AIM: The present stent-assisted coil technique has many limitations especially in treating fusiform aneurysms. We aimed to introduce stenting following coiling technique to treat fusiform aneurysms. MATERIAL and METHODS: From January 2009 to December 2010, we treated 6 patients with fusiform aneurysms in basilar artery (BA) by stenting following coiling technique. The 6 patients included four men and two women (age from 20 to 78 years, Mean age 51 years). Two patients had subarachnoid hemorrhage, whereas 4 had unruptured aneurysms with progressive brainstem symptoms. In the procedure of endovascular treatment, the stent was delivered after coiling to compress the coils against the aneurysm wall and form a lumen in basilar artery. RESULTS: Five patients had an excellent recovery with a satisfactory clinical result with an average 15.4 months follow-up. Four patients received follow-up angiographic imaging with an average 13 months, whereas 3 patients demonstrated complete aneurysm occlusion with reconstructive BA patency. Re-growth occurred in one patient, although clinically stable. None had angiographic evidence of in-stent stenosis. CONCLUSION: Stenting following coiling technique may be a feasible and effective method to reshape parent arteries and to embolize fusiform aneurysms safely. However, this technique may be considered in selected patients.
基金:
National Science Foundation of ChinaNational Natural Science Foundation of China [81220108007, 81171079]
第一作者机构:[1]Beijing Neurosurg Inst, Beijing, Peoples R China;[2]Capital Med Univ, Beijing Tiantan Hosp, Dept Intervent Neuroradiol, Beijing, Peoples R China;
通讯作者:
通讯机构:[1]Beijing Neurosurg Inst, Beijing, Peoples R China;[2]Capital Med Univ, Beijing Tiantan Hosp, Dept Intervent Neuroradiol, Beijing, Peoples R China;
推荐引用方式(GB/T 7714):
Wang Yang,Yang Xinjian,Youxiang Li,et al.Treatment of Symptomatic Fusiform Aneurysm in Basilar Artery by Stenting Following Coiling Technique[J].TURKISH NEUROSURGERY.2014,24(1):44-47.doi:10.5137/1019-5149.JTN.8017-13.1.
APA:
Wang, Yang,Yang, Xinjian,Youxiang, Li,Shiqing, Mu,Chuhan, Jiang...&Kocer, Naci.(2014).Treatment of Symptomatic Fusiform Aneurysm in Basilar Artery by Stenting Following Coiling Technique.TURKISH NEUROSURGERY,24,(1)
MLA:
Wang, Yang,et al."Treatment of Symptomatic Fusiform Aneurysm in Basilar Artery by Stenting Following Coiling Technique".TURKISH NEUROSURGERY 24..1(2014):44-47