机构:[1]Department of Interventional Neuroradiology, Beijing Neurosurgical Institute, Beijing Tiantan Hospital, Capital Medical University, Beijing, China,重点科室医技科室研究所放射科放射科北京市神经外科研究所首都医科大学附属天坛医院[2]Department of Neurosurgery, The First Affiliated Hospital, Nanchang University, Nanchang, Jiangxi, China,[3]Department of Neurosurgery, Xuan Wu Hospital, Capital Medical University, Beijing, China,神经科系统神经外科首都医科大学宣武医院[4]Department of Neurology, PLA General Hospital, Beijing, China
Background: We aimed to evaluate the risk factors of recurrence after stent(s)assisted coiling (SAC) of intracranial vertebrobasilar dissecting aneurysms (VBDAs) based on 168 consecutive patients. Methods: Between January 2011 and December 2015, 168 consecutive patients with 170 intracranial VBDAs, which were treated by SAC, were recruited from four high-volume centers. We used multivariate logistic regression to examine factors that affected recurrence of VBDAs. Results: The mean duration of clinical follow-up of the 168 patients was 7.81 months (range, 3-24 months). Of the 168 patients, 4 (2.38%) suffered from intraoperative complications and 16 (9.52%) had postoperative complications. Two (1.19%) had severe disability. Imaging follow-up was available for 168 patients (170 VBDAs), with a mean duration 7.81 months, and 24 (14.12%) cases of recurrence of aneurysms were noted. Aneurysm size and metal coverage of stent(s) at the neck were independent predictors of recurrence after SAC by logistic regression analysis. Conclusion: This multicenter cohort study shows that aneurysm size and the metal coverage of stent(s) at aneurysmal neck are independent factors associated with recurrence of VBDAs after SAC.
基金:
National Key Research and Development Plan of China (grant number: 2016YFC1300800),
the National Natural Science Foundation of China (grant numbers: 81301003, 81301193, 81371315, 81471167, 81671139, and 81220108007),
the Special Research Project for Capital Health Development (grant number: 2014-1-1071).
第一作者机构:[1]Department of Interventional Neuroradiology, Beijing Neurosurgical Institute, Beijing Tiantan Hospital, Capital Medical University, Beijing, China,
共同第一作者:
通讯作者:
通讯机构:[1]Department of Interventional Neuroradiology, Beijing Neurosurgical Institute, Beijing Tiantan Hospital, Capital Medical University, Beijing, China,
推荐引用方式(GB/T 7714):
Kun Wang,Zhongbin Tian,Junfan Chen,et al.Risk Factors of Recurrence after Stent(s)-Assisted Coiling of Intracranial Vertebrobasilar Dissecting Aneurysms: A Multicenter Study[J].FRONTIERS IN NEUROLOGY.2017,8(SEP):-.doi:10.3389/fneur.2017.00482.
APA:
Kun Wang,Zhongbin Tian,Junfan Chen,Jian Liu,Yang Wang...&Xinjian Yang.(2017).Risk Factors of Recurrence after Stent(s)-Assisted Coiling of Intracranial Vertebrobasilar Dissecting Aneurysms: A Multicenter Study.FRONTIERS IN NEUROLOGY,8,(SEP)
MLA:
Kun Wang,et al."Risk Factors of Recurrence after Stent(s)-Assisted Coiling of Intracranial Vertebrobasilar Dissecting Aneurysms: A Multicenter Study".FRONTIERS IN NEUROLOGY 8..SEP(2017):-