Download Unruptured MCA aneurysm coiling PowerPoint Presentation

Iframe embed code :

Unable to generate embed code for this presentation.request for embed code @ mail[at]slidesfinder.com

Presentation url :

Home / Health & Wellness / Health & Wellness Presentations / Unruptured MCA aneurysm coiling PowerPoint Presentation

Unruptured MCA aneurysm coiling PowerPoint Presentation

PowerPoint is the world's most popular presentation software which can let you create professional Unruptured MCA aneurysm coiling powerpoint presentation easily and in no time. This helps you give your presentation on Unruptured MCA aneurysm coiling in a conference, a school lecture, a business proposal, in a webinar and business and professional representations.

The uploader spent his/her valuable time to create this Unruptured MCA aneurysm coiling powerpoint presentation slides, to share his/her useful content with the world. This ppt presentation uploaded by onlinesearch in Health & Wellness ppt presentation category is available for free download,and can be used according to your industries like finance, marketing, education, health and many more.

About This Presentation

onlinesearch

Description : Available Unruptured MCA aneurysm coiling powerpoint presentation for free download which is uploaded by search an active user in belonging ppt presentation Health & Wellness category.

Tags : Unruptured MCA aneurysm coiling

Published on : Mar 14, 2014
Views : 1041 | Downloads : 0

Download Now

Share on Social Media

Slide 1 -

Unruptured MCA aneurysm coiling O Mansour, J Weber and M Schumacher Neuroradiology Depart. Freiburg Univ. Neurology Depart. Alexandria Univ. Department of Neuroradiology, Neurocenter University of Freiburg, Germany Alexandria University , Faculty of medicine Neurology Depart. Egypt

Slide 2 -

Endovascular coiling of MCA aneurysms has shown higher procedural failure rate and less favorable results compared to the treatment of aneurysms at other sites (ISAT group, Lancet 2002; Suzuki S,Neurosurgery 2009) In ruptured MCA aneurysms, subgroup analysis of ISAT in older patients more than 65 years revealed inferiority of coiling to clipping (Ryttlefors M, Stroke 2008)

Slide 3 -

Elderly patients with ruptured MCA aneurysms benefit more from neurosurgical clipping. M Ryttlefors et al , Stroke 2008

Slide 4 -

Another hindering factor is what is called the wild morphological gallery of MCA aneurysm ICH more often associated with ruptured MCA aneurysms Reasons for less favorable outcome :

Slide 5 -

Pretreatment study of morphology in 126 MCA aneurysms

Slide 6 -

Russian Matroska appearance

Slide 7 -

Marge simpson head

Slide 8 -

Dew drop

Slide 9 -

• In the treatment of unruptured intracranial aneurysms endovascular coiling has shown equal or superior results to clipping (Higashida RT, AJNR 2007) unruptured But for unruptured MCA aneurysms coiling has been limited, mainly due to the unfavorable aneurysm geometry (wide neck and/or incorporation of a branch into the neck) (Doerfler A , AJNR 2006)

Slide 10 -

Modified endovascular techniques and devices, such as multi-catheter, balloon-assisted, stent-assisted, or combination of these, permit coiling even of aneurysms having a complex anatomy (Lubicz B, AJNR 2006)

Slide 11 -

Methods and patients Patients with mild neurological deficit (mRS, 0 - 2) were included Former SAH from another aneurysm Who accidentally discovered during non hemorrhagic neurological manifestation Between 2001-2009 retrospectively 70 patients with 76 unruptured MCA aneurysms were included, reviewed and evaluated . 30 men and 40 women aged from 27 to 77 years (mean, 59 years)

Slide 12 -

results

Slide 13 -

Mean age of our cohort was 59 years with IQR ( 27-77 years) , 30 (42.9%) patients were male.

Slide 14 -

Results Table 1: aneurysms measurements and endovascular methods used in occlusion . Treatment methods (n=75) Aneurysm distribution site(n=75)

Slide 15 -

Coiling failed in 1/76 = 1.3% Death rate was in 1/76 = 1.4% ( SAH consequence Complication rate was in 1/76 = 1.4% (perforation and treated without sequlae ) infarction occurred in relevant MCA territory in 2 patients, but both of them completely recovered at discharge permanent morbidity 1/76=1,4% Failure Rate Procedural complications Mortality Rate Morbidity Rate

Slide 16 -

Follow-up results

Slide 17 -

Follow-up angiographies at least once at 6 – 24 months (mean, 11 months) period of follow up. 69/75 aneurysm (92%) 6 (8.6%) minor recurrences 3 (4.3%) major recurrences retreated by coiling without any complication. Mori et. al. classification

