ArticleAJNR. American journal of neuroradiology2010
Partially thrombosed intracranial aneurysms presenting with mass effect: long-term clinical and imaging follow-up after endovascular treatment.
Article in AJNR. American journal of neuroradiology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.
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Who cites it
42 citing papers in PubMed, 86 citations in OpenAlex.
- MR imaging of partially thrombosed cerebral aneurysms: characteristics and evolution.AJNR. American journal of neuroradiology · 2011Trial
- Higher risk of recurrence in partially thrombosed cerebral aneurysms post-WEB (Woven EndoBridge) device treatment: insights from the WorldWideWEB Consortium registry.Journal of neurointerventional surgery · 2026Article
- Beyond endovascular limits: open surgical management of bilateral giant petrocavernous internal carotid artery aneurysms in a pediatric patient.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026Article
- Intraprocedural Rupture During Coil Embolization of a Ruptured, Rapidly Thrombosing Anterior Cerebral Artery Aneurysm: A Case Report.NMC case report journal · 2026Article
- Giant cervical internal carotid artery aneurysm associated with multiple intra- and extracranial aneurysms: a case report.Frontiers in surgery · 2026Article
- Longitudinal volume evolution of large and giant intracranial aneurysms following endovascular flow diversion.Brain & spine · 2026Article
- Progressive thrombosed pseudoaneurysm following transarterial balloon embolization in traumatic carotid-cavernous fistula: From silent lesion to symptomatic mass.Surgical neurology international · 2026Article
- Largest documented cerebral aneurysm mimicking a giant brain tumor and treated by highly selective occlusion of inflow: illustrative case.Journal of neurosurgery. Case lessons · 2025Article
- Endovascular treatment of a symptomatic giant partially thrombosed aneurysm with saccular endovascular aneurysm lattice (SEAL) XL: The world's largest novel intrasaccular device.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025Article
- Comparison of Surgical and Endovascular Treatments for Partially Thrombosed Intracranial Aneurysms : Insights into Recurrence and Residual Lesions.Journal of Korean Neurosurgical Society · 2025Article
- A Case of thrombosed intracavernous carotid giant aneurysm with ipsilateral carotid thrombosis: Imaging, and management challenges.Radiology case reports · 2025Article
- Strategic Dual Approach for the Management of a Symptomatic Giant Partially Thrombosed Aneurysm at the Basilar Tip - Integrating Intrasaccular Flow Diversion and Endovascular Flow Reversal.Journal of Korean Neurosurgical Society · 2025Article
- A Case of Partially Thrombosed Dissecting Giant Aneurysm in the Distal Middle Cerebral Artery Treated by Endovascular Parent Artery Occlusion.NMC case report journal · 2025Article
- Zygomatic Anterolateral Temporal Approach for P1/P2 segment complex posterior cerebral aneurysm: a single-center retrospective study.Neurosurgical review · 2024Article
- Successful shrinkage of a recurrent partially thrombosed symptomatic large basilar tip aneurysm using a Target 3D Coil.Surgical neurology international · 2024Article
- Partially thrombosed giant basilar artery aneurysm with attenuated contrast enhancement of the intraluminal thrombus on vessel wall MRI after flow diversion treatment: illustrative case.Journal of neurosurgery. Case lessons · 2023Article
- Partially thrombosed giant basilar tip aneurysm that remarkably decreased in size after stent-assisted coiling associated with the disappearance of neovascularization.Neuroradiology · 2022Article
- Staged hybrid treatment for giant thrombosed fusiform aneurysm.Journal of cerebrovascular and endovascular neurosurgery · 2021Article
- The Fate of Partially Thrombosed Intracranial Aneurysms Treated with Endovascular Intervention.Journal of Korean Neurosurgical Society · 2021Article
- Current Strategies in the Treatment of Intracranial Large and Giant Aneurysms.Acta neurochirurgica. Supplement · 2021Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposePartially thrombosed aneurysms as a distinct entity form a diverse collection of complex aneurysms characterized by organized intraluminal thrombus and solid mass. Endovascular treatment options are PVO or selective coil occlusion of the remaining lumen. We present long-term clinical and angiographic results of endovascular treatment of unruptured partially thrombosed aneurysms that presented with symptoms of mass effect. MATERIALS AND
methodsBetween 1994 and 2008, 30 partially thrombosed aneurysms were treated by selective coiling and 26 by PVO. Of 56 aneurysms, 53 (95%) were large or giant. Neurologic recovery during a mean clinical follow-up of 42.7 months was established. Evolution of aneurysm size during a mean follow-up of 26.6 months in 46 patients was assessed with MR imaging.
resultsSeventeen of 56 patients (30%) fully recovered, 22 patients (39%) partially recovered, 11 patients (20%) were unchanged, and 6 patients (11%) died. Complete recovery more often occurred after PVO than after coiling (12 of 26 versus 5 of 30, P = .02). Aneurysm size reduction occurred more often after PVO (17 of 18 versus 2 of 28, P < .001). Five aneurysms continued to grow after coiling, resulting in death in 3. During follow-up, 27 additional treatments were performed in 19 patients, all treated with coiling.
conclusionsIn partially thrombosed aneurysms presenting with mass effect, the results of PVO are much better than those of selective coiling. After coiling, additional treatments are often needed, and some aneurysms keep growing. When PVO is not tolerated or not possible, surgical options should be considered before proceeding with coiling.
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