Tubridge flow diverter for the treatment of ruptured intracranial aneurysms:clinical analysis of its safety and efficacy
10.3969/j.issn.1008-794X.2024.02.012
- VernacularTitle:Tubridge血流导向装置治疗破裂颅内动脉瘤临床分析
- Author:
Tao ZHU
1
;
Xiao LI
;
Zhen CHEN
;
Juan LI
;
Dongming HAN
Author Information
1. 453100 河南卫辉 新乡医学院第一附属医院磁共振科;郑州大学第一附属医院介入手术室
- Keywords:
intracranial aneurysm;
subarachnoid hemorrhage;
flow diverter;
endovascular treatment;
complication;
prognosis
- From:
Journal of Interventional Radiology
2024;33(2):165-170
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the efficacy and safety of Tubridge flow diverter(TFD)in the treatment of ruptured intracranial aneurysms.Methods The clinical data of 13 patients with aneurysmal subarachnoid hemorrhage,who received TFD treatment at the First Affiliated Hospital of Zhengzhou University between March 2019 and Jul 2022,were retrospectively collected.The perioperative materials and follow-up results were summarized and analyzed.Results Successful operation was accomplished in all the 13 patients(13 aneurysms in total).TFD and coil embolization were simultaneously performed in 10 patients(simultaneous treatment),spring coil filling followed by selective staged TFD placement was adopted in 2 patients(staged treatment),and pure TFD placement was employed in one patient.The incidence of perioperative complications was 15.4%(2/13),including asymptomatic ischemic event in one patient and extra-ventricular drainage-related postoperative bleeding in another patient,which caused death of the patient.The median follow-up time was 6.5 months,and 83.3%of patients(10/12)completed cerebral angiography reexamination with DSA.OKM grade D(complete occlusion of the aneurysm)was obtained in 8 patients(80%),and OKM grade C(residual aneurysm neck)in 2 patients.Conclusion For ruptured intracranial aneurysms,TFD implantation is a clinically feasible treatment with favorable safety and efficacy.