Slide 18 -

Case 1, catheter-assisted two-catheter technique

Slide 19 -

Case 2 , stent-assisted coil embolization for both aneurysms

Slide 20 -

Case 3 , HyperForm balloon assisted coiling

Slide 21 -

discusion

Slide 22 -

MCA aneurysms should not be allocated solely to clipping but only the large MCA aneurysms in young patients, which are likely to recur

Slide 23 -

Some limitations are present in this series Small, unruptured MCA aneurysms were treated. (randomized retrospective study) Because of the retrospective nature of this study, another limitation is selection bias Limited number of angiographic follow-up may have lowered the recurrence rate

Slide 24 -

Thank you

Slide 25 -

Introduction Since intracranial subarachnoid aneurysm trial (ISAT),[1] endovascular coiling has been increasingly used as first treatment option for ruptured or unruptured aneurysms that are feasible for coiling. Intracranial subarachnoid aneurysmal trial (ISAT) proved the superiority of endovascular coiling for the treatment of ruptured intracranial aneurysms over microsurgical clipping.

Slide 26 -

MCA aneurysm State Of the Art Mangement However, for the middle cerebral artery (MCA) aneurysms, endovascular coiling is less likely to be applied as routine agreement Ruptured

Slide 27 -

in ruptured MCA aneurysms The most widely accepted theory presumed to be responsible for the inconvenient outcome Hematoma frequently associated with ruptured MCA aneurysm may be a cause of unfavorable outcome of coiling, because coiling itself cannot remove the hematoma.

Slide 28 -

MCAa Unique Morphology Gallery The aneurysm geometry unfavorable for coiling, which is frequently met in MCA aneurysms, can be another factor.

Slide 29 -

But other more complicated discrible morphologies could be encounterd

Slide 30 -

Used modified techqniue

Slide 31 -

Frequently Asked Questions

> About SlidesFinder?

Slidesfinder is a website that allows users to upload and share their PowerPoint presentations online. It provides a platform for individuals and businesses to share their ideas and knowledge through presentations, and for others to view and download these presentations for educational or professional purposes.
Slidesfinder offers a wide range of presentation topics and categories, including business, education, science, technology, health, and more. Users can also search for presentations using keywords, tags, or by category. The website provides tools to create professional presentations with rich media, animations, and graphics.

One of the key features of Slidesfinder is its user-friendly interface, which allows users to easily upload, view, and share presentations. Users can also embed their presentations in their websites or blogs using the website's embed code feature.
Slidesfinder also offers premium services, such as the ability to create private presentations and to download presentations in high-quality formats. However, the basic features of Slidesfinder are free to use, making it accessible to anyone who wants to share their ideas and knowledge through presentations.

> How do I register with SlidesFinder?

Go to registration page (you can see signup link on top of website page) https://www.slidesfinder.com/signup . If you have facebook/gmail account them just click on SIGN IN WITH FACEBOOK OR SIGN IN WITH GOOGLE button, by this you will be a registered member of slidesfinder without filling any form, required detail automatically will be fatch from your account. If you do not a Facebook account, then click on "Signup". Fill all required fields and you will be a registered member of slidesfinder.

> Is slidesfinder account confirmation is mandatory?

Yes it is mandetory to active your account to login.

> Do I need to signup/login on SlidesFinder before uploading a PowerPoint presentation?

Yes, you need to login with your account before uploading presentation. Your username will be displayed on your uploaded presentation. Your registered email id is needed for sending your stats of uploaded presentation.

Slidesfinder is a sharing website for PowerPoint presentations search and share. Find your interest in the form of powerpoint presentations on slidesfinder and save your valuable time . On Slidesfinder you get presentations from our huge library of professional ppt presentations. We believe in making your search INFORMATIVE and FUN. Find your best ppt presentation from a pool of PowerPoint presentations stacked under important industry categories like business & management, heath & Wellness,eduction & training etc. We provide unique informative PowerPoint presentation for marketers, presenters and educationists. These professional PowerPoint presentations are uploaded by professionals from across numerous industry segments.These ppt presentations are available for FREE download.

Not just finding your interest, but facilitate you broadcast your interest. We have created this platform for easy sharing of PowerPoint presentations, ensuring that these presentations get maximum exposure. Create your slidesfinder account and upload PowerPoint presentations for free, share on social media platforms and BUILD YOUR CROWD WITH PRESENTATION !!

The Great Buddha says, "Share your knowledge.It’s a way to achieve immortality"! So, start sharing knowledge and we are here to make that immortal !!

Re-productivity of content are not allowed. Without prior written permission from author, commercial use of any content is illegal.