Authors: Asim Esenkaya Fatih Duzgun Celal Cinar Halil Bozkaya Cenk Eraslan Erkin Ozgiray Ismail Oran
Publish Date: 2015/12/23
Volume: 58, Issue: 3, Pages: 277-284
Abstract
During a 14year period 15 patients age range 2–68 years mean 428 years with 17 aneurysms were diagnosed with IIA and treated via an endovascular route at our institution The IIA diagnosis was based on clinical and laboratory findings of infection echocardiography results and digital subtraction angiography that were collected retrospectively All patients were clinically and radiologically followed The modified Rankin scale was used to evaluate clinical outcomeAmong 15 patients 12 presented with ruptured aneurysms 7 intraparenchymal hematoma 4 subarachnoid hemorrhage 1 subdural hematoma 2 with cerebral infarcts and 1 with pansinusitis and epidural abscess All but one aneurysm were distally located in intracranial circulation 14 were in anterior and the remaining 3 were in posterior circulation The final diagnosis was based on aneurysm morphology location and clinical laboratory findings Endovascular treatment was scheduled initially for all IIAs 13 of 17 IIAs underwent endovascular parent vessel occlusion 3 underwent spontaneous parent vessel occlusion while waiting for intervention and the remaining patient was treated by intrasaccular coil occlusion There were no instances of perioperative neurological complications Late clinical and radiological outcomes included absence of endovascular treatment related to mortality and aneurysm recurrenceWe declare that all human and animal studies have been approved by the Ege University Institutional Ethical Committee and have therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments We declare that all patients gave informed consent prior to inclusion in this study
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