Stent-assisted coiling versus coiling alone of poor-grade ruptured intracranial aneurysms: a multicenter study

作者: Bing Zhao , Xianxi Tan , Hua Yang , Kuang Zheng , Zequn Li

DOI: 10.1136/NEURINTSURG-2016-012259

关键词: SurgeryMedicineStentRetrospective cohort studyComplicationRadiologyMulticenter studyAneurysmEndovascular coilingCerebral angiographyPerioperative

摘要: Introduction Endovascular coiling is a valid treatment option for poor-grade ruptured aneurysms. However, little known about stent-assisted of Objective To compare the safety and efficacy with alone Methods Using multicenter data on aneurysms, we performed retrospective analysis 131 consecutive patients treated endovascular within 14 days after ictus. Patients were split into two groups: alone. Baseline characteristics, immediate angiographic results, perioperative complications, clinical outcomes compared between groups. Results Twenty-three (17.6%) 108 (82.4%) There no statistically significant differences in patient age, sex, grade, Fisher modified aneurysm location, size Intraprocedural rupture, procedure-related ischemic complication, external ventricular drainage-related hemorrhagic symptomatic vasospasm did not differ Immediate results at discharge 6 12 months Aneurysm rebleeding occurred 4 (17.4%) 2 (1.9%) (p Conclusions Stent-assisted aneurysms feasible safe complication may be negligible.

参考文章(26)
J. Brett Fleming, Brian L. Hoh, Scott D. Simon, Babu G. Welch, Robert A. Mericle, Kyle M. Fargen, G. Lee Pride, Phillip D. Purdy, Chevis N. Shannon, Mark R. Harrigan, Rebleeding risk after treatment of ruptured intracranial aneurysms. Journal of Neurosurgery. ,vol. 114, pp. 1778- 1784 ,(2011) , 10.3171/2011.1.JNS101232
Joonho Chung, Yong Cheol Lim, Sang Hyun Suh, Yu Shik Shim, Yong Bae Kim, Jin-Yang Joo, Bum-soo Kim, Yong Sam Shin, Stent-assisted coil embolization of ruptured wide-necked aneurysms in the acute period: incidence of and risk factors for periprocedural complications. Journal of Neurosurgery. ,vol. 121, pp. 4- 11 ,(2014) , 10.3171/2014.4.JNS131662
Gérard Audibert, Serge Bracard, Luc Picard, Joao Melo Neto, Yin Long, René Anxionnat, Ariel Lebedinsky, Endovascular treatment of Hunt and Hess grade IV and V aneuryms. American Journal of Neuroradiology. ,vol. 23, pp. 953- 957 ,(2002)
Bing Zhao, Yong Cao, Xianxi Tan, Yuanli Zhao, Jun Wu, Ming Zhong, Shuo Wang, Complications and outcomes after early surgical treatment for poor-grade ruptured intracranial aneurysms: A multicenter retrospective cohort International Journal of Surgery. ,vol. 23, pp. 57- 61 ,(2015) , 10.1016/J.IJSU.2015.09.008
Bing Zhao, , Xianxi Tan, Hua Yang, Kuang Zheng, Zequn Li, Ye Xiong, Ming Zhong, A Multicenter prospective study of poor-grade aneurysmal subarachnoid hemorrhage (AMPAS): observational registry study BMC Neurology. ,vol. 14, pp. 86- 86 ,(2014) , 10.1186/1471-2377-14-86
Katja E. Wartenberg, Sheetal J. Sheth, J. Michael Schmidt, Jennifer A. Frontera, Fred Rincon, Noeleen Ostapkovich, Luis Fernandez, Neeraj Badjatia, E. Sander Connolly, Alexander Khandji, Stephan A. Mayer, Acute Ischemic Injury on Diffusion-Weighted Magnetic Resonance Imaging after Poor Grade Subarachnoid Hemorrhage Neurocritical Care. ,vol. 14, pp. 407- 415 ,(2011) , 10.1007/S12028-010-9488-1
Shady Jahshan, Adib A. Abla, Sabareesh K. Natarajan, Patrick S. Drummond, Peter Kan, Yuval Karmon, Kenneth V. Snyder, L. Nelson Hopkins, Adnan H. Siddiqui, Elad I. Levy, Results of stent-assisted vs non-stent-assisted endovascular therapies in 489 cerebral aneurysms: Single-center experience Neurosurgery. ,vol. 72, pp. 232- 239 ,(2013) , 10.1227/NEU.0B013E31827B93EA
Julian E. Bailes, Robert F. Spetzler, Mark N. Hadley, Hillel Z. Baldwin, Management morbidity and mortality of poor-grade aneurysm patients Journal of Neurosurgery. ,vol. 72, pp. 559- 566 ,(1990) , 10.3171/JNS.1990.72.4.0559