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Evaluation of Radiological Features of the Posterior Communicating Artery and Their Impact on Efficacy of Saccular Aneurysm Treatment with the Pipeline Embolization Device: A Case Series Study
- Source :
- World Neurosurgery. 125:e998-e1007
- Publication Year :
- 2019
- Publisher :
- Elsevier BV, 2019.
-
Abstract
- Background Posterior communicating artery segment aneurysms are one of the most frequent intracranial aneurysms. Currently, limited data have described the use of the pipeline embolization device (PED) in these aneurysms. Methods We conducted a multicenter retrospective review of 3 prospectively collected databases of patients treated with the PED from January 2013 to December 2017. The primary objective was to assess the efficacy and safety of the PED in the treatment of saccular posterior communicating artery (PComA) aneurysms. We also assessed the effect of anatomical variations on the angiographic and clinical outcomes, including the presence of fetal PComA, vessel origin relationship to the aneurysm, and patency after PED placement. Results We identified 57 patients with 60 saccular aneurysms; Their mean age was 60.5 years, and 49 were female (86.0%). A total of 55 aneurysms (91.7%) were unruptured. The median imaging follow-up duration was 8.5 months. Complete occlusion at the last imaging follow-up study was 84.0%. At the last follow-up examination, 94.5% of patients had a modified Rankin scale score of ≤2. The presence of fetal PComA, origin type, and patency during follow-up did have a significant effect on aneurysm occlusion (P = 0.61, P = 0.40, and P = 0.14, respectively). Conclusions PED use for treatment of PComA aneurysms resulted in acceptable occlusion rates. The present study did not find that fetal PComA, its origin, or its patency during follow-up had an effect on aneurysm occlusion.
- Subjects :
- Male
medicine.medical_specialty
medicine.medical_treatment
03 medical and health sciences
0302 clinical medicine
Aneurysm
Modified Rankin Scale
medicine.artery
Occlusion
medicine
Humans
cardiovascular diseases
Posterior communicating artery
Embolization
Aged
Retrospective Studies
Posterior Cerebral Artery
business.industry
Angiography, Digital Subtraction
Intracranial Aneurysm
Middle Aged
medicine.disease
Embolization, Therapeutic
Saccular aneurysm
Treatment Outcome
030220 oncology & carcinogenesis
Radiological weapon
cardiovascular system
Female
Surgery
Neurology (clinical)
Radiology
business
030217 neurology & neurosurgery
Case series
Subjects
Details
- ISSN :
- 18788750
- Volume :
- 125
- Database :
- OpenAIRE
- Journal :
- World Neurosurgery
- Accession number :
- edsair.doi.dedup.....4c6db2c6d553e5fd112d4e3a8f89cb4f