Diagnosis and treatment of multiple intracranial aneurysms with poor grade
Zhu Fei
Xie Kui
Huang Xin
Yu Renxi
Guo Guangliang
Lu Yao
Peng Zhixiang
Abstract：Objective To summarize the experience of surgical clipping and endovascular embolization for poor-grade multiple intracranial aneurysm (MIA). Methods Clinical data of 31 MIA patients with 63 aneurysms were analyzed retrospectively. Hunt-Hess grade Ⅳ was observed in 23 patients and grade Ⅴ in 8. Surgical clipping was performed on 56 aneurysms and endovascular embolization on 5. The remaining 2 aneurysms did not receive surgery for the diameter less than 3 mm. Results Total clipping was achieved in 53 aneurysms and neck residual in 3. Total embolization was achieved in 4 aneurysms and subtotal in 1. GOS scores were determined:good outcome was seen in 13 patients including 12 with Hunt-Hess gradeⅣand 1 with gradeⅤ, moderate disability in 4 including 2 with gradeⅣand 2 with gradeⅤ, severe disability in 5 patients including 4 with gradeⅣand 1 with gradeⅤ, vegetative state in 3 including 2 with gradeⅣand 1 with gradeⅤand 6 died including 3 with gradeⅣand 3 with gradeⅤ. Conclusions The individualized treatment principle is treatment strategies for poor-grade MIA patients. Optimal surgical timing and programs can get good outcome.
Keywords：intracranial aneurysmsmultiplepoor gradeembolizationtherapeuticclipping surgery
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：2( 361-362 )