Remote results of endovascular treatment of middle cerebral artery aneurysms

Our objective was to study the dynamics of remote results of MCA SA endovascular occlusion. 149 patients with MCA SA were examined and operated, 127 patients were selected for 3–6 months follow-up, 112 patients – in 1 year follow-up, 52 patients were to be examined in 2–3 years, 17– in 4–5 years and 14 patients – in more than 5 years. Endovascular occlusion was carried out by means of different coils during reconstructive – 138 (92.6%) and unplanned deconstructive occlusions – 8 (5.4%). For planned deconstructions detachable balloons were used – 3 (2%). 17 (11.4%) recurrences were diagnosed and 12 (8%) repeated operations were performed. 19 (12.8%) intra-and postoperative complications/ predictors and 18 (12.1%) complications unrelated to surgery were observed in the first 30 days and only 1 (1.1%) mass effect was identified in 3–6 months. After our research we were ableto trackthe dynamicsof thepatient’slife quality according totheRankinscale; tomonitorthe changes in SA occlusion degree; to define the frequency of recurrences and complications/predictors of complications and to determine the amount of reoperations. We noted a considerable increase in the quantity of total occlusions after reoperations, which resulted in much better filling of the CA cavity, because the prophylaxis of the repeated hemorrhages is the main goal of SA endovascular treatment.