Endovascular Interventional Treatment For Intracranial Aneurysm

ObjectiveTo study selecting cases of endovascular interventional treatment and estimated an opportune moment for intracranial aneurysm.We discussed the prevention and disposal of complication in process of interventional treatment.Then raised it in systemic and theoretic,it will be applied theory for supporting individuate interventional treatment of patiens with intracranial aneurysm in clinic.MethodsThe data of 119 patients with intracranial aneurysm were arranged from October 2006 to October 2010. All patients with intracranial aneurysm were confirmed by imageology and treated in our department.The clinical data included age of patients,previous history of patients,and chief or accompaniment symptom of patients,We used the modified Hunt and Hess grading scale to estimate the condition of hospital patients before operated.The imaging check reported the sites of aneurysm;the aneurysms'size,shape and quantity;to observe its various methods, the prevention and disposal of complication in process of interventional treatment.All the information of patients were tabled with Excel.ResultsIn clinical data of 119 patients with intracranial aneurysm,male 51 cases,female 68 cases,the average age of male and female is 51.7±17.1 years old.There are 131 aneurysms in 119 patients,and 11 patients with more than two aneurysms.In 131 aneurysms,ICA are 113 cases(86.3%),BA-VA are 18 cases(13.7%); the result of Hunt and Hess grading scale is 0 grade 7cases, I grade 6 cases, II grade 89 cases, III grade 15 cases,Ⅳgrade 2 cases. In this group of patients,107 cases were embolized only by coils,9 cases were embolized by parent artery occlusion, 3 cases were embolized by technique of remodeling, 9 cases were embolized by stent and coils,2 cases were embolized by cover stent,1 VA-BA case was thrombosis. The opportune moment for intracranial aneurysm is within 3 days.3 patients had cerebral hemorrhage,1 case coil escaped during operation,1 case occurred severe cerebral thrombosis.In 47 patients who had follow-up by imaging,recanalization of aneurysm occurredin 5 cases(10.6%),one case hemorrhaged again.ConclusionEndovascular interventional treatment for patients with intracranial aneurysms is an effective method.We will acquire a satisfying clinical result by selecting an opportune moment and embolism technic. Prognosis are closely associated with Hunt and Hess grading scale,basic illness and complication in acute stage. Clinical follow-up have important significance for treatment of patients with intracranial aneurysm.Recurrence of aneurysm is major substance in follow-up.