Journal of cerebrovascular and endovascular neurosurgery最新文献

Comparison of Woven EndoBridge and stent-assisted coiling for treatment of acutely ruptured wide-neck bifurcation aneurysms: Single-center experience.

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2025-01-24 DOI: 10.7461/jcen.2024.E2024.11.002

Hossein Ghanaati, Aryoobarzan Rahmatian, Amir Torkaman, Mohammad Dashtkoohi, Mohammad Amin Dabbagh Ohadi

{"title":"Comparison of Woven EndoBridge and stent-assisted coiling for treatment of acutely ruptured wide-neck bifurcation aneurysms: Single-center experience.","authors":"Hossein Ghanaati, Aryoobarzan Rahmatian, Amir Torkaman, Mohammad Dashtkoohi, Mohammad Amin Dabbagh Ohadi","doi":"10.7461/jcen.2024.E2024.11.002","DOIUrl":"https://doi.org/10.7461/jcen.2024.E2024.11.002","url":null,"abstract":"Objective: Treating wide-necked bifurcation aneurysms (WNBA) is challenging. Nevertheless, recent progress in endovascular techniques is promising. Woven EndoBridge devices (WEB) have exhibited outcomes comparable to conventional treatments like stent-assisted coiling (SAC) in treating aneurysms. However, their safety and efficacy in managing acutely ruptured aneurysms remain a topic of interest. This study focuses on this issue.Methods: We searched our database from 2020 to 2023 and found 38 patients with acutely (< a week) ruptured WNBA. We extracted radiologic and clinical data from the available medical reports. Favorable functional and radiologic outcomes were assessed using the modified Rankin scale (mRS) and modified Raymond-Roy occlusion classification (MRRC).Results: Our study population comprised 15 aneurysms treated with WEB and 25 treated with SAC. Operational time was significantly lower in the WEB compared to the SAC group (39.3 vs 66.2 minutes, p value: < 0.001). Immediate (p value=0.64) and the 18th-month (p value=0.42) occlusion rates were comparable between the two groups. Favorable mRS scores in the 3rd month were seen in 100% of SAC patients and 93.3% of WEB patients (p value=0.79). Retreatment (p value=1.0) and complication (p value=0.39) rates were comparable. Vasospasms after the procedure were the most common complication.Conclusions: WEB demonstrated comparable safety and efficacy to SAC in patients with acutely ruptured WNBA. Notably, WEB had a shorter procedure duration. Additional studies with extended follow-up periods are necessary for comprehensive evaluation.","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143026226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Traumatic middle meningeal artery pseudoaneurysm: Case report and review of literature. 外伤性脑膜中动脉假性动脉瘤1例报告及文献复习。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2025-01-15 DOI: 10.7461/jcen.2024.E2024.04.004

Nadeem Mohammed, Harsh Deora, Abhinith Shashidhar, Malla Bhaskara Rao

{"title":"Traumatic middle meningeal artery pseudoaneurysm: Case report and review of literature.","authors":"Nadeem Mohammed, Harsh Deora, Abhinith Shashidhar, Malla Bhaskara Rao","doi":"10.7461/jcen.2024.E2024.04.004","DOIUrl":"https://doi.org/10.7461/jcen.2024.E2024.04.004","url":null,"abstract":"Traumatic aneurysms represent less than 1 percent of intracranial aneurysms and middle meningeal artery pseudoaneurysms are even rare. Traumatic aneurysms are usually pseudoaneurysms formed by the rupture of all the layers of the vessel wall. They are associated with high mortality as they can present as epidural, subdural, and rarely intraparenchymal hematoma. However, only nine cases of traumatic pseudoaneurysms of middle meningeal artery are reported that have presented as an acute intracerebral hematoma. We report a case of ruptured pseudo aneurysm of middle meningeal artery presenting with intraparenchymal hematoma in which hematoma evacuation and aneurysm excision was done immediately. The patient recovered well in the post-operative period. In addition, we reviewed all cases of middle meningeal artery pseudoaneurysms reported in the literature either as extradural hematomas, subdural/intraparenchymal hematomas, or subarachnoid hemorrhages. However, identifying the location of the aneurysm intraoperatively may be challenging as the hematoma may obscure the same. Distance from the sphenoid ridge may serve as a good intraoperative guide. Intraoperative localization along with surgical evacuation if done immediately can lead to gratifying results.","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Microsurgical management of previously embolized intracranial aneurysms: A single center experience and literature review. 曾被栓塞的颅内动脉瘤的显微手术治疗：单个中心的经验和文献综述。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2024-12-17 DOI: 10.7461/jcen.2024.E2024.05.004

