title: Multiple intracranial aneurysms: endovascular treatment and complications.
abstract: This study evaluated the results of endovascular embolization of multiple intracranial aneurysms. A retrospective hospital chart and radiograph review were made of all patients with multiple intracranial aneurysms seen between March 2010 and January 2011. Ten patients presented with subarachnoid hemorrhage, four with mass effect, two with brain ischemia and twenty were incidental. These 36 patients harbored 84 aneurysms, 63 of which were treated with endovascular techniques, two by surgical clipping, and 19 were left untreated. Of the coil-treated lesions, a complete endovascular occlusion was achieved in 54 aneurysms (85.7%), and eight (12.7%) presented neck remnants with one (1.6%) stented only. Twenty-six patients (72.2%) underwent coil embolization of more than one aneurysm in the first session. Follow-up angiographic studies in 31 patients demonstrated an unchanged or improved result in 93.0% of the aneurysms (53 lesions) and coil compaction in 7.0% (four lesions). The overall clinical outcome was excellent in 33 patients (91.7%), good in one (2.8%) and fair in two (5.5%). Endovascular techniques may be a particularly suitable method for treating multiple intracranial aneurysms.
authors.affiliation: Neurosurgical Department, China Meitan General Hospital; Beijing, China - shenxun2006@163.com.
authors.forename: Xun
authors.initials: X
authors.lastname: Shen
authors.affiliation: Neurology Department, China Meitan General Hospital; Beijing, China.
authors.forename: Tao
authors.initials: T
authors.lastname: Xu
authors.affiliation: Neurosurgical Department, The Second Hospital of Shandong University; Ji'nan, China.
authors.forename: Xuan
authors.initials: X
authors.lastname: Ding
authors.affiliation: Neurosurgical Department, China Meitan General Hospital; Beijing, China.
authors.forename: Wenlei
authors.initials: W
authors.lastname: Wang
authors.affiliation: Neurosurgical Department, China Meitan General Hospital; Beijing, China.
authors.forename: Zhi
authors.initials: Z
authors.lastname: Liu
authors.affiliation: Neurosurgical Department, China Meitan General Hospital; Beijing, China.
authors.forename: Huaihai
authors.initials: H
authors.lastname: Qin
mesh_terms: D000328:Adult; D000368:Aged; D004621:Embolization, Therapeutic / Q000009:adverse effects / Q000379:methods*; D057510:Endovascular Procedures / Q000009:adverse effects / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012189:Retrospective Studies; D012720:Severity of Illness Index; D013345:Subarachnoid Hemorrhage / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D013525:Surgical Instruments; D016896:Treatment Outcome
keywords: aneurysm; coils; embolization; intracranial; multiple