Journal article
DOES ANGIOGRAPHIC SURVEILLANCE POSE A RISK IN THE MANAGEMENT OF COILED INTRACRANIAL ANEURYSMS? A MULTICENTER STUDY OF 2243 PATIENTS
Neurosurgery, v 63(5), pp 845-848
01 Nov 2008
PMID: 19005373
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
OBJECTIVE: Endovascular treatment of intracranial aneurysms is a less invasive alternative than surgical repair. However, the higher risk of recurrence after coiling necessitates regular angiographic surveillance, which has associated risks. To date, the risk of surveillance angiography has not been quantified in patients with intracranial aneurysms treated by endovascular embolization.
METHODS: Angiograms performed for the surveillance of coiled intracranial aneurysms in patients treated at 8 institutions were recorded prospectively. Of 3086 patients eligible for surveillance angiography according to each institution's protocol during the study period, 2243 patients (72.7%) underwent this procedure. Data were reviewed retrospectively, including the results of each angiogram, angiographic complications, and morbidity resulting from the procedure. Morbidity was classified as major (modified Rankin Scale score >= 3) or minor (modified Rankin Scale score <3) and as temporary (<30 days) or permanent (>= 30 days).
RESULTS: Of 2814 diagnostic angiograms performed, 12 resulted in complications, including 1 (0.04%) permanent major morbidity, 2 (0.07%) temporary major morbidities, and 9 (0.32%) temporary minor morbidities; 6 of these were access site complications). No mortality or permanent minor morbidity was noted.
CONCLUSION: In this study, routine angiographic surveillance after endovascular treatment of aneurysms has a very low complication rate (0.43%). Incorporating these initial findings with the rate and risk of recurrent treatment or the risk of hemorrhage after coiling will provide a more accurate estimate of the global long-term risk of aneurysm coiling.
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Details
- Title
- DOES ANGIOGRAPHIC SURVEILLANCE POSE A RISK IN THE MANAGEMENT OF COILED INTRACRANIAL ANEURYSMS? A MULTICENTER STUDY OF 2243 PATIENTS
- Creators
- Andrew J. Ringer - Illinois CollegeGiuseppe Lanzino - Illinois CollegeErol Veznedaroglu - Thomas Jefferson UniversityRafael Rodriguez - Univ Puerto Rico, Dept Neurosurg, San Juan, PR 00936 USARobert A. Mericle - Illinois CollegeElad I. Levy - University at Buffalo, State University of New YorkRicardo A. Hanel - Illinois CollegeDemetrius K. Lopes - Illinois CollegeAlan S. Boulos - Illinois College
- Publication Details
- Neurosurgery, v 63(5), pp 845-848
- Publisher
- Oxford Univ Press
- Number of pages
- 4
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Neurosurgery
- Web of Science ID
- WOS:000260929100006
- Scopus ID
- 2-s2.0-57649138624
- Other Identifier
- 991021962190904721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Clinical Neurology
- Surgery