Endovascular coil embolization of aneurysm neck for the treatment of ruptured intracranial aneurysm with bleb formation.
Endovascular coil embolization of aneurysm neck for the treatment of ruptured intracranial aneurysm with bleb formation.
复制标题
动脉瘤颈血管内弹簧圈栓塞治疗颅内动脉瘤破裂伴气泡形成。
DOI：
10.12659/msm.890272
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发表时间：
2014-07-02
期刊：
影响因子：
--
通讯作者：
Ji L
中科院分区：
文献类型：
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作者：
Wan J;Gu W;Zhang X;Geng D;Lu G;Huang L;Zhang L;Ge L;Ji L
颅内动脉瘤破裂伴水泡形成（RICABF）是一种特殊类型的伊卡破裂。然而，血管内弹簧圈栓塞（ECE）在RICABF中的确切作用和有效性尚不清楚。我们的目的是探讨动脉瘤颈ECE用于RICABF治疗的有效性和安全性。我们回顾性评估了2004年10月至2012年5月期间在我们血管内介入中心住院的连续患者。总体而言，86例患者接受了86例RICABF的动脉瘤颈ECE。治疗结局包括继发性破裂/出血率、动脉瘤颈栓塞率、残余/复发动脉瘤、术中事件和栓塞后并发症，以及格拉斯哥结局量表（扩展）（GOS-E）的改善。72个动脉瘤（72/86，83.7%）实现完全闭塞，12个动脉瘤（12/86，14.0%）有残余瘤颈，2个动脉瘤（2/86，2.3%）有残余动脉瘤。术后GOS-E评分为3分的3例患者（3.5%）、4分的10例患者（11.6%）和5分的73例患者（84.9%）。所有患者均进行了随访血管造影（平均9.0个月，四分位数间距为9.0）。复发3例（3/86，3.5%）。未报告动脉瘤破裂或出血。我们的中期随访研究表明，动脉瘤颈ECE是RICABF的有效和安全的治疗方法。这种介入放射学技术的长期有效性和安全性需要在前瞻性和比较研究中进行研究。
Ruptured intracranial aneurysm (ICA) with bleb formation (RICABF) is a special type of ruptured ICA. However, the exact role and effectiveness of endovascular coil embolization (ECE) in RICABF is unknown. We aimed to investigate the effectiveness and safety of ECE of aneurysm neck for RICABF treatment. We retrospectively assessed consecutive patients who were hospitalized in our endovascular intervention center between October 2004 and May 2012. Overall, 86 patients underwent ECE of aneurysm neck for 86 RICABF. Treatments outcomes included secondary rupture/bleeding rate, aneurysm neck embolization rate, residual/recurrent aneurysm, intraoperative incidents, and post-embolization complications, as well as improvements in the Glasgow outcome scale (extended) (GOS-E). Complete occlusion was achieved in 72 aneurysms (72/86, 83.7%), while 12 aneurysms (12/86, 14.0%) had a residual neck, and 2 aneurysms (2/86, 2.3%) had a residual aneurysm. The postoperative GOS-E was 3 in 3 patients (3.5%), 4 in 10 patients (11.6%), and 5 in 73 patients (84.9%). Follow-up angiography was performed in all patients (mean 9.0 months, interquartile range of 9.0). Recurrence was found in 3 patients (3/86, 3.5%). No aneurysm rupture or bleeding was reported. Our mid-term follow-up study showed that ECE of aneurysm neck was an effective and safe treatment modality for RICABF. The long-term effectiveness and safety of this interventional radiology technique need to be investigated in prospective and comparative studies.