Treatment of multiple intracranial aneurysms with 1-stage coiling

P. Jeon, Byung Moon Kim, D. J. Kim, D. I. Kim, S. H. Suh

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

BACKGROUND AND PURPOSE: Although multiple intracranial aneurysms are frequent, determining treatment strategy and methods for them is often complicated. The aim of this study was to evaluate the safety and effectiveness of 1-stage coiling for multiple intracranial aneurysms. MATERIALS AND METHODS: All patients who underwent 1-stage coiling for ≥2 aneurysms were identified from a prospectively registered neurointerventional data base during 10 years. The patient characteristics and clinical and angiographic outcomes at discharge and follow-up were retrospectively evaluated. RESULTS: One hundred sixty-seven patients (male/female ratio, 30:137; mean age, 58 years) with multiple aneurysms (418 aneurysms; mean, 2.5 aneurysms/patient) underwent attempted 1-stage coiling for ≥2 aneurysms (359 aneurysms; mean, 2.1 aneurysms/patient). In 131 patients (78.4%), all detected aneurysms were treated with coiling only. Treatment-related morbidity and mortality at discharge were 1.8% and 0.6% per patient, respectively.Ofthe 132 patients without subarachnoid hemorrhage, 129 (97.7%) had favorable outcomes (mRS 0-2) at discharge; of the 35 patients with SAH, 27 (77.1%) had favorable outcomes at discharge. Of the 162 patients (97%) forwhomclinical follow-up was available (mean, 35.8 months), 154 patients (95.1%) had favorable outcomes. Immediate posttreatment angiography showed complete occlusion in 186 (51.8%) aneurysms, neck remnants in 134 (37.3%), sac remnants in 33 (9.2%), and failure in 6 (1.7%).Ofthe 262 (73.9%) aneurysms that underwent follow-up imaging (mean, 24.8 months), 244 (93.1%) showed a stable or improved state, with 12 (4.6%) minor and 6 (2.3%) major recurrences. CONCLUSIONS: One-stage coiling of multiple aneurysms seems to be safe and effective, with low morbidity and mortality.

Original languageEnglish
Pages (from-to)1170-1173
Number of pages4
JournalAmerican Journal of Neuroradiology
Volume35
Issue number6
DOIs
Publication statusPublished - 2014 Jun

Fingerprint

Intracranial Aneurysm
Aneurysm
Therapeutics
Morbidity
Mortality
Subarachnoid Hemorrhage
Angiography
Neck
Databases
Safety
Recurrence

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Clinical Neurology

Cite this

Jeon, P. ; Kim, Byung Moon ; Kim, D. J. ; Kim, D. I. ; Suh, S. H. / Treatment of multiple intracranial aneurysms with 1-stage coiling. In: American Journal of Neuroradiology. 2014 ; Vol. 35, No. 6. pp. 1170-1173.
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abstract = "BACKGROUND AND PURPOSE: Although multiple intracranial aneurysms are frequent, determining treatment strategy and methods for them is often complicated. The aim of this study was to evaluate the safety and effectiveness of 1-stage coiling for multiple intracranial aneurysms. MATERIALS AND METHODS: All patients who underwent 1-stage coiling for ≥2 aneurysms were identified from a prospectively registered neurointerventional data base during 10 years. The patient characteristics and clinical and angiographic outcomes at discharge and follow-up were retrospectively evaluated. RESULTS: One hundred sixty-seven patients (male/female ratio, 30:137; mean age, 58 years) with multiple aneurysms (418 aneurysms; mean, 2.5 aneurysms/patient) underwent attempted 1-stage coiling for ≥2 aneurysms (359 aneurysms; mean, 2.1 aneurysms/patient). In 131 patients (78.4{\%}), all detected aneurysms were treated with coiling only. Treatment-related morbidity and mortality at discharge were 1.8{\%} and 0.6{\%} per patient, respectively.Ofthe 132 patients without subarachnoid hemorrhage, 129 (97.7{\%}) had favorable outcomes (mRS 0-2) at discharge; of the 35 patients with SAH, 27 (77.1{\%}) had favorable outcomes at discharge. Of the 162 patients (97{\%}) forwhomclinical follow-up was available (mean, 35.8 months), 154 patients (95.1{\%}) had favorable outcomes. Immediate posttreatment angiography showed complete occlusion in 186 (51.8{\%}) aneurysms, neck remnants in 134 (37.3{\%}), sac remnants in 33 (9.2{\%}), and failure in 6 (1.7{\%}).Ofthe 262 (73.9{\%}) aneurysms that underwent follow-up imaging (mean, 24.8 months), 244 (93.1{\%}) showed a stable or improved state, with 12 (4.6{\%}) minor and 6 (2.3{\%}) major recurrences. CONCLUSIONS: One-stage coiling of multiple aneurysms seems to be safe and effective, with low morbidity and mortality.",
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Treatment of multiple intracranial aneurysms with 1-stage coiling. / Jeon, P.; Kim, Byung Moon; Kim, D. J.; Kim, D. I.; Suh, S. H.

In: American Journal of Neuroradiology, Vol. 35, No. 6, 06.2014, p. 1170-1173.

Research output: Contribution to journalArticle

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