Efficacy and complications of different blood flow guiding devices in elderly patients with complex intracranial aneurysms
10.3969/j.issn.1009-0126.2025.09.026
- VernacularTitle:不同血流导向装置在老年复杂颅内动脉瘤的应用疗效及并发症观察
- Author:
Wei GUO
1
;
Jianping TIAN
1
;
Xiaohong WANG
1
Author Information
1. 741020 天水市中西医结合医院神经外科
- Publication Type:Journal Article
- Keywords:
intracranial aneurysm;
treatment outcome;
intraoperative complications
- From:
Chinese Journal of Geriatric Heart Brain and Vessel Diseases
2025;27(9):1252-1256
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application efficacy and complication occurrences of Tubridge embolization device(TED)and Pipeline embolization device(PED)in the treatment of elderly pa-tients with complex intracranial aneurysm(ICA).Methods A total of 119 elderly patients with complex ICA admitted in our hospital from January 2021 to July 2023 were enrolled,and accord-ing to different devices they used,they were divided into a TED group(n=71)and a PED group(n=48).Device delivery and complications were observed,digital subtraction angiography(DSA)was performed intra-and post-operatively to evaluate the embolization of aneurysms(Raymond grading),and modified Rankin scale(mRS)was adopted to assess the clinical symptoms and prognosis before and at 3 and 6 months after surgery.DSA was applied again at 6 months post-operatively to evaluate the effectiveness of treatment.DSA and magnetic resonance angiography were carried out to record aneurysm images during the follow-up of 3,6 and 12 months after sur-gery.Results There were no statistical differences between the TED group and PED group in terms of the success rate of device delivery and the incidences of intraoperative and postoperative complications,of the intraoperative and postoperative Raymond grades,and of the mRS scores be-fore surgery and at 3 and 6 months after surgery,and of the O-Kelly-Marotta grades and effec-tiveness at 6 months after surgery(P＞0.05).At 3,6 and 12 months after surgery,the complete occlusion rate was 64.8％,63.8％and 69.4％respectively in the TED group,and 70.8％,71.7％and 72.5％respectively in the PED group,and there was no significant difference in the rate be-tween the two groups(P＞0.05).Conclusion TED and PED have similar efficiencies in the suc-cess rate of operation,safety,aneurysm embolization efficacy,immediate and long-term efficacies,and neurological function prognosis in the elderly patients with complex ICA.There exists a cer-tain risk of intraoperative and postoperative complications.Clinically,appropriate blood flow guid-ing devices should be selected based on the patient's actual condition.
