Reconstructive treatment with multiple stents and coiling for unruptured vertebral artery dissecting aneurysms
10.3724/SP.J.1008.2015.00177
- Author:
Li LI
1
Author Information
1. Department of Neurosurgery, Changhai Hospital, Second Military Medical University
- Publication Type:Journal Article
- Keywords:
Dissecting aneurysm;
Endovascular treatment;
Stents;
Vertebral artery
- From:
Academic Journal of Second Military Medical University
2015;36(2):177-182
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the feasibility and safety of reconstructive treatment with multiple stents and coiling for un-ruptured vertebral artery dissection aneurysms (UVADAs). Methods A retrospective review was conducted for all the patients who underwent reconstructive treatment with multiple stents (2 or 3) and coiling for UVADAs in our department between June 2009 and April 2014; the clinical outcomes and follow-up data were analyzed to assess the feasibility and safety of reconstructive treatment with multiple stents and coiling for UVADAs. Results All patients were treated with multi-stents and coiling and the successful release rate of stents was 100%. Immediate occlusion outcome after operation was as follows: total obliteration was achieved in 8 cases, subtotal obliteration in 7 cases, partial obliteration in 23 cases; there were no intra-operative thrombosis. Angiographic followed-up outcome was as follows: one case (2.6%, 1/38) had ischemic event; 8 cases with total obliteration and 7 with subtotal obliteration had imaging cure; among the 23 cases with partial obliteration, 7 had imaging cure, 7 had improved imaging, and 8 had stable imaging. All the patients had satisfactory outcomes during a follow-up of 19-month (4-126 months), with mRS score being 0-1. Conclusion Our preliminary experience suggests that reconstructive treatment with multiple stents and coiling is feasible and safe for UVADAs, but the conclusion needs to be further verified by large sample studies.
