Endovascular treatment of large or wide neck intracranial aneurysms by balloon-assisted coils combined with Onyx glue
LI Song-nian
XIE Zheng-de
WEI Gang
LI Feng-qiang
LIU Gui-biao
ZENG Xiang-bo
CHI Chao-chao
WEI Huang-mei
Abstract：Objective To assess the feasibility and effectiveness of endovascular treatment for large or wide neck intracranial aneurysms by balloon-assisted coils combined with Onyx glue.Methods The clinical data of 15 patients with large or wide neck intracranial aneurysms,of whom,5 were embolized by coils,4 by stent-assisted coils,and 6 by balloon-assisted coils combined with onyx glue,were analyzed retrospectively.Results The following up ranging from 6 to 12 months showed that aneurysm recurrence occurred in 3 of 5 patients who were embolized only by coils,aneurysm recurrence occurred in 1 of 4 by stent-assisted coils,and no aneurysm recurrence occurred in 6 by balloon-assisted coils combined with Onyx glue.Two patients with giant dissection aneurysms located in the third and fourth segments of posterior cerebral arteries suffered from the occlusion of the parent artery distal segment after embolization by balloon-assisted coils combined with Onyx glue.Conclusion For large or wide neck intracranial aneurysms,embolization by balloon-assisted coils combined with Onyx glue may help to increase the rate of complete aneurysm occlusion and decrease the rate of aneurysm recurrence.
Keywords：Large or wide neck intracranial aneurysmsEmbolizationCoilOnyx glueCurative effect
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 473-476 )