Endovascular stent placement combined with coil embolization is an established procedure for the treatment of intracranial aneurysms. We describe lesion outcome using stents for the treatment of intracranial aneurysms. Sixty-nine patients (30 females and 39 males; age range 12-78 years) treated with stent placement at Beijing Tiantan Hospital over a six-year period. Seventy-six cerebral aneurysms were encountered and 74 lesions were treated with 79 stents. Outcome was evaluated using the Glasgow Outcome Scale (GOS) score during a mean follow-up period of 32 months. Of the 74 stented aneurysms, 34 (45.9%) were located in the anterior circulation and 40 (54.1%) in the posterior circulation. Forty-eight (64.9%) aneurysms were small and 26 (35.1%) were large or giant. In 67 (90.5%) aneurysms embolization was completed by packing the aneurysm sac with platinum coils. In five small fusiform and four saccular aneurysms, the stent was used alone. Six procedure-related complications were observed and a cause of death in 7.2% of the patients. Follow-up angiography obtained at three months to one year in 68 (91.9%) aneurysms demonstrated complete occlusion in 43 aneurysms with a progressive thrombosis rate of 19.4% (six out of 31 aneurysms). Aneurysm recurrence occurred in four (5.8%) patients, three were treated with coil embolization and one with placement of another stent. Overall long-term outcome was good (GOS Score 4 or 5) in 92.8%, and fatal (GOS Score 1) in 7.2% of the patients. Intracranial stents can be a useful addition to coil embolization for complex broad-based aneurysms. Favorable overall long-term outcome can be achieved in 92.8% of patients when using endovascular stent placement techniques.
基金:
Beijing Nova programBeijing Municipal Science & Technology Commission [2008 B42]
语种:
外文
WOS:
PubmedID:
中科院(CAS)分区:
出版当年[2009]版:
无
最新[2025]版:
大类|4 区医学
小类|4 区神经成像
第一作者:
第一作者机构:[1]Beijing Neurosurg Inst, 6 Tiantan Xili,Chongwen, Beijing, Peoples R China;[2]Capital Med Univ, Beijing Tiantan Hosp, Beijing, Peoples R China
通讯作者:
通讯机构:[1]Beijing Neurosurg Inst, 6 Tiantan Xili,Chongwen, Beijing, Peoples R China;[2]Capital Med Univ, Beijing Tiantan Hosp, Beijing, Peoples R China
推荐引用方式(GB/T 7714):
Zhang J.,Lv M.,Lv X.,et al.Endovascular Treatment for Cerebral Aneurysms Using Stents[J].NEURORADIOLOGY JOURNAL.2010,23(6):730-736.doi:10.1177/197140091002300615.
APA:
Zhang, J.,Lv, M.,Lv, X.,Jiang, C.,Li, Y.&Wu, Z..(2010).Endovascular Treatment for Cerebral Aneurysms Using Stents.NEURORADIOLOGY JOURNAL,23,(6)
MLA:
Zhang, J.,et al."Endovascular Treatment for Cerebral Aneurysms Using Stents".NEURORADIOLOGY JOURNAL 23..6(2010):730-736