Abstract：Objective To investigate the technology and efficacy of aneurysm reconstruction and remodeling technique with 3D coils in the endovascular treatment of anterior communicating artery aneurysm.Methods The clinical data of 31 patients with anterior communicating artery aneurysms form September 2009 to September 2012 were retrospectively analyzed. Twenty one patients with ruptured aneurysms and 10 with unruptured aneurysms were diagnosed definitely by duel-source CT angiography (DSCTA) and digital subtract angiography (DSA). According to Hunt and Hess classification, 17 cases were grade Ⅰ, 12 cases were grade Ⅱ, 2 cases were grade Ⅲ. All the patients underwent endovascular treatment of aneurysm reconstruction and remodeling technique with 3D coils.Results All the patients were endovascularly embolized by 3D-GDC and followed DSA and CT examinations. DSA showed that all the coils were in aneurysms and the parent arteries were clear. Among the 31 aneurysms, 26 were completely embolized (83.87%) and 5 were partly embolized (16.13%). CT showed that no cerebral infarction or cerebral hemorrhage was found. At the time of discharge, the efficacy was assessed according to Glasgow outcome scale, 26 cases (83.87%) had good prognoses, 4 cases (12.9%) were lightly disabled and 1 case (3.22%) was severely disabled. Thirty-one patients were followed up for 6 months to 12 months (8.95 ± 4.08 months). Postoperative DSA or CT examinations showed that anterior communicating artery were slight stenosis in 5cases and were clear in 26 cases, no recurrence were found.Conclusions Aneurysm reconstruction and remodeling technique with 3D coils in the endovascular treatment of anterior communicating artery aneurysm is safe and effective with less complication, and long-term anticoagulant therapy is not needed after operation .
蔡廷江,史跃,黄玉杰,王栋,陈龙,王中勋,王颖. 3D弹簧圈在颅内前交通动脉瘤血管内介入治疗中的应用[J]. 中华解剖与临床杂志, 2014, 19(5): 385-389.
Cai Tingjiang, Shi Yue, Huang Yujie, Wang Dong, Chen Long, Wang Zhongxun, Wang Ying. Application of 3D coils in the endovascular treatment of anterior communicating artery aneurysm. Chinese Journal of Anatomy and Clinics, 2014, 19(5): 385-389.
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