Vasileios Panagiotopoulos, Ioannis Panagiotis Athinodorou, Kyprianos Kolios, Constantinos Kattou, Andreas Grzeczinski, Andreas Theofanopoulos, Lambros Messinis, Constantine Constantoyannis, Petros Zampakis

{"title":"Microsurgical management of previously embolized intracranial aneurysms: A single center experience and literature review.","authors":"Vasileios Panagiotopoulos, Ioannis Panagiotis Athinodorou, Kyprianos Kolios, Constantinos Kattou, Andreas Grzeczinski, Andreas Theofanopoulos, Lambros Messinis, Constantine Constantoyannis, Petros Zampakis","doi":"10.7461/jcen.2024.E2024.05.004","DOIUrl":"https://doi.org/10.7461/jcen.2024.E2024.05.004","url":null,"abstract":"Background: Endovascular treatment of intracranial aneurysms (IAs) provides less invasiveness and lower morbidity than microsurgical clipping, albeit with a long-term recurrence rate estimated at 20%. We present our single-center experience and a literature review concerning surgical clipping of recurrent previously coiled aneurysms.Methods: Retrospective analysis of nine (9) patients' data and final clinical/angiographic outcomes, who underwent surgical clipping of IAs in our center following initial endovascular treatment, over a 12-year period (2010-2022). Regarding the literature review, data were extracted from 48 studies including 969 patients with 976 aneurysms.Results: 9 patients (5 males - 4 females) were included in the study with a mean age of 49 years. Subarachnoid hemorrhage was the initial presentation in 78% of patients. Aneurysms' most common location was the middle cerebral artery bifurcation (5/9) followed by the anterior communicating artery (3/9) and the internal carotid artery bifurcation (1/9). Indications for surgery were coil loosening, coil compaction, sac regrowth, and residual neck. Procedure-related morbidity and mortality were zero whereas complete aneurysm occlusion was achieved after surgical clipping in all cases (100%). All patients had minimal symptoms or were asymptomatic (mRS 0-1) at the final follow-up.Conclusions: Surgical clipping seems a feasible and safe technique for selected cases of recurrent previously coiled intracranial aneurysms. A universally accepted recurrence classification system and a guideline template for the management of such cases are needed.","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142840684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Novel use of a stent retriever as a distal filler protection device for prevention of secondary embolization. 将支架回缩器作为远端填充保护装置用于防止二次栓塞的新方法。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2024-12-01 Epub Date: 2024-08-05 DOI: 10.7461/jcen.2024.E2023.08.006

