Long-term review of selected basilar-tip aneurysm endovascular techniques in a single institution

Mardjono Tjahjadi, MD; Tackeun Kim, MD; Devendra Ojar, MD; Hyoung Soo Byoun, MD; Si Un Lee, MD; Seung Pil Ban, MD; Gyojun Hwang, MD, PhD; O-Ki Kwon, MD, PhD

doi:10.1016/j.inat.2017.01.005

Interdisciplinary Neurosurgery (Jun 2017)

Long-term review of selected basilar-tip aneurysm endovascular techniques in a single institution

Mardjono Tjahjadi, MD,
Tackeun Kim, MD,
Devendra Ojar, MD,
Hyoung Soo Byoun, MD,
Si Un Lee, MD,
Seung Pil Ban, MD,
Gyojun Hwang, MD, PhD,
O-Ki Kwon, MD, PhD

Affiliations

Mardjono Tjahjadi, MD: Department of Neurosurgery, Seoul National University Bundang Hospital, Bundang, South Korea
Tackeun Kim, MD: Department of Neurosurgery, Seoul National University Bundang Hospital, Bundang, South Korea
Devendra Ojar, MD: Department of Neurosurgery, Seoul National University Bundang Hospital, Bundang, South Korea
Hyoung Soo Byoun, MD: Department of Neurosurgery, Seoul National University Bundang Hospital, Bundang, South Korea
Si Un Lee, MD: Department of Neurosurgery, Seoul National University Bundang Hospital, Bundang, South Korea
Seung Pil Ban, MD: Department of Neurosurgery, Seoul National University Bundang Hospital, Bundang, South Korea
Gyojun Hwang, MD, PhD: Department of Neurosurgery, Seoul National University Bundang Hospital, Bundang, South Korea
O-Ki Kwon, MD, PhD: Department of Neurosurgery, Seoul National University Bundang Hospital, Bundang, South Korea

DOI: https://doi.org/10.1016/j.inat.2017.01.005
Journal volume & issue: Vol. 8, no. C
pp. 50 – 56

Abstract

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Background: Several endovascular techniques and devices are presently available for the non-surgical treatment of basilar-tip aneurysms in dedicated neurovascular departments. However, the revolving drawback to treatment to angiographic approach remains the long-term coil-mass durability and less patent published results regarding treatment outcome and long-term efficacy. We aim to share our experience of selected endovascular techniques for treating basilar-tip aneurysms and its long-term clinical and angiographic outcome. Material and methods: We retrospectively reviewed 109 patients basilar-tip aneurysm who had endovascular treatment in our department from 2003 to 2014. Three groups were based on treatment method: single microcatheter (SM), multiple microcatheters (MM), and stent-assisted (SA) coiling techniques. All procedural-related complications and outcomes were followed and analyzed. Angiographic follow-up with accompanying skull-series review were evaluated from initial coil-mass occlusion time to the last follow-up outpatient attendance. Results: In our study, sac size (p 11 mm (p 4 mm (p = 0.006). Conclusion: Small aneurysms particularly those with a small-neck size can be treated with SM or MM approach. Medium-large sized aneurysm can be treated effectively by combined MM and SA techniques.

Published in Interdisciplinary Neurosurgery

ISSN: 2214-7519 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Neurosciences. Biological psychiatry. Neuropsychiatry: Neurology. Diseases of the nervous system
Website: http://www.journals.elsevier.com/interdisciplinary-neurosurgery/

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