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Original research
Is long-term follow-up of adequately coil-occluded ruptured cerebral aneurysms always necessary? A single-center study of recurrences after endovascular treatment
  1. Alex M Mortimer1,
  2. Hannah Marsh1,
  3. Katherine Klimczak1,
  4. Dhiraj Joshi1,
  5. Helena Barton1,
  6. Richard J Nelson2,
  7. Marcus D Bradley1,
  8. Shelley A Renowden1
  1. 1Department of Neuroradiology, Frenchay Hospital, Bristol, UK
  2. 2Department of Neurosurgery, Fenchay Hospital, Bristol, UK
  1. Correspondence to Dr Alex M Mortimer, Department of Neuroradiology, Frenchay Hospital, Frenchay Park Road, Bristol BS16 1LE, UK; alex_mortimer{at}hotmail.com

Abstract

Purpose Aneurysm recurrence following coil occlusion is well recognized. However, there is controversy as to how long these patients should be followed up after coiling to detect reopening. We aimed to identify the rate of late reopening and the risk factors for reopening in a large single-center cohort of ruptured aneurysms that appeared adequately occluded at 6 months. We also aimed to assess whether rates of recurrence have altered over time with improving coil and angiographic technology.

Methods Patients treated between 1996 and 2010 were assessed and those with both 6-month initial and subsequent long-term follow-up with either digital subtraction angiography or magnetic resonance angiography were included. Aneurysms were stratified by features such as size, neck width, anatomical location and time of treatment: 1996–2005 (cohort 1) and 2006–2010 (cohort 2). ORs for risk of recurrence were calculated for aneurysm features and rates of recurrence in each cohort were compared using a χ2 test.

Results 437 patients with 458 adequately occluded aneurysms at 6 months had mean long-term follow-up of 31 months; 57 (12.4%) were large (≥10 mm) and 104 (22.7%) were wide-necked (>4 mm). Nine aneurysms (2%) showed significant late anatomical deterioration whereby retreatment was considered or undertaken. The risk was greater for large aneurysms (≥10 mm) (OR 15.61, 95% CI 3.79 to 64.33, p=0.0001) or wide-necked aneurysms (>4 mm) (OR 12.70, 95% CI 2.60 to 62.13, p=0.0017). The frequency of significant late anatomical deterioration and retreatment was also less common in those treated in cohort 2 (p<0.05). No completely occluded aneurysm at 6 months demonstrated significant late recurrence.

Conclusions Most aneurysms adequately occluded at 6 months did not show evidence of late recurrence. Large and wide-neck aneurysms are, however, at greater risk of later recurrence.

  • Aneurysm
  • Angiography
  • Intervention
  • Magnetic Resonance Angiography
  • Subarachnoid

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