Shohei Iijima, Yukihiro Imaoka, Satoshi Iihoshi, Shinya Kohyama

{"title":"Novel use of a stent retriever as a distal filler protection device for prevention of secondary embolization.","authors":"Shohei Iijima, Yukihiro Imaoka, Satoshi Iihoshi, Shinya Kohyama","doi":"10.7461/jcen.2024.E2023.08.006","DOIUrl":"10.7461/jcen.2024.E2023.08.006","url":null,"abstract":"Distal embolus due to mechanical thrombectomy is a frequent complication and directly results in a poor prognosis. Therefore, it is important to decrease distal embolus as much as possible in mechanical thrombectomy. EmboTrap III may be useful as a filter to prevent distal embolus in patients with a large volume of thrombus. Here, we report the results of one suggestive case and we also provide experimental data from a vessel model. The patient was a 78-year-old female who was admitted to hospital as an emergency case with chief complaints including dysarthria and left hemiplegia, including facial paralysis. She was diagnosed as large vessel occlusion-acute ischemic stroke with right tandem lesions by workup and underwent mechanical thrombectomy. A large volume of secondary thrombus due to flow stasis was assumed based around the occlusion site, and worsening of neurological symptoms was a concern due to distal embolus caused by recanalization of the cervical internal carotid artery. The SEIMLESS technique was performed under distal protection using EmboTrap III. There was no distal embolus or deterioration of neurological symptoms, and a good prognosis was achieved. This outcome suggests that PTA under distal protection using EmboTrap III may be useful for prevention of distal embolus.","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":"418-423"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11695495/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141877021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Deconstructive repair of a direct carotid-cavernous fistula via a posterior circulation retrograde approach. 通过后循环逆行入路对颈动脉-颈静脉直接瘘进行解构修复。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2024-12-01 Epub Date: 2024-03-25 DOI: 10.7461/jcen.2024.E2023.05.001

Jonathan R Crowe, Robert W Regenhardt, Adam A Dmytriw, Justin E Vranic, Christopher J Stapleton, Aman B Patel

{"title":"Deconstructive repair of a direct carotid-cavernous fistula via a posterior circulation retrograde approach.","authors":"Jonathan R Crowe, Robert W Regenhardt, Adam A Dmytriw, Justin E Vranic, Christopher J Stapleton, Aman B Patel","doi":"10.7461/jcen.2024.E2023.05.001","DOIUrl":"10.7461/jcen.2024.E2023.05.001","url":null,"abstract":"We report a case of a 24-year-old patient who presented after a head trauma with a traumatic occlusion of his left internal carotid artery. He underwent diagnostic cerebral angiogram and was found to have a direct left carotid-cavernous fistula (CCF) with retrograde filling from the posterior circulation across the posterior communicating artery. Because of the severe injury to the left internal carotid artery (ICA), reconstructive repair of the ICA was not possible. The patient underwent deconstructive repair of the CCF by coil embolization using a posterior retrograde approach. Coils were successfully placed in the cavernous sinus and back into the left ICA with complete cure of the CCF and restoration of cerebral perfusion distal to the treated CCF. We review the types of CCFs, their clinical presentation, and their endovascular treatments. Retrograde access of a direct CCF is rarely reported in the literature, and we believe this approach offers a viable alternative in appropriately selected patients.","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":"394-398"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11695501/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140208722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Convexity dural arteriovenous fistula with Sylvian-Labbé collateral pattern: A case report. 凸面硬脑膜动静脉瘘伴有西尔维-拉贝侧支模式：病例报告。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2024-12-01 Epub Date: 2024-08-05 DOI: 10.7461/jcen.2024.E2024.05.001

Phyo Wint Shwe Yee, Tatebayashi Kotaro, Uchida Kazutaka, Yoshimura Shinichi

{"title":"Convexity dural arteriovenous fistula with Sylvian-Labbé collateral pattern: A case report.","authors":"Phyo Wint Shwe Yee, Tatebayashi Kotaro, Uchida Kazutaka, Yoshimura Shinichi","doi":"10.7461/jcen.2024.E2024.05.001","DOIUrl":"10.7461/jcen.2024.E2024.05.001","url":null,"abstract":"Convexity dural arteriovenous fistula (dAVF) is associated with high-grade dAVF and is usually presented with aggressive clinical presentation. Precise diagnosis and understanding the pathogenesis are important to achieving successful treatment without complications. We report a case of dAVF with Sylvian-Labbé collateral pattern, concerning embryological development that was thought to be involved in the vascular architecture and pathogenesis of dural AVF. Thus, a 60-year-old man was presented with sudden onset of seizure with no history of trauma. Magnetic Resonance Imaging (MRI) showed cortical hemorrhage in the left precentral gyrus. Digital subtraction angiography (DSA) showed the convexity dural arteriovenous fistula (dAVF) involving a vein that appeared to be the vein of Labbé, the drainer was anastomosed with superior middle cerebral vein (SMCV) and formed the varix. With the successful treatment with trans-arterial embolization (TAE), obliteration of dAVF was achieved with no neurological deficits. This case highlights convexity dAVF with the complex relationship between embryological development and the arcade of venous drainage route, wherein the anomaly might be acquired and caused by elevated venous pressure in a vein that appeared to be the vein of Labbé. Gaining knowledge of the embryological basis may aid in a deeper understanding of acquired pathologies.","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":"405-411"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11695496/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141877020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Use of a new low-profile coronary stent graft for the treatment of intracranial carotid blow-out. 使用新型低位冠状动脉支架移植物治疗颅内颈动脉爆裂。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2024-12-01 Epub Date: 2024-05-31 DOI: 10.7461/jcen.2024.E2023.11.007

