Analysis of stent-assisted intervenient treatment of multiple wide-necked aneurysms of internal carotid arteries
LI Zhi-guo
SHUI Shao-feng
HAN Xin-wei
YAN Lei
MA Ji
GUO Dong
LI Teng-fei
YUAN Hui-feng
Abstract：Objective To explore the technique and clinical outcomes of stent-assisted coils endovascular embolization of the multiple wide-necked aneurysms (MWNA) of the internal carotid arteries (ICA). Methods Thirty-two patients with 67 ICA MWNA were treated by stent-assisted coils endovascular embolization in our department from May, 2016 to December, 2018.The embolization effects were assessed by Raymond grading . DSA was performed again in 30 patients 3 or 6 months after the therapy, when modified Rankin scale score (mRS) was used to evaluate the clinical effects. Results DSA showed immediately after the treatment that of 67 aneurysms, 49 received Raymond grade Ⅰ occlusion (complete occlusion), 6 Raymond grade Ⅱ (subtotal occlusion ), 1 was covered with one ordinary stent and 11 received the covering of the aneurismal necks with dense mesh stents . The prognosis belonged in mRS 0 point in 23, mRS 1 point in 5 and mRS 2 points in 2 of 30 patients followed up 3 or 6 months after the treatment. The patients without neurological function disturbance accounted for 93.33% (30/32) of all the patients followed up. DSA 3 or 6 months after the embolization showed that no MWNA recurred in all the patients and the cavities of all aneurysms reduced in 3 patients treated with dense mesh stents. Conclusion The short-term curative effects of stent-assisted coil endovascular embolization on MWNA are good.
Keywords：Multiple intracranial aneurysmsIntervenient treatmentStent-assisted coil embolizationInternal carotid artery
Publication Date：2019-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 453-456 )