Application of endovascular coiling and subsequent Onyx 34 @entity887 in anterior communicating @entity438 with adjacent XXXX .

@entity1 @entity2657 @entity548 @entity887 @entity1410 @entity439 @entity438
OBJECTIVE: Small anterior communicating @entity438 with recurrent @entity548 and adjacent @entity1410 may have a high risk of post-operative rebleeding. This clinical study summarizes our preliminary experience with this subset of @entity439 , which were treated with endovascular coiling and subsequent Onyx 34 @entity887 . METHODS: We retrospectively reviewed the data of 9 @entity1 suffering from small anterior communicating @entity438 treated with the combination of coils and Onyx. The clinical characteristics, angiographic outcomes, and follow-up results are reviewed. RESULTS: Endovascular coiling and Onyx @entity887 were successfully accomplished in all 9 cases. The Raymond scale ratings of the treatments are all class I with the parent arteries kept patent. One @entity1 died of severe @entity2657 on the 5th post-operative day. The modified Rankin scale (mRS) score for the other 8 @entity1 at follow-ups (6m to 26m, 15.8m on average) was 0 in 5 cases, 1 in 2 cases, and 3 in 1 case. Seven of 8 @entity1 (87.5%) underwent angiographic follow-up that demonstrated persistent durable occlusion with no recanalization. CONCLUSIONS: Endovascular coiling and subsequent Onyx 34 @entity887 may be effective in treating anterior communicating @entity438 with adjacent @entity1410 . Further studies with larger sample size and adequate follow-up are required to verify its safety and efficacy as well as to evaluate the long-term outcome.
