Endovascular cerebral aneurysm treatment : Long-term outcomes

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dc.contributor.authorLe Feuvre, David
dc.contributor.authorTaylor, Allan
dc.date.accessioned2021-10-08T07:17:56Z
dc.date.available2021-10-08T07:17:56Z
dc.date.issued2008
dc.description.abstractEndovascular treatment was confirmed by the International Subarachnoid aneurysm Trial1 as the treatment of choice for intracranial “berry” aneurysms. The durability of coiling and the relevance of stable neck remnants next needed to be addressed. Methods We retrospectively assessed the follow-up angiograms of patients, who presented with subarachnoid haemorrhages or IIIrd nerve palsies and had berry aneurysms treated endovascularly between 2002 and 2003, Patients were phoned to assess their wellbeing and to see whether they were back at work or not. Angiograms were assessed to ascertain percentage of aneurysm coiled at initial procedure and then stability was assessed by percentage change in the residual on later angiograms. Results Over a 1-year period 75 patients were treated endovascularly. 100% occlusion was attainable in 52% at the initial procedure and although the number of patients who attended their 3-month and 1year follow-up angiograms were 40 and 34 respectively there was a trend toward progressive thrombosis to 65% and then 82% respectively. In only 1 of the neck remnants was there growth at the 3-month angiogram. One patient bled having missed his 3-month follow-up angiogram. Although only 40% of the patients were contactable at 4 years there was no re-bleeds amongst them. Conclusion Coiling is durable as shown by our results over a 4 year period and while neck remnants may be observed any growth should be viewed as unstable and treated either endovascularly or surgically if required.
dc.identifier.apacitationLe Feuvre, D., & Taylor, A. (2008). Endovascular cerebral aneurysm treatment : Long-term outcomes. <i>South African Medical Journal</i>, 98(12), 954 - 957. http://hdl.handle.net/11427/34866en_ZA
dc.identifier.chicagocitationLe Feuvre, David, and Allan Taylor "Endovascular cerebral aneurysm treatment : Long-term outcomes." <i>South African Medical Journal</i> 98, 12. (2008): 954 - 957. http://hdl.handle.net/11427/34866en_ZA
dc.identifier.citationLe Feuvre, D. & Taylor, A. 2008. Endovascular cerebral aneurysm treatment : Long-term outcomes. <i>South African Medical Journal.</i> 98(12):954 - 957. http://hdl.handle.net/11427/34866en_ZA
dc.identifier.issn0038-2469
dc.identifier.ris TY - Journal Article AU - Le Feuvre, David AU - Taylor, Allan AB - Endovascular treatment was confirmed by the International Subarachnoid aneurysm Trial1 as the treatment of choice for intracranial “berry” aneurysms. The durability of coiling and the relevance of stable neck remnants next needed to be addressed. Methods We retrospectively assessed the follow-up angiograms of patients, who presented with subarachnoid haemorrhages or IIIrd nerve palsies and had berry aneurysms treated endovascularly between 2002 and 2003, Patients were phoned to assess their wellbeing and to see whether they were back at work or not. Angiograms were assessed to ascertain percentage of aneurysm coiled at initial procedure and then stability was assessed by percentage change in the residual on later angiograms. Results Over a 1-year period 75 patients were treated endovascularly. 100% occlusion was attainable in 52% at the initial procedure and although the number of patients who attended their 3-month and 1year follow-up angiograms were 40 and 34 respectively there was a trend toward progressive thrombosis to 65% and then 82% respectively. In only 1 of the neck remnants was there growth at the 3-month angiogram. One patient bled having missed his 3-month follow-up angiogram. Although only 40% of the patients were contactable at 4 years there was no re-bleeds amongst them. Conclusion Coiling is durable as shown by our results over a 4 year period and while neck remnants may be observed any growth should be viewed as unstable and treated either endovascularly or surgically if required. DA - 2008 DB - OpenUCT DP - University of Cape Town IS - 12 J1 - South African Medical Journal LK - https://open.uct.ac.za PY - 2008 SM - 0038-2469 T1 - Endovascular cerebral aneurysm treatment : Long-term outcomes TI - Endovascular cerebral aneurysm treatment : Long-term outcomes UR - http://hdl.handle.net/11427/34866 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/34866
dc.identifier.vancouvercitationLe Feuvre D, Taylor A. Endovascular cerebral aneurysm treatment : Long-term outcomes. South African Medical Journal. 2008;98(12):954 - 957. http://hdl.handle.net/11427/34866.en_ZA
dc.language.isoeng
dc.publisher.departmentDivision of Neurosurgery
dc.publisher.facultyFaculty of Health Sciences
dc.sourceSouth African Medical Journal
dc.source.journalissue12
dc.source.journalvolume98
dc.source.pagination954 - 957
dc.source.urihttps://dx.doi.org/10.7196/SAMJ.2980
dc.subject.otherTropical medicine
dc.subject.otherPrognosis
dc.subject.otherLong term
dc.subject.otherTreatment
dc.subject.otherintracranial aneurysm
dc.subject.otherVascular disease
dc.subject.otherNervous system diseases
dc.subject.otherCentral nervous system disease
dc.subject.otherCerebral disorder
dc.subject.otherCerebrovascular disease
dc.subject.otherCardiovascular disease
dc.subject.otherMédecine tropicale
dc.subject.otherPronostic
dc.subject.otherLong terme
dc.subject.otherTraitement
dc.subject.otherAnévrysme intracrânien
dc.subject.otherPathologie des vaisseaux sanguins
dc.subject.otherPathologie du système nerveux
dc.subject.otherPathologie du système nerveux central
dc.subject.otherPathologie de l'encéphale
dc.subject.otherPathologie cérébrovasculaire
dc.subject.otherPathologie de l'appareil circulatoire
dc.subject.otherMedicina tropica
dc.titleEndovascular cerebral aneurysm treatment : Long-term outcomes
dc.typeJournal Article
uct.type.publicationResearch
uct.type.resourceJournal Article
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