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Endovascular treatment of cerebral aneurysm: early experience in a Malaysian tertiary centre

Universiti Kebangsaan Malaysia Medical Center (UKMMC) started neurointerventional service in August 2008. In this study, we aimed to evaluate the immediate and short term outcome of endovascular treatment (EVT) of cerebral aneurysm during early period of the services. A retrospective study for cereb...

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Main Authors: Muda, Ahmad Sobri, Zaini, Izwan Zanni, Zakaria, Rozman, Md Ralib @ Md Raghib, Ahmad Razali, Thanabalan, Jegan, Abu Bakar, Azizi
Format: Article
Language:English
Published: Universiti Kebangsaan Malaysia 2011
Subjects:
R Medicine (General)
Online Access:http://irep.iium.edu.my/7500/1/Journal_of_Surgical_Academia_2011_Muda.pdf
http://irep.iium.edu.my/7500/
http://journalarticle.ukm.my/2983/1/57-63.pdf
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spelling my.iium.irep.75002012-04-25T08:35:40Z http://irep.iium.edu.my/7500/ Endovascular treatment of cerebral aneurysm: early experience in a Malaysian tertiary centre Muda, Ahmad Sobri Zaini, Izwan Zanni Zakaria, Rozman Md Ralib @ Md Raghib, Ahmad Razali Thanabalan, Jegan Abu Bakar, Azizi R Medicine (General) Universiti Kebangsaan Malaysia Medical Center (UKMMC) started neurointerventional service in August 2008. In this study, we aimed to evaluate the immediate and short term outcome of endovascular treatment (EVT) of cerebral aneurysm during early period of the services. A retrospective study for cerebral aneurysm treated by endovascular technique, from the Neurosurgical and Radiology Department from September 2008 till February 2010 was performed. Patient's demographic data, initial clinical presentation and assessment of the aneurysm were performed. The immediate results and short term assessment post EVT were evaluated based on standard criteria. Recurrence and complications during and following EVT procedures, were recorded. Twenty one patients with total of 22 aneurysms were treated. The mean age was 54.52 years with 57 being males and 43 females. The majority (81) had single aneurysm. The most common site was anterior communicating artery (28 ). Mean aneurysm sac size was 6.19 mm and 2.55 mm for aneurysm neck. At follow-up, 3 (27.2) had a small residual neck. Four patients (37.2) had residual aneurysm filling, but three of them were treated with stent aiming to achieve flow diversion effect instead of complete occlusion during initial treatment. There was no rebleed or rupture from the immediate to follow-up. Significant complications up to 30-days was observed in 4 patients (20) whereby 2 patients showed improvement and 2 patients died (10 mortality rate). Endovascular treatment of cerebral aneurysms performed in our centre had early outcome, morbidity and mortality compared to other higher volume centres. Longer term follow up is needed to evaluate the long termoutcome/occlusion rate, morbidity and mortality. Universiti Kebangsaan Malaysia 2011-10 Article REM application/pdf en http://irep.iium.edu.my/7500/1/Journal_of_Surgical_Academia_2011_Muda.pdf Muda, Ahmad Sobri and Zaini, Izwan Zanni and Zakaria, Rozman and Md Ralib @ Md Raghib, Ahmad Razali and Thanabalan, Jegan and Abu Bakar, Azizi (2011) Endovascular treatment of cerebral aneurysm: early experience in a Malaysian tertiary centre. Journal of Surgical Academia, 1 (2). pp. 57-63. ISSN 2231-7481 http://journalarticle.ukm.my/2983/1/57-63.pdf
institution Universiti Islam Antarabangsa Malaysia
building IIUM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider International Islamic University Malaysia
content_source IIUM Repository (IREP)
url_provider http://irep.iium.edu.my/
language English
topic R Medicine (General)
spellingShingle R Medicine (General)
Muda, Ahmad Sobri
Zaini, Izwan Zanni
Zakaria, Rozman
Md Ralib @ Md Raghib, Ahmad Razali
Thanabalan, Jegan
Abu Bakar, Azizi
Endovascular treatment of cerebral aneurysm: early experience in a Malaysian tertiary centre
description Universiti Kebangsaan Malaysia Medical Center (UKMMC) started neurointerventional service in August 2008. In this study, we aimed to evaluate the immediate and short term outcome of endovascular treatment (EVT) of cerebral aneurysm during early period of the services. A retrospective study for cerebral aneurysm treated by endovascular technique, from the Neurosurgical and Radiology Department from September 2008 till February 2010 was performed. Patient's demographic data, initial clinical presentation and assessment of the aneurysm were performed. The immediate results and short term assessment post EVT were evaluated based on standard criteria. Recurrence and complications during and following EVT procedures, were recorded. Twenty one patients with total of 22 aneurysms were treated. The mean age was 54.52 years with 57 being males and 43 females. The majority (81) had single aneurysm. The most common site was anterior communicating artery (28 ). Mean aneurysm sac size was 6.19 mm and 2.55 mm for aneurysm neck. At follow-up, 3 (27.2) had a small residual neck. Four patients (37.2) had residual aneurysm filling, but three of them were treated with stent aiming to achieve flow diversion effect instead of complete occlusion during initial treatment. There was no rebleed or rupture from the immediate to follow-up. Significant complications up to 30-days was observed in 4 patients (20) whereby 2 patients showed improvement and 2 patients died (10 mortality rate). Endovascular treatment of cerebral aneurysms performed in our centre had early outcome, morbidity and mortality compared to other higher volume centres. Longer term follow up is needed to evaluate the long termoutcome/occlusion rate, morbidity and mortality.
format Article
author Muda, Ahmad Sobri
Zaini, Izwan Zanni
Zakaria, Rozman
Md Ralib @ Md Raghib, Ahmad Razali
Thanabalan, Jegan
Abu Bakar, Azizi
author_facet Muda, Ahmad Sobri
Zaini, Izwan Zanni
Zakaria, Rozman
Md Ralib @ Md Raghib, Ahmad Razali
Thanabalan, Jegan
Abu Bakar, Azizi
author_sort Muda, Ahmad Sobri
title Endovascular treatment of cerebral aneurysm: early experience in a Malaysian tertiary centre
title_short Endovascular treatment of cerebral aneurysm: early experience in a Malaysian tertiary centre
title_full Endovascular treatment of cerebral aneurysm: early experience in a Malaysian tertiary centre
title_fullStr Endovascular treatment of cerebral aneurysm: early experience in a Malaysian tertiary centre
title_full_unstemmed Endovascular treatment of cerebral aneurysm: early experience in a Malaysian tertiary centre
title_sort endovascular treatment of cerebral aneurysm: early experience in a malaysian tertiary centre
publisher Universiti Kebangsaan Malaysia
publishDate 2011
url http://irep.iium.edu.my/7500/1/Journal_of_Surgical_Academia_2011_Muda.pdf
http://irep.iium.edu.my/7500/
http://journalarticle.ukm.my/2983/1/57-63.pdf
_version_ 1643605954376237056
score 13.211869

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