Efficacy of dual stent-assisted coil embolization in ruptured vertebral artery dissecting aneurysms
10.3760/cma.j.cn115354-20211106-00717
- VernacularTitle:双支架后释放技术辅助栓塞治疗颅内破裂椎动脉夹层动脉瘤的疗效
- Author:
Lei WANG
1
;
Jianhuang HUANG
;
Tiaohua HUANG
;
Jinjia LIN
;
Jianning CHEN
;
Jianhua SONG
;
Zhengjian YAO
Author Information
1. 莆田学院附属医院神经外科，莆田 351100
- Keywords:
Intracranial aneurysm;
Vertebral artery dissecting aneurysm;
Dual stent-assisted coil embolization;
Endovascular treatment
- From:
Chinese Journal of Neuromedicine
2022;21(3):273-277
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the safety and efficacy of dual stent-assisted coil embolization in intracranial ruptured vertebral artery dissecting aneurysms (VADAs).Methods:Seventeen patients with intracranial ruptured VADAs (17 aneurysms), treated with dual stent-assisted coil embolization in our hospital from September 2015 to March 2020, were recruited. DSA was performed immediately after surgery to evaluate the embolization degrees of VADAs. At the end of follow-up, modified Rankin scale (mRS) was used to evaluate the prognoses of these patients, and DSA was used to determine the healing status of aneurysms.Results:The postoperative immediate DSA showed that total occlusion was achieved in 6 patients (35.3%), subtotal occlusion in 8 (47.1%) and partial occlusion in 3 (17.6%). Two patients died during the perioperative period and 2 patients presented symptoms of cranial nerve palsy after surgery. Fifteen patients were followed up for 5-24 months, 14 were with good prognosis, and one was with poor prognosis. Eleven patients underwent DSA follow-up, which showed that 8 aneurysms healed completely, 2 aneurysms were stable, and 1 aneurysm recurred.Conclusion:Dual stent-assisted coil embolization may be an effective and safe treatment method for intracranial ruptured VADAs.
