Endovascular Treatment of Mirror Aneurysms in Subarachnoid Hemorrhage Patients: Single Stage or Multiple Stage?
ABSTRACT Objective The study evaluated the effectiveness and safety of single‐stage versus multistage endovascular treatment in subarachnoid hemorrhage patients with Mirror Aneurysms. Materials and Methods Our research team performed a prospective study, focusing on the radiographic and clinical dat...
Saved in:
| Main Authors: | , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2025-01-01
|
| Series: | Brain and Behavior |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/brb3.70234 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832582656362020864 |
|---|---|
| author | Yunfei Song Guoqiang Song Guijing Liu Limei Mao Xiuhu An Chao Peng Jian Li Yan Chen Hongwen Li Changkai Hou Bangyue Wang Yan Zhao Xiangdong Wang Gangfeng Yin Xinyu Yang |
| author_facet | Yunfei Song Guoqiang Song Guijing Liu Limei Mao Xiuhu An Chao Peng Jian Li Yan Chen Hongwen Li Changkai Hou Bangyue Wang Yan Zhao Xiangdong Wang Gangfeng Yin Xinyu Yang |
| author_sort | Yunfei Song |
| collection | DOAJ |
| description | ABSTRACT Objective The study evaluated the effectiveness and safety of single‐stage versus multistage endovascular treatment in subarachnoid hemorrhage patients with Mirror Aneurysms. Materials and Methods Our research team performed a prospective study, focusing on the radiographic and clinical data of patients diagnosed with subarachnoid hemorrhage, specifically those who presented with Mirror Aneurysms upon admission to our institutions. According to the different endovascular treatment stages, these patients were grouped into the multistage cohort and the single‐stage cohort. Result A total of 216 aneurysms were identified among the 108 patients, with every patient having one ruptured aneurysm. The duration of follow‐up was 2 years in both groups. In the single‐stage cohort, all 114 aneurysms in 57 patients were managed during a single session. During the 2‐year follow‐up, it was observed that 49 patients achieved a modified Rankin Scale score ≤2. Five complications were encountered, including cerebral vasospasm in three patients, cerebral hemorrhage in one patient, and thromboembolism in one patient. In the multistage cohort, only the ruptured aneurysm (amounting to 51 in total) received treatment at the initial occurrence, while the remaining 51 aneurysms were addressed subsequently. Throughout the 2‐year follow‐up period, 46 subjects exhibited a modified Rankin scale score ≤2. Overall, four complications were documented, including cerebral vasospasm in two patients, a subarachnoid hemorrhage in one patient, and thromboembolism in one patient. Conclusion The safety and effectiveness of both endovascular treatment groups have been verified for patients with Mirror Aneurysms suffering from subarachnoid hemorrhage. If feasible, single‐stage embolization should be considered a viable treatment option for these patients. |
| format | Article |
| id | doaj-art-e95c51c2b3a843478ebe2547d150ad1e |
| institution | Kabale University |
| issn | 2162-3279 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Brain and Behavior |
| spelling | doaj-art-e95c51c2b3a843478ebe2547d150ad1e2025-01-29T13:36:39ZengWileyBrain and Behavior2162-32792025-01-01151n/an/a10.1002/brb3.70234Endovascular Treatment of Mirror Aneurysms in Subarachnoid Hemorrhage Patients: Single Stage or Multiple Stage?Yunfei Song0Guoqiang Song1Guijing Liu2Limei Mao3Xiuhu An4Chao Peng5Jian Li6Yan Chen7Hongwen Li8Changkai Hou9Bangyue Wang10Yan Zhao11Xiangdong Wang12Gangfeng Yin13Xinyu Yang14Department of Neurosurgery Tianjin Medical University General Hospital Tianjin ChinaDepartment of Neurosurgery Second Hospital of Hebei Medical University Hebei ChinaDepartment of Neurosurgery Tianjin Medical University General Hospital Tianjin ChinaDepartment of Geriatrics Liaocheng People's Hospital Shandong ChinaDepartment of Neurosurgery Tianjin Medical University General Hospital Tianjin ChinaDepartment of Neurosurgery Tianjin Medical University General Hospital Tianjin ChinaDepartment of Neurosurgery Tianjin Medical University General Hospital Tianjin ChinaDepartment of Neurosurgery Tianjin Medical University General Hospital Tianjin ChinaDepartment of Neurosurgery Tianjin Medical University General Hospital Tianjin ChinaDepartment of Neurosurgery Xuanwu Hospital Capital Medical University Beijing ChinaDepartment of Neurosurgery Tianjin Medical University General Hospital Tianjin ChinaDepartment of Neurosurgery Tianjin Medical University General Hospital Tianjin ChinaDepartment of Neurosurgery Changzhi Medical College Affiliated Heji Hospital Shanxi ChinaDepartment of Neurosurgery Cangzhou Central Hospital Hebei ChinaDepartment of Neurosurgery Tianjin Medical University General Hospital Tianjin ChinaABSTRACT Objective The study