title: [Treatment of cranial-cervical aneurysms with stent-graft: 20 cases report with short-term follow-up].
abstract: OBJECTIVE
  To investigate the therapeutic effect of cranial-cervical aneurysms with stent-graft.
  
  
  METHODS
  Clinical data of 20 patients with cranial-cervical aneurysm treated with stent-graft in Department of Neurosurgery, Tangdu Hospital, Fourth Military Medical University from November 2006 to November 2015 were retrospectively analyzed. There were 15 male and 5 female patients with a mean age of 40 years (ranging from 22 to 67 years). There were 10 spontaneous cases, 5 trauma history cases and 5 surgery history cases. Postoperative follow-up were made by telephone, CT angiography or digital subtraction angiography, evaluating therapeutic effect.
  
  
  RESULTS
  Twenty-four stent-grafts placement were carried out in 20 patients and all of them were successfully deployed in the parent artery. Intraoperative stent malapposition induced endoleak occurred in 3 cases, incomplete coverage of distal stent segment in 2 cases, acute thrombosis in 1 case and vessel lesion in 1 case. Eighteen cases were radiographically cured while the other 2 cases improved through additional stent placement, coil embolization or artery thrombolysis. Clinical symptoms of post-operative patients were improved to varying degrees. Follow-up of 1 to 96 months (average of 19 months) were accomplished. Delayed parent artery occlusion were encountered in 2 cases while endoleak still existed in 1 case.
  
  
  CONCLUSIONS
  Application of stent-graft for cranial-cervical aneurysms is safe and effective and the short-term follow-up results are satisfied.
authors.affiliation: Department of Neurosurgery, Tangdu Hospital, Fourth Military Medical University, Xi'an 710038, China.
authors.forename: Tao
authors.initials: T
authors.lastname: Zhang
authors.forename: Jianping
authors.initials: J
authors.lastname: Deng
authors.forename: Hu
authors.initials: H
authors.lastname: Chen
authors.forename: Yufeng
authors.initials: Y
authors.lastname: Liu
authors.forename: Fangfang
authors.initials: F
authors.lastname: Wang
authors.forename: Shuai
authors.initials: S
authors.lastname: Li
authors.forename: Fude
authors.initials: F
authors.lastname: Liu
authors.forename: Zhenwei
authors.initials: Z
authors.lastname: Zhao
mesh_terms: D000328:Adult; D000368:Aged; D000792:Angiography; D001157:Arterial Occlusive Diseases; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation; D057867:Endoleak; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D002532:Intracranial Aneurysm / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D015607:Stents; D016896:Treatment Outcome; D055815:Young Adult