An “old” meta-analysis: coiling versus microsurgical clipping in the treatment of unruptured MCA aneurysms

Key point: To compare endovascular coiling with microsurgical clipping among adults with unruptured middle cerebral artery aneurysms (MCAA) by conducting a meta-analysis. The widespread use of neurovascular imaging has increased the amount of intracranial aneurysms eccidentally detected. Although the lifetime risk of aneurysmal rupture in many cases is relatively small (approximately 1% per year), rupture Read more about An “old” meta-analysis: coiling versus microsurgical clipping in the treatment of unruptured MCA aneurysms[…]

Optimal first coil selection to avoid aneurysmal recanalization in endovascular intracranial aneurysmal coiling

Key points: Coiling, simple or balloon-/stent-assisted, is an endosaccular technique of treatment and a long-term follow-up is mandatory: the problem of aneurysmal recanalization remains and according to a systematic review, recanalization occurs in 20.8% of patients. The volume embolization ratio (VER) has recently been reported to be associated with aneurysmal recanalization. It is a general Read more about Optimal first coil selection to avoid aneurysmal recanalization in endovascular intracranial aneurysmal coiling[…]

Endovascular flow diversion for treatment of anterior communicating artery region cerebral aneurysms: a single-center cohort of 50 cases

Colby GP1, Bender MT1, Lin LM2, Beaty N1, Huang J1, Tamargo R1, Coon A1. Pubmed BACKGROUND: Flow diversion represents a novel but definitive treatment for recurrent and difficult-to-coil aneurysms of the anteriorcommunicating artery (ACoA) region, of which reports are limited. OBJECTIVE: To determine the effectiveness of the Pipeline embolization device (PED) in treating aneurysms in the Read more about Endovascular flow diversion for treatment of anterior communicating artery region cerebral aneurysms: a single-center cohort of 50 cases[…]

Closing the gap between coil and balloon in the neurointerventional armamentarium? Initial clinical experience with a nitinol vascular occlusion plug

Gralla J1, Schroth G, Kickuth R, El-Koussy M, Do DD, Brekenfeld C.   Pubmed INTRODUCTION: The use of vascular plug devices for the occlusion of high-flow lesions is a relatively new and successful procedure in peripheral and cardiopulmonary interventions. We report on the use and efficiency of the Amplatzer vascular plug in a small clinical Read more about Closing the gap between coil and balloon in the neurointerventional armamentarium? Initial clinical experience with a nitinol vascular occlusion plug[…]

Delayed enhancing lesions after coil embolization of aneurysms: clinical experience and benchtop analyses

Oh SW1,2, Shin NY1,3, Lee HJ1, Kim BM1, Kim DJ1. Abstract BACKGROUND: Foreign body emboli during endovascular treatment (EVT) may cause delayed enhancing lesions (DELs). OBJECTIVE: To report our experiences of this complication in patients treated for cerebral aneurysms and to investigate the cause of the lesions by benchtop analyses. METHODS: Three patients with DELs Read more about Delayed enhancing lesions after coil embolization of aneurysms: clinical experience and benchtop analyses[…]

Clipping and Coiling of Unruptured Intracranial Aneurysms Among Medicare Beneficiaries, 2000 to 2010.

Jalbert JJ1, Isaacs AJ2, Kamel H2, Sedrakyan A2. Abstract BACKGROUND AND PURPOSE: Endovascular coiling therapy is increasingly popular for obliteration of unruptured intracranial aneurysms, but older patients face higher procedural risks and shorter periods during which an untreated aneurysm may rupture causing subarachnoid hemorrhage (SAH). We assessed trends in clipping and coiling of unruptured intracranial Read more about Clipping and Coiling of Unruptured Intracranial Aneurysms Among Medicare Beneficiaries, 2000 to 2010.[…]