Intracranial Aneurysm Articles
Coil embolization for intracranial aneurysms
Bibliographic details: Ministry of Health and Long-Term Care. Medical Advisory Secretariat. Coil embolization for intracranial aneurysms. Toronto, ON, Canada: Ministry of Health and Long-Term Care. Health Technology Literature Review. 2004 Available from: http://www.health.gov.on.ca/english/providers/program/ohtac/tech/techlis t_2004.html
Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] – Centre for Reviews and Dissemination (UK).
AIM: Computed tomography perfusion (CTP) has recently been used to identify regions of potential ischemia due to cerebral vasospasm, and CTP parameters are able to quantitatively evaluate brain parenchymal perfusion. We performed a meta-analysis as an update of a previous paper published in 2010 and aimed at evaluating the diagnostic accuracy of CTP and CTP parameters for vasospasm after aneurysm rupture.
Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] – Centre for Reviews and Dissemination (UK).
Although a large number of patients with unruptured middle cerebral artery (MCA) aneurysms (AN) have been treated by surgical clipping in Japan, there has yet been no comprehensive study investigating the surgical risks based on a quantitative evaluation of the extensive existing body of patient records. This systematic review was conducted to determine morbidity of the procedure by performing a meta-analysis of the literature. The authors used a PubMed and J-stage search from 2000 to 2011 for studies containing the surgical clipping of the unruptured MCA AN. There were 21 articles, containing a total 1,323 cases of unruptured AN with morbidity specifically located in the MCA. 54 cases indicated significant neurological deficits for a morbidity rate of 4.1% (95% CI; 3.0-5.1). A limited number of studies disclosed an incremental increase in morbidity with the size of the aneurysm. Smaller MCA AN (7±3 mm) presented a lower morbidity of 1.48%, whereas giant MCA AN (>25 mm) corresponded with a higher morbidity of 27.8%. Factors consistently associated with high morbidity included incorporated MCA branches, plaque at the neck of the AN, an unclippable configuration, and M1 superior wall AN. Complex aneurysms required a wide array of intracranial bypass procedures, yielding morbidity of 23.4% (95% CI; 20.9-25.9). This is the first systematic review and quantitative meta-analysis of the surgical complications related to unruptured MCA AN.
Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] – Centre for Reviews and Dissemination (UK).
