Endovascular therapy for intracranial wide-necked aneurysms
- VernacularTitle:颅内宽颈动脉瘤的血管内治疗33例分析
- Author:
Jianjun YANG
;
Xuedan SONG
- Publication Type:Journal Article
- Keywords:
intracranial wide-necked aneurysm;
endovascular therapy;
stent;
balloon
- From:
Journal of Interventional Radiology
2009;18(9):645-648
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the clinical experience of intracranial wide-necked aneurysms using intracranial stent technique or balloon-assisted technique. Methods Thirty-three ruptured intracranial wide-necked aneurysms were treated by stent-assisted or balloon-assisted technique combined with the use of Microplex coils. The lesions included 8 anterior communicating artery aneurysms, 19 posterior communicating artery aneurysms, 3 middle cerebral artery aneurysms and 3 basilar artery aneurysms. Results Of 19 patients treated with stent-assisted technique and Microplex coils, complete occlusion of the aneurysm was achieved in 13, over 90% occlusion in 4 and (70-90) % occlusion in 2. Among another 14 patients treated with balloon-assisted technique and Microplex coils, complete occlusion of the aneurysm was achieved in 9, over 90% occlusion in 3 and (70-90) % occlusion in 2. Conclusion For the treatment of intracranial wide-necked aneurysms, both the stent-assisted and balloon-assisted techniques are safe and effective. In treating intracranial wide-necked aneurysm, the selection of proper technique should be based on the patient's individual condition.
