Endovascular treatment of middle cerebral artery aneurysms : single-centre results

2020
journal article
article
cris.lastimport.wos2024-04-10T00:36:08Z
dc.abstract.enPurpose: The middle cerebral artery (MCA) is the second most common location of intracerebral aneurysms. Traditionally, they are treated by microsurgical clipping, but with the development of new techniques and devices endovascular embolisation is gaining more importance. The aim of this study was to summarise six years of experience of our department in endovascular treatment of MCA aneurysms. Material and methods: Forty patients with 41 MCA aneurysms treated in a single centre were included in this study. Data on patients' comorbidities, aneurysm morphology, and treatment course were collected, with special emphasis on complications. Results: There were no statistically significant differences in terms of aneurysm morphology between males and females and between ruptured and unruptured aneurysms. None of the diseases analysed in the current study were linked with significantly increased risk of SAH. Unruptured aneurysms were significantly more frequently treated by stent-assisted coiling (30.4% vs. 5.6%, p = 0.0388) than were ruptured aneurysms, while ruptured aneurysms were treated more frequently by coiling alone (77.8% vs. 34.8%, p = 0.0062). After an initial course of treatment 63.4% (n = 26) of patients had class I in Raymond-Roy occlusion classification, 22% (n = 9) had class II, and 14.6% (n = 6) had class III. Complications of the procedure were observed in 17.5% (n = 7) of patients: 22.2% (n = 4) with ruptured and 13.6% (n = 3) with unruptured aneurysms. Conclusions: Endovascular treatment of MCA aneurysms is feasible, and our results are convergent with other studies. Ruptured MCA aneurysms may be treated endovascularly with similar effects as unruptured MCA aneurysms. The complication rate of such treatment is low.pl
dc.affiliationWydział Lekarski : Zakład Radiologiipl
dc.affiliationWydział Lekarski : Klinika Neurochirurgii i Neurotraumatologiipl
dc.cm.date2021-03-15
dc.cm.id102844
dc.contributor.authorBrzegowy, Paweł - 128881 pl
dc.contributor.authorPolak, Jakubpl
dc.contributor.authorWnuk, Jakubpl
dc.contributor.authorŁasocha, Bartłomiej - 215017 pl
dc.contributor.authorKwinta, Borys - 152902 pl
dc.contributor.authorUrbanik, Andrzej - 133713 pl
dc.contributor.authorPopiela, Tadeusz - 133200 pl
dc.date.accessioned2021-03-15T13:47:11Z
dc.date.available2021-03-15T13:47:11Z
dc.date.issued2020pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.additionalBibliogr. s. e656pl
dc.description.physicale650-e656pl
dc.description.points40pl
dc.description.versionostateczna wersja wydawcy
dc.description.volume85pl
dc.identifier.doi10.5114/pjr.2020.103204pl
dc.identifier.eissn1899-0967pl
dc.identifier.issn1733-134Xpl
dc.identifier.projectROD UJ / OPpl
dc.identifier.urihttps://ruj.uj.edu.pl/xmlui/handle/item/267407
dc.languageengpl
dc.language.containerengpl
dc.relation.uri*
dc.rightsUdzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa*
dc.rights.licenceCC-BY-NC-ND
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/legalcode.pl*
dc.share.typeotwarte czasopismo
dc.subject.enendovascular treatmentpl
dc.subject.enMCA aneurysmpl
dc.subject.enstent-assisted coilingpl
dc.subtypeArticlepl
dc.titleEndovascular treatment of middle cerebral artery aneurysms : single-centre resultspl
dc.title.journalPolish Journal of Radiologypl
dc.typeJournalArticlepl
dspace.entity.typePublication
cris.lastimport.wos
2024-04-10T00:36:08Z
dc.abstract.enpl
Purpose: The middle cerebral artery (MCA) is the second most common location of intracerebral aneurysms. Traditionally, they are treated by microsurgical clipping, but with the development of new techniques and devices endovascular embolisation is gaining more importance. The aim of this study was to summarise six years of experience of our department in endovascular treatment of MCA aneurysms. Material and methods: Forty patients with 41 MCA aneurysms treated in a single centre were included in this study. Data on patients' comorbidities, aneurysm morphology, and treatment course were collected, with special emphasis on complications. Results: There were no statistically significant differences in terms of aneurysm morphology between males and females and between ruptured and unruptured aneurysms. None of the diseases analysed in the current study were linked with significantly increased risk of SAH. Unruptured aneurysms were significantly more frequently treated by stent-assisted coiling (30.4% vs. 5.6%, p = 0.0388) than were ruptured aneurysms, while ruptured aneurysms were treated more frequently by coiling alone (77.8% vs. 34.8%, p = 0.0062). After an initial course of treatment 63.4% (n = 26) of patients had class I in Raymond-Roy occlusion classification, 22% (n = 9) had class II, and 14.6% (n = 6) had class III. Complications of the procedure were observed in 17.5% (n = 7) of patients: 22.2% (n = 4) with ruptured and 13.6% (n = 3) with unruptured aneurysms. Conclusions: Endovascular treatment of MCA aneurysms is feasible, and our results are convergent with other studies. Ruptured MCA aneurysms may be treated endovascularly with similar effects as unruptured MCA aneurysms. The complication rate of such treatment is low.
dc.affiliationpl
Wydział Lekarski : Zakład Radiologii
dc.affiliationpl
Wydział Lekarski : Klinika Neurochirurgii i Neurotraumatologii
dc.cm.date
2021-03-15
dc.cm.id
102844
dc.contributor.authorpl
Brzegowy, Paweł - 128881
dc.contributor.authorpl
Polak, Jakub
dc.contributor.authorpl
Wnuk, Jakub
dc.contributor.authorpl
Łasocha, Bartłomiej - 215017
dc.contributor.authorpl
Kwinta, Borys - 152902
dc.contributor.authorpl
Urbanik, Andrzej - 133713
dc.contributor.authorpl
Popiela, Tadeusz - 133200
dc.date.accessioned
2021-03-15T13:47:11Z
dc.date.available
2021-03-15T13:47:11Z
dc.date.issuedpl
2020
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.additionalpl
Bibliogr. s. e656
dc.description.physicalpl
e650-e656
dc.description.pointspl
40
dc.description.version
ostateczna wersja wydawcy
dc.description.volumepl
85
dc.identifier.doipl
10.5114/pjr.2020.103204
dc.identifier.eissnpl
1899-0967
dc.identifier.issnpl
1733-134X
dc.identifier.projectpl
ROD UJ / OP
dc.identifier.uri
https://ruj.uj.edu.pl/xmlui/handle/item/267407
dc.languagepl
eng
dc.language.containerpl
eng
dc.relation.uri*
dc.rights*
Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa
dc.rights.licence
CC-BY-NC-ND
dc.rights.uri*
http://creativecommons.org/licenses/by-nc-nd/4.0/legalcode.pl
dc.share.type
otwarte czasopismo
dc.subject.enpl
endovascular treatment
dc.subject.enpl
MCA aneurysm
dc.subject.enpl
stent-assisted coiling
dc.subtypepl
Article
dc.titlepl
Endovascular treatment of middle cerebral artery aneurysms : single-centre results
dc.title.journalpl
Polish Journal of Radiology
dc.typepl
JournalArticle
dspace.entity.type
Publication

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