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Gu W, Zhou G, Aldiyarova A, Liu T, Zhang Y, Liu W, Meng L, Gu B, Li M, Su M, Su C, Liu A, Wang W. Stent-assisted coiling of intracranial carotid ophthalmic segment aneurysm segment aneurysms: Long-term follow-up from a single center. J Interv Med 2023; 6:116-120. [PMID: 37846339 PMCID: PMC10577061 DOI: 10.1016/j.jimed.2023.07.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2023] [Revised: 07/06/2023] [Accepted: 07/08/2023] [Indexed: 10/18/2023] Open
Abstract
Background To evaluate the efficacy of stent-assisted coiling (SAC) for the treatment of carotid ophthalmic segment aneurysm segment aneurysms (OSAs) of the internal carotid artery (ICA) through detailed long-term follow-up of a large patient cohort. Methods We retrospectively analyzed 88 consecutive patients with OSAs between January 2009 and January 2020 at our center. Angiographic results were evaluated using the modified Raymond grading system and clinical outcomes were evaluated using the mRS scale. The primary endpoints were major aneurysm recurrence and poor clinical outcomes for at least 18 months of follow-up. The patients were asked to attend clinical follow-up assessments and possibly undergo DSA or MR via telephone. Results We enrolled 88 patients with 99 OSAs treated with coiling, of whom 76 were treated with SAC. The coiling procedures were successful in all 88 patients. Overall, complications occurred in 8 patients (9.1%). No procedure-related mortality was observed. 67 (76.1%) experienced immediate aneurysm occlusion at the end of the procedure. Long-term angiographic follow-up (18 months) was available in 45/88 aneurysms (51%) (average 18.7 ± 5.2 months). Four patients continued their follow-up for 5 years after initial aneurysm treatment. After a clinical follow-up time of 28.7 months (range, 12-51 months), 85 patients (95.5%) achieved favorable clinical outcomes (mRS scores of 0-2). Conclusions This study indicates that SAC treatment is a safe and effective therapeutic alternative for ruptured and unruptured OSAs. The procedural risks are low with relatively long-term effectiveness.
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Affiliation(s)
- Wenquan Gu
- Department of Radiology, Shanghai Punan Hospital, Shanghai, 200125, China
| | - Geng Zhou
- Department of Interventional Neuroradiology, Beijing Tiantan Hospital, Capital Medical University, Beijing, 100050, China
| | - Aizada Aldiyarova
- Chemotherapy Department, Multidisciplinary Medical Center of the Akimat of Astana, Astana, 010009, Kazakhstan
| | - Tengyue Liu
- Department of Orthopaedics, The Second Hospital of Jilin University, Changchun, Jilin, 130041, China
| | - Yi Zhang
- Department of Interventional Radiology & Vascular Surgery, Zhongda Hospital, Medical School, Southeast University, Nanjing, 210000, China
| | - Weidong Liu
- Department of Radiology, Shanghai Punan Hospital, Shanghai, 200125, China
| | - Lingping Meng
- Department of Radiology, Shanghai Sixth People's Hospital Jinshan Branch, Shanghai, 201599, China
| | - Binxian Gu
- Department of Diagnostic and Interventional Radiology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, 200233, China
| | - MingHua Li
- Department of Diagnostic and Interventional Radiology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, 200233, China
| | - Ming Su
- Shandong Academy of Traditional Chinese Medicine, 7 Yanzishan West Road, Jinan, Shandong, 250014, China
| | - Chen Su
- Department of Oncology, Jinan Central Hospital, Central Hospital Affiliated to Shandong First Medical University, No.105, Jie Fang Road, Jinan, 250013, Shandong, China
| | - Aihua Liu
- Department of Interventional Neuroradiology, Beijing Tiantan Hospital, Capital Medical University, Beijing, 100050, China
| | - Wu Wang
- Department of Diagnostic and Interventional Radiology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, 200233, China
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