Management of recurrent XXXX following endovascular therapy.

@entity1 @entity439 @entity510 @entity438
UNASSIGNED: The aim of the current study is to describe the complication rates and clinical outcomes in @entity1 who either underwent repeat intervention or conservative management with radiographic surveillance when presenting with @entity439 after endovascular treatment. Since publication of the international subarachnoid @entity439 trial (ISAT), an increasing number of @entity1 are treated with endovascular therapy. However, recurrence after endovascular therapy continues to pose a challenge, and there is minimal evidence to guide its management. We performed a retrospective review of all @entity1 who underwent endovascular treatment of an @entity438 from January 2005 to February 2013. The @entity1 who had an @entity439 following the initial endovascular treatment were identified and divided into two groups: those followed with conservative management (n=24), and those who underwent reintervention (n=65). The groups were compared for complications and clinical outcomes. When a reintervention was undertaken, microsurgical clip ligation was associated with a higher rate of occlusion than additional endovascular therapy (p<0.001). When comparing conservative treatment and reintervention, there was no statistically significant difference in complications or clinical outcomes. Reintervention was more common in @entity1 who were younger, had presented with @entity510 , or had a greater degree of recurrence. We conclude that clinical outcomes and repeat @entity510 are similar in @entity1 who underwent retreatment versus those who had conservative management for their recurrent @entity438 .
