Endovascular embolization of vertibrobasilar aneurysms: report of 21 cases
10.3760/cma.j.issn.1671-8925.2009.03.020
- VernacularTitle:21例椎基底系统动脉瘤的介入治疗
- Author:
Xing-He CHEN
1
;
Da-Shi ZHI
;
Xiao-Guang TONG
;
Hong WANG
Author Information
1. 天津医科大学
- Keywords:
Vertibrohasilar artery;
Intracranial Aneurysm;
Embolization,therapeutic
- From:
Chinese Journal of Neuromedicine
2009;8(3):285-287
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize our experience with endovascular treatment of vertibrobasilar aneurysms. Methods The clinical data of 21 patients with vertibrobasilar aneurysms admitted between October, 2003 and July, 2007 were retrospectively analyzed. All the 21 patients received endovascular embolization, of whom 11 patients had embolization with Guglielmi detachable coils (GDC), 9 had GDC embolization with Neuroform stent placement, and 1 patient was managed with covered stent placement in the parent artery. Results After the operations, 19 patients were clinically cured with good prognosis, 1 patient was severely disabled, and 1 died due to heart failure. Four patients underwent ventriculo-peritoneal shunting for postoperative hydrocephalus. Conclusions Endovascular embolization with GDC and placement of Neuroform stent and covered stent are effective options for management of vertibrobasilar aneurysms, and most of the vertibrobasilar aneurysms can be treated effectively by these approaches.