Severe perioperative neurological complications underwent stent assisted coil embolization of intracranial aneurysm
10.3969/j.issn.1672-5921.2016.05.008
- VernacularTitle:支架辅助弹簧圈栓塞颅内动脉瘤围手术期严重神经系统并发症的分析
- Author:
Qing HOU
;
Yueqiao XU
;
Weitao CHENG
;
Ning WANG
;
Hongqi ZHANG
;
Guilin LI
;
Chuan HE
;
Ming YE
- Publication Type:Journal Article
- Keywords:
Intracranial aneurysm;
Stent-assisted coiling;
Complication;
Prognosis
- From:
Chinese Journal of Cerebrovascular Diseases
2016;13(5):262-265
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the perioperative clinical character of the severe neurological complications in intracranial aneurism treated with stent-assisted coiling(SAC). Methods 203 cases of intracranial aneurysms patients treated by SAC were enrolled retrospectively(ruptured aneurysm group 45 cases and un-ruptured,aneurysm group 158 cases)and the perioperative clinical character of the serious neurological complications(11 cases)was further analyzed. Results The total rate of serious neurological complication was 5. 4%,11 cases of patients with 13 aneurysms got 13 stents. In the ruptured aneurysm group, 5 cases(11. 1%)suffered severe neurological complications,including intraoperative bleeding in one case, postoperative stent-related ischemia in one case,both 2. 2% . Postoperative bleeding 2 cases(4. 4%),and one case of bleeding during anesthesia induced stage(2. 2%). In the unruptured aneurysm group,intraoperative bleeding in three cases,and postoperative stent-related ischemia in three cases,both 1. 9% . No bleeding case during anesthesia induced stage or postoperative period. Although active rescue treatments were performed, 8 patients eventually died,and the total mortality rate was 3. 9% . Conclusion Intracranial aneurysms patients following SAC treatment may suffer from bleeding,ischemia,severe neurological complications, severe disability,and even die. So,we have to strengthen perioperative management.
