Interventional diagnosis and treatment analysis of multiple intracranial aneurysms

doi:10.3877/cma.j.issn.2095-5782.2019.01.009

Abstract

Abstract:

Objective:

To investigate the clinical effect of intravascular intervention for the treatment and diagnosis of multiple intracranial aneurysms.

Methods:

The clinical data of 29 patients diagnosed with multiple intracranial aneurysms from January 2016 to June 2018 were analyzed. All patients underwent DSA and were diagnosed as multiple intracranial aneurysms. Among them, 29 patients received coiling or stent-assisted coiling interventional therapy. They were evaluated for therapeutic effects from the degree of postoperative aneurysm embolism and Glasgow outcome score (GOS) .

Results:

Interventional therapy was performed on 40 aneurysms of 29 patients. According to Raymond embolism classification, 30 aneurysms were Raymond I, 4 aneurysms were Raymond II, 4 aneurysm were Raymond III and the Pipeline stent covered 4 aneurysms. According to Glasgow outcome score, 18 patients were GOS 5, 8 patients were GOS 4, 2 patients were GOS 3 and 1 patient was GOS 2.

Conclusions:

The use of intravascular intervention for the treatment of multiple intracranial aneurysms can achieve better degree of aneurysm embolism and clinical results and prognosis.

Key words: Multiple intracranial aneurysms, Interventional therapy, Glasgow outcome score, Spring coil

Jianfeng Xu, Tong Wang, Yang Liu, Lingyong Zeng, Bo Zhang, Zaobin Liu, Hui Cao, Xing He, Jun Zhong. Interventional diagnosis and treatment analysis of multiple intracranial aneurysms[J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2019, 07(01): 44-48.

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URL: https://zhjrfsxdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-5782.2019.01.009

https://zhjrfsxdzzz.cma-cmc.com.cn/EN/Y2019/V07/I01/44

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References 13

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动脉瘤位置	数量（枚）	百分比（%）
颈内动脉颅外段动脉	2	3.0
颈内动脉海绵窦段动脉	10	15.3
颈内动脉床突段动脉（含颈内动脉眼动脉段）	25	38.4
脉络膜前动脉	1	1.5
大脑中动脉动脉	6	9.2
前交通动脉	3	4.6
后交通动脉	14	21.5
椎-基底动脉	4	6.2
总计	65	100.0

动脉瘤位置	数量（枚）	百分比（%）
颈内动脉颅外段动脉	2	3.0
颈内动脉海绵窦段动脉	10	15.3
颈内动脉床突段动脉（含颈内动脉眼动脉段）	25	38.4
脉络膜前动脉	1	1.5
大脑中动脉动脉	6	9.2
前交通动脉	3	4.6
后交通动脉	14	21.5
椎-基底动脉	4	6.2
总计	65	100.0

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