More articles from Interventional
- Imaging-Guided Superior Ophthalmic Vein Access for Embolization of Dural Carotid Cavernous Fistulas: Report of 20 Cases and Review of the Literature
In this retrospective study of 20 patients, the authors report the results of imaging-guided percutaneous superior ophthalmic vein access in dural carotid cavernous fistula treatment. Minimally invasive percutaneous imaging-guided access to the SOV can be obtained in situations in which conventional transvenousaccess to the cavernous sinus is not possible for managementof patients with dural carotid cavernous fistula. The authors conclude that direct imaging-guidedpercutaneous SOV access is a valuable and time-savingalternative route compared with direct surgical SOV access.
- Endovascular Treatment of Unruptured MCA Bifurcation Aneurysms Regardless of Aneurysm Morphology: Short- and Long-Term Follow-Up
Between May 2008 and July 2017, endovascular treatment of 1184 aneurysms in 827 patients was performed in a single institution. Twenty-four percent of these aneurysms were located at the MCA, and 150 unruptured MCA bifurcation aneurysms treated with coiling, stent-assistedcoiling, or endovascular flow diverter (WEB device) were identified for this retrospective data analysis. The procedure-associated good clinical outcome was 89.9%, and the mortality rate was 2.7%. Short-term follow-up good clinical outcome/mortality rates were 91.3%/0.7%. At discharge, 137 patients had an mRS of 0–2 (91.3%) and 13 had an mRS of 3–6 (8.7%). The authors conclude that regardless of the architecture of MCA bifurcation aneurysms, endovascular treatment can be performed with low morbidity/mortality rates.