures. METHODS:Between 1992 and 2008, ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0000000000000122

    authors: Lopez-Ojeda P,Labib M,Burneo J,Lownie SP

    更新日期:2013-11-01 00:00:00

  • Enhanced reclosure of surgically induced spinal open neural tube defects in chick embryos by injecting human bone marrow stem cells into the amniotic cavity.

    abstract:OBJECTIVE:To evaluate the reclosure-promoting capacity of a neural stem cell line (F3) and a human bone marrow stem cell line (B10) injected into the amniotic cavity of spinal open neural tube defects (ONTDs) of chick embryos of Hamburger and Hamilton stage 18 or 19. METHODS:Fifteen chick embryos that survived the pro...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000371048.76494.0F

    authors: Lee DH,Phi JH,Kim SK,Cho BK,Kim SU,Wang KC

    更新日期:2010-07-01 00:00:00

  • Computed tomography-based stereotactic third ventriculostomy: technical note.

    abstract::This report describes a computed tomography-based computer-assisted stereotactic technique for performing 3rd ventriculostomy. The procedure has been performed on seven patients with acquired obstructive hydrocephalus of various etiologies. None of these patients have yet required shunting. ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198606000-00021

    authors: Kelly PJ,Goerss S,Kall BA,Kispert DB

    更新日期:1986-06-01 00:00:00

  • Intramedullary epidermoid cyst of the cervical spinal cord associated with an extraspinal neuroenteric cyst: case report.

    abstract::A 4-year-old girl presented with an intramedullary epidermoid cyst of the cervical spinal cord. The clinical, radiological, and surgical features and a brief critical review of the literature are included in this report. The cyst contents were removed totally in two operations. The child had a coexisting neuroenteric ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199207000-00018

    authors: Tekkök IH,Palaoglu S,Erbengi A,Onol B

    更新日期:1992-07-01 00:00:00

  • The infratentorial-supracerebellar exposure of tumors in the pineal area.

    abstract::Nine pineal area lesions were operated upon by the infratentorial-supracerebellar approach. There was one operative death and one death due to disseminated germinoma recurrence 2 1/2 years postoperatively. The remaining seven patients have shown no sign of recurrence and are neurologically normal. The surgical method ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-197707000-00008

    authors: Page LK

    更新日期:1977-07-01 00:00:00

  • Novel device and technique for minimally invasive intracerebral hematoma evacuation in the same setting of a ruptured intracranial aneurysm: combined treatment in the neurointerventional angiography suite.

    abstract:BACKGROUND:The presence of intracerebral hematoma from aneurysm rupture is an indication for craniotomy for clot evacuation and aneurysm clipping. Some centers have begun securing aneurysms with coil embolization followed by clot evacuation in the operating room. This approach requires transporting a patient from the a...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0000000000000650

    authors: Turner RD,Vargas J,Turk AS,Chaudry MI,Spiotta AM

    更新日期:2015-03-01 00:00:00

  • Operative nuances of myelomeningocele closure.

    abstract::ALTHOUGH ADVANCES IN prenatal care and diagnosis have reduced the incidence of spina bifida, repair of neural tube defects remains one of the standard cases encountered by pediatric neurosurgeons. The operative techniques used in closure of these congenital defects have remained essentially unchanged during the past 2...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:

    authors: Perry VL,Albright AL,Adelson PD

    更新日期:2002-09-01 00:00:00

  • Microvascular decompression for glossopharyngeal neuralgia.

    abstract::Glossopharyngeal neuralgia is an uncommon cause of facial pain with a relative frequency of 0.2 to 1.3% when compared with trigeminal neuralgia. It is characterized by intermittent, lancinating pain involving the posterior tongue and pharynx, often with radiation to deep ear structures. Since its first description in ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199501000-00008

    authors: Resnick DK,Jannetta PJ,Bissonnette D,Jho HD,Lanzino G

    更新日期:1995-01-01 00:00:00

  • Microsurgical keyhole approach for middle fossa arachnoid cyst fenestration.

    abstract:OBJECTIVE:The optimal surgical treatment for symptomatic temporal arachnoid cysts is controversial. Therapeutic options include cyst shunting, endoscopic fenestration, and craniotomy for fenestration. We reviewed the results for patients who were treated primarily with craniotomy and fenestration at our institution, to...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000089060.65702.03

    authors: Levy ML,Wang M,Aryan HE,Yoo K,Meltzer H

    更新日期:2003-11-01 00:00:00

  • Organization of head injury service in Beijing.

