The complications of the Pipeline embolization device in treating complex cerebral aneurysm
10.3760/cma.j.issn.1005-1201.2018.10.012
- VernacularTitle:Pipeline血流导向装置治疗复杂脑动脉瘤的并发症分析
- Author:
Weixing BAI
1
;
Tianxiao LI
;
Yuming XU
;
Hang LI
;
Yingkun HE
Author Information
1. 450052,郑州大学第一附属医院神经内科
- Keywords:
Intracranial aneurysm;
Radiology;
interventional;
Postoperative complications
- From:
Chinese Journal of Radiology
2018;52(10):779-783
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the complications of the Pipeline embolization device in treating complex cerebral aneurysm. Methods Consecutive data of 53 patients who suffered from complex cerebral aneurysm and underwent Pipeline device treatment were retrospectively collected and analyzed. Clinical and imaging data including aneurysm location, type, size and the using of coils, were recorded to investigate the complications. Results Pipeline embolization device was successfully implanted, and 27 patients were combined with coils. Five complications occurred in the 1-month perioperative stage, of which, 1 was disable and 1 was fatal. Two non-disability complications occurred in the later stage beyond 1 month, of which, 1 was cerebral infraction and 1 was intraparenchymal hemorrhage. The Logistic regression analysis demonstrated that the posterior circulation location, types, large size and the using of coils were not statistically significant risk factors for complications. The median imaging follow-up for 43 patients with 58 aneurysms was 6 months, the complete and sub-complete occlusion rate of aneurysms was 74.1％ (43 / 58) and 3 non-symptomatic stenosis occurred in the patients with Pipeline embolization device. Conclusions The occlusion rate of Pipeline embolization device in treating Chinese complex cerebral aneurysm is high , but another further research should be done for the mechanism and the prevention methods of the complications.
