Embolization combined with endovascular stenting for treatment of intracranial pseudoaneurysms.
- Author:
Jun WANG
1
;
Bao-min LI
;
Sheng LI
;
Xiang-yu CAO
;
Xin-feng LIU
;
A-Lan ZHANG
;
Ai-Li GE
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Aneurysm, False; therapy; Embolization, Therapeutic; Female; Humans; Intracranial Aneurysm; therapy; Male; Middle Aged; Stents; Treatment Outcome; Young Adult
- From: Journal of Southern Medical University 2011;31(5):836-838
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo evaluate the therapeutic effect of embolization combined with endovascular stenting in the for treatment of intracranial pseudoaneurysms.
METHODSSeventeen patients with intracranial pseudoaneurysms received endovascular treatment with coil placement, NBCA glue embolization and endovascular stenting, and the therapeutic effect was evaluated according to the findings in immediate postoperative and follow-up angiography.
RESULTSFatal aneurysm rupture occurred in 1 case during embolization, and the surgical procedures were carried out smoothly in the remaining 16 cases. The aneurysm cavity dense coil packing ratio was 50% in coil embolization group and 42.9% in stent-assisted coil embolization group. In the follow-up for 3 months to 2 years, 2 patients in coil embolization group experienced pseudoaneurysm recurrence and were managed successfully with additional embolization with coils and stent. Aneurysms were not found postoperatively in stent-assisted coil embolization group.
CONCLUSIONEmbolization combined with endovascular stenting is a safe and effective treatment of intracranial pseudoaneurysms with minimized risk of recurrence.