MR angiography in the follow-up of intracranial aneurysms treated with Guglielmi detachable coils: systematic review and meta-analysis

2007 ◽  
Vol 49 (9) ◽  
pp. 703-713 ◽  
Author(s):  
Thomas C. Kwee ◽  
Robert M. Kwee
Keyword(s):  
Systematic Review ◽  
Intracranial Aneurysms ◽  
Mr Angiography ◽  
Meta Analysis ◽  
Guglielmi Detachable Coils ◽  
Detachable Coils

scholarly journals Meta-Analysis on Diagnostic Accuracy of MR Angiography in the Follow-up of Residual Intracranial Aneurysms Treated with Guglielmi Detachable Coils

2008 ◽  
Vol 14 (2_suppl) ◽  
pp. 53-63 ◽  
Author(s):  
Hsu-Huei Weng ◽  
Shaner-Yeun Jao ◽  
Chun-Yuh Yang ◽  
Yuan-Hsiung Tsai
Keyword(s):  
Diagnostic Accuracy ◽  
Intracranial Aneurysms ◽  
English Language ◽  
Meta Analysis ◽  
Roc Curves ◽  
Diagnostic Odds Ratio ◽  
Guglielmi Detachable Coils ◽  
Tof Mra ◽  
Detachable Coils

Patients with intracranial aneurysm after coiling with Guglielmi detachable coils (GDC) require imaging follow-up. The accuracy of noninvasive magnetic resonance angiography (MRA) techniques including time-of-flight (TOF) and contrast-enhancement (CE) have been compared with the gold standard digital subtraction angiography (DSA). We systematically reviewed the diagnostic accuracy of these imaging methods in follow-up study of patients with residual intracranial aneurysms after GDC treatment. The authors used MEDLINE, bibliographies, review articles, textbooks, and expert opinion to retrieve English- and non-English-language articles published from 1966 to December 2007. Sixteen suitable MRA original articles (14 TOF-MRA and six CE-MRA) with comparison to DSA have met the inclusion criteria. TOF-MRA had a pooled sensitivity of 90% (95% CI, 79% to 95%), a specificity of 95% (95% CI, 88% to 98%), and a diagnostic odds ratio (DOR) of 168.4 (95% CI, 60.3 to 470.3). CE-MRA had an overall sensitivity of 92% (95% CI, 79% to 97%), a specificity of 96% (95% CI, 91% to 98%), and a DOR of 280.4 (95% CI, 64.8 to 1212.6). The areas under two summary ROC curves of TOF-MRA and CE-MRA were 0.97 (95% CI, 0.96 to 0.99) and 0.98 (95% CI, 0.96 to 0.99), respectively. Compared with DS angiography, both TOF-MRA and CE-MRA can accurately depict the residual aneurysm. The diagnostic accuracy of TOF-MRA and CE-MRA tests offer comparable and equal results and may obviate the invasive DS angiography

Magnetic Resonance Angiography for Evaluation of Intracranial Aneurysms Treated with Guglielmi Detachable Coils

1998 ◽  
Vol 11 (1) ◽  
pp. 19-25 ◽  
Author(s):  
E. Cotroneo ◽  
M. Dazzi ◽  
R. Gigli ◽  
G. Guidetti ◽  
G.P. Cantore ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Mr Angiography ◽  
Cerebral Aneurysms ◽  
Digital Subtraction ◽  
Contrast Injection ◽  
Guglielmi Detachable Coils ◽  
Non Invasive ◽  
Mri Angiography ◽  
Detachable Coils

Thirteen cases of cerebral aneurysms submitted to endovascular treatment using Guglielmi detachable coils (GDC) are described. Control MRI-angiography 3D TOF was performed three and six months later. In order to spare patients the discomfort and risks related to repeated trauma and iodate contrast injection, we examined the possibility of an alternative non-invasive diagnostic method. For this purpose, the digital subtraction angiograms performed three and six months after embolisation were compared with the MR-angiograms obtained in the same period, all using the same tomograph at middle field intensity (0.5T). We discuss the outcome of this comparison and the limits of the MR-angiography method in the follow-up of aneurysms submitted to endovascular treatment.

scholarly journals Long-term Follow-up of Intracranial Aneurysms Occluded with Guglielmi Detachable Coils: Prediction of the Angiographical Changes on Incompletely Embolized Aneurysms.

