Stent-assisted coiling versus coiling alone of ruptured anterior communicating artery aneurysms: A single-center experience

doi:10.1016/j.clineuro.2016.03.020

科研成果详情

题名	Stent-assisted coiling versus coiling alone of ruptured anterior communicating artery aneurysms: A single-center experience
作者	Fan, Lianghao1; Tan, Xianxi2; Xiong, Ye2; Zheng, Kuang2; Li, Zequn2; Liu, Dajun 3; Zhong, Ming2; Zhao, Bing2,4
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	被引频次：13[WOS] [WOS记录] [WOS相关记录]
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.