Stent-assisted coiling for distal anterior cerebral artery aneurysm
10.16571/j.cnki.1008-8199.2018.03.004
- VernacularTitle:支架辅助弹簧圈栓塞治疗大脑前远端动脉瘤的疗效分析
- Author:
Qi WU
1
;
Xin ZHANG
;
Qing-Rong ZHANG
;
Li-Li WEN
;
Xiang-Sheng ZHANG
;
Jin XUE
;
Shu-Juan CHEN
;
Jin-Long DENG
;
Han-Dong WANG
Author Information
1. 南京军区南京总医院神经外科
- Keywords:
intracranial aneurysm;
anterior cerebral artery;
endovascular treatment;
stent
- From:
Journal of Medical Postgraduates
2018;31(3):239-243
- CountryChina
- Language:Chinese
-
Abstract:
Objective Distal anterior cerebral artery aneurysm(DACAA)is rare and difficult to be treated. The aim of this study was to investigate the clinical effect of stent-assisted coiling in the treatment of DACAA. Methods We retrospectively analyzed the clinical data about 15 patients with 15 DACAAs treated by stent-assisted coiling,with all the aneurysms occluded and the parent ar-teries preserved,including 4 ruptured and 11 unruptured aneurysm,8 in the A2 and 7 in the A3 segment. The follow-up ranged from 6 to 33 months,during which we evaluated the prognosis of the patients by radiological and clinical examinations. Results There were no operation-related complications in any of the cases. One patient died of subarachnoid hemorrhage-induced cerebral vasospasm. Fol-low-up angiogram revealed complete occlusion of the aneurysms in 9 cases. The last follow-up Glasgow Outcome Scale score was 5 in all the 14 survived patients. No rupture,rebleeding or fresh neurologic deficits was observed in any of the patients. Conclusion Stent-assisted coiling is safe and effective,with a low short-term recurrence rate,in the treatment of distal anterior cerebral artery aneurysm.
