PT  - JOURNAL ARTICLE
AU  - Murias Quintana, Eduardo
AU  - Vega, Pedro
AU  - Morales, Edison
AU  - Gil, Alberto
AU  - Cuellar, Hugo
AU  - Navia, Pedro
AU  - Saiz, Antonio
AU  - Meilán, Angela
AU  - Cadenas, Maria
AU  - Larrosa, Davinia
AU  - Gutierrez-Morales, Julio Cesar
AU  - Lopez, Antonio
TI  - Analysis of endovascular treatment of ruptured microaneurysms compared with ruptured larger aneurysms
AID  - 10.1136/neurintsurg-2015-011660
DP  - 2016 Jun 01
TA  - Journal of NeuroInterventional Surgery
PG  - 586--590
VI  - 8
IP  - 6
4099  - http://jnis.bmj.com/content/8/6/586.short
4100  - http://jnis.bmj.com/content/8/6/586.full
SO  - J NeuroIntervent Surg2016 Jun 01; 8
AB  - Objective To retrospectively analyze the complications and outcome of the endovascular treatment of ruptured microaneurysms compared with the treatment of ruptured larger aneurysms.Methods 40 ruptured cerebral microaneurysms treated by endovascular techniques were selected retrospectively and compared with 207 larger ruptured cerebral aneurysms treated by endovascular techniques during the same time period. Medical charts and imaging studies were reviewed to analyze baseline clinical and epidemiologic characteristics, procedural complications, and clinical outcomesResults Cerebral microaneurysms had a higher incidence of intraoperative technical ruptures (13.5% vs 2.9%, p<0.005). The number of thromboembolic complications was not increased. Patient prognosis was similar for the two groups (mean modified Rankin Scale score 1.81 vs 2.09, p>0.1).Conclusions Coiling of cerebral microaneurysms has a reasonable safety profile with good clinical outcomes, similar to coiling of larger aneurysms. In our experience, the systematic use of remodeling balloons, operator experience, and the ability to manage complications are the reasons for the satisfactory results.