Behandlung zerebraler Aneurysmen mit Stents hoher Maschendichte - mittelfristige Ergebnisse und Follow-up

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dc.contributor.advisor Ernemann, Ulrike (Prof. Dr.)
dc.contributor.author Breu, Anna-Katharina
dc.date.accessioned 2018-04-19T06:42:31Z
dc.date.available 2018-04-19T06:42:31Z
dc.date.issued 2016-01-01
dc.identifier.other 507194535 de_DE
dc.identifier.uri http://hdl.handle.net/10900/81572
dc.identifier.uri http://nbn-resolving.de/urn:nbn:de:bsz:21-dspace-815721 de_DE
dc.identifier.uri http://dx.doi.org/10.15496/publikation-22966
dc.description.abstract Flow diverters (FDs) are designed for the endovascular treatment of complex intracranial aneurysm confgurations. From February 2009 to March 2013 28 patients (22 females, 6 males) were treated with FD; mean age was 57 years. Data, including aneurysm features, clinical presentation, history of previous bleeding, treatment, and follow-up results, are presented. Early postinterventional neurological de cits (transient: 𝑛´┐Ż´┐Ż´┐Ż´┐Ż´┐Ż´┐Ż´┐Ż´┐Ż = 3/enduring: 𝑛´┐Ż´┐Ż´┐Ż´┐Ż´┐Ż´┐Ż´┐Ż´┐Ż = 1) appeared in 4/28 patients (14%), and early improvement of neurological symptoms was observed in 7 patients with previous restriction of cranial nerve function. e overall occlusion rate was 20/26 (77%; 59% a er 3 months). 77% achieved best results according to OÔÇÖKelly-Marotta score grade D with no contrast material lling (70% of those a er 3 months). In 4/6 patients who did not achieve grade D, proximal and/or distal stent overlapping Ôëą5 mm was not guaranteed su ciently. During follow-up we did not detect any aneurysm recurrence or haemorrhage. In-stent stenosis emerged as the most frequent complication (4/27; 15%) followed by 2 cases of vascular obliteration (AICA/VA). In conclusion endovascular reconstruction using a FD represents a modern and e ective treatment in those aneurysms that are not suitable for conventional interventional or surgical treatment. e appearance of severe complications was rare. en
dc.language.iso de de_DE
dc.publisher Universit├Ąt T├╝bingen de_DE
dc.rights ubt-podno de_DE
dc.rights.uri http://tobias-lib.uni-tuebingen.de/doku/lic_ohne_pod.php?la=de de_DE
dc.rights.uri http://tobias-lib.uni-tuebingen.de/doku/lic_ohne_pod.php?la=en en
dc.subject.classification Aneurysma , Stent , Neuroradiologie de_DE
dc.subject.ddc 610 de_DE
dc.subject.other Flow Diverter en
dc.title Behandlung zerebraler Aneurysmen mit Stents hoher Maschendichte - mittelfristige Ergebnisse und Follow-up de_DE
dc.type Dissertation de_DE
dcterms.dateAccepted 2018-03-08
utue.publikation.fachbereich Medizin de_DE
utue.publikation.fakultaet 4 Medizinische Fakult├Ąt de_DE
utue.publikation.source Radiology Research and Practice, 2016, p. 2187275 de_DE
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