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Results of endovascular treatment of posterior fossa intracranial aneuryms
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Abstract
SUMMARY
Purpose: To evaluate the results of endovascular treatment of posterior fossa intracanial aneuryms.
Method and materials: Fourty one patients harboring fourty five posterior fossa intracranial aneuryms were treated by
endovascular therapy from 2012 to 2015 at Bach Mai Hospital. Clinical outcomes and follow-up of aneurysm occlusion’s result
were classified by modified Rankin Scale and on MRI imaging.
Results: Twenty eight patients presented subaranoidien hemorrhage and thirteen patients without SAH. Different technics
were used such as coiling embolization (44.4%), coiling with balloon remodeling technics (22.2%), coiling with stenting (2.3%), flow-diverter stenting (6.7%) and parent artery occlusion (24.4%). The rate of complete aneurysm occlusion, neck residue and partial
occlusion were 80%; 11.1% and 8.9% respectively. Result of good outcomes (mRS 0-2) was 85.4% and mortality was 12.2%. Almost
of aneurysms post treatment were stability (84.6%), only 15,4% aneurysm were slight recanalization. The hospitalization duration
of unruptured and ruptured aneurysm were 9.3 and 17.8 days, respectively.
Conclusion: Endovascular treatment of posterior circulation aneurysms showed efficace of clinical outcome and stability with
low morbility and mortality.
Article Details
Keywords
Aneurysm, posterior circulation aneurysm, embolization
References
1. Jin Seub Hwang; Min Kyung Hyun et al (2012), “Endovascular coiling versus neurosurgical clipping in patients with unruptured intracranial aneurysm: a systematic review”, BMC Neurology, 12(99).
2. Hong Ju Moon, Dong Jun Lim, Sung Kon Ha et al (2009), “Clinical Analysis of Cerebral Aneurysms of Posterior Circulation”, Kor J Cerebrovascular Surgery, 11(1), tr. 25-30.
3. Schievink W. I, Wijdicks E. F, Piepgras D. G et al (1995), “The poor prognosis of ruptured intracranial aneurysms of the posterior circulation”, J Neurosurg, 82(5), tr. 791-5.
4. Wardlaw. J, M. White et al (2000), “The detection and management of unruptured intracranial aneurysms”, Brain, 123 ( Pt 2), tr. 205-21.
5. Wakhloo Ajay K, Pierot Laurent (2013), “Endovascular treatment of intracranial aneurysms current status”, Stroke, 44(7), tr. 2046-2054.
6. Vũ Đăng Lưu (2012), Nghiên cứu chẩn đoán và điều trị phình động mạch não vỡ bằng can thiệp nội mạch, Luận án tiến sỹ Y học, Đại học Y Hà Nội.
7. Wiebers David O. (2003), “Unruptured intracranial aneurysms: natural history, clinical outcome, and risks
of surgical and endovascular treatment”, The Lancet, 362(9378), tr. 103-110.
8. Todd E. Lempert, Adel M. Malek, Van V. Halbach et al (2000), “Endovascular treatment of ruptured posterior circulation cerebral aneurysms. Clinical and angiographic outcomes”, Stroke, 31(1), tr. 100-10.
9. Jankowitz, B. T. Aleu, A. Lin et al (2011), “Endovascular treatment of atypical posterior circulation aneurysms: technical results and review of the literature”, J Neuroimaging, 21(1), tr. 56-61.
10. Yamaura Akira, Watanabe; (1990), “Dissecting aneurysms of the intracranial vertebral artery”, Journal of neurosurgery, 72(2), tr. 183-188.
11. W. Brinjikji, A.A. Rabinstein; D.M. Nasr et al (2011), “Better Outcomes with Treatment by Coiling Relative to Clipping of Unruptured Intracranial Aneurysms in the United States, 2001–2008”, Am J Neuroradiol Volume 32, tr. 1071–75.