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59th Annual Meeting of the German Society of Neurosurgery (DGNC)
3rd Joint Meeting with the Italian Neurosurgical Society (SINch)

German Society of Neurosurgery (DGNC)

1 - 4 June 2008, Würzburg

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Follow-up evaluation of the hemorrhagic risk revascularization in 75 embolized cerebral aneurysms

Meeting Abstract

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  • corresponding author A. Montinaro - U.O. Neurochirurgia, Ospedale “V. Fazzi“, Lecce, Italy
  • F. Lupo - U.O. di Neuroradiologia, Ospedale “V. Fazzi“, Lecce, Italy
  • C. D. Gianfreda - U.O. Neurochirurgia, Ospedale “V. Fazzi“, Lecce, Italy
  • F. Punzi - U.O. Neurochirurgia, Ospedale “V. Fazzi“, Lecce, Italy
  • P. Cantisani - U.O. Neurochirurgia, Ospedale “V. Fazzi“, Lecce, Italy

Deutsche Gesellschaft für Neurochirurgie. Società Italiana di Neurochirurgia. 59. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e.V. (DGNC), 3. Joint Meeting mit der Italienischen Gesellschaft für Neurochirurgie (SINch). Würzburg, 01.-04.06.2008. Düsseldorf: German Medical Science GMS Publishing House; 2008. DocSO.04.07

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/dgnc2008/08dgnc030.shtml

Published: May 30, 2008

© 2008 Montinaro et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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Objective: In the four-year period between January 2003 and December 2006, 75 patients with cerebral aneurysms treated in our Unit exclusively with embolization, were selected for follow-up study.

There were no limiting criteria for inclusion in the group selected, thus those included were patients who underwent embolization for aneurysms of any calibre, whether ruptured or not, in any dependant vessel of the Circle of Willis.

The follow-up over time required control angiography 6 months post-procedure followed by an AngioMRI every 6 moths thereafter to review the progress.

The incidence of revascularized aneurysmal re-bleeding within the six-month period immediately following the treatment was found to be just under 3%.

The present study was designed to determine, as much as possible, the causes for embolized aneurysmal re-bleeding in correlation to the following variables: the type aneurysm (ruptured or not); the site and dimension of the aneurysm; its complete or partial exclusion from the circulation after the endovascular treatment, and the medical treatment employed after the embolization.

In particular, we evaluated whether those patients, who presented with re-bleeding over time from the treatment would have had a different prognosis had they been treated with conventional surgical procedures and what the criteria should be to select patients as candidates either for surgery or for embolization.