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55. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e. V. (DGNC)
1. Joint Meeting mit der Ungarischen Gesellschaft für Neurochirurgie

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

25. bis 28.04.2004, Köln

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Frequency of recanalisation in endovascular treatment of itracranial aneurysms

Häufigkeit der Rekanalisation bei endovaskulärer Aneurysmaembolisation

Meeting Abstract

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  • corresponding author Panagiotis Papanagiotou - Universitätsklinik des Saarlandes, Abteilung Neuroradiologie, Homburg/Saar
  • G. Gül - Universitätsklinik des Saarlandes, Abteilung Neuroradiologie, Homburg/Saar
  • I.-Q. Grunwald - Universitätsklinik des Saarlandes, Abteilung Neuroradiologie, Homburg/Saar
  • W. Reith - Universitätsklinik des Saarlandes, Abteilung Neuroradiologie, Homburg/Saar

Deutsche Gesellschaft für Neurochirurgie. Ungarische Gesellschaft für Neurochirurgie. 55. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e.V. (DGNC), 1. Joint Meeting mit der Ungarischen Gesellschaft für Neurochirurgie. Köln, 25.-28.04.2004. Düsseldorf, Köln: German Medical Science; 2004. DocDI.08.06

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/dgnc2004/04dgnc0228.shtml

Published: April 23, 2004

© 2004 Papanagiotou 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

Text

Objective

To determine the recanalisation rate of GDC-treated aneurysms, and to reveal determinating factors.

Methods

We could include 89 aneurysms which were treated with GDC in our department and which had a follow-up of at least 18 months. The following criteria which might influence aneurysm recanalisation were evaluated: age, sex, location, rupture, size, neck.

Results

70 % were completely occluded,12 % had a neck remnant and 18% showed signs of recanalisation. Age, sex and localisation did not influence recanalisation. A bigger size, wider neck and rupture increased the risc of recanalisation.

Conclusions

Although recanalisation rate is low, the risk of re-bleeding in incompletely occluded aneurysms is higher than in completely occluded aneurysms. Thus new material, such as, hydrocoils or MATRIX will hopefully reduce the risk of recanalisation.