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Treatment of Symptomatic Fusiform Aneurysm in Basilar Artery by Stenting Following Coiling Technique

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机构: [1]Beijing Neurosurg Inst, Beijing, Peoples R China; [2]Capital Med Univ, Beijing Tiantan Hosp, Dept Intervent Neuroradiol, Beijing, Peoples R China; [3]Istanbul Univ, Dept Radiol, Div Neuroradiol, Cerrahpasa Med Fac, Istanbul, Turkey
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关键词: Fusiform aneurysm Basilar artery Endovascular treatment Stent

摘要:
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.

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出版当年[2013]版:
大类 | 4 区 医学
小类 | 4 区 临床神经病学 4 区 外科
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 临床神经病学 4 区 外科
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出版当年[2012]版:
Q4 CLINICAL NEUROLOGY Q4 SURGERY
最新[2023]版:
Q3 SURGERY Q4 CLINICAL NEUROLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2012版] 出版当年五年平均 出版前一年[2011版] 出版后一年[2013版]

第一作者:
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;
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