Comparison of postsurgical clinical sequences between completely embolized and incompletely embolized patients with wide nicked intracranial aneurysms treated with stent assisted coil embolization technique A STROBE-compliant study

被引:6
作者
Cai, Zi-Qiang [1 ]
Chai, Shi-Hong [1 ]
Wei, Xiang-Lei [1 ]
You, Ke-Zeng [1 ]
Li, Jiang [1 ]
Zhang, Ding-Mei [1 ]
机构
[1] Linyi Ctr Hosp, Dept Imaging, 17,Jiankang Rd, Linyi 276400, Shandong, Peoples R China
关键词
computed tomography angiography; enterprise stent-assisted coil embolization; intracranial wide-necked aneurysm; magnetic resonance angiography; therapeutic effect; SUBARACHNOID HEMORRHAGE; DIAGNOSTIC-ACCURACY; HESS GRADE; FOLLOW-UP; MRA; DSA; CTA; MANAGEMENT; HUNT;
D O I
10.1097/MD.0000000000010987
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The technique of stent-assisted coil embolization has been widely used in the clinic, while its efficacy and safety have yet to be evaluated. This study investigates the values of computed tomography angiography (CTA), magnetic resonance angiography (MRA), and digital subtraction angiography (DSA) in evaluating the Enterprise stent-assisted coil embolization in the treatment of intracranial wide-necked aneurysm. A total of 578 intracranial wide-necked aneurysm patients confirmed by MRA+CTA+DSA examinations were included and treated with Enterprise stent-assisted coil embolization in this study. All patients were assigned into complete embolization (CE) group and incomplete embolization (IE) group according to the results of postoperative MRA+CTA+DSA examinations and Raymond grades. Hunt-Hess grades, incidence of complication and Glasgow Outcome Scale (GOS) grades of patients were investigated to assess the therapeutic effect of Enterprise stent-assisted coil embolization in intracranial wide-necked treatment. Multivariate logistic regression analysis was performed to assess risk factors for the therapeutic effect of Enterprise stent-assisted coil embolization in intracranial wide-necked aneurysm. CTA images offered a better and clearer view than MRA and DSA images in both the CE and IE groups. Both the sensitivity and specificity of CTA were apparently higher than those of MRA. Patients in the CE group enjoyed a higher good GOS rate but a lower incidence of complication than those in the IE group. In Enterprise stent-assisted coil embolization treatment, the Hunt-Hess grade, hypertension, and size of artery aneurysm were independent factors affecting the therapeutic effect of Enterprise stent-assisted coil embolization in intracranial wide-necked aneurysm. Compared with MRA, CTA shows a higher value in evaluating the therapeutic effect of Enterprise stent-assisted coil embolization for the treatment of intracranial wide-necked aneurysm, and can thus serve as an important means of predicting the therapeutic effect of endovascular intervention in treating patients with intracranial wide-necked aneurysm.
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页数:7
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