Halil Ibrahim Altunbulak, Ahmet Yasir Altunbulak, Sinan Balci, Mustafa Berker, Anil Arat

引用次数: 0

Safety and effectiveness of Neuroform Atlas stent-assisted coil embolization for ruptured intracranial aneurysms. Neuroform Atlas 支架辅助线圈栓塞治疗颅内动脉瘤破裂的安全性和有效性。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2024-12-01 Epub Date: 2024-10-11 DOI: 10.7461/jcen.2024.E2024.04.006

Kyu Sik Heo, Jung Ho Ko

{"title":"Safety and effectiveness of Neuroform Atlas stent-assisted coil embolization for ruptured intracranial aneurysms.","authors":"Kyu Sik Heo, Jung Ho Ko","doi":"10.7461/jcen.2024.E2024.04.006","DOIUrl":"10.7461/jcen.2024.E2024.04.006","url":null,"abstract":"Objective: The treatment outcomes of ruptured intracranial aneurysms using the Neuroform Atlas stent were evaluated.Methods: This study represents a retrospective review that included patients who underwent endovascular treatment for ruptured aneurysms at a single institution. Between January 2018 and September 2022, endovascular treatments including simple coiling or Neuroform Atlas stent-assisted coil embolization were performed in 191 patients with ruptured intracranial aneurysms.Results: Intraprocedural rupture was observed in 11 (8.7%) patients in the Simple Coiling (SC) group, which was slightly higher than that in 4 (6.3%) patients in the Neuroform Atlas stent-assisted coiling (NASAC) group (p=0.241). However, Thromboembolic event (TEE) was slightly more prevalent in the NASAC group, with 4 (6.3%) cases as compared to the 5 (3.9%) cases in the SC group (p=0.235). The retreatment rate was slightly higher in the SC group, with 19 (26.4%) patients as compared to the 10 patients (22.2%) in the NASAC group (p=0.342).Conclusions: The use of the Neuroform Atlas stent (NAS) for ruptured aneurysms might be safe and effective.","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":"373-382"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11695500/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142402508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Feasibility of single antiplatelet therapy after stent assisted coiling for ruptured intracranial aneurysms. 支架辅助夹闭治疗颅内动脉瘤破裂后单一抗血小板疗法的可行性。

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2024-12-01 Epub Date: 2024-08-26 DOI: 10.7461/jcen.2024.E2024.04.002

