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:	Ahmad Sobri M, Izwan ZZ, Rozman Zakaria, Razali Ralib, Jegan T, Azizi AB
Format:	Article
Language:	English
Published:	Department of Surgery, UKM Medical Centre 2011
Online Access:	http://journalarticle.ukm.my/2983/ http://journalarticle.ukm.my/2983/ http://journalarticle.ukm.my/2983/1/57-63.pdf

id	ukm-2983
recordtype	eprints
spelling	ukm-29832016-12-14T06:33:14Z http://journalarticle.ukm.my/2983/ Endovascular treatment of cerebral aneurysm: Early experience in a Malaysian tertiary centre Ahmad Sobri M, Izwan ZZ, Rozman Zakaria, Razali Ralib, Jegan T, Azizi AB, 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 term outcome/occlusion rate, morbidity and mortality Department of Surgery, UKM Medical Centre 2011-10 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/2983/1/57-63.pdf Ahmad Sobri M, and Izwan ZZ, and Rozman Zakaria, and Razali Ralib, and Jegan T, and Azizi AB, (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://jsurgacad.com/
repository_type	Digital Repository
institution_category	Local University
institution	Universiti Kebangasaan Malaysia
building	UKM Institutional Repository
collection	Online Access
language	English
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 term outcome/occlusion rate, morbidity and mortality
format	Article
author	Ahmad Sobri M, Izwan ZZ, Rozman Zakaria, Razali Ralib, Jegan T, Azizi AB,
spellingShingle	Ahmad Sobri M, Izwan ZZ, Rozman Zakaria, Razali Ralib, Jegan T, Azizi AB, Endovascular treatment of cerebral aneurysm: Early experience in a Malaysian tertiary centre
author_facet	Ahmad Sobri M, Izwan ZZ, Rozman Zakaria, Razali Ralib, Jegan T, Azizi AB,
author_sort	Ahmad Sobri M,
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	Department of Surgery, UKM Medical Centre
publishDate	2011
url	http://journalarticle.ukm.my/2983/ http://journalarticle.ukm.my/2983/ http://journalarticle.ukm.my/2983/1/57-63.pdf
first_indexed	2023-09-18T19:37:33Z
last_indexed	2023-09-18T19:37:33Z
_version_	1777405372016885760

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

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