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ReviewofpublishedpapersHuPeng2010-7-20
Pierot,L.,L.Spelle,andF.Vitry,Immediateclinicaloutcomeofpatientsharboringunrupturedintracranialaneurysmstreatedbyendovascularapproach:resultsoftheATENAstudy.Stroke,2008.39(9):p.2497-504.
ATENA:AnalysisofTreatmentbyEndovascularapproachofNonrupturedAneurysms.ConductedbytheFrenchSocietyofNeuroradiology(SFNR)CanadianandFrenchneurointerventionalcenters.months
aneurysmslessthan15mm.Excludedaneurysms:FusiformanddissectinganeurysmsaneurysmsassociatedwithbrainarteriovenousmalformationsIncaseofrecentsubarachnoidhemorrhage(1month)relatedtoanotheraneurysm
Clinicalstatus:mRSPermanentmorbidityandmortalityofthetreatmentwasevaluatedat1month:Morbidity:Asymptomaticaneurysms:mRS2~5;Symptomaticaneurysms:mRSpreviousmortality:Anydeathwithin30daysofendovasculartreatmentAnatomicalresults:modified3-pointJeanRaymondclassificationscale:completeocclusion,neckremnant,andaneurysmremnant
Descriptionofpatientspopulationandaneurysmspatients/center649patients:468femalepatients,181malepatients649patientswith1100UIAs,289patientswithmultipleUIAs700procedureswereperformedtotreat739aneurysmsAnteriorcirculation:91.9%Posteriorcirculation:8.1%
Parentarteryocclusion:12Coils:727aneurysms396aneurysms:coilsalone271aneurysms:remodelingtechqiuesStenting:57Trispan:3
FeasibilityofEndovascularTreatmentofUnrupturedIntracranialAneurysms:32aneurysmsfailedbyendovascularapproach;2patientswithmultipleUIAs,othersrupturedduringtheprocedure;22becauseofanatomicalreasons:widenecknotcontrollablewiththeremodelingtechnique,vesselarisingfromtheneckoftheaneurysm,andsmallsizeoftheaneurysmmakingdepositionofcoilsdifficultandunsafe8aneurysms:duetotechniqueproblems:difficultiesinmicrocatherplacement14MCAUIAsfailedSize:failurerate:1~6mm5.7%7~15mm:2.3%
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