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Imaging follow-up strategy after endovascular treatment of Intracranial aneurysms: A literature review and guideline recommendations.
Cho, Yong-Hwan; Choi, Jaehyung; Huh, Chae-Wook; Kim, Chang Hyeun; Chang, Chul Hoon; Kwon, Soon Chan; Kim, Young Woo; Sheen, Seung Hun; Park, Sukh Que; Ko, Jun Kyeung; Ha, Sung-Kon; Jeong, Hae Woong; Kang, Hyen Seung.
Afiliación
  • Cho YH; Department of Neurosurgery, Dong-A University Hospital, Busan, Korea.
  • Choi J; Department of Neurosurgery, Busan-Ulsan Regional Cardiocerebrovascular Center, Dong-A University Hospital, Busan, Korea.
  • Huh CW; Department of Neurosurgery, Dong-A University Hospital, Busan, Korea.
  • Kim CH; Department of Neurosurgery, Busan-Ulsan Regional Cardiocerebrovascular Center, Dong-A University Hospital, Busan, Korea.
  • Chang CH; Department of Neurosurgery, Dong-Eui Hospital, Busan, Korea.
  • Kwon SC; Department of Neurosurgery, Pusan National University Yangsan Hospital, Yangsan, Korea.
  • Kim YW; Department of Neurosurgery, Yeungnam University Medical Center, Daegue, Korea.
  • Sheen SH; Department of Neurosurgery, Ulsan University Hospital, Ulsan, Korea.
  • Park SQ; Department of Neurosurgery ,The Catholic University of Korea, Uijeongbu St. Mary's Hospital, Uijeongbu, Korea.
  • Ko JK; Department of Neurosurgery, CHA Bundang Medical Center of CHA University, Seongnam, Korea.
  • Ha SK; Department of Neurosurgery, Soonchunhyang University Seoul Hospital, Seoul, Korea.
  • Jeong HW; Department of Neurosurgery, Pusan National University Hospital, Busan, Korea.
  • Kang HS; Department of Neurosurgery, Korea University Medical Center Ansan Hospital, Ansan, Korea.
J Cerebrovasc Endovasc Neurosurg ; 26(1): 1-10, 2024 Mar.
Article en En | MEDLINE | ID: mdl-38523549
ABSTRACT

OBJECTIVE:

Endovascular coil embolization is the primary treatment modality for intracranial aneurysms. However, its long-term durability remains of concern, with a considerable proportion of cases requiring aneurysm reopening and retreatment. Therefore, establishing optimal follow-up imaging protocols is necessary to ensure a durable occlusion. This study aimed to develop guidelines for follow-up imaging strategies after endovascular treatment of intracranial aneurysms.

METHODS:

A committee comprising members of the Korean Neuroendovascular Society and other relevant societies was formed. A literature review and analyses of the major published guidelines were conducted to gather evidence. A panel of 40 experts convened to achieve a consensus on the recommendations using the modified Delphi method.

RESULTS:

The panel members reached the following consensus 1. Schedule the initial follow-up imaging within 3-6 months of treatment. 2. Noninvasive imaging modalities, such as three-dimensional time-of-flight magnetic resonance angiography (MRA) or contrast-enhanced MRA, are alternatives to digital subtraction angiography (DSA) during the first follow-up. 3. Schedule mid-term follow-up imaging at 1, 2, 4, and 6 years after the initial treatment. 4. If noninvasive imaging reveals unstable changes in the treated aneurysms, DSA should be considered. 5. Consider late-term follow-up imaging every 3-5 years for lifelong monitoring of patients with unstable changes or at high risk of recurrence.

CONCLUSIONS:

The guidelines aim to provide physicians with the information to make informed decisions and provide patients with high-quality care. However, owing to a lack of specific recommendations and scientific data, these guidelines are based on expert consensus and should be considered in conjunction with individual patient characteristics and circumstances.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Cerebrovasc Endovasc Neurosurg Año: 2024 Tipo del documento: Article Pais de publicación:
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Cerebrovasc Endovasc Neurosurg Año: 2024 Tipo del documento: Article Pais de publicación: