Multi-stent overlapping assisted coil embolization for ruptured intracranial blood blister-like aneurysms of internal carotid artery: a retrospective case series study of 38 cases
10.3760/cma.j.issn.1673-4165.2020.07.007
- VernacularTitle:多支架重叠辅助弹簧圈栓塞治疗颈内动脉破裂血泡样动脉瘤：38例回顾性病例系列研究
- Author:
Zhixian JIANG
1
;
Jiaxin HUANG
;
Jinning ZHANG
;
Xueyang HE
;
Xizhao WANG
Author Information
1. 福建医科大学附属泉州第一医院神经外科，泉州 362002
- From:
International Journal of Cerebrovascular Diseases
2020;28(7):516-521
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the safety and effectiveness of multi-stent overlapping assisted coil embolization for ruptured intracranial blood blister-like aneurysms (BBA).Methods:Patients with intracranial BBA admitted to the Affiliated Quanzhou First Hospital of Fujian Medical University and treated with multi-stent overlapping assisted coil embolization from January 2013 to January 2019 were enrolled retrospectively. The embolization rate immediately after procedure, modified Rankin Scale (mRS) score at discharge, aneurysm embolization rate, recurrence rate and mRS scores at 3 months after procedure were collected.Results:A total of 38 patients with BBA were enrolled, including 21 females (55.3%) and 17 males (44.7%); their age was 54±9.3 years (range, 29-71 years); the maximum diameter of aneurysm was 5.1±1.0 mm, and the diameter of aneurysm neck was 4.9±0.7 mm. Raymond grading showed that the complete embolization rate immediate after procedure was 71.1%, the residual rate of aneurysmal neck was 18.4%, and the residual rate of aneurysmal body was 10.5%. During the perioperative period, 2 patients had stent thrombosis and 2 had intraoperative aneurysm hemorrhage. Imaging follow-up at 3 months after procedure showed that the aneurysms of 31 cases (83.8%) disappeared completely, 4 (10.8%) improved, and 2 (5.4%) recanalized. The good clinical outcome rate (mRS score ≤ 2) was 81.1%, 1 patient (2.6%) died, and no postoperative rebleeding occurred.Conclusion:Multi-stent overlapping assisted coil embolization is a safe and effective surgical method for the treatment of ruptured intracranial BBA.
