Clinical analysis of interventional therapy for intracranial aneurysms in patients with severe tortuosity of extracranial internal carotid artery
CAI Ming-jun
CHEN Jin-cao
LI Zheng-wei
YANG Ming
MA Lian-ting
Abstract：Objective To investigate the feasibility and safety of endovascular embolization of intracranial aneurysms in patients with severe tortuosity of extracranial internal carotid arteries. Methods The clinical data of 11 intracranial aneurysm patients with severe tortuosity of extracranial internal carotid arteries diagnosed by DSA who underwent endovascular embolization in our hospital from June, 2016 to August, 2017 were analyzed retrospectively. Of these 11 patients, whose age ranged from 39 to 78 years old (mean, 51 years old), 5 were male and 6 female. All the patients were followed up from 3 to 9 months. Results All the patients were successfully treated with simple coils embolization technique or stent-assisted coiling technique. The intraoperative cerebrovascular spasm occurred in 2 patients. The other complications including intracranial hemorrhage, carotid artery dissection and transient ischemic attack did not occur in all the patients. No patients died or suffered from neurologic events in these 11 patients during the following-up. Conclusions The catheter insertion during the endovascular interventional treatment procedure is difficult in the intracraial aneurysms patients with severe tortuosity of the extracranial internal carotid arteries. However, the endovascular treatment is still a relatively feasible, safe and effective method to treat intracranial aneurysms in the patients with severe tortuosity of the extracranial internal carotid arteries who do not consent to craniotomy or had the contraindication of the craniotomy for the intracranial aneurysms.
Keywords：Intracranial aneurysmsTortuosityExtracranial internal carotid arteryEndovascular treatment
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：3( 741-743 )