Clinical and imaging follow-up after surgical or endovascular treatment in patients with unruptured carotid-ophthalmic aneurysm. Aboukais, R., Zairi, F., Bourgeois, P., Thines, L., Kalsoum, E., Leclerc, X., & Lejeune, J. P. Clin Neurol Neurosurg, 125:155–9, October, 2014.
Clinical and imaging follow-up after surgical or endovascular treatment in patients with unruptured carotid-ophthalmic aneurysm [link]Paper  doi  abstract   bibtex   
BACKGROUND: Carotido-ophthalmic aneurysms are complex and their treatment is challenging. Few data are available on patient follow-up after endovascular or surgical treatment. OBJECTIVE: To evaluate outcome of patients with unruptured carotido-ophthalmic aneurysm after endovascular or surgical treatment. MATERIALS AND METHODS: This series included 52 consecutive patients in a single center treated for an unruptured carotido-ophthalmic aneurysm at Lille University Hospital between 2000 and 2011. Visual disturbances were present in 5 patients. Treatment option (endovascular or microsurgical) was decided for each patient in a multidisciplinary meeting. We recorded age and the American Society of Anesthesiology score (ASA) before treatment and the modified Rankin Scale score (mRS) at 3 months after treatment. All patients had conventional angiography performed before and immediately after treatment. Long-term imaging follow-up was performed at 3 years after treatment. RESULTS: Treatment was endovascular in 29 patients and microsurgical in 23. The mean follow-up was 4.6 years. Conventional angiograms showed multiple intracranial aneurysms in 26 patients. Age, pre-therapeutic ASA score and mRS score at 3 months after treatment showed no significant difference between microsurgery and endovascular treatment. Imaging follow-up showed aneurysm recurrence after endovascular treatment in 6 patients including 3 with major recurrence that required further treatment by microsurgery. In these 3 major recurrences, the initial conventional angiography demonstrated the origin of the ophthalmic artery at the neck or from the aneurysmal sac in 3 cases. After microsurgery, conventional angiography showed a remnant neck in 2 patients including 1 treated by further endovascular procedure. CONCLUSION: Endovascular treatment remains the first therapeutic option when the ophthamic artery originates at a distance from the neck, but microsurgery should be considered for large aneurysms with optic nerve compression, or when the ophthalmic artery arises from the neck of the aneurysm.
@article{aboukais_clinical_2014,
	title = {Clinical and imaging follow-up after surgical or endovascular treatment in patients with unruptured carotid-ophthalmic aneurysm},
	volume = {125},
	issn = {1872-6968 (Electronic) 0303-8467 (Linking)},
	url = {http://www.ncbi.nlm.nih.gov/pubmed/25156408},
	doi = {10.1016/j.clineuro.2014.08.006},
	abstract = {BACKGROUND: Carotido-ophthalmic aneurysms are complex and their treatment is challenging. Few data are available on patient follow-up after endovascular or surgical treatment. OBJECTIVE: To evaluate outcome of patients with unruptured carotido-ophthalmic aneurysm after endovascular or surgical treatment. MATERIALS AND METHODS: This series included 52 consecutive patients in a single center treated for an unruptured carotido-ophthalmic aneurysm at Lille University Hospital between 2000 and 2011. Visual disturbances were present in 5 patients. Treatment option (endovascular or microsurgical) was decided for each patient in a multidisciplinary meeting. We recorded age and the American Society of Anesthesiology score (ASA) before treatment and the modified Rankin Scale score (mRS) at 3 months after treatment. All patients had conventional angiography performed before and immediately after treatment. Long-term imaging follow-up was performed at 3 years after treatment. RESULTS: Treatment was endovascular in 29 patients and microsurgical in 23. The mean follow-up was 4.6 years. Conventional angiograms showed multiple intracranial aneurysms in 26 patients. Age, pre-therapeutic ASA score and mRS score at 3 months after treatment showed no significant difference between microsurgery and endovascular treatment. Imaging follow-up showed aneurysm recurrence after endovascular treatment in 6 patients including 3 with major recurrence that required further treatment by microsurgery. In these 3 major recurrences, the initial conventional angiography demonstrated the origin of the ophthalmic artery at the neck or from the aneurysmal sac in 3 cases. After microsurgery, conventional angiography showed a remnant neck in 2 patients including 1 treated by further endovascular procedure. CONCLUSION: Endovascular treatment remains the first therapeutic option when the ophthamic artery originates at a distance from the neck, but microsurgery should be considered for large aneurysms with optic nerve compression, or when the ophthalmic artery arises from the neck of the aneurysm.},
	journal = {Clin Neurol Neurosurg},
	author = {Aboukais, R. and Zairi, F. and Bourgeois, P. and Thines, L. and Kalsoum, E. and Leclerc, X. and Lejeune, J. P.},
	month = oct,
	year = {2014},
	keywords = {*Embolization, *Endovascular Procedures, Adult, Aged, Cerebral Angiography/methods, Female, Follow-Up Studies, Humans, Intracranial Aneurysm/diagnosis/*surgery, Male, Microsurgery, Middle Aged, Ophthalmic Artery/pathology/*surgery, Therapeutic/methods, Treatment Outcome},
	pages = {155--9},
}

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