Eduardo Murias Quintana1, Pedro Vega Valdés2, Edison Morales Deza2, Alberto Gil Garcia3, Hugo Cuellar4, Serafín Costilla García2, María Cadenas Rodríguez5, Montserrat Gonzalez Delgado6, Jorge Peña Suárez7, Elena Santamarta Liébana7, Antonio López-García8. 1. Hospital Universitario Central de Asturias, Radiology - Interventional Neuroradiology, Spain emuriass@hotmail.com. 2. Hospital Universitario Central de Asturias, Radiology - Interventional Neuroradiology, Spain. 3. Hospital Universitario de Cruces - Bilbao, Radiology - Interventional Neuroradiology, Spain. 4. Louisiana State University Health Sciences Center, Neurosurgery, USA. 5. Hospital Universitario Central de Asturias, Medical Nursing, Spain. 6. Hospital Universitario Central de Asturias, Neurology, Spain. 7. Hospital Universitario Central de Asturias, Radiology, Spain. 8. Hospital Universitario Central de Asturias, Neurosurgery, Spain.
Abstract
OBJECTIVE: The objective of this article is to compare the results of endovascular treatment of ruptured middle cerebral artery (MCA) aneurysms with ruptured aneurysms of other anatomic locations. METHODS: Fifty consecutive ruptured aneurysms of the MCA and 209 aneurysms at other anatomical locations were selected retrospectively. We compared epidemiological, clinical and radiological variables, prognosis and complications. RESULTS: The MCA aneurysms had a greater size and a poor dome/neck ratio. There were no significant differences in endovascular technique complications, occlusion rate or rebleeding between the two groups (p > 0.1). There were no significant differences in the mortality and number of dependent patients after one month. CONCLUSION: The endovascular treatment of ruptured MCA aneurysms without hematoma is as safe and effective as other aneurysm localizations. Complication rates, occlusion rates and rebleeding of ruptured MCA aneurysms are comparable to other locations.
OBJECTIVE: The objective of this article is to compare the results of endovascular treatment of ruptured middle cerebral artery (MCA) aneurysms with ruptured aneurysms of other anatomic locations. METHODS: Fifty consecutive ruptured aneurysms of the MCA and 209 aneurysms at other anatomical locations were selected retrospectively. We compared epidemiological, clinical and radiological variables, prognosis and complications. RESULTS: The MCA aneurysms had a greater size and a poor dome/neck ratio. There were no significant differences in endovascular technique complications, occlusion rate or rebleeding between the two groups (p > 0.1). There were no significant differences in the mortality and number of dependent patients after one month. CONCLUSION: The endovascular treatment of ruptured MCA aneurysms without hematoma is as safe and effective as other aneurysm localizations. Complication rates, occlusion rates and rebleeding of ruptured MCA aneurysms are comparable to other locations.
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