BACKGROUND AND PURPOSE Intracranial aneurysms are common, with an overall frequency ranging from 0.8% to 10%. Because prognosis after subarachnoid hemorrhage is still very poor, treatment of unruptured aneurysms, either neurosurgically or endovascularly, has been advocated. However, risk of rupture and subsequent subarachnoid hemorrhage needs to be considered against the risks of elective treat...

Background and Purpose—We report our experience using Matrix coils in coiling of cerebral aneurysms. Methods—Clinical and angiographic outcomes of 152 patients (165 aneurysms) treated exclusively with Matrix coils were retrospectively analyzed. Results—There were 74 ruptured aneurysms (44.8%) and 91 unruptured (55.2%). After coiling, 84 (50.9%) aneurysms were occluded, 38 (23.0%) aneurysms had ...

OBJECTIVE To assess the effect of concurrent arterial aneurysms on the risk of incident haemorrhage from brain arteriovenous malformations (AVMs). METHODS In a cross sectional study, 463 consecutive, prospectively enrolled patients from the Columbia AVM Databank were analysed. Concurrent arterial aneurysms on brain angiography were classified as feeding artery aneurysms, intranidal aneurysms,...

The unusual occurrence of non-infected submitral and aortic aneurysms developing sequentially in an adult prompted us to review the pathogenesis of congenital aneurysms adjacent to the aortic and mitral valves. The findings support the suggestion that subvalvular aneurysms, like aortic sinus aneurysms, are a result of a congenital defect at the valve anulus. Submitral aneurysms occur only subja...

To know the characteristics of mortality from aortic aneurysms in Japan, the age-adjusted and age-specific mortality rates of the diseases were calculated based on the Vital Statistics of Japan published from the Statistics and Information Department, Minister's Secretariat, Ministry of Health and Welfare. The overall age-adjusted mortality rate increased 24.8-fold from 0.43 to 10.98 per 100,00...

The mechanisms of development, growth and rupture of cerebral aneurysms are still incompletely understood. However, blood flow is believed to have a major impact. Some aneurysms develop smaller aneurysms, so-­‐called daughter aneurysms -­‐ see figure. In this study the influence of these daughter aneurysms was investigated. The blood flow with and without these daughter aneurysms was simulated ...

We retrospectively analyzed the prevalence and surgical outcomes of unruptured cerebral aneurysms in the elderly for the past five years. Between 1998 and 2002, we collected data from 575 subjects with unruptured aneurysms who had no history of subarachnoid hemorrhage (SAH). One hundred and eighty-two of these patients (31.7%) were aged > or = 70 years and they had 233 aneurysms. The proportion...

BACKGROUND AND PURPOSE Flow diverters are important tools for the treatment of intracranial aneurysms. We report a retrospective evaluation of the safety and efficacy of p64, a fully resheathable, detachable flow diverter, in the endovascular treatment of intracranial sidewall aneurysms. MATERIALS AND METHODS Results of 121 patients with 130 aneurysms (median neck size, 3 mm; median fundus si...

BACKGROUND Posterior fossa arteriovenous malformations (AVMs) are considered to have a higher risk of poor outcome, as are AVMs with associated aneurysms. We postulated that posterior fossa malformations may be more prone to associated feeder vessel aneurysms, and to aneurysmal source of hemorrhage. OBJECTIVE To examine the prevalence and hemorrhagic risk of posterior fossa AVM-associated fee...

PURPOSE To evaluate the usefulness of three-dimensional CT angiography (CTA), in which contrast material is used to create reformations of dynamic scans, in the diagnosis and the preoperative evaluation of cerebral aneurysms. METHODS We used 3-D CTA to examine 65 patients with suspected or angiographically verified cerebral aneurysms. A blind study was performed to evaluate the diagnostic acc...