Clinical study of solitaire AB stent assisted with coil embolization therapy in the treatment of wide-necked intracranial aneurysms
- VernacularTitle:Solitaire AB支架辅助弹簧圈栓塞颅内宽颈动脉瘤的临床研究
- Author:
Gang LUO
1
;
Jianbai YU
;
Ying HUANG
;
Jinbing GONG
;
Jinsong ZENG
Author Information
1. 湖南中医药大学第一附属医院神经外科
- Keywords:
Wide-necked intracranial aneurysms;
Solitaire AB stent;
Coil embolization therapy
- From:
China Modern Doctor
2015;(13):32-34
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical effects of solitaire AB stent assisted with coil embolization therapy in the treatment of wide-necked intracranial aneurysms. Methods A total of 30 patients with wide-necked intracranial a-neurysms who were admitted in our hospital and given the treatment of stent combined with coil embolization technique from August 2013 to August 2014 were selected. The patients were given the treatment of anti-coagulation and anti-platelet during perioperative period. Cerebral angiography was re-examined 3 months after the surgery and embolization effect was evaluated. Results 30 patients (30 pieces) with wide-necked intracranial aneurysms were treated with soli-taire AB stent assisted with coil embolization therapy in this study, among whom 26 patients were fully and closely em-bolised, 3 patients were embolised over 90%, and 1 patient was embolised mostly (85%-90%). Follow-up was carried out for patients 2-12 months. Modified Rankin scores (mRS) was applied for evaluation. 25 patients were scored 0, 4 were scored 1 and 1 was scored 2. One of the patients died after rescue due to severe cerebral angiospasm induced by subarachnoid hemorrhage followed by diffuse brain swelling. No rupture of aneurysms was seen in other patients during the embolization surgery, and no surgery-associated complications such as stent displacement and bleeding. Satisfactory effect was achieved for patients with wide-necked intracranial aneurysms receiving stent assisted with embolization surgery. All patients were followed-up by cerebral angiography, and no relapse of arterial aneurysm was detected. Conclusion Solitaire AB stent assisted with coil embolization technique in the treatment of wide-necked intracranial a-neurysms is safe and effective.
