Endovascular treatment of distal middle cerebral artery aneurysms:a single center experience
10.3969/j.issn.1672-5921.2017.12.004
- VernacularTitle:大脑中动脉远端动脉瘤血管内治疗的单中心经验
- Author:
Nan LYU
1
;
Yu ZHOU
;
Qinghai HUANG
;
Yi XU
;
Bo HONG
;
Jianmin LIU
Author Information
1. 第二军医大学附属长海医院神经外科
- Keywords:
Intracranial aneurysm;
Endovascular treatment;
Prognosis
- From:
Chinese Journal of Cerebrovascular Diseases
2017;14(12):633-637,659
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the safety and efficacy of endovascular treatment of distal middle cerebral artery aneurysms. Methods From January 2009 to December 2016,the medical records of 13 consecutive patients with distal middle cerebral artery aneurysm (a total of 14 aneurysms)were reviewed and enrolled. Endovascular treatment included coils,coils with liquid embolic materials,or using liquid embolic material alone for embolization of aneurysms or occlusion of parent arteries. The immediate outcome of aneurysm treatment was evaluated by Raymond classification,and the clinical prognosis was evaluated by the modified Rankin scale (mRS). DSA was use to conduct imaging follow-up study and was compared with the immediate treatment outcome in order to determine whether the aneurysms recurred or not. Results Of the 13 patients,8 were males,with an average age of 40 ±14 years. The maximum diameter of aneurysm was 1. 0 -12. 0 mm,the median size was 4. 5 mm. Fourteen aneurysms were successfully treated by endovascular treatment,4 of them were embolized,and the parent aneurysms were retained;10 aneurysms and parent arteries were occluded. Twelve aneurysms did not develop immediately after operation,and 2 of them had residual aneurysms. No new nerve dysfunction and related complications were found after endovascular treatment. The clinical follow-up period was 9 -96 months,and the median time was 30. 9 months. Twelve aneurysms were followed up for 6 -24 months with a median time of 15. 2 months. No recurrence of aneurysms were observed. Conclusions Using endovascular treatment technology for the treatment of distal middle cerebral artery aneurysms is safe and effective. It can be considered in the development of treatment programs.
