ISSN: 1859 - 2872
Preliminary evaluation of the effectiveness and safety of emergency flow-diverting stent and coiling for treating ruptured cerebral aneurysms at the 108 Military Central Hospital
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Abstract
Objective: To evaluate the morphological characteristics of ruptured cerebral aneurysms and the effectiveness and safety of emergency treatment using flow-diverting stents combined with coil embolization. Subject and method: A retrospective study was conducted on 16 patients with 16 aneurysms causing subarachnoid hemorrhage, treated by flow-diverting stenting combine with coiling from January 2022 to May 2024. Result: Saccular aneurysms accounted for 43.75%, blister-like aneurysms for 50.00%, and fusiform aneurysms for 6.25%. The average size of the aneurysms was 6.17 ± 5.21mm, with a dome-to-neck ratio < 1.5 in 50.00% of cases. Aneurysms located in the anterior circulation accounted for 87.50%. The technique of using flow-diverting stents combined with coil embolization was successfully performed in 100% of patients. Immediately after intervention, 56.25% of the aneurysms were completely occluded, and 100% were completely occluded after one month. No technique-related complications were recorded, with an overall complication rate of 12.5%. There was one fatality due to re-rupture immediately after intervention, accounting for 6.25%. After one month, the surviving patients nearly fully recovered, with an mRS = 0 in 14 out of 15 cases, and one case with a mild sequela after three months with mRS = 1. Conclusion: Emergency intervention with flow-diverting stents combined with coil embolization for the treatment of ruptured cerebral aneurysms is highly safe and effective.
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References
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