Overlapping stent-assisted coiling for blood blister-like aneurysms of the internal carotid artery
10.16571/j.cnki.1008-8199.2018.03.008
- VernacularTitle:多支架辅助弹簧圈治疗颈内动脉血泡样动脉瘤的疗效分析
- Author:
Jin-Long YUAN
1
;
Xing-Gen FANG
;
Xin-Tong ZHAO
;
De-Gang WU
;
Nian-Sheng LAI
;
Jia-Qiang LIU
;
Dan WU
;
Zhen-Bao LI
Author Information
1. 皖南医学院附属弋矶山医院神经外科
- Keywords:
intracranial aneurysm;
blood blister-like aneurysm;
overlapping stent;
enterprise;
low-profile visualized intralu-minal support device
- From:
Journal of Medical Postgraduates
2018;31(3):258-261
- CountryChina
- Language:Chinese
-
Abstract:
Objective The treatment methods for blood blister-like aneurysm remain controversial due to its special patholog-ical structure,the risk of post-operative rebleeding and the high rate of recurrence. The arm of this paper is to access the feasibility and effectiveness of overlapping stent-assisted coiling in the treatment of blood blister-like aneurysms of the internal carotid artery. Methods Form January 2014 to December 2016,we treated 15 patients with blood blister-like aneurysm of the internal carotid artery by stent-assisted coiling in the Department of Neurosurgery,5 with two Enterprise tents,3 with three Enterprise tents,4 with Enter-prise+LVIS tents,and 3 with two LVIS tents. We determined the rate of immediate embolization of aneurysms by Raymond-Roy Occlu-sion Classification(RROC)and analyzed the clinical characteristics,postoperative complications,and follow-up data. Results All the coils and stents were successfully implanted. RROC showed 9 cases of gradeⅠ(60%),4 cases of gradeⅡ(27%),and 2 cases of gradeⅢimmediate occlusion(13%),with the parent arteries unobstructed in all the cases. Thrombosis in the stent was found in 2 cases intraoperatively,slight stent migration in 1 case,and internal carotid artery dissection in the petrous segment in another,but no cer-ebral vasospasm or aneurysm rupture in any case.Delayed cerebral in-farct was observed in 2 cases postoperatively. The patients were fol-lowed up for 2 weeks to 28 months,which showed that 11 of them were cured,2 remained stable and 2 developed further thrombosis,with an MRS score of 0-2 in 12 cases,4 in 1 case,5 in 1 case, and 6 in 1case. Conclusion Overlapping stent-assisted coiling is effective for the treatment of blood blister-like aneurysm by reduc-ing the risks of rebleeding and recurrence.
