Endovascular treatment of complex intracranial aneurysms

2018
journal article
article
4
cris.lastimport.scopus2024-04-24T03:37:38Z
cris.lastimport.wos2024-04-09T22:01:40Z
dc.abstract.enIntroduction: Complex intracranial aneurysms (CIA) are heterogenous group of intracranial vascular malformations. Due to its giant size, difficult location, broad neck, branches arising from the aneurysm, wall structure, calcification, presence of intraluminal thrombus or previous treatments it requires more careful approach. The aim of this study was to evaluate endovascular treatment results of CIA in our Department. Material and methods: In order to differentiate CIA from all the aneurysms, treated endovascularly in years 2008-2014, authors proposed their own qualification criteria. Additionally, subgroup of patients with CIA with simultaneous subarachnoid haemorrhage (SAH) was divided. Clinical outcomes of patients were assessed with Glasgow Outcome Scale (GOS), while radiological outcomes were assessed with Montreal Scale. Aneurysm localization, incidence of aborted procedures, intraoperative complications were also evaluated. Results: Internal carotid artery was the most common localization in both CIA and non-complex (nCIA) groups. Incidence of aborted procedures was significantly higher in CIA group than in nCIA (25% vs. 7%; p < 0.01). CIA group had worse Montreal scores then nCIA group (1.90 vs. 1.49; p < 0.01). Clinical outcome in GOS scale in patients with SAH and CIA was significantly worse than in SAH and nCIA (2.86 vs. 4.06; p = 0.04). Conclusions: To conclude, proposed criteria of CIA should be taken into consideration during diagnosis and qualification to invasive treatment. Classifying aneurysm as CIA is related to greater possibility of aborting endovascular procedure due to technical difficulties.pl
dc.contributor.authorHofman, Mariuszpl
dc.contributor.authorJamróz, Tomaszpl
dc.contributor.authorJakutowicz, Izabelapl
dc.contributor.authorJarski, Pawełpl
dc.contributor.authorMasarczyk, Wilhelmpl
dc.contributor.authorNiedbała, Marcinpl
dc.contributor.authorPrzybyłko, Nikodempl
dc.contributor.authorKocur, Damianpl
dc.contributor.authorBaron, Janpl
dc.date.accessioned2018-04-11T07:21:58Z
dc.date.available2018-04-11T07:21:58Z
dc.date.issued2018pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.additionalBibliogr. s. e114pl
dc.description.physicale109-e114pl
dc.description.versionostateczna wersja wydawcy
dc.description.volume83pl
dc.identifier.doi10.5114/pjr.2018.74968pl
dc.identifier.eissn1899-0967pl
dc.identifier.issn1733-134Xpl
dc.identifier.urihttps://ruj.uj.edu.pl/xmlui/handle/item/53170
dc.languageengpl
dc.language.containerengpl
dc.rightsUdzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 3.0 Polska*
dc.rights.licenceCC-BY-NC-ND
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/pl/legalcode*
dc.share.typeotwarte czasopismo
dc.subject.enaneurysmpl
dc.subject.encomplexpl
dc.subject.enmorphologypl
dc.subject.enembolizationpl
dc.subtypeArticlepl
dc.titleEndovascular treatment of complex intracranial aneurysmspl
dc.title.journalPolish Journal of Radiologypl
dc.typeJournalArticlepl
dspace.entity.typePublication
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