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An Expert-Based Review on the Relevance and Management of Type 2 Endoleaks Following Endovascular Repair of Ruptured Abdominal Aortic Aneurysms.
J Clin Med
July 2024
Department of Vascular Surgery, University of Zurich (UZH), Raemistrasse 100, CH-8008 Zurich, Switzerland.
Ruptured abdominal aortic aneurysms (rAAAs) are life-threatening and require emergent surgical therapy. Endovascular aortic repair for rupture (rEVAR) has become the leading strategy due to its minimal invasive approach with expected lower morbidity and mortality, especially in patients presenting with hemodynamic instability and relevant comorbidities. Following rEVAR, intraoperative angiography or early postinterventional computed tomography angiography have to exclude early type 1 or 3 endoleaks requiring immediate reintervention.
View Article and Find Full Text PDFManagement of Previously Failed Coiling and Clipping of a Middle Cerebral Artery Aneurysm.
World Neurosurg
October 2024
Department of Cerebrovascular Neurosurgery, Burdenko Neurosurgical Center, Moscow, Russia; Department of Neurosurgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Endovascular coiling techniques have emerged as an alternative and effective approach for treating intracranial aneurysms. However, in some cases, previously coiled aneurysms may require secondary treatment with surgical clipping, presenting a more complex challenge compared with the initial intervention. We present the case of a 39-year-old man with a residual class III Raymond-Roy occlusion partially coiled aneurysm at the left middle cerebral artery bifurcation (Video 1).
View Article and Find Full Text PDFOpen Microsurgical Cerebral Aneurysm Treatment After Failed Endovascular Therapy: An Evaluation of Aneurysm Treatment Frequencies in All Neurovascular Centers Across Austria and the Czech Republic Over 20 Years.
Neurosurgery
December 2024
Department of Neurosurgery, Medical University Innsbruck, Innsbruck , Austria.
Background And Objectives: Endovascular treatment of cerebral aneurysms has tremendously advanced over the past decades. Nevertheless, aneurysm residual and recurrence remain challenges after embolization. The objective of this study was to elucidate the portion of embolized aneurysms requiring open surgery and evaluate whether newer endovascular treatments have changed the need for open surgery after failed embolization.
View Article and Find Full Text PDFTreatment of pediatric intracranial aneurysms: institutional case series and systematic literature review.
Childs Nerv Syst
August 2024
Department of Neurosurgery, University of California, San Diego-Rady Children's Hospital, San Diego, CA, USA.
Introduction: Pediatric intracranial aneurysms (IAs) are rare and have distinct clinical profiles compared to adult IAs. They differ in location, size, morphology, presentation, and treatment strategies. We present our experience with pediatric IAs over an 18-year period using surgical and endovascular treatments and review the literature to identify commonalities in epidemiology, treatment, and outcomes.
View Article and Find Full Text PDFA Long-Term Comparative Analysis of Endovascular Coiling and Clipping for Ruptured Cerebral Aneurysms: An Individual Patient-Level Meta-Analysis Assessing Rerupture Rates.
J Clin Med
March 2024
Department of Neurosurgery, University Hospital Leipzig, 04103 Leipzig, Germany.
Although the initial functional outcome findings of the International Subarachnoid Aneurysm Trial (ISAT) study favored coiling at one year after aneurysmal subarachnoid hemorrhage (aSAH), concerns arose regarding limited long-term rerupture data. This meta-analysis is the first to analyze longitudinal individual patient data (IPD) of target aneurysm rerupture in terms of treatment modality. The present meta-analysis included studies that compared clipping with coiling of ruptured aneurysms regarding long-term rerupture.
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