ArticleAJNR. American journal of neuroradiology
Endovascular treatment of ophthalmic artery aneurysms: assessing balloon test occlusion and preservation of vision in coil embolization.
Article in AJNR. American journal of neuroradiology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed, 37 citations in OpenAlex.
- Combined antegrade and retrograde transarterial approaches for embolization of a traumatic carotid‑cavernous fistula with concomitant middle meningeal arteriovenous fistula.Radiology case reports · 2026Article
- Presence of small and large branch vessels from intracranial aneurysms increases the risk of post-treatment recurrence and retreatment following endovascular coiling: insights from a propensity score-matched cohort.Frontiers in surgery · 2026Article
- Visual symptoms after flow-diverter stenting of internal carotid artery aneurysms: A retrospective cohort study.Surgical neurology international · 2025Article
- Retinal artery/arteriole occlusion risks after endovascular treatment for unruptured intracranial aneurysm.Stroke and vascular neurology · 2024Article
- Dolichoectasia of the ophthalmic artery: a case report on the treatment strategy in endovascular therapy and literature review.BMC cardiovascular disorders · 2024Review
- Navigating complexity: a comprehensive review of microcatheter shaping techniques in endovascular aneurysm embolization.Frontiers in neurology · 2023Review
- Comparison of Visual Outcomes of Ophthalmic Artery Aneurysms Treated with Microsurgical Clipping and Endovascular Coiling.Neurointervention · 2022Article
- A novel endovascular treatment for true ophthalmic aneurysms: A case report.Frontiers in ophthalmology · 2022Article
- Endovascular treatment of aneurysms of the paraophthalmic segment of the internal carotid artery: Current status.Frontiers in neurology · 2022Review
- Visual complications after coil embolization of internal carotid artery aneurysms at the ophthalmic segment.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2021Article
- Ophthalmic Artery Flow Pattern-related Stump Pressure and Ischemic Tolerance during Balloon Test Occlusion of the Internal Carotid Artery.Neurologia medico-chirurgica · 2021Article
- Role of the ophthalmic artery in the endovascular treatment for intracranial vascular diseases.Acta neurologica Belgica · 2021Review
- Evaluation of the anastomoses between the ophthalmic artery and the middle meningeal artery by superselective angiography.Surgical and radiologic anatomy : SRA · 2020Article
- Usefulness of External Carotid Artery Angiogram with Manual Carotid Compression in Ophthalmic Artery Aneurysm.Journal of cerebrovascular and endovascular neurosurgery · 2019Article
- [Management of paraophthalmic aneurysms : Review of endovascular treatment strategies].Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft · 2018Review
- An update on the variations of the orbital blood supply and hemodynamic.Surgical and radiologic anatomy : SRA · 2017Review
- The Use of Flow Diverting Stents to Treat Para-Ophthalmic Aneurysms.Frontiers in neurology · 2017Article
- Central Retinal Artery Occlusion after the Endovascular Treatment of Unruptured Ophthalmic Artery Aneurysm: A Case Report and a Literature Review.NMC case report journal · 2016Article
- Modified coil protection for proper coil frame configuration in wide-necked aneurysms.Neuroradiology · 2015Article
- Ophthalmic artery occlusion immediately following placement of a flow diverter without clinical sequelae.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2015Article
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Authors and funding
8 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeICA-ophthalmic artery aneurysms have unique configurations corresponding to relative risks of ophthalmologic morbidities. Presented herein are clinical and radiologic outcomes of coil embolization in ophthalmic artery aneurysms. MATERIALS AND
methodsFrom January 2003 to September 2013, endovascular coiling was performed in 43 consecutive patients with ophthalmic artery aneurysms, each classified by the degree to which the ophthalmic artery was incorporated by the aneurysm and the contiguity between the ophthalmic artery entry and parent ICA. Clinical and radiologic outcomes of this approach were investigated, including the technical aspects of treatment and the efficacy of balloon test occlusion.
resultsAmong 14 patients (32.6%, all ophthalmic artery types) undergoing balloon test occlusion before endovascular coiling, patent collaterals between the external carotid artery and ophthalmic artery were demonstrated in 12 (85.7%) and complete compromise of the ophthalmic artery (without affecting vision) occurred in 4 patients during coiling. Steam-shaped S-configured (67.9%) or straight microcatheters (17.8%) facilitated aneurysm selection in most of the superiorly directed ophthalmic artery aneurysms (n = 28), and steam-shaped pigtail microcatheters (85.7%) were useful in medially directed aneurysms (n = 14). Balloon protection (n = 22) was generally used to facilitate coiling, or a stent (n = 9) was alternatively deployed. Satisfactory aneurysmal occlusion was achieved through coil embolization in 37 lesions (86.1%). During follow-up of 35 patients (mean interval, 12.9 ± 9.4 months), only 1 instance (2.9%) of major recanalization was observed.
conclusionsIf one tailors technical strategies, ophthalmic artery aneurysms are amenable to safe and effective endovascular coil embolization, which tends to be stable in follow-up. Balloon test occlusion may be helpful in devising treatment strategies to preserve vision when coiling ophthalmic artery aneurysms (especially those incorporating an ophthalmic artery origin) is done.
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