Endovascular interventional treatment strategy for multiple intracranial aneurysms:single-center experience
10.3969/j.issn.1008-794X.2025.10.004
- VernacularTitle:多发颅内动脉瘤的血管内介入治疗策略:单中心经验
- Author:
Mianmian ZHANG
1
;
Chaojie TANG
;
Yi GU
;
Binxian GU
;
Wu WANG
;
Yuehua LI
Author Information
1. 200235 上海 上海交通大学医学院附属第六人民医院放射介入科
- Keywords:
intracranial aneurysm;
one-stage treatment;
endovascular treatment;
subarachnoid hemorrhage
- From:
Journal of Interventional Radiology
2025;34(10):1058-1064
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy of intravascular intervention in the treatment of multiple intracranial aneurysms(MIAs).Methods The clinical data of MIAs patients,who were treated with intravascular intervention from December 2013 to December 2021 in Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,were collected and were analyzed by using statistical methods.Results A total of 105 MIAs patients were enrolled in this study,and among them 77 patients(73.3％)were complicated by subarachnoid haemorrhage.Intravascular intervention was performed for 192 of the 240(80.0％)intracranial aneurysms(I As),including 142 IAs receiving one-stage treatment and 50 IAs receiving multi-stage treatment.In 66 patients,all the IAs were treated.Simple spring coil embolization was performed for 84 IAs and stent-assisted spring coil embolization was carried out for 108 IAs.During the follow-up period,11 patients developed recurrent IAs,which received treatment again.There was no obvious statistical difference in the treatment results between the patients receiving one-stage treatment and the patients receiving multi-stage treatment(P＞0.05).There was also no obvious statistical difference in the follow-up findings and prognosis results between the patients receiving one-stage treatment and the patients receiving multi-stage treatment(P＞0.05).Conclusion For the treatment of MIAs,the clinical efficacy of one-stage intravascular treatment and multi-stage intravascular treatment is roughly the same.However,one-stage treatment should be adopted as far as possible when the technical conditions permit.
