Endovascular embolization and prognosis of middle cerebral artery aneurysms
10.3969/j.issn.1672-5921.2016.02.001
- VernacularTitle:大脑中动脉瘤的血管内栓塞及预后
- Author:
Lili WEN
;
Xin ZHANG
;
Qingrong ZHANG
;
Qi WU
;
Xiangsheng ZHANG
;
Chunhua HANG
;
Jixin SHI
;
Handong WANG
- Publication Type:Journal Article
- Keywords:
Intracranial aneurysm;
Middle cerebral artery;
Coil;
Stent;
Endovascular embolization
- From:
Chinese Journal of Cerebrovascular Diseases
2016;(2):57-61
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effectiveness and safety of endovascular embolization for the treatment of middle cerebral artery aneurysms. Methods From March 2007 to May 2015,the clinical data of 170 patients with 173 middle cerebral artery aneurysms treated with endovascular embolization at the Department of Neurosurgery,Nanjing Jinling Hospital were analyzed retrospectively,including 120 (69.4%)ruptured aneurysms and 53 (30. 6%)unruptured aneurysms. The incidence of complications and prognosis were compared between the 2 groups. Results (1)A total of 170 patients who could perform endovascular embolization after preoperative evaluation successfully completed the interventional procedure. None of the patients died. (2)18 patients (10. 6%)had intraoperative and postoperative complications,including 4 (7. 5%,4/53)in the unruptured aneurysm group and 14 (11. 7%,14/120)in the ruptured aneurysm group. There was no significant difference in the incidence of complications between the two groups. (3)101 patients were followed up for 3-48 months. No new nervous system symptoms and reruptured aneurysm were observed. One patient had recurrence in the unruptured aneurysm group and 4 had recurrence in the ruptured aneurysm group. Conclusion Endovascular treatment of middle cerebral artery aneurysms is a safe,effective,and feasible technique.
