ArticleAJNR. American journal of neuroradiology2012
Endovascular treatment of cavernous sinus aneurysms.
Article in AJNR. American journal of neuroradiology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.
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26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 67 citations in OpenAlex.
- Natural history and treatment of asymptomatic unruptured carotid cavernous aneurysms: a systematic review and meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025Pooled it
- Cavernous carotid aneurysms in the era of flow diversion: a need to revisit treatment paradigms.AJNR. American journal of neuroradiology · 2014Pooled it
- A Combination Technique of N-butyl-2-cyanoacrylate and Minimal Coils with Flow Control for Parent Artery Occlusion of a Giant Internal Carotid Artery Aneurysm: A Technical Note.Neurologia medico-chirurgica · 2024Article
- Giant cavernous internal carotid aneurysm presenting with dizziness and bradycardia: A case report and a review of literature.Radiology case reports · 2023Article
- Single internal carotid cavernous sinus aneurysm presented as bilateral painful ophthalmoplegia: a case report.BMC neurology · 2023Article
- Article
- Endovascular treatment of cavernous carotid artery aneurysms: A 10-year, single-center experience.The neuroradiology journal · 2021Article
- Article
- Cavernous carotid artery large aneurysm treated with a new flow diverter - Xcalibur aneurysm occlusion device (AOD).Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2020Article
- Intracavernous Internal Carotid Artery Aneurysm Presenting as Acute Diplopia: A Case Report.Clinical practice and cases in emergency medicine · 2020Article
- Opening of unusual vascular collaterals leads to early recanalization of a giant intracavernous carotid artery aneurysm following common carotid artery occlusion: A Case report and literature review.Surgical neurology international · 2020Article
- Concomitant occurrence of clinoid and cavernous segment aneurysms complicated with carotid cavernous fistula: A case report.Medicine · 2019Article
- Usefulness of the Pipeline Embolic Device for Large and Giant Carotid Cavernous Aneurysms.Neurointervention · 2017Article
- Intraoperative Computed Tomography (CT) for Treating Giant Carotid Intracavernous Aneurysms.Medical science monitor : international medical journal of experimental and clinical research · 2017Article
- Aneurysm Study of Pipeline in an Observational Registry (ASPIRe).Interventional neurology · 2016Article
- Therapeutic Internal Carotid Artery Occlusion for Large and Giant Aneurysms: A Single Center Cohort of 146 Patients.AJNR. American journal of neuroradiology · 2016Observational
- Aneurysmal Subarachnoid Hemorrhage.Journal of neurosurgical anesthesiology · 2015Review
- Parent artery occlusion in large, giant, or fusiform aneurysms of the carotid siphon: clinical and imaging results.AJNR. American journal of neuroradiology · 2015Article
- Treatment of cavernous sinus aneurysms with flow diversion: results in 44 patients.AJNR. American journal of neuroradiology · 2014Article
- Stent-assisted coil embolization for cavernous carotid artery aneurysms.Neurologia medico-chirurgica · 2014Article
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Abstract
background and purposeAneurysms of the cavernous segment of the internal carotid artery generally exhibit a benign clinical course, with mass effect on cranial nerves. Rupture generally leads to carotid cavernous fistula and, rarely, to subarachnoid hemorrhage. In this study we report results of treatment in 85 patients with 86 cavernous sinus aneurysms. MATERIALS AND
methodsIn a 15-year period, 85 patients with 86 cavernous sinus aneurysms were treated. There were 77 women (91%) and 8 men, with a mean age of 55.5 years (range 26-78 years). Presentation was cranial neuropathy in 56, carotid cavernous fistula in 8, and subarachnoid hemorrhage in 1 patient. Twenty-one aneurysms were asymptomatic. Treatment was selective coiling in 31 aneurysms and carotid artery occlusion in 55 aneurysms, 5 after bypass surgery.
resultsAll 8 cavernous sinus fistulas were closed with coils. There were no complications of coiling and 1 patient had a permanent neurologic complication after carotid artery occlusion (morbidity 1.2%; 95% confidence interval, 0.01 to 6.9%). Clinical and MR imaging follow-up ranged from 3 months to 12 years. In 52 of 56 (93%) patients presenting with symptoms of mass effect, symptoms either were cured (n = 23) or improved (n = 29). All aneurysms were thrombosed after carotid artery occlusion and at latest MR imaging, 34 of 50 aneurysms (68%) were substantially decreased in size or completely obliterated.
conclusionsIn this series, for patients with cavernous sinus aneurysms, a treatment strategy including selective coiling and carotid artery occlusion was safe and effective. Most symptomatic patients (93%) were improved or cured, and most aneurysms (68%) shrank on follow-up.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.