Overlapping low-profile visualized intraluminal support device for blood blister-like aneurysm of the internal carotid artery
10.16571/j.cnki.1008-8199.2018.03.003
- VernacularTitle:重叠低剖面可视化腔内支撑装置治疗颈内动脉血泡样动脉瘤的效果分析
- Author:
Li-Li WEN
1
;
Xin ZHANG
;
Qing-Rong ZHANG
;
Qi WU
;
Shu-Juan CHEN
;
Jin-Long DENG
;
Sheng-Yin LÜ
;
Jiang SHAO
;
Han-Dong WANG
Author Information
1. 南京大学医学院附属金陵医院(南京军区南京总医院)神经外科
- Keywords:
blood blister-like aneurysm of the internal carotid artery;
endovascular treatment;
stent;
low-profile visualized intraluminal support device;
prognosis
- From:
Journal of Medical Postgraduates
2018;31(3):235-238
- CountryChina
- Language:Chinese
-
Abstract:
Objective Reports are rarely seen on the treatment of blood blister-like aneurysm(BBA)of the internal carotid artery with the overlapping low-profile visualized intraluminal support device(LVIS)stent. This study was to investigate the effects of overlapping versus non-overlapping LVIS stent-assisted coiling in the treatment of BBA. Methods We retrospectively analyzed the clinical data about 15 cases of BBA of the internal carotid artery treated in our hospital from February 2015 to February 2017,11 by o-verlapping and the other 4 by non-overlapping LVIS stent-assisted coiling. Using Raymond-Roy Occlusion Classification(RROC),we evaluated the effects of treatment immediately and at 1 week after operation. We followed up the patients from April 2015 to October 2017 and analyzed the results of follow-up digital subtraction angiogra-phy(DSA)and modified Rankin Scale scores(mRS)of the patients. Results RROC showed 10 cases of grade Ⅰ and 1 case of grade Ⅲocclusion in the overlapping group and 3 cases of gradeⅠand 1 case of gradeⅡin the non-overlapping group right after operation. In com-parison,there were 11 cases of gradeⅠin the overlapping group and 2 cases of grade Ⅰ and 2 cases of grade Ⅱ in the non-overlapping group at 1 week postoperatively.DSA at the end of the follow-up exhibited 9 cases of gradeⅠand 1 case of gradeⅡin the overlapping group and 1 case of grade Ⅰ,2 cases of grade Ⅱ and 1 case of gradeⅢin the non-overlapping group. Satisfactory prognosis was ob-served in all the 15 cases,with mRS=0 in 9 cases and mRS = 1 in 2 cases in the overlapping group and with mRS=0 in 3 cases in mRS=1 in 1 case in the non-overlapping group. Conclusion Overlapping LVIS stent-assisted coiling is safe and effective for treat-ment of BBA of the internal carotid artery.
