دورية أكاديمية
أعرض في EDS

Overlapping Stent Treatment for Ruptured Dissecting Aneurysms in Posterior Circulation

التفاصيل البيبلوغرافية
العنوان: Overlapping Stent Treatment for Ruptured Dissecting Aneurysms in Posterior Circulation
المؤلفون: Minghui Zhou, Zengbao Wu, Ali Abdi Maalim, Ying Zeng, Xiao Guo, Zhenhua Zhang, Xiaohong Yuan, Zacharia Majaliwa Enos, Kai Shu, Ting Lei, Mingxin Zhu
المصدر: Brain Sciences, Vol 13, Iss 11, p 1507 (2023)
بيانات النشر: MDPI AG, 2023.
سنة النشر: 2023
المجموعة: LCC:Neurosciences. Biological psychiatry. Neuropsychiatry
مصطلحات موضوعية: overlapping stents, ruptured dissecting aneurysms, posterior circulation, endovascular treatment, Neurosciences. Biological psychiatry. Neuropsychiatry, RC321-571
الوصف: Ruptured dissecting aneurysms in posterior intracranial circulation present significant clinical challenges and often cause poor prognoses. Our cohort used overlapping stents as the primary treatment. We analyzed the medical records of 27 patients (18 men/nine women) with ruptured posterior circulation dissecting aneurysms (PCDAs). Their average age was 52 years. We selected 11 patients who used Enterprise (EP) and LVIS stents overlappingly and matched them 1:1 with counterparts who received either EP or LVIS stents individually. Overlapping stents was a feasible treatment in all 27 cases. We successfully followed up 26 patients for ≥6 months. Regrettably, one patient died from intracranial hypertension on Day 7 post-procedure. Immediate post-procedure angiographies indicated Raymond grade I, II, and III occlusions of PCDAs in 16 (59.3%), 7 (25.9%), and 4 (14.8%) cases, respectively. At an average follow-up duration of 16.2 months, 25 patients (96.2%) had modified Rankin Scale scores of 0–2, signifying positive outcomes. One patient (3.8%) had a score of 3–4. Recurrence rates for the EP and LVIS stent groups were higher than those of the overlapping stent group (45.45% vs. 9.09%, p = 0.15 and 27.27% vs. 9.09%, p = 0.59, respectively). No significant difference in recurrence rates existed between the overlapping and single-stent groups. Similarly, follow-up outcomes were consistent between the two groups. Overlapping stents could be an efficient method for treating ruptured PCDAs.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 13111507
2076-3425
Relation: https://www.mdpi.com/2076-3425/13/11/1507; https://doaj.org/toc/2076-3425
DOI: 10.3390/brainsci13111507
URL الوصول: https://doaj.org/article/986d3c91d854495b83941554fc3c37a0
رقم الأكسشن: edsdoj.986d3c91d854495b83941554fc3c37a0
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:13111507
20763425
DOI:10.3390/brainsci13111507