Early endovascular embolization treatment for the ruptured posterior communicating artery aneurysm:analysis of the mid-term and long-term effects
10.3969/j.issn.1008-794X.2015.10.002
- VernacularTitle:早期血管内栓塞术治疗破裂性后交通动脉瘤中远期效果分析
- Author:
Shuting WANG
;
Xixiang YU
;
Binbin QIAO
;
Cheng LI
;
Yufang LIU
;
Zhenjing SHI
;
Changsheng SHI
;
Guoqing ZHU
- Publication Type:Journal Article
- Keywords:
endovascular embolization;
posterior communicating artery aneurysm;
efficacy;
follow-up
- From:
Journal of Interventional Radiology
2015;(10):843-845
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the mid-term and long-term effects of early endovascular emboli-zation in treating ruptured posterior communicating artery aneurysm. Methods Early endovascular embolization therapy was carried out in 36 patients with ruptured posterior communicating artery aneurysm (36 aneurysms in total), and the effects of embolization therapy were evaluated by using Raymond grading method. The unified imaging review program was formulated, and the mid-term and long-term effects were evaluated at half, 1, 2, 3 and 5 years after the treatment. Results The technical success rate was 100% in 36 patients (36 aneurysms in total). Raymond grading evaluation showed that gradeⅠwas seen in 32 patients, gradeⅡ in 2 patients, and grade Ⅲ in 2 patients. Recurrence of aneurysm was found in 5 patients (13.89%) at half (n=1), 2 (n=1), 3 (n=1) and 5 years (n=2) after the treatment. Re-rupture of the recurrent aneurysm was seen in one patient (2.78%). No death occurred during the following-up period. Conclusion Early endovascular embolization for ruptured posterior communicating artery aneurysm can effectively improve the prognosis of subarachnoid hemorrhage, and regular imaging examination can promptly detect the recurrence of aneurysm. Effective interventions are helpful for preventing deterioration and rupture of aneurysm.
