scholarly journals Clinical and Radiogical Outcomes of Endovascular Detachable Coil Embolization in Paraclinoid Aneurysms : A 10-Year Experience

2009 ◽  
Vol 45 (1) ◽  
pp. 5 ◽  
Author(s):  
Sung-Chul Jin ◽  
Do Hoon Kwon ◽  
Jae-Sung Ahn ◽  
Byung-Duk Kwun ◽  
Young Song ◽  
...  
2001 ◽  
Vol 43 (10) ◽  
pp. 884-890 ◽  
Author(s):  
S. Matsubara ◽  
K. Satoh ◽  
J. Satomi ◽  
T. Miyamoto ◽  
M. Uno ◽  
...  

Neurosurgery ◽  
2008 ◽  
Vol 63 (3) ◽  
pp. 469-475 ◽  
Author(s):  
Raymond D. Turner ◽  
James V. Byrne ◽  
Michael E. Kelly ◽  
Aristotelis P. Mitsos ◽  
Vivek Gonugunta ◽  
...  

ABSTRACT OBJECTIVE Paraophthalmic aneurysms may exert mass effect on the optic apparatus. Although surgical clipping and endovascular coiling of these aneurysms can be complicated by immediate postoperative visual deterioration, endovascular coil embolization has the unique risk of visual complications later (>24 h) in the perioperative period. METHODS Six patients with a delayed onset of vision loss after technically successful coil embolization of paraophthalmic region aneurysms were identified. All available clinical, angiographic, and cross sectional imaging for these patients, in addition to histopathological data, were reviewed. RESULTS Six patients who underwent endovascular treatment of paraclinoid aneurysms at our institutions developed delayed postoperative visual decline. Four were treated with combination hydrogel-coated and bare platinum coils, one with hydrogel-coated coils, and one with bare platinum coils. Three patients presented with some degree of visual impairment caused by their aneurysms. Catheter angiography performed after the visual decline revealed no etiology in any of the cases. Magnetic resonance imaging was performed in all patients and was unremarkable in two. At follow-up, two had improved, three remained unchanged, and one patient died before any follow-up assessment of her vision. CONCLUSION Both acute and delayed visual disturbances can present after the endovascular treatment of carotid artery paraophthalmic aneurysms. Delayed visual deterioration can be observed up to 35 days after embolization. Although the cause is still undefined, it is likely that the more delayed visual deterioration can be attributed to progression of mass effect and/or perianeurysmal inflammatory change. Our case series raises the possibility that this phenomenon may be more likely with HydroCoil (HydroCoil Embolic System; MicroVention, Aliso Viejo, CA). This possibility should be taken into account by neurointerventionists when selecting a coil type to treat large paraophthalmic aneurysms.


2013 ◽  
Vol 19 (3) ◽  
pp. 339-343 ◽  
Author(s):  
David Chen ◽  
Chi-Jen Chen ◽  
Jiann-Jy Chen ◽  
Ying-Chi Tseng ◽  
Hui-Ling Hsu ◽  
...  

A 59-year-old man who denied a history of trauma presented with left pulsatile tinnitus and left orbital swelling for six months. Digital subtraction angiography showed a left persistent trigeminal artery (PTA) with a trigeminal artery to cavernous sinus (trigeminal-cavernous sinus) fistula and a right PTA. Transarterial detachable coil embolization of the left trigeminal-cavernous sinus fistula was performed, and the symptoms subsided. There has been no report of bilateral PTAs with a spontaneous fistula connected from one PTA to the ipsilateral cavernous sinus. This paper reports such a rare circumstance.


Author(s):  
Ryotaro SUZUKI ◽  
Tomoji TAKIGAWA ◽  
Yasuhiko NARIAI ◽  
Akio HYODO ◽  
Kensuke SUZUKI

Medicine ◽  
2021 ◽  
Vol 100 (51) ◽  
pp. e28416
Author(s):  
Yingjie Chen ◽  
Wei Qin ◽  
Ziyang Zhu ◽  
Xiaojiang Wang ◽  
Wei Yu ◽  
...  

2017 ◽  
Vol 23 (1) ◽  
pp. 77-80 ◽  
Author(s):  
Umberto Marcello Bracale ◽  
Donatella Narese ◽  
Ilaria Ficarelli ◽  
Ficarelli Laurentis ◽  
Flavia Spalla ◽  
...  

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