Min-Seok Woo, Dong-Hun Kang, Wonsoo Son, Myungsoo Kim

{"title":"Feasibility of single antiplatelet therapy after stent assisted coiling for ruptured intracranial aneurysms.","authors":"Min-Seok Woo, Dong-Hun Kang, Wonsoo Son, Myungsoo Kim","doi":"10.7461/jcen.2024.E2024.04.002","DOIUrl":"10.7461/jcen.2024.E2024.04.002","url":null,"abstract":"Object: We retrospectively analyzed clinical data to evaluate the safety and efficacy of single antiplatelet therapy (SAPT) after stent-assisted coil embolization (SAC) for ruptured cerebral aneurysms.Methods: In total, 176 stent-assisted coil embolization procedures were investigated. Among them, 77 ruptured and 99 unruptured aneurysms were grouped and compared respectively. In the ruptured group, only SAPT (aspirin) was administered after the procedure. Meanwhile, in the unruptured group, dual antiplatelet therapy (DAPT) (aspirin and clopidogrel) was administered before and after the procedure following standard guidelines. We compared both groups in regards to thromboembolic complications by analyzing post procedural diffusion-weighted images (DWI), hyperacute thrombosis during the procedure, and post-procedural symptoms.Results: The single antiplatelet therapy ruptured intracranial aneurysm (SAPT-RIA) group had 77 saccular aneurysms (62 ICA, 3 MCA, 4 ACA, 8 posterior circulation) with a mean diameter of 8.07 mm. The dual antiplatelet therapy unruptured intracranial aneurysm (DAPT-UIA) group had 99 aneurysms (81 ICA, 5 MCA, 3 ACA, 10 posterior circulation) with a mean diameter of 6.32 mm. DWI positivity rates were similar between groups, but hyperacute thrombosis was higher in the SAPT-RIA group (10.4%) compared to none in the DAPT-UIA group. Each group had one symptomatic complication.Conclusions: SAPT could be a viable option for the peri-procedural management of SAC in acutely ruptured cases.","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":"365-372"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11695498/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142038095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The natural history of cerebral infundibula: A retrospective cohort study. 脑底畸形的自然史：回顾性队列研究

Journal of cerebrovascular and endovascular neurosurgery Pub Date : 2024-12-01 Epub Date: 2024-10-29 DOI: 10.7461/jcen.2024.E2024.08.003

Saif Yousif, Alexander Vile, Dwarkesh Dharmendra Barot, Charlie Cho, Ananthababu Sadasivan Pattavilakom, Rumal Jayalath

{"title":"The natural history of cerebral infundibula: A retrospective cohort study.","authors":"Saif Yousif, Alexander Vile, Dwarkesh Dharmendra Barot, Charlie Cho, Ananthababu Sadasivan Pattavilakom, Rumal Jayalath","doi":"10.7461/jcen.2024.E2024.08.003","DOIUrl":"10.7461/jcen.2024.E2024.08.003","url":null,"abstract":"Objective: Debate exists regarding the true pathogenicity of cerebral infundibula (CI). Pre-aneurysmal lesions and benign anatomical variants have both been proposed. In this study, we present the largest single cohort series on the natural history of CI.Methods: Retrospective review of prospective surveillance of 420 CI was undertaken in a single tertiary cerebrovascular centre. All CI diagnosed by a neuroradiologist, diagnosed on either a Magnetic resonance angiography (MRA), Computed tomography angiography (CTA) or Digital subtraction angiography (DSA) were eligible for inclusion. Imaging and demographic characteristics were recorded at baseline. CI growth and aneurysm transformation were the outcomes of interest. Groupwise comparison was conducted via Fischer exact testing. Kaplan Meir curves and Cox proportional hazard ratios were used to assess variables of interest with respect to time on surveillance.Results: 402 patients with 420 CI were surveyed over 2418 infundibula-years. Eleven CI (2.62%) grew on surveillance, and three (0.7%) transformed into aneurysms. Median time to growth was 85 months (36-263) and median time to aneurysm transformation was 112 months (96-142). Of the CI that grew, male sex and CI >2 mm at diagnosis were significant predictors of growth (all p<0.05). Of the CI that grew in surveillance, 2/11 (18.2%) transformed into aneurysms (p=0.001). Aneurysm transformation occurred at a rate of 1.27 per 1000 infundibula years. CI growth on surveillance (p= 0.00016) and size at diagnosis (p=0.038) remained significant predictors of aneurysm transformation on Kaplan Meir curves.Conclusions: The transformation of a CI to an aneurysm occurs at a low rate. A history of growth on surveillance imaging represents significant risk for aneurysm transformation.","PeriodicalId":94072,"journal":{"name":"Journal of cerebrovascular and endovascular neurosurgery","volume":" ","pages":"383-393"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11695502/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142515365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0