Lai Ting,Liu Jun,Yang Hui,Zhou Zheng,Li Zhengyang.Clinical efficiency of mesh stent-assisted micro-coil in treatment of ruptured intracranial aneurysms[J].J Amry Med Univ (J Third Mil Med Univ),2013,35(04):339-342.
Lai Ting,Liu Jun,Yang Hui,Zhou Zheng,Li Zhengyang.Clinical efficiency of mesh stent-assisted micro-coil in treatment of ruptured intracranial aneurysms[J].J Amry Med Univ (J Third Mil Med Univ),2013,35(04):339-342.DOI:
complications and clinical efficiency of mesh stent-assisted micro-coil in the treatment of ruptured intracranial aneurysms. Methods The clinical data of 60 patients with ruptured intracranial aneurysms and treated with mesh stent-assisted micro-coil in our department from January 2009 to April 2012 were collected in this study. The efficiency was evaluated with modified Rankin scale and Hunt-Hess scale. Results All 60 stents were successfully released in right place. The aneurysm was 100% embolism in 34 cases
95% embolism in 11 cases
90% embolism in 14 cases
and 80% embolism in 1 case. The complications of surgery included the vasospasm in 4 patients
the rupture of aneurysms in 3 patients and the thrombosis in 1 patient. All patients had been followed up for 3 to 18 months after surgery
and 2 of them were died. There were significant differences in the patients’ postoperative quality of life and the preoperative Hunt-Hess scale (P0.05). There were 23 cases receiving postoperative imaging during follow-up
including DSA in 19 cases. No aneurysm recurrence was found
and 1 case appeared stent vascular stenosis. Conclusion It is satisfying to use mesh stent-assisted micro-coil to treat ruptured intracranial aneurysms. The stent has good compliance
therefore it can be delivered and deployed easily and positioned precisely with high safety and efficacy. The complications could be reduced by adept technology
accurate grasping the timing of surgery and choosing the intervention material.