Subject: Endovascular treatment
Subject: Flow diverter
Subject: Intracranial aneurysm
Subject: Intracranial stent
Subject: Occlusion classification
Subject: Wide neck
Year: 2018
Type: Article
Title: Endovascular Treatment of Wide Neck Aneurysms
Author: Lazareska, Menka
Author: Aliji, Vjolca
Author: Stojovska Jovanovska, Elizabeta
Author: Businovska, Jasna
Author: Mircevski, Vladimir
Author: Kostov, Milenko
Author: Papazova, Marija
Abstract: BACKGROUND: An aneurysm is an abnormal focal dilatation of an artery. Most of the unruptured aneurysms are asymptomatic and discovered incidentally or some of them symptomatic with mass effect or nerve palsy, but rupture of aneurysm results in a potentially life-threatening subarachnoid haemorrhage. Aneurysms with wide necks are defined by neck diameters greater than 4 mm or dome-to-neck ratios less than 2 and are the most difficult to treat with the endovascular method. AIM: This study aimed to analyse the endovascular treatment of intracranial aneurysms with a wide neck. METHODS: The study population included 37 patients with 46 aneurysms referred to the University Clinic of Radiology in Skopje, the Republic of Macedonia for endovascular treatment during the period January 2013 to May 2018. This study included 24 females and 13 males, ranging in age from 25 to 74 years. RESULTS: From total 46 treated aneurysms 13 were ruptured and 33 unruptured. Six patients were with multiple aneurysms. In these study complex aneurysms were treated with combined technique, 5 with balloon-assisted coiling, 25 with stent-assisted coiling, 6 stents, 2 with flow diverter assisted coiling, 6 FD and 2 with partial coil filling without assistance device. CONCLUSION: Aneurysms with wide neck remain a challenge for endovascular treatment. But the development of new techniques and materials in the treatment of aneurysms makes endovascular treatment of intracranial aneurysms safe and feasible.
Publisher: Scientific Foundation SPIROSKI
Relation: Open Access Macedonian Journal of Medical Sciences
Identifier: oai:repository.ukim.mk:20.500.12188/10657
Identifier: http://hdl.handle.net/20.500.12188/10657Identifier: 10.3889/oamjms.2018.443
Identifier: 30607183
