Efficacy of stent-assisted and non-stent-assisted coil embolization in the treatment of posterior communicating ruptured wide-necked aneurysms in acute stage
10.3760/cma.j.issn.1673-4904.2019.12.002
- VernacularTitle: 支架辅助与非支架辅助弹簧圈栓塞治疗急性期颈内动脉后交通破裂宽颈动脉瘤的疗效分析
- Author:
Lin SHI
1
;
Yang ZHAN
2
;
Yanhui ZHANG
1
Author Information
1. Department of Neurosurgery, Dezhou People′s Hospital, Shandong Dezhou 253000, China
2. Department of Pathology, Dezhou People′s Hospital, Shandong Dezhou 253000, China
- Publication Type:Journal Article
- Keywords:
Posterior communicatinganeurysm;
Stent-assisted;
Complications
- From:
Chinese Journal of Postgraduates of Medicine
2019;42(12):1060-1064
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the safety and efficacy of stent-assisted and non-stent-assisted coil embolization in the treatment of posterior communicating ruptured wide-necked aneurysms.
Methods:Data were collected from January 2014 to December 2018 in Dezhou People′s Hospital where patients with ruptured posterior communicating artery wide-necked aneurysm were treated by interventional embolization. All patients were admitted to hospital for subarachnoid hemorrhage, and the diagnosis of posterior communicating artery aneurysm of internal carotid artery was confirmed within 7 d of admission, and the patients were treated with interventional embolization. To compare the perioperative complications, mortality and clinical prognosis between stent-assisted embolization group (stent group, 45 patients) and non-stent-assisted embolization group(non-stent group, 38 patients) was analyzed.
Results:The incidence of ischemic complications in stent group was 20.0% (9/45), in nonstent group was 5.3% (2/38), and there was significant difference (χ2=3.892, P < 0.05). The overall complication rate in stent group was 28.9%(13/45), in non-stent group was 10.5%(4/38), and there was significant difference (χ2=4.265, P < 0.05). There was no significant difference in bleeding complications, symptomatic vasospasm, mortality and clinical prognosis between the two groups (P > 0.05).
Conclusions:In the acute stage of posterior communicating artery aneurysm rupture, stent-assisted embolization has a high rate of thrombotic complication, and the clinical application needs to be cautious. Both the stent-assisted and non-stent-assisted embolization have a good clinical outcome in the treatment of wide-necked posterior communicating aneurysms in the acute phase.
