Balloon-assisted coil embolization of intracranial aneurysms : incidence, complications, and angiography results
The aim of this study was to assess the incidence, indications, complications, and angiography results associated with balloon-assisted coil embolization (BACE) of intracranial aneurysms and to compare these factors with those for conventional coil embolization (CE). Between 1995 and 2005, 827 intra...
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| Veröffentlicht in: | Journal of neurosurgery 2006-09, Vol.105 (3), p.396-399 |
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| creator | SLUZEWSKI, Menno VAN ROOIJ, Willem Jan BEUTE, Guus N NUSSEN, Peter C |
| description | The aim of this study was to assess the incidence, indications, complications, and angiography results associated with balloon-assisted coil embolization (BACE) of intracranial aneurysms and to compare these factors with those for conventional coil embolization (CE).
Between 1995 and 2005, 827 intracranial aneurysms in 757 consecutive patients were packed with coils. Balloon-assisted coil embolization was used in 8.6% (71 of 827) of the coil insertion procedures and was more frequently used in large aneurysms, unruptured lesions, and those located on the vertebrobasilar system and carotid artery. Procedure-related complications leading to death or dependency were significantly higher in BACEs (14.1%) compared with those in CEs (3%). Packing densities and the results of 6-month follow-up angiography studies did not differ significantly between the two types of treatments. There was a strong trend for a higher retreatment rate in the aneurysms treated with BACE.
Balloon-assisted coil embolization of intracranial aneurysms is associated with a high complication rate and should only be used if conventional CE of these lesions is impossible or has failed and if anticipated surgical risks are too high. The BACE procedure does not improve the occlusion rates of the aneurysms on follow-up evaluation. |
| doi_str_mv | 10.3171/jns.2006.105.3.396 |
| format | Article |
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Between 1995 and 2005, 827 intracranial aneurysms in 757 consecutive patients were packed with coils. Balloon-assisted coil embolization was used in 8.6% (71 of 827) of the coil insertion procedures and was more frequently used in large aneurysms, unruptured lesions, and those located on the vertebrobasilar system and carotid artery. Procedure-related complications leading to death or dependency were significantly higher in BACEs (14.1%) compared with those in CEs (3%). Packing densities and the results of 6-month follow-up angiography studies did not differ significantly between the two types of treatments. There was a strong trend for a higher retreatment rate in the aneurysms treated with BACE.
Balloon-assisted coil embolization of intracranial aneurysms is associated with a high complication rate and should only be used if conventional CE of these lesions is impossible or has failed and if anticipated surgical risks are too high. The BACE procedure does not improve the occlusion rates of the aneurysms on follow-up evaluation.</description><identifier>ISSN: 0022-3085</identifier><identifier>EISSN: 1933-0693</identifier><identifier>DOI: 10.3171/jns.2006.105.3.396</identifier><identifier>PMID: 16961133</identifier><identifier>CODEN: JONSAC</identifier><language>eng</language><publisher>Park Ridge, IL: American Association of Neurological Surgeons</publisher><subject>Biological and medical sciences ; Catheterization - adverse effects ; Catheterization - methods ; Embolization, Therapeutic - adverse effects ; Embolization, Therapeutic - methods ; Follow-Up Studies ; Humans ; Intracranial Aneurysm - therapy ; Medical sciences ; Neurosurgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><ispartof>Journal of neurosurgery, 2006-09, Vol.105 (3), p.396-399</ispartof><rights>2006 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c397t-f179ea1022e33f4ba4315dab69db1d202268531c22b58e5b6cd3cbae7826588a3</citedby><cites>FETCH-LOGICAL-c397t-f179ea1022e33f4ba4315dab69db1d202268531c22b58e5b6cd3cbae7826588a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18035393$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16961133$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>SLUZEWSKI, Menno</creatorcontrib><creatorcontrib>VAN ROOIJ, Willem Jan</creatorcontrib><creatorcontrib>BEUTE, Guus N</creatorcontrib><creatorcontrib>NUSSEN, Peter C</creatorcontrib><title>Balloon-assisted coil embolization of intracranial aneurysms : incidence, complications, and angiography results</title><title>Journal of neurosurgery</title><addtitle>J Neurosurg</addtitle><description>The aim of this study was to assess the incidence, indications, complications, and angiography results associated with balloon-assisted coil embolization (BACE) of intracranial aneurysms and to compare these factors with those for conventional coil embolization (CE).
Between 1995 and 2005, 827 intracranial aneurysms in 757 consecutive patients were packed with coils. Balloon-assisted coil embolization was used in 8.6% (71 of 827) of the coil insertion procedures and was more frequently used in large aneurysms, unruptured lesions, and those located on the vertebrobasilar system and carotid artery. Procedure-related complications leading to death or dependency were significantly higher in BACEs (14.1%) compared with those in CEs (3%). Packing densities and the results of 6-month follow-up angiography studies did not differ significantly between the two types of treatments. There was a strong trend for a higher retreatment rate in the aneurysms treated with BACE.
