题名 | Stent-assisted coiling versus coiling alone of ruptured anterior communicating artery aneurysms: A single-center experience |
作者 | |
发表日期 | 2016-05 |
发表期刊 | CLINICAL NEUROLOGY AND NEUROSURGERY 影响因子和分区 |
语种 | 英语 |
原始文献类型 | Article |
关键词 | Anterior communicating artery Ruptured aneurysms Stent-assisted coiling Coiling Complications |
其他关键词 | INTRACRANIAL ANEURYSMS ; ENDOVASCULAR TREATMENT ; VOLUME CENTER ; RISK-FACTORS ; EMBOLIZATION ; OUTCOMES ; COMPLICATIONS ; EFFICACY ; SAFETY |
摘要 | Objective: Endovascular coiling of anterior communicating artery (ACoA) aneurysms has evolved; however, stent-assisted coiling of ruptured aneurysms remains controversial. We aimed to compare periprocedural complications, angiographic and clinical outcomes after stent-assisted coiling with coiling alone of ruptured ACoA aneurysms. Methods: We performed a retrospective review of consecutive 222 patients with ruptured ACoA aneurysms treated with endovascular coiling within 7 days after ictus. Patients were grouped into stent-assisted coiling and coiling alone groups. Baseline characteristics, periprocedural complications, clinical outcomes, and angiographic results were compared between the two groups. Results: 63 (28.4%) patients underwent stent-assisted coiling and 159 (71.6%) underwent coiling alone. There were no statistically significant differences in age, sex, clinical grading and Fisher grade. Larger aneurysms (P= 0.002) and wider-neck aneurysms (P < 0.001) were more often treated with stent-assisted coiling within 72 h (P= 0.025). Intraprocedural aneurysm rupture occurred in 6 (9.5%) patients treated with stent-assisted coiling compared with in 5 (3.1%) treated with coiling alone (P<0.048). Thrombus formation occurred in 10 (15.9%) patients after stent-assisted coiling compared with 6 (3.8%) after coiling alone (P= 0.002). Stent-assisted coiling achieved a lower rate of immediate occlusion than coiling alone (P= 0.045). Postoperative complications, clinical outcomes, and follow-up aneurysm occlusion did not significantly differ. Conclusions: Stent-assisted coiling of ruptured ACoA aneurysms was associated with a higher rate of intraprocedural complications and associated with a lower immediate occlusion rate. However, Postoperative complications and clinical outcomes did not differ. Long-term angiographic results require further study. (C) 2016 Elsevier B.V. All rights reserved. |
资助项目 | Chinese Ministry of Health [WKJ2010-2-016]; Wenzhou Bureau of Science and Technology [Y20140041] |
出版者 | ELSEVIER SCIENCE BV |
出版地 | AMSTERDAM |
ISSN | 0303-8467 |
EISSN | 1872-6968 |
卷号 | 144页码:96-100 |
DOI | 10.1016/j.clineuro.2016.03.020 |
页数 | 5 |
WOS类目 | Clinical Neurology ; Surgery |
WOS研究方向 | Neurosciences & Neurology ; Surgery |
WOS记录号 | WOS:000375629600021 |
收录类别 | SCIE ; PUBMED ; SCOPUS |
URL | 查看原文 |
PubMed ID | 27037864 |
SCOPUSEID | 2-s2.0-84961990999 |
通讯作者地址 | [Zhao, Bing]Department of Neurosurgery,First Affiliated Hospital of Wenzhou Medical University,Nanbai Xiang Town,Wenzhou,China |
Scopus学科分类 | Surgery;Neurology (clinical) |
引用统计 | |
文献类型 | 期刊论文 |
条目标识符 | https://kms.wmu.edu.cn/handle/3ETUA0LF/5050 |
专题 | 附属第一医院_介入科 附属第一医院_神经外科 |
通讯作者 | Zhao, Bing |
作者单位 | 1.Department of Interventional Radiology,First Affiliated Hospital of Wenzhou Medical University,Wenzhou,China; 2.Department of Neurosurgery,First Affiliated Hospital of Wenzhou Medical University,Nanbai Xiang Town,Wenzhou,China; 3.Department of Neurosurgery,Second Renmin Hospital of Taizhou,Taizhou,China; 4.Department of Neurosurgery,Mayo Clinic,Rochester,United States |
第一作者单位 | 附属第一医院 |
通讯作者单位 | 附属第一医院 |
第一作者的第一单位 | 附属第一医院 |
推荐引用方式 GB/T 7714 | Fan, Lianghao,Tan, Xianxi,Xiong, Ye,et al. Stent-assisted coiling versus coiling alone of ruptured anterior communicating artery aneurysms: A single-center experience[J]. CLINICAL NEUROLOGY AND NEUROSURGERY,2016,144:96-100. |
APA | Fan, Lianghao., Tan, Xianxi., Xiong, Ye., Zheng, Kuang., Li, Zequn., ... & Zhao, Bing. (2016). Stent-assisted coiling versus coiling alone of ruptured anterior communicating artery aneurysms: A single-center experience. CLINICAL NEUROLOGY AND NEUROSURGERY, 144, 96-100. |
MLA | Fan, Lianghao,et al."Stent-assisted coiling versus coiling alone of ruptured anterior communicating artery aneurysms: A single-center experience".CLINICAL NEUROLOGY AND NEUROSURGERY 144(2016):96-100. |
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