Endovascular Managment for Intracranial Carotid Artery Aneurysms | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 13, Volume 75, Issue 3, April 2019, Page 2406-2417 PDF (958.2 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhm.2019.30956 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Yousef Abdel El Gelel Barakat; Mohamed Sayed Esmael Al Shandawely; Ahmed Al-Sherif; Salah Mohamed Mohamed Meraka 
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| Department of Neurosurgery, Faculty of Medicine, Al-Azhar University (Assiut) | ||||
| Abstract | ||||
| Objective: To assess safety and effectiveness of endovascular management for different types of intracranial carotid artery aneurysms. Patients and Methods: prospective and retrospective review of intracranial carotid artery aneurysms treated by endovascular procedures in Al-Azhar University Endovascular Center and other centers. Twenty patients met inclusion criteria. Results: fourteen medium sized, nine small, four large and one giant aneurysm. Seventeen narrow necks, eleven wide-necks and seven have involved branches in neck. Twenty-three cases were treated with coiling, three cases were treated with stent-assisted coiling and two cases were treated with stenting as flow diverter. Conclusion: pre-procedural conscious patients with GCS15 or 14 associated with better outcome. PcomA, Ophthalmic and Choroidal aneurysms were associated with better outcome after endovascular procedures. Coiling of narrow neck aneurysms was associated with better outcome. | ||||
| Keywords | ||||
| cerebral aneurysm; endovascular techniques; wide-neck aneurysm; coiling; internal carotid artery aneurysms | ||||
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