    abstract::Beijing, the capital of the People's Republic of China, is a city with a population of over 10 million. The incidence of head injuries is increasing yearly and the government pays much attention to this social and medical problem. This is evidenced in both county and big city hospitals by the organization of neurosurg...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198208000-00023

    authors: Cheng M

    更新日期:1982-08-01 00:00:00

  • Occurrence, Risk Factors, and Time Trends for Late Reoperations due to Degenerative Cervical Spine Disease: A Finnish National Register Study of 19 377 Patients Operated on Between 1999 and 2015.

    abstract:BACKGROUND:Surgery for degenerative cervical spine disease has escalated since the 1990s. Fusion has become the mainstay of surgery despite concerns regarding adjacent segment degeneration. The patient-specific trends in reoperations have not been studied previously. OBJECTIVE:To analyze the occurrence, risk factors, ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neuros/nyaa464

    authors: Kotkansalo A,Leinonen V,Korajoki M,Korhonen K,Rinne J,Malmivaara A

    更新日期:2020-12-28 00:00:00

  • Bilateral ethmoidal dural arteriovenous fistulae: a previously unreported entity: case report.

    abstract:OBJECTIVE AND IMPORTANCE:Ethmoidal dural arteriovenous fistulas (AVFs) are rare intracranial lesions associated with a high risk of intracranial hemorrhage. Reported hemorrhage rates have ranged from 62 to 91%, and an aggressive clinical course is more likely than a benign clinical course. We describe the first case of...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neurosurgery/57.4.e809

    authors: Deshmukh VR,Chang S,Albuquerque FC,McDougall CG,Spetzler RF

    更新日期:2005-10-01 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...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0000000000000764

    authors: Albert GW,Glasier CM

    更新日期:2015-08-01 00:00:00

  • Gamma knife surgery for facial nerve schwannomas.

    abstract:OBJECTIVE:Radical resection of facial nerve schwannomas classically implies a high risk of severe facial palsy. Owing to the rarity of facial palsy after gamma knife surgery (GKS) of vestibular schwannomas, functional evaluation after GKS seems rational in this specific group of patients. To our knowledge, no previous ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000249282.46514.DA

    authors: Litre CF,Gourg GP,Tamura M,Mdarhri D,Touzani A,Roche PH,Régis J

    更新日期:2007-05-01 00:00:00

  • Rehabilitative neurosurgery.

    abstract::The neurosurgical role in rehabilitation rehabilitation was studied. Over a 5-year period, 850 individuals were referred to a rehabilitation center after initial acute care. Surgery was indicated for 66 patients. There were 28 quadriplegic or paraplegic individuals with intractable spasticity. Percutaneous radiofreque...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198603000-00009

    authors: Herz DA,Gregerson M,Pearl L

    更新日期:1986-03-01 00:00:00

  • Cerebellar hemorrhage complicating cervical laminectomy.

    abstract::A case of cerebellar hemorrhage complicating the postoperative course of a patient who had undergone a cervical laminectomy in the sitting position is presented. The drop in cerebrospinal fluid pressure accompanying the procedure is thought to have had some role in the development of the hemorrhage. ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198108000-00016

    authors: Chadduck WM

    更新日期:1981-08-01 00:00:00

  • Hemorrhage into a spinal ependymoma after peridural anesthesia.

    abstract::The authors present a case of the accidental puncture of a spinal ependymoma causing bleeding and an increase in the preexisting neurological deficits. ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198505000-00016

    authors: Antoniadis G,Richter HP,Schachenmayr W

    更新日期:1985-05-01 00:00:00

  • A review of stress ulcer prophylaxis in the neurosurgical intensive care unit.

    abstract::STRESS ULCERS OCCUR frequently in intensive care unit patients who have intracranial disease. After major physiological stress, endoscopic evidence of mucosal lesions of the gastrointestinal tract appears within 24 hours of injury; 17% of these erosions progress to clinically significant bleeding. Gastrointestinal hem...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1097/00006123-199708000-00017

    authors: Lu WY,Rhoney DH,Boling WB,Johnson JD,Smith TC

    更新日期:1997-08-01 00:00:00