Risk factors and clinical features of intra-procedural rupture in endovascular treatment of unruptured intracranial aneurysm
10.16781/j.0258-879x.2017.12.1491
- Author:
Li LI
1
Author Information
1. Department of Neurosurgery, Changhai Hospital, Second Military Medical University
- Publication Type:Journal Article
- Keywords:
Interventional therapy;
Intra-operative rupture;
Intracranial aneurysm
- From:
Academic Journal of Second Military Medical University
2017;38(12):1491-1496
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the risk factors and clinical features of intra-procedural rupture (IPR) in the interventional treatment of unruptured intracranial aneurysm (UIA), so as to reduce the incidence of IPR. Methods We retrospectively analyzed the clinical and imaging features of patients with UIA who received interventional treatment in Changhti Hospital, Second Military Medical University from Jan. 2010 to Feb. 2017. Univariate and multivariate analysis were performed to analyze the risk factors of IPR. Results A total of 1 232 patients with UIA were included in this study. IPR occurred in 11 patients (0. 89%). Univariate analysis showed that cardiac comorbidities (P = 0. 025), anterior communicating artery aneurysm (P =0. 009), irregularmorphology (P =0. 001), and the use of stents (P = 0. 016) were associated with IPR. Multivariate analysis showed that cardiac comorbidities (OR = 6. 919, P = 0. 008), irregular morphology (OR= 9. 758, P
