{Reference Type}: Journal Article
{Title}: Coil embolization of the middle cerebral artery bifurcation aneurysms: Feasibility and durability.
{Author}: Byoun HS;Lim JW;Han MH;Jeong EO;Koh HS;Kwon HJ;
{Journal}: J Clin Neurosci
{Volume}: 126
{Issue}: 0
{Year}: 2024 Aug 12
{Factor}: 2.116
{DOI}: 10.1016/j.jocn.2024.06.016
{Abstract}: <B>OBJECTIVE: </B>To evaluate the feasibility and durability of coil embolization for MCAB aneurysms by analyzing clinical and radiological results.<BR><B>METHODS: </B>From January of 2008 to June of 2018, we treated a total of 1785 aneurysms using coil embolization. The aneurysms were treated by both coiling and stent-assisted coiling. Among these cases, 223 MCAB aneurysms were analyzed retrospectively. Clinical and radiological assessments were conducted at admission, after treatment, at discharge, and at last clinical follow-up.<BR><B>RESULTS: </B>Coil embolization was performed on 223 MCAB aneurysms in 217 patients. Peri-procedural ischemic, hemorrhagic, and other complications within 30 days after coil embolization occurred at rates of 8.0 %, 8.0 %, and 2.0 %, respectively, in the ruptured group and at 2.9 %, 1.2 %, and 0 %, respectively, in the unruptured group. The overall morbidity and mortality rates associated with complications were 2.3 % and 2.0 %. The cumulative major recurrence rates were 5.1 % at 12 months, 7.1 % at 18 months, and 11.9 % at three years after coil embolization. The mean follow-up period was 33.27 ± 25.48 months. Independent risk factors for major recurrence after coil embolization for MCAB aneurysms were a ruptured aneurysm, initial incomplete occlusion, the aneurysm size, and the neck size.<BR><B>CONCLUSIONS: </B>Coil embolization is a good alternative treatment option for MCAB aneurysms compared to surgical clipping. Considering the risk factors for major recurrence, the follow-up angiography should continue up to three years after coil embolization.