Stent-assisted technique for the management of subarachnoid hemorrhage caused by ruptured vertebral artery dissecting aneurysm
10.16571/j.cnki.1008-8199.2018.03.006
- VernacularTitle:支架辅助技术在出血性椎动脉夹层动脉瘤治疗中的应用
- Author:
Qing-Rong ZHANG
1
;
Xin ZHANG
;
Qi WU
;
Li-Li WEN
;
Xiang-Sheng ZHANG
;
Jin XUE
;
Shu-Juan CHEN
;
Jin-Long DENG
;
Han-Dong WANG
Author Information
1. 南京军区南京总医院神经外科
- Keywords:
intracranial aneurysm;
vertebral artery dissecting aneurysm;
subarachnoid hemorrhage;
endovascular treatment;
stent
- From:
Journal of Medical Postgraduates
2018;31(3):249-253
- CountryChina
- Language:Chinese
-
Abstract:
Objective The stent-assisted technique is widely applied in the treatment of subarachnoid hemorrhage caused by ruptured vertebral artery dissecting aneurysm(VADA). This study investigated the perioperative complications and long-term clinical effect of stent-assisted coiling in the management of VADA-induced subarachnoid hemorrhage. Methods The clinical data on 19 cases of VADA-induced subarachnoid hemorrhage were analyzed retrospec-tively. All the patients underwent digital subtraction angiography (DSA)and stent-assisted coiling within 24 hours after admission.Two of the patients were diagnosed with bilateral VADA and treated with double stents,4 with a single stent,2 with the low-profile visualized intraluminal support device(LVIS),and 11 with double Enter-prise stents. Results Operations were successfully performed in all the cases. Three of the patients died within 2 weeks after surger-y,2 from post-operative rebleeding and the other 1 from some unknown cause;1 patient developed severe postoperative cognitive dys-function,while the other 15 were well recovered. The survived patients were followed up for 6 to 36 months,during which no obvious new neurological deficits were observed. Follow-up DSA revealed 2 cases of recurrence,1 case of stenosis in the stent,and 2 cases of vertebral artery occlusion. Conclusion Stent-assisted coiling is a safe and effective method for the management of VADA-induced subarachnoid hemorrhage,and double-stent implantation may achieve an even better effect.
