An aneurysm is a bulge or sac that develops in a weak area of a cerebral artery wall. Subarachnoid hemorrhage occurs when an aneurysm ruptures, diverting oxygen-rich blood from vital areas to the space between the brain and the skull.
The ruptured vessel can be repaired surgically or through a minimally invasive procedure called embolization, in which the sac is filled with metal coils in order to prevent repeat bleeding from the aneurysm and to restore normal blood flow in the artery.
"The treatment decision is complicated in cases of acutely ruptured aneurysms," said the study's lead author, Olli Tähtinen, M.D., assistant professor of radiology at Tampere University Hospital in Tampere, Finland.
Embolization treatment of cerebral artery aneurysms is becoming increasingly favored over surgical repair, especially when the patient is older or in poor medical condition. However, embolization is challenging when the neck of the aneurysm is wide, because the metal coils have a tendency to protrude out of the sac into the artery. A balloon-tipped catheter threaded to the site of the aneurysm can sometimes, but not always, solve the problem.
"When the width or neck of the bulge is particularly wide, aneurysms can be difficult to treat surgically or with balloon-assisted embolization," Dr. Tähtinen said.
The researchers studied the effects of stent-assisted embolization in 61 patients, including 41 women and 20 men, who were treated for subarachnoid hemorrhage at three Finnish hospitals over a 4.5-year period. According to Dr. Tähtinen, the study represents the most extensive analysis to date of stent-assisted embolization treatment of acute subarachnoid hemorrhage.
In the study, interventional radiologists performed coil embolization by first placing a stent, a small wire mesh tube, over the neck of the aneurysm to help keep the coils within the aneurysmal sac. The procedure was a technical success in 44 (72 percent) of the 61 patients. Adequate blood flow was restored in 39 (64 percent) of the patients.
"Our study shows that stent-assisted coil embolization is a feasible treatment option for ruptured brain aneurysms that are difficult to treat surgically or with balloon-assisted embolization," Dr. Tähtinen said. "Stent-assisted embolization may offer an important addition to the treatment repertoire for these critically ill patients."
"Wide-Necked Intracranial Aneurysms: Treatment with Stent-Assisted Coil Embolization during Acute Subarachnoid Hemorrhage—Experience in 61 Consecutive Patients." Collaborating with Dr. Tähtinen were Ritva L. Vanninen, M.D., Ph.D., Hannu I. Manninen, M.D., Ph.D., Riitta Rautio, M.D., Ph.D., Arto Haapanen, M.D., Ph.D., Tero Niskakangas, M.D., Ph.D., Jaakko Rinne, M.D., Ph.D., and Leo Kesi-Nisula, M.D., Ph.D.
Radiology is edited by Herbert Y. Kressel, M.D., Harvard Medical School, Boston, Mass., and owned and published by the Radiological Society of North America, Inc. (http://radiology.rsnajnls.org/)
RSNA is an association of more than 43,000 radiologists, radiation oncologists, medical physicists and related scientists committed to excellence in patient care through education and research. (RSNA.org)
For patient-friendly information on embolization, visit RadiologyInfo.org.
Linda Brooks | EurekAlert!
Amputees can learn to control a robotic arm with their minds
28.11.2017 | University of Chicago Medical Center
The importance of biodiversity in forests could increase due to climate change
17.11.2017 | Deutsches Zentrum für integrative Biodiversitätsforschung (iDiv) Halle-Jena-Leipzig
DNA molecules that follow specific instructions could offer more precise molecular control of synthetic chemical systems, a discovery that opens the door for engineers to create molecular machines with new and complex behaviors.
Researchers have created chemical amplifiers and a chemical oscillator using a systematic method that has the potential to embed sophisticated circuit...
MPQ scientists achieve long storage times for photonic quantum bits which break the lower bound for direct teleportation in a global quantum network.
Concerning the development of quantum memories for the realization of global quantum networks, scientists of the Quantum Dynamics Division led by Professor...
Researchers have developed a water cloaking concept based on electromagnetic forces that could eliminate an object's wake, greatly reducing its drag while...
Tiny pores at a cell's entryway act as miniature bouncers, letting in some electrically charged atoms--ions--but blocking others. Operating as exquisitely sensitive filters, these "ion channels" play a critical role in biological functions such as muscle contraction and the firing of brain cells.
To rapidly transport the right ions through the cell membrane, the tiny channels rely on a complex interplay between the ions and surrounding molecules,...
The miniaturization of the current technology of storage media is hindered by fundamental limits of quantum mechanics. A new approach consists in using so-called spin-crossover molecules as the smallest possible storage unit. Similar to normal hard drives, these special molecules can save information via their magnetic state. A research team from Kiel University has now managed to successfully place a new class of spin-crossover molecules onto a surface and to improve the molecule’s storage capacity. The storage density of conventional hard drives could therefore theoretically be increased by more than one hundred fold. The study has been published in the scientific journal Nano Letters.
Over the past few years, the building blocks of storage media have gotten ever smaller. But further miniaturization of the current technology is hindered by...
11.12.2017 | Event News
08.12.2017 | Event News
07.12.2017 | Event News
15.12.2017 | Power and Electrical Engineering
15.12.2017 | Materials Sciences
15.12.2017 | Life Sciences