E-027 Matricidal cavernous aneurysms: a multicenter case series

Conclusion Matricidal aneurysms require careful consideration and planning. The restricted anatomy of the cavernous sinus can make successful execution of endovascular interventions difficult. Direct elastic compression of the parent artery does not respond to angioplasty and stenting the way that atherosclerotic stenosis does. Because of this, planning for possible parent vessel sacrifice is important. Abstract E-027 Table 1 Intended Treatments and Outcomes n Intended Treatment Failed Treatment (rate) All Patients 37 10 (27%) Flow Diversion 18 5 (28%) Parent Vessel Sacrifice 11 With Bypass 4 2 (50%) Without Bypass 7 0 (0%) Coil with or without balloon assistance 7 2 (29%) Conservative Management 1 1 (100%) Abstract E-027 Figure 1 Abstract E-027 Table 2 Presenting Symptoms Presenting Symptom Percentage (n) Ophthalmoplegia or diplopia 78% (29) Pain 35% (13) Vision changes 16% (6) Ptosis 14% (5) Ischemia 5.4% (2) Facial numbness 2.7% (1) Aneurysm rupture 2.7% (1) Asymptomatic 2.7% (1) Disclosures M. Roberts: None. C. Nickele: 1; C; Microvention. B. Welch: 2; C; Stryker Neurovascular, Covidien. V. Ban: None. A. Ringer: None. L. Kim: 2; C; Aesculap Inc., Microvention Inc.. 4; C; SpiSurgical. M. Levitt: 1; C; Covidien, Inc: unrestricted educational grant, Volcano Philips: unrestricted educational grant. G. Lanzino: 1; C; unrestricted educational grant: ev3/Covidien. 2; C; ev3/Covidien. P. Kan: 2; C; Medtronic, Stryker Neurovascular. H. Shallwani: None. A. Siddiqu...
Source: Journal of NeuroInterventional Surgery - Category: Neurosurgery Authors: Tags: Electronic Poster Abstracts Source Type: research