Stent-assisted microcoils in endovascular embolization of multiple wide-necked intracranial aneurysms

BAI Zhifeng,LI Dongmei,GAO Tian,DU Shiwei,WANG Jing,HUANG Qihua,and MAO Gengsheng.

Medical Journal of the Chinese People Armed Police Forces ›› 2013, Vol. 24 ›› Issue (7) : 568-571.

PDF(809 KB)
PDF(809 KB)
Medical Journal of the Chinese People Armed Police Forces ›› 2013, Vol. 24 ›› Issue (7) : 568-571.

Stent-assisted microcoils in endovascular embolization of multiple wide-necked intracranial aneurysms

  • BAI Zhifeng,LI Dongmei,GAO Tian,DU Shiwei,WANG Jing,HUANG Qihua,and MAO Gengsheng.
Author information +
History +

Abstract

Objective To study the surgery of the multiple intracranial wide-necked aneurysms, stent selection and perioperative management. Methods Stent assisted coil embolization was performed in 17 patients with multiple wide neck aneurysm, including a total of 34 aneurysms. Average length of stay, neck residual rate and intraoperative and postoperative complications were compared with these in the same period 18 patients with multiple aneurysms, of which 36 were clipped. Results All aneurysms were densely or almost densely embolized, with no significant difference in aneurysm neck residual rate from clipping surgery patients. Intraoperative and postoperative complications, and average length of stay were less than in craniotomy clipping patients. Conclusion Sent-assisted coil embolization of aneurysms is a safe and effective method for the treatment of multiple intracranial wide-necked aneurysms, which reduces surgical trauma and complications, and shortens hospital stay

Key words

aneurysms / multiple / wide-necked / stent-assist / endovascular treatment / microcoils

Cite this article

Download Citations
BAI Zhifeng,LI Dongmei,GAO Tian,DU Shiwei,WANG Jing,HUANG Qihua,and MAO Gengsheng.. Stent-assisted microcoils in endovascular embolization of multiple wide-necked intracranial aneurysms[J]. Medical Journal of the Chinese People Armed Police Forces. 2013, 24(7): 568-571

References

[1] Qureshi A,Suarez J I,Parekh P D,et al.Risk factors for multiple intracranial aneurysms[J]. Neurosurgery,1998,43(1):22-26.

[2] Lee L S,Huang S.Aneurysmal subarachnoid hemorrhage in Taiwan[J].Neurol Med Chir(Tokyo),1998, 38(Suppl):122-123.

[3] ellamushi H E,Grieve.T P.et al.Risk factor for the formation of multiple intracranial aneurysms. J Neurosurg.2001.94(5):728-732

[4] Molyneux A J, Kerr RS, Yu L M, et al. International subarachnoid aneurysm trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2 143 patients with ruptured intracranial aneurysms: a randomized comparison of effects on survival, dependency, seizures, rebleeding, subgroups,and aneurysm occlusion [J]. Lancet, 2005, 366: 809-917.

[5] Kis B, Weber W, Berlit P. Elective treatment of saccular and broad-necked intracranial aneurysms using a closed-cell nitinol stent (Leo) [J]. Neurosurgery, 2006, 58(3): 443-450.

[6] Wajnberg E, de Souza J M, Marchiori E, et al . Single-center experience with the Neuroform stent for endovascular treatment of wide-necked intracranial aneurysms [J]. Surg Neurol, 2009, 72(6): 612-619.

[7] Biondi A, Janardhan V, Katz J M, et al . Neuroform stent-assisted coil embolization of wide-neck intracranial aneury-sms: strategies in stent deployment and midterm follow-up [J]. Neurosurgery, 2007, 61(3): 460-469.

[8] Broadbent L P, Moran C J, Cross D T, et al. Management of neuroform stent dislodgement and misplacement [J]. Am J Neuroradiol, 2003, 24(9): 1819-1822.

[9] 宋朝理,庄进学.LEO 支架辅助弹簧圈栓塞治疗后交通动脉宽颈动脉瘤 [J].中国微侵袭神经外科杂志,2011,4(16):153-154.

[10] Tahtinen O I, Vanninen R L, Manninen H I, et al. Wide-necked intracranial aneurysms: treatment with stent-assisted coil embolization during acute (<72 hours) subara-chnoid hemorrhage-experience in 61 consecutive patients[J]. Radiology, 2009, 253(1): 199-208
PDF(809 KB)

Accesses

Citation

Detail

Sections
Recommended

/