Effect of stent-assisted coil embolization for the treatment of A1 segment anterior cerebral artery aneu-rysms
10.16571/j.cnki.1008-8199.2018.06.010
- VernacularTitle:支架辅助弹簧圈栓塞治疗大脑前A1段动脉瘤分析
- Author:
Qi WU
1
;
Xin ZHANG
;
Qing-Rong ZHANG
;
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;
A1 segment anterior cerebral artery;
endovascular treatment;
stent
- From:
Journal of Medical Postgraduates
2018;31(6):613-616
- CountryChina
- Language:Chinese
-
Abstract:
Objective It is difficult to conduct the intravascular interventional treatment of A1 segment anterior cerebral ar-tery aneurysms. This article aimed to investigate the effect of stent-assisted coil embolization for the treatment of A1 segment anterior cerebral artery aneurysms. Methods Retrospective analysis was made on the clinical data of 8 patients with A1 segment anterior cer-ebral artery aneurysms who were treated in Department of Neurosurgery in Nanjing General Hospital of Nanjing Military Command from June 2015 to July 2017. All the patients underwent endovascular intervention under static inhalation combined with general anesthesia. Immediately after the operation,angiography was performed to observe the embolization of the aneurysm and imaging follow-up was per-formed. The follow-up period was 6 to 30 months,with an average of (13±9) months,followed by Glasgow Outcome Scale (GOS) sco-ring. Results Immediate postoperative angiography showed that all 8 aneurysms were completely embolized and the parent artery re-mained. Seven patients had no ruptured hemorrhage and no new neu-rological dysfunction,with 5 points of GOS score and good prognosis. Five patients underwent DSA follow-up after surgery with no developed aneurysm. Conclusion Stent-assisted coil embolization is techni-cally feasible in treating A1 segment anterior cerebral artery aneu-rysms,which is a choice worthy of clinical promotion.
