Multiple intracranial aneurysm embolization in a single session

  • John F. Vargas-Urbina Departamento de Neurocirugía, Servicio de Neurocirugía Vascular, Tumores y Funcional, Hospital Nacional Guillermo Almenara Irigoyen – EsSalud, Lima, Peru. https://orcid.org/0000-0003-2437-8713
  • Raúl E. Martinez-Silva Departamento de Neurocirugía, Servicio de Neurocirugía Vascular, Tumores y Funcional, Hospital Nacional Guillermo Almenara Irigoyen – EsSalud, Lima, Perú. https://orcid.org/0000-0001-8386-571X
  • Giancarlo Saal-Zapata Departamento de Neurocirugía, Servicio de Neurocirugía Endovascular, Hospital Nacional Guillermo Almenara Irigoyen - EsSalud, Lima, Peru.. https://orcid.org/0000-0002-4622-7118
  • Rodolfo Rodriguez-Varela Departamento de Neurocirugía, Servicio de Neurocirugía Endovascular, Hospital Nacional Guillermo Almenara Irigoyen - EsSalud, Lima, Peru. https://orcid.org/0000-0001-6361-3451
  • Walter Durand-Castro Departamento de Neurocirugía, Servicio de Neurocirugía Endovascular, Hospital Nacional Guillermo Almenara Irigoyen - EsSalud, Lima, Peru. https://orcid.org/0000-0003-2946-0847
Keywords: Intracranial Aneurysm, Endovascular Procedures, Stents, Embolization, Therapeutic, Subarachnoid Hemorrhage

Abstract

Objective: To determine clinical and angiographical outcomes in patients with multiple intracranial aneurysms who underwent endovascular therapy in a single session. Materials and Methods: Patients older than 18 years with multiple (≥2) ruptured or non-ruptured aneurysms were included, and all of them underwent endovascular therapy in a single session between 2019 and 2021. Clinical and angiographic data was collected. Immediate occlusion and follow-up data were collected. Rankin modified scale was used for assessing clinical outcomes. Results: Twenty-five patients were treated, and fourteen had subarachnoid hemorrhage. Seventy-eight aneurysms were diagnosed, and 59 of them were treated. The most frequent location was at the ophthalmic segment. Maximum average height was 5.2- mm, which showed significant statistical difference with a ruptured condition (p≤0.02). The main modality for endovascular therapy was the remodeling technique, which was used in 39% of all cases. Immediate Raymond Roy staging was I in 60% of all cases, and IIIa in 35% of all cases. Complication rate was 24%, and mortality rate was 8%. Conclusions: Single session endovascular therapy is an effective and safe option for cases of multiple intracranial aneurysms in our institution. Occlusion and complication rates were acceptable.

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Published
2023-07-31
How to Cite
1.
Vargas-Urbina JF, Martinez-Silva RE, Saal-Zapata G, Rodriguez-Varela R, Durand-Castro W. Multiple intracranial aneurysm embolization in a single session. Acta Med Peru [Internet]. 2023Jul.31 [cited 2023Sep.22];40(2). Available from: https://amp.cmp.org.pe/index.php/AMP/article/view/2581
Section
BRIEF ORIGINALS