Radiographic follow up results of endovascular stenting combined with coiling on treatment of intracranial wide-necked aneurysms
- VernacularTitle:血管内支架结合弹簧圈治疗颅内宽颈动脉瘤的影像学随访结果
- Author:
Qinghai HUANG
;
Jianmin LIU
;
Yi XU
;
Al ET
;
- Publication Type:Journal Article
- Keywords:
Cerebral aneurysm;
Guglielmi detachable coils;
Stent;
Intervention
- From:
Journal of Interventional Radiology
1994;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective The radiographic outcomes of endovascular stenting combined with coiling for treating intracranial wide necked aneurysms were summarized for investigating the efficacy of this proceduce. Methods sixty two patients with intracranial wide necked aneurysms were treated with combined stenting and coiling proceduce and all were undergoing clinical and angiographic follow up after the initial treatment. Results The stents were deployed in all aneurysms and total occlusion was obtained in 47 cases and subtotal occlusion in 15 cases. Follow up angiograms during 1 6 months showed complete obliteration in 57 cases, neck remnant with further thrombosis in 4 cases, recanalization in one case which needed another occlusion. 12 37 months follow up angiogram in 43 cases suggested total occlusion in 40 cases with two neck remnant and one recanalization. Conclusions Endovascular stent placement changes flow characteristics and facilitate thrombosis inside the aneurysm pouch resulting in radiographically healing by promoting endothelization at aneurysmal neck.
