Long term follow up of endovascular treatment of large intracranial aneurysms
Li Zhiqing
Liang Guobiao
Wang Xiaogang
Gao Xu
Yu Chunyong
Zhang Haifeng
Zhao Mingli
Xu Xiaochuan
Chen Zhongzhi
Lai Jieyu
Abstract：Objective To summarize the therapeutic strategies, operation skills and prognosis of large cerebral aneurysms treated with endovascular technique. Methods Clinical data of 189 patients with large intracranial aneurysms were analyzed retrospectively, who were treated with endovascular treatment. Balloon parent artery occlusion was performed on 15 patients, coil embolization on 27, coil embolization assisted by balloon on 48 and coil embolization assisted by self-expanded stents on 99. Results All the patients received 247 procedures in total. Complete embolization was achieved in 133 patients, incomplete embolization in 35 and partial embolization in 21. And 47 patients received re-embolization. Complication thromboembolism occurred in 7 patients after surgery. One patient died, hemiparalysis occurred in 4 and the remaining recovered well. All the patients were followed up for 16 months to 5 years, and no rebleeding was found. Conclusions Endovascular treatment is a safe and effective method for large intracranial aneurysms. The reasonable usage of auxiliary techniques may help to reduce the complications and lower the recurrence rate.
Keywords：intracranial aneurysmlargestentballooncoilendovascular treatment
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 7-9 )