血管内治疗床突旁未破裂颅内动脉瘤的疗效分析

目的 评估血管内治疗床突旁未破裂颅内动脉瘤(unruptured intracranial aneurysm,UIA)的安全性和有效性.方法 回顾性纳入2017年1月-2019年12月于空军军医大学唐都医院神经外科连续收治的床突旁UIA患者.收集患者的基线资料和影像学资料,统计动脉瘤栓塞结果、围手术期并发症发生情况及预...

Analysis of the Efficacy of Endovascular Treatment of Paraclinoid Unruptured Intracranial Aneurysms

Objective To evaluate the safety and efficacy of endovascular treatment of paraclinoid unrupturedintracranial aneurysms (UIA).Methods Patients with paraclinoid UIA admitted to Department of Neurosurgery of TangduHospital, Air Force Military Medical University from January 2017 to December 2019 wereincluded in this retrospective analysis. The collected data included the baseline data, imaging data,the results of aneurysms embolization, periprocedural complications and the proportion of poorprognosis (mRS>2 points). The factors associated with postprocedural recurrence of aneurysmswere analyzed.Results A total of 176 patients were included in this analysis, with a mean age of 54.7±9.6 years(aged 23-74 years) and 32 males (18.2%). Among 184 aneurysms, Raymond Ⅰ 151 (82.1%),Raymond Ⅱ 31 (16.8%) and Raymond Ⅲ 2 (1.1%). Periprocedural complications occurred in 11cases (6.3%); 5 cases (3.3%) of the 151 patients with clinical follow-up had poor prognosis; 8 cases(7.0%) of the 114 patients with imaging follow-up had aneurysms recurrence. Univariate analysisshowed that incomplete embolization was associated with aneurysms recurrence (P =0.004).Conclusions Endovascular treatment of paraclinoid UIA was generally safe and effective, andcomplete embolization of paraclinoid UIA should be attempted.