Stroke. 2003;34:1398-1403
Published online before print May 29, 2003, doi: 10.1161/01.STR.0000073841.88563.E9
Published online before print May 29, 2003, doi: 10.1161/01.STR.0000073841.88563.E9
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(Stroke. 2003;34:1398.)
© 2003 American Heart Association, Inc.
Original Contributions |
Long-Term Angiographic Recurrences After Selective Endovascular Treatment of Aneurysms With Detachable Coils
From the Department of Radiology (J.R., F.G., A.W., S.A.G., L.J., D.R.), Centre Hospitalier de l’Université de Montréal (CHUM), Notre-Dame Hospital, and the Research Center of CHUM ( J.R., A.L., J.L.) and the Department of Mathematics and Statistics, University of Montreal (M.C.), Montreal, Canada.
Correspondence to Jean Raymond, MD, Interventional Neuroradiology Research Laboratory, Centre Hospitalier de l’Université de Montréal (CHUM), Notre-Dame Hospital, 1560 Sherbrooke East, Room M-8203-1, Montreal, Quebec, H2L 4M1, Canada. E-mail dr_jean_raymond{at}hotmail.com
Background and Purpose— Our aim in this study was to assess the incidence and determining factors of angiographic recurrences after endovascular treatment of aneurysms.
Methods— A retrospective analysis of all patients with selective endosaccular coil occlusion of intracranial aneurysms prospectively collected from 1992 to 2002 was performed. There were 501 aneurysms in 466 patients (mean±SD age, 54.20±12.54 years; 74% female). Aneurysms were acutely ruptured (54.1%) or unruptured (45.9%). Mean±SD aneurysm size was 9.67±5.91 mm with a 4.31±1.97-mm neck. The most frequent sites were basilar bifurcation (27.7%) and carotid ophthalmic (18.0%) aneurysms. Recurrences were subjectively divided into minor and major (ideally necessitating re-treatment). The most significant predictors of angiographic recurrence were determined by logistic regression. These results were confirmed by 
2, t tests, or ANOVAs followed, when appropriate, by Tukey’s contrasts.
Results— Short-term (
1 year) follow-up angiograms were available in 353 aneurysms (70.5%) and long-term (>1 year) follow-up angiograms, in 277 (55%), for a total of 383 (76.5%) followed up. Recurrences were found in 33.6% of treated aneurysms that were followed up and that appeared at a mean±SD time of 12.31±11.33 months after treatment. Major recurrences presented in 20.7% and appeared at a mean of 16.49±15.93 months. Three patients (0.8%) bled during a mean clinical follow-up period of 31.32±24.96 months. Variables determined to be significant predictors (P<0.05) of a recurrence included aneurysm size 
10 mm, treatment during the acute phase of rupture, incomplete initial occlusions, and duration of follow-up.
Conclusions— Long-term monitoring of patients treated by endosaccular coiling is mandatory.
Key Words: endovascular therapy • intracranial aneurysm • recurrence
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V. Costalat, E. Lebars, L. Sarry, A. Defasque, E. Barbotte, H. Brunel, G. Bourbotte, and A. Bonafe In Vitro Evaluation of 2D-Digital Subtraction Angiography versus 3D-Time-of-Flight in Assessment of Intracranial Cerebral Aneurysm Filling after Endovascular Therapy AJNR Am. J. Neuroradiol., January 1, 2006; 27(1): 177 - 184. [Abstract] [Full Text] [PDF]
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C. L. Turner, J. N. P. Higgins, A. Gholkar, A. D. Mendelow, A. J. Molyneux, R. S.C. Kerr, S. Chawda, and P. J. Kirkpatrick Intracranial Aneurysms Treated With Endovascular Coils: Detection of Recurrences Using Unenhanced and Contrast-Enhanced Transcranial Color-Coded Duplex Sonography Stroke, December 1, 2005; 36(12): 2654 - 2659. [Abstract] [Full Text] [PDF]
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M. Sluzewski, W. J. van Rooij, G. N. Beute, and P. C. Nijssen Late Rebleeding of Ruptured Intracranial Aneurysms Treated with Detachable Coils AJNR Am. J. Neuroradiol., November 1, 2005; 26(10): 2542 - 2549. [Abstract] [Full Text] [PDF]
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A. Iijima, M. Piotin, C. Mounayer, L. Spelle, A. Weill, and J. Moret Endovascular Treatment with Coils of 149 Middle Cerebral Artery Berry Aneurysms Radiology, November 1, 2005; 237(2): 611 - 619. [Abstract] [Full Text] [PDF]
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C. A. Taschner, X. Leclerc, H. Rachdi, A. M. Barros, and J.-P. Pruvo Matrix Detachable Coils for the Endovascular Treatment of Intracranial Aneurysms: Analysis of Early Angiographic and Clinical Outcomes Stroke, October 1, 2005; 36(10): 2176 - 2180. [Abstract] [Full Text] [PDF]
