Observation of the effect of double stents-assisted coil embolization in the treatment of intracranial blood blister-like aneurysms
10.3760/cma.j.issn.1008-6706.2017.21.007
- VernacularTitle:双支架治疗颅内血泡样动脉瘤的疗效观察
- Author:
Shanquan JING
1
;
Linlin LIU
;
Feng ZHANG
;
Jianfeng LIU
;
Jinlin GAO
;
Peng LI
Author Information
1. 河北医科大学第一医院神经外科
- Keywords:
Stents;
Endovascular therapy;
Aneurysm;
Subarachnoid hemorrhage
- From:
Chinese Journal of Primary Medicine and Pharmacy
2017;24(21):3225-3228
- CountryChina
- Language:Chinese
-
Abstract:
Objective To valuate the feasibility and safety of double stents-assisted coil embolization in the treatment of intracranial blood blister-like aneurysms.Methods The clinical data of 10 patients with BBAs who treated by double stents-assisted coil embolization were retrospectively reviewed.The clinical angiographic findings and follow-up restdts were analyzed and evaluated.Results The stent implantation were successfully performed in parent artery of 10 patients.There were 4 patients were performed with solo stents only because tumor was too small.5 patients were treated with double stents-assisted partial coil embolization.1 patient was treated with double stents-assisted totall coil embolization.The modified Rankin Scale score at the time of discharge in the alive patientswas 1 point in 5 patients,2 points in 2 patients,and 3 points in 1 patient,two patients died due to postoperative bleeding.The modified Rankin Scale score at 6-24 months after the treatment was 0 points in 5 patients,1 point in 2 patients,and 2 points in 1 patient,no rebteeding occurred.All patients received imaging follow-up to make sure the aneurysm imaging disappeared in 3 cases,3 cases of aneurysm development smaller,2 cases of imaging had no obvious change.Conclusion Double stents-assisted coil embolization is one of feasible methods for the treatment of BBAs.This method has high security,can reduce the fatality rate of BBAs.It is possible that new type low porosity stents may further reduce the risk of rebleeding and reoccurrence.
