A clinical study of NexusTM coils for endovascular occlusion of intracranial aneurysms
10.3760/cma.j.issn.1671-8925.2009.06.011
- VernacularTitle:新型带纤毛弹簧圈栓塞治疗颅内动脉瘤的临床研究
- Author:
Xi-Feng LI
1
;
Chuan-Zhi DUAN
;
Jin-Fu FENG
;
Qiu-Jing WANG
;
Xu-Ying HE
;
Yan-Wu GUO
;
Xiao-Qiu LIU
;
Zhong-Jie YAN
;
Xin-De ZHAO
;
Jian-Hao LIN
Author Information
1. 南方医科大学珠江医院
- Keywords:
Cerebral aneurysms;
Endovascular embolization;
NexusTM coils
- From:
Chinese Journal of Neuromedicine
2009;8(6):581-584
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the effect of NexusTM coils for endovascular occlusion of intracranial aneurysms. Methods In 41 patients with intracranial aneurysms, endovascular occlusion of 43 aneurysms was performed using NexusTM coils. The follow-up data of the patients for 6 to 12 months were reviewed, and the imaging data from digital subtraction angiography (DSA), CT angiography (CTA) or magnetic resonance arthrography (MRA) alter the treatment were analyzed. Results In the 41 patients, 1 died, 1 had aneurysm recurrence, 3 had cerebral infarction, 1 showed ocular paralysis, and 2 developed hydrocephalus after the surgery. Evaluation with modified Rankin Scale showed grade 0 in 8 cases, grade 1 in 19 cases, grade 2 in 7 cases, grade 3 in 3 cases, grade 4 in 1 case, grade 5 in 1 ease and grade 6 in 1 case. Conclusion Endovascular embolization with NexusTM coils is effective for treatment of intracranial aneurysms especially in cases of small aneurysms and parent artery occlusion. Caution should be taken with the coil for endovascular occlusion of the neck of anterior and middle cerebral artery aneurysms with thin parent arteries, as the fibers in the coil may cause thrombosis and potential cerebral infarction.