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J. K. Goddard, C. J. Moran, D. T. Cross III, and C. P. Derdeyn Absent Relationship between the Coil-Embolization Ratio in Small Aneurysms Treated with a Single Detachable Coil and Outcomes AJNR Am. J. Neuroradiol., September 1, 2005; 26(8): 1916 - 1920. [Abstract] [Full Text] [PDF]
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H.-S. Kang, M. H. Han, B. J. Kwon, O-K. Kwon, S. H. Kim, S. H. Choi, and K.-H. Chang Short-Term Outcome of Intracranial Aneurysms Treated with Polyglycolic Acid/Lactide Copolymer-Coated Coils Compared to Historical Controls Treated with Bare Platinum Coils: A Single-Center Experience AJNR Am. J. Neuroradiol., September 1, 2005; 26(8): 1921 - 1928. [Abstract] [Full Text] [PDF]
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I. Linfante, N. M. Akkawi, A. Perlow, V. Andreone, and A. K. Wakhloo Polyglycolide/Polylactide-Coated Platinum Coils for Patients With Ruptured and Unruptured Cerebral Aneurysms: A Single-Center Experience Stroke, September 1, 2005; 36(9): 1948 - 1953. [Abstract] [Full Text] [PDF]
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S. Gallas, A. Pasco, J.-P. Cottier, J. Gabrillargues, J. Drouineau, C. Cognard, and D. Herbreteau A Multicenter Study of 705 Ruptured Intracranial Aneurysms Treated with Guglielmi Detachable Coils AJNR Am. J. Neuroradiol., August 1, 2005; 26(7): 1723 - 1731. [Abstract] [Full Text] [PDF]
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B. Lubicz, X. Leclerc, J.-Y. Gauvrit, J.-P. Lejeune, and J.-P. Pruvo Three-Dimensional Packing with Complex Orbit Coils for the Endovascular Treatment of Intracranial Aneurysms AJNR Am. J. Neuroradiol., June 1, 2005; 26(6): 1342 - 1348. [Abstract] [Full Text] [PDF]
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C. B. L. M. Majoie, M. E. Sprengers, W. J. J. van Rooij, C. Lavini, M. Sluzewski, J. C. van Rijn, and G. J. den Heeten MR Angiography at 3T versus Digital Subtraction Angiography in the Follow-up of Intracranial Aneurysms Treated with Detachable Coils AJNR Am. J. Neuroradiol., June 1, 2005; 26(6): 1349 - 1356. [Abstract] [Full Text] [PDF]
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B. Lubicz, M. Piotin, C. Mounayer, L. Spelle, and J. Moret Selective Endovascular Treatment of Intracranial Aneurysms with a Liquid Embolic: A Single-Center Experience in 39 Patients with 41 Aneurysms AJNR Am. J. Neuroradiol., April 1, 2005; 26(4): 885 - 893. [Abstract] [Full Text] [PDF]
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M. J. Slob, W. J. van Rooij, and M. Sluzewski Coil Thickness and Packing of Cerebral Aneurysms: A Comparative Study of Two Types of Coils AJNR Am. J. Neuroradiol., April 1, 2005; 26(4): 901 - 903. [Abstract] [Full Text] [PDF]
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 E. F. M. Wijdicks, D. F. Kallmes, E. M. Manno, J. R. Fulgham, and D. G. Piepgras Subarachnoid Hemorrhage: Neurointensive Care and Aneurysm Repair Mayo Clin. Proc., April 1, 2005; 80(4): 550 - 559. [Abstract] [PDF]
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B. Lubicz, X. Leclerc, J.-Y. Gauvrit, J.-P. Lejeune, and J.-P. Pruvo Endovascular Treatment of Intracranial Aneurysms with Matrix Coils: A Preliminary Study of Immediate Post-treatment Results AJNR Am. J. Neuroradiol., February 1, 2005; 26(2): 373 - 375. [Abstract] [Full Text] [PDF]
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J. Raymond, I. Salazkin, A. Metcalfe, O. Robledo, G. Gevry, D. Roy, A. Weill, and F. Guilbert Lingual Artery Bifurcation Aneurysms for Training and Evaluation of Neurovascular Devices AJNR Am. J. Neuroradiol., September 1, 2004; 25(8): 1387 - 1390. [Abstract] [Full Text] [PDF]
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D. Pelz, P. Lylyk, and M. Negoro Interventional Neuroradiology Stroke, February 1, 2004; 35(2): 381 - 382. [Full Text] [PDF]
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J. Raymond, D. Roy, P. Leblanc, S. Roorda, C. Janicki, L. Normandeau, F. Morel, G. Gevry, J.-P. Bahary, M. Chagnon, et al. Endovascular Treatment of Intracranial Aneurysms With Radioactive Coils: Initial Clinical Experience Stroke, December 1, 2003; 34(12): 2801 - 2806. [Abstract] [Full Text] [PDF]
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C. S. Ogilvy Neurosurgical Clipping Versus Endovascular Coiling of Patients With Ruptured Intracranial Aneurysms Stroke, October 1, 2003; 34(10): 2540 - 2542. [Full Text] [PDF]
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