Trial reportAJNR. American journal of neuroradiology2009
Clinical and angiographic follow-up of ruptured intracranial aneurysms treated with endovascular embolization.
Trial report in AJNR. American journal of neuroradiology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
27 citing papers in PubMed, 76 citations in OpenAlex.
- Comparison of second-generation hydrogel embolic coils and bare platinum coils in ruptured intracranial aneurysm treatment: A prospective, multicenter, randomized controlled study.Neurosurgical review · 2026Trial
- Endovascular treatment of ACom intracranial aneurysms. Report on series of 280 patients.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2010Trial
- Incidence, risk factors, clinical and cognitive impact of secondary hemorrhage after spontaneous aneurysmal subarachnoid hemorrhage.Brain & spine · 2026Article
- Article
- Contemporary Results of Bare Platinum Coil Embolization for Wide-Necked Ruptured Aneurysms: A Subset Analysis of the SMART Registry.Stroke (Hoboken, N.J.) · 2022Article
- Effects of Enterprise 2 stent-assisted coil embolization for wide-necked intracranial aneurysms.Chinese neurosurgical journal · 2022Article
- Evaluation of clinical and anatomical outcome of staged stenting after acute coiling of ruptured intracranial aneurysms.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2020Article
- Acute rerupture after coil embolization of ruptured intracranial saccular aneurysms: A literature review.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2018Review
- Korean Clinical Practice Guidelines for Aneurysmal Subarachnoid Hemorrhage.Journal of Korean Neurosurgical Society · 2018Review
- Dual microcatheter coil embolization of acutely ruptured wide-necked intracranial aneurysms.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2017Article
- Article
- Rebleeding of Ruptured Intracranial Aneurysms in the Immediate Postoperative Period after Coil Embolization.Journal of cerebrovascular and endovascular neurosurgery · 2015Article
- Identification of the inflow zone of unruptured cerebral aneurysms: comparison of 4D flow MRI and 3D TOF MRA data.AJNR. American journal of neuroradiology · 2014Article
- Symptomatic peripheral mycotic aneurysms due to infective endocarditis: a contemporary profile.Medicine · 2014Article
- Long-term clinical and imaging follow-up of complex intracranial aneurysms treated by endovascular parent vessel occlusion.AJNR. American journal of neuroradiology · 2012Article
- Computerized occlusion rating: a superior predictor of aneurysm rebleeding for ruptured embolized aneurysms.AJNR. American journal of neuroradiology · 2012Article
- CE-MRA for follow-up of aneurysms post stent-assisted coiling.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2012Article
- Risk factors affecting clinical outcome of ruptured vertebrobasilar saccular aneurysms.Journal of cerebrovascular and endovascular neurosurgery · 2012Article
- Endovascular treatment of ruptured intracranial aneurysms: factors affecting midterm quality anatomic results: analysis in a prospective, multicenter series of patients (CLARITY).AJNR. American journal of neuroradiology · 2012Article
- Early recurrent hemorrhage after coil embolization in ruptured intracranial aneurysms.Neuroradiology · 2012Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeEndovascular embolization is a well-established treatment of ruptured intracranial aneurysms, but concern about its long-term stability and its ability to prevent rehemorrhage are still present. We evaluated the long-term clinical and angiographic follow-up of patients with ruptured cerebral aneurysms treated with coiling, focusing on rehemorrhage and changes in aneurysm morphologic features. MATERIALS AND
methodsA total of 377 patients with ruptured aneurysms that were treated with endovascular approaches at our institution between 1994 and 2008 were reviewed. Clinical and angiographic data were analyzed from a prospectively collected data base.
resultsThere were 377 patients with 391 ruptured aneurysms treated for 14 years. Good outcome (Glasgow Outcome Score [GOS], 5) was achieved in 74% of patients, moderate disability or poor outcome in 18%, and 8.8% died. Permanent morbidity or mortality from procedural complications occurred in 2.9%. Complete follow-up was available for 85% of surviving patients, with mean follow-up of 22.3 months. Re-treatment was required in 11% (31 patients). Eight (2.1%) patients had rebleeding, 6 (1.6%) in the hospital within 30 days of treatment, 5 in the first 48 hours. Follow-up imaging was available in 276 aneurysms in 270 patients. Recanalization occurred in 56 of 276 aneurysms (20.3%) regardless of the initial angiographic result, but the risk was higher if a body remnant was left (chi2, 11.791; P = .0006).
conclusionsLong-term clinical and angiographic follow-up demonstrates the efficacy of endovascular treatment of ruptured intracranial aneurysms. Rebleeding after treatment is rare, with the greatest risk during the first 48 hours after treatment. Initial angiographic results are not a useful predictor of clinical outcome or rehemorrhage.
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