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Aneurysm ostium angle

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dc.contributor.author Yasuda, R.
dc.contributor.author Arat, A.
dc.contributor.author Strother, C.M.
dc.contributor.author Aagaard-Kienitz, B.
dc.contributor.author Niemann, D.
dc.contributor.author Mohamed, A.
dc.contributor.author Royalty, K.
dc.contributor.author Pulfer, K.
dc.contributor.author Taki, W.
dc.contributor.author Mawad, M.E.
dc.date.accessioned 2019-07-10T05:43:37Z
dc.date.available 2019-07-10T05:43:37Z
dc.date.copyright 2011 en_US
dc.identifier.issn 1936-959X en_US
dc.identifier.uri http://hdl.handle.net/10725/11020
dc.description.abstract BACKGROUND AND PURPOSE: There is no satisfactory parameter that can predict the need for assistant devices for endovascular aneurysm coiling. Our aim was to evaluate the utility of MOA as a predictor of the need for stent-assisted coiling in ICA sidewall aneurysms. MATERIALS AND METHODS: From a retrospective review of an internal data base, 55 consecutive ICA sidewall aneurysms were identified. Thirty-two of the aneurysms were treated by using endovascular techniques. Because 23 of the 55 aneurysms were either untreated or clipped, 3 experienced interventionalists reviewed the 3D images of these aneurysms and then made a decision as to whether stent-assisted coiling would have been required. Thirty-one of the 55 aneurysms would have required stent-assisted coiling, while 24 would not. Neck width, DNR, AR, and MOA were obtained from each aneurysm by using prototype software. These parameters were then correlated with the requirement of stent-assisted coiling. RESULTS: MOA and neck width of aneurysms requiring stent-assisted coiling were significantly larger than those not requiring stent-assisted coiling (P < .001 and <0.001, respectively). Although the DNR and AR of aneurysms requiring stent-assisted coiling were smaller than those not requiring it, the difference was not significant (P = .22 and 0.12, respectively). ROC analysis revealed that MOA was the parameter that best correlated with the need for stent-assisted coiling. Inclusion of MOA with the rest of the parameters significantly increased the predictive performance regarding the need for stent-assisted coiling (P = .005). CONCLUSIONS: In this small study, MOA was a useful parameter to predict the need for stent-assisted coiling in ICA sidewall aneurysms. Further prospective study of this parameter for aneurysms at multiple locations is required to determine its ultimate value. en_US
dc.language.iso en en_US
dc.title Aneurysm ostium angle en_US
dc.type Article en_US
dc.description.version Published en_US
dc.title.subtitle a predictor of the need for stent as assistance for endovascular aneurysm coiling in internal carotid artery sidewall aneurysms en_US
dc.author.school SOM en_US
dc.author.idnumber 201700518 en_US
dc.author.department N/A en_US
dc.description.embargo N/A en_US
dc.relation.journal American Journal of Neuroradiology en_US
dc.journal.volume 32 en_US
dc.journal.issue 7 en_US
dc.article.pages 1216-1220 en_US
dc.identifier.doi https://doi.org/10.3174/ajnr.A2515 en_US
dc.identifier.ctation Yasuda, R., Arat, A., Strother, C. M., Aagaard-Kienitz, B., Niemann, D., Mohamed, A., ... & Mawad, M. E. (2011). Aneurysm ostium angle: a predictor of the need for stent as assistance for endovascular aneurysm coiling in internal carotid artery sidewall aneurysms. American Journal of Neuroradiology, 32(7), 1216-1220. en_US
dc.author.email michel.mawad@lau.edu.lb en_US
dc.identifier.tou http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php en_US
dc.identifier.url http://www.ajnr.org/content/32/7/1216.short en_US
dc.author.affiliation Lebanese American University en_US


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