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Jorge Arturo Santos-Franco1,2, Orlando Tortolero-Barrón1, Rafael Saavedra-Andrade1

  • 1Departamento de Neurocirugía y Terapia Endovascular Neurológica, Hospital de Especialidades, Centro Médico Nacional La Raza, Instituto Mexicano del Seguro Social (IMSS); México.

Gaceta Medica De Mexico
|February 8, 2018
PubMed
Summary

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Microsurgery and neurological endovascular therapy (NET) for multiple aneurysms (MA) showed varying results. NET achieved complete exclusion in all patients, while microsurgery had a higher complication rate and incomplete exclusion in some cases.

Area of Science:

  • Neurosurgery
  • Vascular Neurology
  • Interventional Radiology

Background:

  • Multiple aneurysms (MA) present complex treatment challenges.
  • Evaluating treatment outcomes for MA is crucial for patient management.

Purpose of the Study:

  • To determine the frequency and outcomes of multiple aneurysms (MA) treated with microsurgery and/or neurological endovascular therapy (NET).
  • To compare the effectiveness and complication rates of different treatment modalities for MA.

Main Methods:

  • An ambispective, descriptive, and longitudinal study was conducted.
  • Data included 62 patients with 151 aneurysms treated between March 2009 and April 2014.
  • Patients were categorized into surgical (GQ), endovascular (GE), and combined (GC) groups.
Keywords:
MicrosurgeryMultiple brain aneurysmsNeurological Endovascular Therapy

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Main Results:

  • Neurological endovascular therapy (NET) achieved complete aneurysm exclusion in 100% of cases.
  • Microsurgery (GQ) had a 6% complication rate and incomplete exclusion in 21% of patients.
  • Endovascular group (GE) had a significantly lower complication rate of 0.5%.

Conclusions:

  • Neurological endovascular therapy (NET) demonstrates high efficacy and safety for treating multiple aneurysms (MA).
  • Microsurgery for MA is associated with higher complication rates and potential for incomplete treatment.
  • Combined approaches may be necessary for complex cases, but NET offers a favorable alternative for complete exclusion.