Endovascular Treatment of Internal Carotid Artery Aneurysms
Journal Title: Journal of Eurasian Medical Science - Year 2023, Vol 4, Issue 2
Abstract
Objective: Internal carotid artery (ICA) aneurysms constitute an important subset of cerebral aneurysms. Endovascular treatment interventions are progressively increasing with the advancements in technology. In many developed countries, it is increasingly becoming the preferred minimally invasive approach for the treatment of cerebral aneurysms. In this study, our aim was to examine the efficacy of endovascular interventions in treating ICA aneurysms, utilizing the experience gained from patients with ICA aneurysms who underwent endovascular intervention in our clinic. Material and Methods: The study included 98 patients with ICA aneurysms who were admitted to our clinic between 2016 and 2022 and underwent treatment using the endovascular method. The occlusion rates of aneurysms were evaluated using the Raymond-Roy occlusion classification (RROC), while the scores of the patients on discharge were assessed using the modified Rankin Scale (mRS). Results: Of the study patients, 57 were female, and 68 patients presented with subarachnoid hemorrhage. In 21 patients, only a flow-diverting stent was implanted, while 77 patients underwent coiling together with flow-diverting stent implantation. The modified Rankin Score on discharge was 0 in 73 patients, 1 in six patients, 3 in nine patients, and 4 in four patients. Six patients died. Of the remaining 92 patients, complete occlusion was observed at the six-month follow-up visit in 86 patients and six patients underwent flow-diverting stent placement with a second intervention. Conclusion: At the end of our study, 81% of the patients were discharged with good results and the mortality rate was 6%. Complete occlusion was achieved in 87% of the patients. Endovascular treatment of ICA aneurysms is effective and safe. It can be considered as an alternative to surgical treatment in eligible patients.
Authors and Affiliations
Zeki BOĞA, Ümit KARA
Keywords
Related Articles
- EP ID EP720204
- DOI 10.5578/jeurmeds.20239801
- Views 56
- Downloads 0
Endovascular Treatment of Internal Carotid Artery Aneurysms
Objective: Internal carotid artery (ICA) aneurysms constitute an important subset of cerebral aneurysms. Endovascular treatment interventions are progressively increasing with the advancements in technology. In many deve...
Use of Flow-Diverting Stents in Posterior Circulation Aneurysms
Objective: Flow-diverting stents are safely used for treating carotid artery aneurysms. Its use is limited in areas with dense branching, and more limited in posterior circulation arteries that have dense deep feeders. T...
Is COVID-19 Sparing Syrian Refugees? Outcomes of 983 Applications from a Pandemic Hospital in Türkiye
Objective: Data on how Syrian refugees are affected by COVID-19 are not documented. In this study, it was aimed to examine the admissions to a COVID-19 pandemic hospital in a province where Syrian refugees live frequentl...
Factors Affecting Length of Stay of COVID-19 Patients
Objective: The Coronavirus disease has caused millions of people to be hospitalized around the world. Studies in the literature are generally related to the mortality and hospitalization rates of the disease. The present...
A Patient with COVID-19 Imitating Neurological Symptoms
There is new information emerging day by day on the SARS-CoV-2 virus, which is a serious threat all over the world, and its infection picture. During the COVID-19 pandemic process, it has been shown that COVID-19 is no...