Balloon-assisted coil embolization of intracranial aneurysms is associated with a high complication rate and should only be used if conventional CE of these lesions is impossible or has failed and if anticipated surgical risks are too high. The BACE procedure does not improve the occlusion rates of the aneurysms on follow-up evaluation.</description><subject>Biological and medical sciences</subject><subject>Catheterization - adverse effects</subject><subject>Catheterization - methods</subject><subject>Embolization, Therapeutic - adverse effects</subject><subject>Embolization, Therapeutic - methods</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Intracranial Aneurysm - therapy</subject><subject>Medical sciences</subject><subject>Neurosurgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><issn>0022-3085</issn><issn>1933-0693</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkU1P3DAQhq2qVdlC_0APVS7lRILtWXsdboD6JSH1Amdr4jjUyImDJzksvx4DK3GwLM0878h-hrFvgjcgduL8YaJGcq4bwVUDDbT6A9uIFqDmuoWPbMO5lDVwo47YF6IHzoXeavmZHQndaiEANmy-whhTmmokCrT4vnIpxMqPXYrhCZeQpioNVZiWjC7jFDBWOPk172mk6qI0XOj95PxZCY5zDO41Q2eF6su5D-k-4_x_X2VPa1zohH0aMJL_eriP2d2vn7fXf-qbf7__Xl_e1A7a3VIPYtd6FOUDHmDYdrgFoXrsdNt3opelro0C4aTslPGq064H16HfGamVMQjH7PRt7pzT4-ppsWMg52Msr08rWW0MGA26gPINdDkRZT_YOYcR894Kbl882-LZvnguBWXBFs8l9P0wfe1G379HDmIL8OMAIDmMQ1HnAr1zhoOCsqpnOVOIrQ</recordid><startdate>20060901</startdate><enddate>20060901</enddate><creator>SLUZEWSKI, Menno</creator><creator>VAN ROOIJ, Willem Jan</creator><creator>BEUTE, Guus N</creator><creator>NUSSEN, Peter C</creator><general>American Association of Neurological Surgeons</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20060901</creationdate><title>Balloon-assisted coil embolization of intracranial aneurysms : incidence, complications, and angiography results</title><author>SLUZEWSKI, Menno ; VAN ROOIJ, Willem Jan ; BEUTE, Guus N ; NUSSEN, Peter C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c397t-f179ea1022e33f4ba4315dab69db1d202268531c22b58e5b6cd3cbae7826588a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Biological and medical sciences</topic><topic>Catheterization - adverse effects</topic><topic>Catheterization - methods</topic><topic>Embolization, Therapeutic - adverse effects</topic><topic>Embolization, Therapeutic - methods</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Intracranial Aneurysm - therapy</topic><topic>Medical sciences</topic><topic>Neurosurgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SLUZEWSKI, Menno</creatorcontrib><creatorcontrib>VAN ROOIJ, Willem Jan</creatorcontrib><creatorcontrib>BEUTE, Guus N</creatorcontrib><creatorcontrib>NUSSEN, Peter C</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SLUZEWSKI, Menno</au><au>VAN ROOIJ, Willem Jan</au><au>BEUTE, Guus N</au><au>NUSSEN, Peter C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Balloon-assisted coil embolization of intracranial aneurysms : incidence, complications, and angiography results</atitle><jtitle>Journal of neurosurgery</jtitle><addtitle>J Neurosurg</addtitle><date>2006-09-01</date><risdate>2006</risdate><volume>105</volume><issue>3</issue><spage>396</spage><epage>399</epage><pages>396-399</pages><issn>0022-3085</issn><eissn>1933-0693</eissn><coden>JONSAC</coden><abstract>The aim of this study was to assess the incidence, indications, complications, and angiography results associated with balloon-assisted coil embolization (BACE) of intracranial aneurysms and to compare these factors with those for conventional coil embolization (CE).
Between 1995 and 2005, 827 intracranial aneurysms in 757 consecutive patients were packed with coils. Balloon-assisted coil embolization was used in 8.6% (71 of 827) of the coil insertion procedures and was more frequently used in large aneurysms, unruptured lesions, and those located on the vertebrobasilar system and carotid artery. Procedure-related complications leading to death or dependency were significantly higher in BACEs (14.1%) compared with those in CEs (3%). Packing densities and the results of 6-month follow-up angiography studies did not differ significantly between the two types of treatments. There was a strong trend for a higher retreatment rate in the aneurysms treated with BACE.
Balloon-assisted coil embolization of intracranial aneurysms is associated with a high complication rate and should only be used if conventional CE of these lesions is impossible or has failed and if anticipated surgical risks are too high. The BACE procedure does not improve the occlusion rates of the aneurysms on follow-up evaluation.</abstract><cop>Park Ridge, IL</cop><pub>American Association of Neurological Surgeons</pub><pmid>16961133</pmid><doi>10.3171/jns.2006.105.3.396</doi><tpages>4</tpages></addata></record> |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals |
| subjects | Biological and medical sciences Catheterization - adverse effects Catheterization - methods Embolization, Therapeutic - adverse effects Embolization, Therapeutic - methods Follow-Up Studies Humans Intracranial Aneurysm - therapy Medical sciences Neurosurgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases |
| title | Balloon-assisted coil embolization of intracranial aneurysms : incidence, complications, and angiography results |
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