Coil embolization without assistance of balloon dilation or stenting for treatment of newly ruptured very small intracranial aneurysms
10.3760/cma.j.issn.1671-8925.2016.08.011
- VernacularTitle:颅内微小动脉瘤破裂出血急性期血管内单纯栓塞治疗研究
- Author:
Huawei YE
1
;
Yu SONG
;
Xianfu JIANG
;
Yaqi LIU
Author Information
1. 518101,深圳市宝安区人民医院(深圳市第八人民医院)神经外科
- Keywords:
Very small aneurysm;
Subarachnoid hemorrhage;
Coil embolization without balloon dilation or stenting
- From:
Chinese Journal of Neuromedicine
2016;15(8):814-818
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of coil embolization without the assistance of balloon dilation or stenting for the treatment of newly ruptured very small intracranial aneurysms.Methods A group of 26 subarachnoid hemorrhage (SAH) patients treated in our hospital from August 2010 to April 2013 were enrolled;a total of 26 very small intraeranial aneurysms were identified.All anemysms were firstly spored by CT angiography or MR angiography,and then,followed by digital subtraction angiography (DSA) or 3D-DSA for determination of operation plans.General anesthesia was applied for all patients.Coil embolization was performed without the assistance of balloon dilation or stenting.All aneurysms were rechecked by DSA at 3 and 12 months after embolization.Results After the coiling procedure,18 aneurysms were completely embolized,3 were close to complete embolizaiton,2 were partly embolized,and 3 aneurysms re-ruptured and then completely embolized.All patients were fully recovered to independent living at discharge.The 12 months post-procedure DSA recheck revealed no changes for the 18 aneurysms with complete embolization,stable blood flow for the 3 with close-to-complete embolization,no re-rupture or re-bleeding for the 2 partly embolized aneurysms,and complete embolization for the 3 aneurysms re-ruptured during the procedure.Conclusion Coil embolization alone without the assistance of balloon dilation or stenting may achieve satisfactory results for the treatment of newly ruptured very small intracranial aneurysms.
