Endovascular stents and Guglielmi detachable coils placement for the treatment of intracranial aneurysms
- VernacularTitle:血管内支架结合电解可脱弹簧圈治疗颅内动脉瘤
- Author:
Jianmin LIU
;
Qinghai HUANG
;
Yi XU
- Publication Type:Journal Article
- Keywords:
Cerebral aneurysm;
Implants,artificial;
Radiology,interventional
- From:
Chinese Journal of Radiology
2000;0(11):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To report the treatment of intracranial fusiform or wide-necked aneurysms with combined endovascular stenting and Guglielmi detachable coils packing, and to evaluate its indication, technique, outcome, and complications. Methods The coronary stents were implanted across the necks of 5 fusiform aneurysms and 12 wide-necked aneurysms. Microcatheters were introduced into the aneurysmal sac through stent mesh, and GDCs were used to embolize the aneurysms. Results The stents were deployed in 16 cases, and total occlusion was obtained in 13 cases,while more than 90% in 3 cases. One aneurysm was embolized with GDCs alone after the attempt of stenting was failed. All the patients recovered well with patency of the parent arteries. Conclusion Endovascular therapy combined with stent implantation and microcoil placement may be a valid alteration for the treatment of intracranial fusiform or wide-necked aneurysms. Further study was necessary for long-term outcome.
