Safety of intravascular re -canalization of acute cerebral artery occlusion combined with intracranial aneurysms: an analysis of 7 cases
10.3760/cma.j.issn.1671-8925.2018.11.011
- VernacularTitle:合并颅内动脉瘤的急性脑动脉闭塞血管内再通治疗的安全性分析(附七例报道)
- Author:
Tengfei ZHOU
1
;
Tianxiao LI
;
Liangfu ZHU
;
Meiyun WANG
;
Ziliang WANG
;
Qiang LI
;
Liheng WU
;
Yingkun HE
;
Zhaoshuo LI
Author Information
1. 河南省人民医院(郑州大学人民医院)脑血管病诊疗中心
- Keywords:
Acute cerebral artery occlusion;
Intracranial aneurysm;
Ischemic stroke;
Intravascular re-canalization;
Rupture bleeding
- From:
Chinese Journal of Neuromedicine
2018;17(11):1147-1150
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the safety of endovascular thrombectomy in acute ischemic stroke patients with pre-existing intracranial aneurysms. Methods Seven patients with acute ischemic stroke combined with intracranial aneurysms, admitted to and received endovascular treatment in our hospital from January 2014 to December 2016, were chosen. The clinical data and safety were analyzed retrospectively. Results All patients with pre-existing intracranial aneurysms suffered acute large artery occlusion achieved successful endovascular re-canalization, and one patient suffered subarachnoid hemorrhage due to the rupture of aneurysm during the procedure. Three patients had grading 2b of Thrombolysis in Cerebral Infarction (TICI), and 4 had grading 3 of TICI. Four patients had 0-2 scores of modified Rankin Scale (mRS), one had 3 scores, and two died. Conclusion Endovascular thrombectomy in acute ischemic stroke patients with pre-existing intracranial aneurysms is safe.
