[Results of stent assisted endovascular treatment of intracranial aneurysms].
Aim of the study was presentation of own experiences with stent assisted endovascular treatment of cerebral aneurysm. Employment of cerebral stents extended endovascular embolisation technique to wide neck cerebral aneurysms. From March 2007 and October 2011 40 patients - 28 (70%) women and 12 (30%) man with 43 intracranial aneurysms were treated with stent assisted embolisation technique. All aneurysms were saccular, 27 (79.4%) situated on internal carotid artery, 4 (11.8%) on basilar artery, 2 (5.9%) on posterior cerebral artery, 1 (2.9%) on vertebral artery. 3 (9%) aneurysms were ruptured and rest 31 (91%) were unruptured. Control angiography revealed in 16 (37%) cases complete embolisation, in 15 (34.8%) residual and in 10 (23.2%) uncompleted embolisation. Complications appeared in 4 (9%) cases - 3 times acute stent thrombosis and once intracranial bleeding. Stent assisted endovascular treatment of intracranial aneurysm allows to effectively treatment of wide neck aneurysm and decreases amount of recanalisation . However more complicated technique and higher risk of complication require experience and appropriate qualification for that treatment.
Katedra Radiologii, Uniwersytet Jagielloński, Collegium Medicum.
Paweł
P
Brzegowy
Tadeusz J
TJ
Popiela
Andrzej
A
Urbanik
D000328:Adult; D000368:Aged; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging / Q000628:therapy*; D002533:Cerebral Angiography; D004621:Embolization, Therapeutic / Q000379:methods*; D057510:Endovascular Procedures; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D015607:Stents; D016896:Treatment Outcome; D055815:Young Adult