Endovascular Cerebral Aneurysm Treatment: Long-Term Outcomes (Original Articles) (Clinical Report)

Endovascular Cerebral Aneurysm Treatment: Long-Term Outcomes (Original Articles) (Clinical Report)

Endovascular treatment has been confirmed as the treatment of choice for intracranial berry aneurysms. (1) While initial doubts on the part of microvascular neurosurgeons were addressed by the International Subarachnoid Aneurysm trials, the durability and long-term efficacy of coiled aneurysms have been questioned. (1) A reason for this is the morphology that may be evident in coiled aneurysms on angiographic follow-up. Comment on the significance of the morphological angiographic picture requires adequate follow-up, which means that institutions treating aneurysms need to audit their results so that larger numbers can provide a clearer understanding. Following up patients angiographically may also clarify the natural history of neck remnants. The idea that an aneurysm needs to be treated so as to give a perfect radiological picture may not necessarily be true. We investigated the impact of our treatment of subarachnoid haemorrhage and showed that after the introduction of endovascular treatment the time to treat patients was reduced and consequently the rebleeding rate dropped. (2) We now needed to establish that these benefits were sustainable. Methods

Endovascular Cerebral Aneurysm Treatment: Long-Term Outcomes (Original Articles) (Clinical Report)



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