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Improved Turnaround Times | Median time to first decision: 12 days

Research ArticleNeurointervention
Open Access

MR Angiography Follow-Up 5 Years after Coiling: Frequency of New Aneurysms and Enlargement of Untreated Aneurysms

M.E. Sprengers, W.J. van Rooij, M. Sluzewski, G.J.E. Rinkel, B.K. Velthuis, G.A.P. de Kort and C.B.L.M. Majoie
American Journal of Neuroradiology February 2009, 30 (2) 303-307; DOI: https://doi.org/10.3174/ajnr.A1353
M.E. Sprengers
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W.J. van Rooij
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M. Sluzewski
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G.J.E. Rinkel
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B.K. Velthuis
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G.A.P. de Kort
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C.B.L.M. Majoie
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    Fig 1.

    Flowchart of the total cohort and included patients.

  • Fig 2.
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    Fig 2.

    A 54-year-old woman with 3 untreated additional aneurysms unchanged after 5 years. A and B, Right internal carotid angiogram (A) and vertebral angiogram (B) show additional aneurysms on the carotid cavernous sinus, middle cerebral artery, and superior cerebellar artery (arrows). C, MRA after 5 years demonstrates unchanged size of all 3 aneurysms (arrows).

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    Fig 3.

    A 25-year-old woman with multiple additional untreated aneurysms. A, Initial lateral view of an internal carotid angiogram shows a 1.5-mm pericallosal artery aneurysm. B, Five-year follow-up MRA reveals growth to 2.5 mm. C, Angiogram confirms MRA findings.

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    Fig 4.

    A 56-year-old woman with a de novo 3-mm middle cerebral artery aneurysm. A, Initial angiogram of the middle cerebral artery. B, MRA after 5 years shows 3-mm de novo aneurysm (arrow).

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    Fig 5.

    Five-year MRA follow-up in a 42-year-old woman with a coiled right middle cerebral artery aneurysm demonstrates 2 left middle cerebral artery aneurysms and a superior cerebellar artery aneurysm (arrows) without available previous imaging. The 2 middle cerebral artery aneurysms were clipped.

Tables

  • Figures
  • Characteristics of 13 patients with 24 additional aneurysms detected on 5-year MRA follow-up

    CharacteristicsData
    Women12 (92%)
    AgeMean, 52 years; range, 40–70 years
    Ruptured aneurysms11 (85%)
    Aneurysm sizeMean, 3.1 mm; range, 1–6 mm
    >1 Additional aneurysm5 (38%)
    Aneurysm location
        Anterior cerebral artery4
        Middle cerebral artery10
        Posterior circulation3
        Internal carotid artery7
    De novo aneurysms1
        Unchanged18
        Grown1
        Incomparable4
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American Journal of Neuroradiology: 30 (2)
American Journal of Neuroradiology
Vol. 30, Issue 2
February 2009
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MR Angiography Follow-Up 5 Years after Coiling: Frequency of New Aneurysms and Enlargement of Untreated Aneurysms
M.E. Sprengers, W.J. van Rooij, M. Sluzewski, G.J.E. Rinkel, B.K. Velthuis, G.A.P. de Kort, C.B.L.M. Majoie
American Journal of Neuroradiology Feb 2009, 30 (2) 303-307; DOI: 10.3174/ajnr.A1353
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  • Unruptured intracranial aneurysm follow-up and treatment after morphological change is safe: observational study and systematic review
  • Risk Factors for Growth of Intracranial Aneurysms: A Systematic Review and Meta-Analysis
  • Is long-term follow-up of adequately coil-occluded ruptured cerebral aneurysms always necessary? A single-center study of recurrences after endovascular treatment
  • Temporal Evolution of Susceptibility Artifacts from Coiled Aneurysms on MR Angiography: An In Vivo Canine Study
  • Pediatric Intracranial Aneurysms: New and Enlarging Aneurysms after Index Aneurysm Treatment or Observation
  • Late Reopening of Adequately Coiled Intracranial Aneurysms: Frequency and Risk Factors in 400 Patients With 440 Aneurysms
  • De Novo Aneurysm Formation and Growth of Untreated Aneurysms: A 5-Year MRA Follow-Up in a Large Cohort of Patients With Coiled Aneurysms and Review of the Literature
  • Long-Term Follow-Up of 1036 Cerebral Aneurysms Treated by Bare Coils: A Multicentric Cohort Treated between 1998 and 2003
  • Opinion: Imaging Follow-Up after Coiling of Intracranial Aneurysms
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M.E. Sprengers, W.J. van Rooij, M. Sluzewski, G.J.E. Rinkel, B.K. Velthuis, G.A.P. de Kort, C.B.L.M. Majoie
MR Angiography Follow-Up 5 Years after Coiling: Frequency of New Aneurysms and Enlargement of Untreated Aneurysms
American Journal of Neuroradiology Feb 2009, 30 (2) 303-307; DOI: 10.3174/ajnr.A1353

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