Clinical efficacy of stents in the aneurysmal cavity for flow reconstruction in the treatment of intracranial aneurysms with branch vessels emanating from the aneurysm sac:two case reports and literature review
MA Sheng-hui
QIN Hai-lin
ZHAO Yue-yuan
QIN Jie
AN Xue-feng
WANG Ying
HUANG He
SONG Jian
YANG Ming
MA Lian-ting
Abstract：Objective To investigate the feasibility and efficacy of stents in the aneurysmal cavity for flow reconstruction in the treatment of intracranial aneurysms with branch vessels emanating from the aneurysm sac.Methods The clinical data of 2 patients with intracranial aneurysms admitted from January 2014 to December 2015 were retrospectively analyzed.Results One was an unruptured aneurysm and the other was a ruptured aneurysm;for both cases,important functional branch vessels emanated from the aneurysm sac,and stents were applied in the aneurysmal cavity to reconstruct the blood flow and assist in coil embolization of the aneurysms.Postoperative angiography revealed that both aneurysms were densely embolized and the branch vessels were patent.The postoperative follow-up lasted for 9 and 10 years,respectively,and no recurrence of aneurysms was observed,with completely normal neurological functions.Conclusion Stents in the aneurysmal cavity for flow reconstruction combined with coil embolization for the treatment of aneurysms with functional vascular branches emanating from the aneurysm sac is feasible and effective.It not only treats the aneurysms and prevents re-rupture and hemorrhage but also reconstructs the blood flow of the functional branch vessels emanating from the aneurysm sac,ensuring normal brain function.
Keywords：Intracranial aneurysmInterventional treatmentStentsCoilsAneurysmal cavity flow reconstruction
Publication Date：2024-12-25
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 711-715 )