Clinical analysis of remote intracranial hematoma after interventional embolization of intracranial aneurysm
10.3760/cma.j.cn115354-20210514-00309
- VernacularTitle:颅内动脉瘤介入栓塞后并发远隔部位血肿的临床分析
- Author:
Xiaozhi CHENG
1
;
Tao XIE
;
Xinghe HE
;
Shuai ZHANG
;
Feng CHEN
;
Junxian HU
;
Xiaoyan WEN
;
Qingchun MU
Author Information
1. 高州市人民医院神经外科 525200
- Keywords:
Intracranial aneurysm;
Interventional embolization;
Remote intracranial hematoma
- From:
Chinese Journal of Neuromedicine
2021;20(11):1149-1153
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical characteristics and possible mechanisms of remote intracranial hematoma (RIH) in patients with intracranial aneurysm after interventional embolization.Methods:Six patients with RIH from a series of 58 consecutive patients with intracranial aneurysm, admitted to and performed interventional embolization in our hospital from January 2016 and December 2018, were chosen in our study. Their clinical data were analyzed retrospectively and compared with those without RIH at the same period.Results:In these 6 patients, 4 had history of hypertension, 5 had aneurysm located in the internal carotid artery, 5 were treated with stents combined with postoperative routine anticoagulation treatment. The remote intracranial hematoma occurred within 7 d of interventional embolization, and the hematoma was located in the cerebral hemisphere on the same side of the aneurysm; 4 patients underwent intracranial hematoma puncture catheter drainage; 1 patient was treated conservatively, and one was treated by craniotomy. After treatment, 1 patient recovered (modified Rankin scale [mRS] score of 1), 1 patient had poor prognosis (mRS scores of 5) and discharged automatically, and the rest 4 patients (mRS scores of 3-5) left some degrees of neurological dysfunction. As compared with 52 patients without RIH, 6 patients with RIH had significantly higher percentages of patients used stents and postoperatively used anticoagulation, and higher percentages of patients with poor clinical outcomes at discharge ( P<0.05). Conclusion:Stent-assisted coil embolization in patients with internal carotid artery aneurysm combined with hypertension should be highly vigilant about the possibility of RIH.
