TABLE 1:
Patient No./Initials/Age (y)/Sex | Localization | Signs and Symptoms | Aneurysm (mm)* |
Onyx HD 500 (+) ml | Aneurysm Occlusion (%) | FU (mo) | DSA/MRA | Aneurysm Occlusion FU (%) | Signs and Symptoms FU | ||
---|---|---|---|---|---|---|---|---|---|---|---|
Height | Width | Neck | |||||||||
1/NN/31/F | Ophth | Asymptomatic | 10 | 15 | 8 | 0.43 | 100 | 22 | DSA | 100 | Asymptomatic |
2/GH/41/F | Ophth (GDC) | Asymptomatic | 8 (15) | 10 | 6 | 0.3 | 95 | 12/36 | DSA/MRA | 100 | Asymptomatic |
3/KG/41/F | Ophth | Asymptomatic | 15 | 7.5 | 6 | 0.6 | 100 | —† | — | — | — |
4/MG/61/M | Clinoidal | Asymptomatic | 20 | 12 | 8 | 1.36 | 100 | 12/25 | DSA/DSA | 100 | Asymptomatic |
5/WU/39/F | Ophth | Asymptomatic | 25 | 25 | 12 | 2.5 | 100 | 12 | DSA | 100 | Asymptomatic |
6/CM/29/F | Ophth | Asymptomatic | 18 | 18 | 7 | 1.3 | 100 | 6/14 | MRA/MRA | 100 | Asymptomatic |
7/KJ/41/F | Ophth | Asymptomatic | 12 | 8 | 6 | 0.27 | 95 | 10 | DSA | 100 | TIA |
8/OH/65/F | Cav (GDC) | Cnp III | 20 (30) | 20 (25) | 12 | 4.68 | 100 | 5/18 | DSA/DSA | 100 | Cnp improved |
9/THJ/54/M | Ophth | Asymptomatic | 6 | 10 | 7 | 0.16 | 100 | 8 | DSA | 100 | Asymptomatic |
10/HB/35/F | Ophth | Asymptomatic | 6 | 12 | 8 | 0.32 (+) | 100 | 2/13 | MRA/DSA | 100 | Asymptomatic |
11/LK/52/F | Cav | Cnp III, IV | 25 | 36 | 18 | 2.43 (+) | 90 | 7 | DSA | 90‡ | Cnp improved |
12/SMT/47/F | Ophth | Asymptomatic | 10 | 8 | 6 | 0.36 (+) | 95 | 5 | DSA | 100 | Asymptomatic |
13/DJ/61/F | Cav | Cnp VI | 25 | 20 | 12 | 2.28 (+) | 100 | 4/16 | MRA/DSA | 85‡ | Unchanged |
14/KM/60/F | Ophth | Asymptomatic | 15 | 20 | 8 | 0.51 (+) | 100 | 5 | DSA | 100 | Asymptomatic |
15/BE/58/F | Ophth (GDC) | Asymptomatic | 15 (25) | 7 (12) | 6 | 0.42 (+) | 100 | 6 | DSA | 100 | Asymptomatic |
16/WA/35/F | Ophth (GDC) | Asymptomatic | 10 (25) | 17 | 8 | 0.73 (+) | 100 | 6 | MRA | 100 | Asymptomatic |
17/WG/50/F | Cav | Cnp II | 18 | 20 | 16 | 0.79 (+) | 100 | Pending | Pending | Pending | Pending |
18/BI/60/F | Cav | Asymptomatic | 23 | 15 | 8 | 1.90 (+) | 100 | 6 wk | DSA | 100 | Asymptomatic |
19/KR/45/F | Ophth (GDC) | Asymptomatic | 25 | 12 | 6 | 0.42 (+) | 100 | 12/30 | DSA/MRA | 100 | Asymptomatic |
20/LG/59/F | Cav | Cnp IV | 20 | 15 | 10 | 2.15 (+) | 100 | 7 | DSA | 100 | Asymptomatic |
21/WA/61/F | Ophth (GDC) | Cnp II | 18 (30) | 13 (25) | 10 | 1.55 (+) | 100 | 8 | DSA | 100 | Unchanged |
22/ML/42/F | Ophth (GDC) | Asymptomatic | 10 (20) | 7 (12) | 8 | 0.41 (+) | 100 | 8 | DSA | 100 | Asymptomatic |
Note.—(+) indicates Onyx HD+ with increased visibility; Ophth = ophthalmic segment of the carotid artery; Cav, cavernous segment of the carotid artery; GDC, recurrent aneurysm after treatment with Guglielmi detachable coils; FU, follow-up; TIA, transient ischemic attack; Cnp, cranial nerve paresis; DSA, digital subtraction angiography; mRA, magnetic resonance angiography.
Dimensions of the contrasted lumen of the aneurysms are followed in parentheses by dimensions of the complete aneurysms before treatment.
Occlusion of the internal carotid artery after vessel rupture due to balloon inflation during the procedure.
Recurrence after Onyx treatment, occluded with coils and self-expandable stents.