Technical analysis of endovascular embolization for wide-necked aneurysms of ruptured anterior communicating arteries
10.3969/j.issn.1006-5725.2015.15.035
- VernacularTitle:血管内栓塞治疗破裂前交通宽颈动脉瘤的技术分析
- Author:
Gang XU
;
Gang CUI
;
Zhiyuan SENG
;
Jianqiang QU
;
Ligui GAO
;
Xiaoxia XU
;
Manli QU
;
Haiqin WU
- Publication Type:Journal Article
- Keywords:
Anterior communicating artery;
Intracranial aneurysms;
Ruptured;
Embolization;
Therapeutic
- From:
The Journal of Practical Medicine
2015;31(15):2520-2523
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the safety, efficacy and key points of technology of endovascular embolization for ruptured wide-necked aneurysms of anterior communicating arteries. Methods The clinical, DSA imaging, interventional treatment and follow-up data of 35 patients with ruptured wide-neck aneurysms of anterior communicating arteries were analyzed retrospectively. Results Immediate postoperative angiography of the 35 patients found 100% occlusion were achieved in 29 (82.9%), 90% occlusion were achieved in 5 (14.3%), and 80%occlusion was achieved in 1 (2.8%). One patient had occlusion in ipsilateral anterior cerebral artery , whose blood vessel was patent after thrombosis. One patient had intraoperative aneurysm rupture. One patient had cerebral infaraction of anterior cerebral artery after the operation. Clinical follow-up was made from 6 to 60 months , and no aneurysms ruptured was found. 21 patients were followed up for 6 to 60 months with DSA. Two of them experienced recurrence, and they were not treated with supplementary packing. Conclusion Endovascular embolization for ruptured wide-necked aneurysms of anterior communicating arteries is more difficult , but it is safe and effective. Flexible choosing of various kinds of embolism technique and designing the most optimal embolism treatment plan are the keys to the improvement of embolization effect.
