Effects of different treatment strategies on short and medium-term outcomes of serpentine aneurysms

doi:10.3877/cma.j.issn.2095-5782.2020.01.008

Abstract

Abstract:

Objective

To investigate the effects of different surgical methods and treatment strategies on short-term outcomes in patients with intracranial serpentine aneurysms.

Methods

The clinical data of 6 patients with intracranial serpentine aneurysms in our hospital from January 2015 to June 2018 were retrospectively analyzed. The patients were included in different treatment groups according to the requirements. After regular follow-up, CT, MRI and DSA were performed. To observe the morphological outcome of the serpentine aneurysm and the improvement of neurological deficit, GOS and mRS scores to assess the prognosis of the patient.

Results

All 6 cases of intracranial serpentine aneurysms achieved complete or near complete occlusion. GOS score was 4-5 points and mRS score was 0-1 points.The patients had no new neurological defects.

Conclusions

Different treatment strategies considering anatomical location and related factors could improve the clinical outcome and prognosis of serpentine aneurysms.

Key words: Serpentine aneurysms, Treatment strategies, Stent, Prognosis

Qiao Deng, Wenfeng Feng. Effects of different treatment strategies on short and medium-term outcomes of serpentine aneurysms[J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2020, 08(01): 33-37.

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URL: https://zhjrfsxdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-5782.2020.01.008

https://zhjrfsxdzzz.cma-cmc.com.cn/EN/Y2020/V08/I01/33

Figures/Tables 3

References 12

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序号	性别	年龄（岁）	首发症状	解剖	大小(宽×长mm²)	手术方式	GOS评分	mRS评分
1	女	39	视物模糊	ICA	23.6×41.6	STA-MCA搭桥+BOT+SA旷置术	5	0
2	男	18	视物重影	ICA	26.2×58.8	双支架（LEO+FD）植入术	5	0
3	女	23	头痛、恶心	MCA	11.9×45.2	DSA并自发性血栓形成	5	0
4	男	32	恶心、呕吐	MCA	9.9×32.8	STA-MCA搭桥+BOT+SA孤立术	4	0
5	男	53	头痛、头晕	MCA	14.6×40.7	STA-MCA搭桥+BOT+SA孤立术	5	0
6	男	52	偏瘫伴言语不清	VA-BA	7.8×53.3	LEO支架植入术	4	1

序号	性别	年龄（岁）	首发症状	解剖	大小(宽×长mm²)	手术方式	GOS评分	mRS评分
1	女	39	视物模糊	ICA	23.6×41.6	STA-MCA搭桥+BOT+SA旷置术	5	0
2	男	18	视物重影	ICA	26.2×58.8	双支架（LEO+FD）植入术	5	0
3	女	23	头痛、恶心	MCA	11.9×45.2	DSA并自发性血栓形成	5	0
4	男	32	恶心、呕吐	MCA	9.9×32.8	STA-MCA搭桥+BOT+SA孤立术	4	0
5	男	53	头痛、头晕	MCA	14.6×40.7	STA-MCA搭桥+BOT+SA孤立术	5	0
6	男	52	偏瘫伴言语不清	VA-BA	7.8×53.3	LEO支架植入术	4	1

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