evaluated the effectiveness and safety of single‐stage versus multistage endovascular treatment in subarachnoid hemorrhage patients with Mirror Aneurysms. Materials and Methods Our research team performed a prospective study, focusing on the radiographic and clinical data of patients diagnosed with subarachnoid hemorrhage, specifically those who presented with Mirror Aneurysms upon admission to our institutions. According to the different endovascular treatment stages, these patients were grouped into the multistage cohort and the single‐stage cohort. Result A total of 216 aneurysms were identified among the 108 patients, with every patient having one ruptured aneurysm. The duration of follow‐up was 2 years in both groups. In the single‐stage cohort, all 114 aneurysms in 57 patients were managed during a single session. During the 2‐year follow‐up, it was observed that 49 patients achieved a modified Rankin Scale score ≤2. Five complications were encountered, including cerebral vasospasm in three patients, cerebral hemorrhage in one patient, and thromboembolism in one patient. In the multistage cohort, only the ruptured aneurysm (amounting to 51 in total) received treatment at the initial occurrence, while the remaining 51 aneurysms were addressed subsequently. Throughout the 2‐year follow‐up period, 46 subjects exhibited a modified Rankin scale score ≤2. Overall, four complications were documented, including cerebral vasospasm in two patients, a subarachnoid hemorrhage in one patient, and thromboembolism in one patient. Conclusion The safety and effectiveness of both endovascular treatment groups have been verified for patients with Mirror Aneurysms suffering from subarachnoid hemorrhage. If feasible, single‐stage embolization should be considered a viable treatment option for these patients.https://doi.org/10.1002/brb3.70234cerebrovascular diseasesepidemiologyneurosurgerystroke |
| spellingShingle | Yunfei Song Guoqiang Song Guijing Liu Limei Mao Xiuhu An Chao Peng Jian Li Yan Chen Hongwen Li Changkai Hou Bangyue Wang Yan Zhao Xiangdong Wang Gangfeng Yin Xinyu Yang Endovascular Treatment of Mirror Aneurysms in Subarachnoid Hemorrhage Patients: Single Stage or Multiple Stage? Brain and Behavior cerebrovascular diseases epidemiology neurosurgery stroke |
| title | Endovascular Treatment of Mirror Aneurysms in Subarachnoid Hemorrhage Patients: Single Stage or Multiple Stage? |
| title_full | Endovascular Treatment of Mirror Aneurysms in Subarachnoid Hemorrhage Patients: Single Stage or Multiple Stage? |
| title_fullStr | Endovascular Treatment of Mirror Aneurysms in Subarachnoid Hemorrhage Patients: Single Stage or Multiple Stage? |
| title_full_unstemmed | Endovascular Treatment of Mirror Aneurysms in Subarachnoid Hemorrhage Patients: Single Stage or Multiple Stage? |
| title_short | Endovascular Treatment of Mirror Aneurysms in Subarachnoid Hemorrhage Patients: Single Stage or Multiple Stage? |
| title_sort | endovascular treatment of mirror aneurysms in subarachnoid hemorrhage patients single stage or multiple stage |
| topic | cerebrovascular diseases epidemiology neurosurgery stroke |
| url | https://doi.org/10.1002/brb3.70234 |
| work_keys_str_mv | AT yunfeisong endovasculartreatmentofmirroraneurysmsinsubarachnoidhemorrhagepatientssinglestageormultiplestage AT guoqiangsong endovasculartreatmentofmirroraneurysmsinsubarachnoidhemorrhagepatientssinglestageormultiplestage AT guijingliu endovasculartreatmentofmirroraneurysmsinsubarachnoidhemorrhagepatientssinglestageormultiplestage AT limeimao endovasculartreatmentofmirroraneurysmsinsubarachnoidhemorrhagepatientssinglestageormultiplestage AT xiuhuan endovasculartreatmentofmirroraneurysmsinsubarachnoidhemorrhagepatientssinglestageormultiplestage AT chaopeng endovasculartreatmentofmirroraneurysmsinsubarachnoidhemorrhagepatientssinglestageormultiplestage AT jianli endovasculartreatmentofmirroraneurysmsinsubarachnoidhemorrhagepatientssinglestageormultiplestage AT yanchen endovasculartreatmentofmirroraneurysmsinsubarachnoidhemorrhagepatientssinglestageormultiplestage AT hongwenli endovasculartreatmentofmirroraneurysmsinsubarachnoidhemorrhagepatientssinglestageormultiplestage AT changkaihou endovasculartreatmentofmirroraneurysmsinsubarachnoidhemorrhagepatientssinglestageormultiplestage AT bangyuewang endovasculartreatmentofmirroraneurysmsinsubarachnoidhemorrhagepatientssinglestageormultiplestage AT yanzhao endovasculartreatmentofmirroraneurysmsinsubarachnoidhemorrhagepatientssinglestageormultiplestage AT xiangdongwang endovasculartreatmentofmirroraneurysmsinsubarachnoidhemorrhagepatientssinglestageormultiplestage AT gangfengyin endovasculartreatmentofmirroraneurysmsinsubarachnoidhemorrhagepatientssinglestageormultiplestage AT xinyuyang endovasculartreatmentofmirroraneurysmsinsubarachnoidhemorrhagepatientssinglestageormultiplestage |