2003 ◽  
Vol 31 (2) ◽  
pp. 121-128
Author(s):  
Tadashi NONAKA ◽  
Kazuhisa YOSHIFUJI ◽  
Futoshi MATSUNO ◽  
Kouichi HARAGUCHI ◽  
Michio INOUE ◽  
...  
Keyword(s):  
Intracranial Aneurysms ◽  
Guglielmi Detachable Coils ◽  
Long Term Follow Up ◽  
Detachable Coils

Prospective Evaluation of Time-of-Flight MR Angiography in the Follow-Up of Intracranial Saccular Aneurysms Treated with Guglielmi Detachable Coils

1999 ◽  
Vol 23 (2) ◽  
pp. 216-223 ◽  
Author(s):  
Laurent Brunereau ◽  
Jean-Philippe Cottier ◽  
Catherine-Brigitte Sonier ◽  
Bernard Medioni ◽  
Philippe Bertrand ◽  
...  
Keyword(s):  
Mr Angiography ◽  
Time Of Flight ◽  
Prospective Evaluation ◽  
Guglielmi Detachable Coils ◽  
Detachable Coils ◽  
Saccular Aneurysms

scholarly journals A systematic review and meta-analysis of Woven EndoBridge single layer for treatment of intracranial aneurysms

2020 ◽  
Vol 26 (4) ◽  
pp. 455-460 ◽  
Author(s):  
SBT van Rooij ◽  
ME Sprengers ◽  
JP Peluso ◽  
J Daams ◽  
D Verbaan ◽  
...  
Keyword(s):  
Systematic Review ◽  
Intracranial Aneurysms ◽  
Meta Analysis ◽  
Single Layer ◽  
Aneurysm Rupture ◽  
Antiplatelet Medication ◽  
Low Profile ◽  
Woven Endobridge ◽  
New Generation

Background and purpose The Woven EndoBridge is an intrasaccular device for the treatment of intracranial aneurysms. The first generation consisted of a high-profile double-layer braid. This review aims to evaluate the outcomes of the new generation low-profile Woven EndoBridge single layer device for intracranial aneurysm treatment. Methods A systematic review was conducted with Medline, Embase, and Web of Science Conference Proceedings databases. The search strategy provided 589 articles, 15 articles were included. Results Fifteen articles were identified reporting the use of Woven EndoBridge single-layer devices in 963 aneurysms, mostly wide-necked bifurcation aneurysms. Procedural aneurysm rupture was reported in 8 of 963 patients (0.83%; 95%CI 0.39–1.66%) and thromboembolic events in 54 of 963 patients (5.61%, 95CI 4.31–7.26%). Cumulative morbidity was 2.85% (27/949, 95%CI 1.95–4.12%) and mortality 0.93% (9/963, 95%CI 0.46–1.80%). The overall rate of adequate aneurysm occlusion at last follow-up was 83.3% (613/736; 95%CI 80.4–85.8%). Retreatment was reported in 38 aneurysms in eight studies with 450 aneurysms with follow-up (38/450; 8.4%, 95CI 6.2–11.4%). In 12 studies comprising 644 aneurysms with follow-up, rebleeds occurred in three patients in three studies with mean follow-up between 3.3 and 14.4 months (0.47%, 95%CI 0.09–1.43%) Conclusion Woven EndoBridge single-layer is a promising new low-profile device especially for wide-neck bifurcation aneurysms, both ruptured and unruptured. No antiplatelet medication is needed which is a great advantage, especially in ruptured aneurysms. Efficacy and safety compare favorably with (stent-assisted) coiling. However, no direct comparison with other treatments is available as yet.

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