Clinical outcomes of blood blister-like aneurysm treated by flow diverter

doi:10.3877/cma.j.issn.2095-123X.2024.03.007

Abstract

Abstract:

Objective

To explore the clinical safety and efficacy of flow diverter (FD) to treat blood blister-like aneurysms (BBA).

Methods

The clinical dates of BBA patients who underwent FD treatment in the Neurosurgery Department of the First Affiliated Hospital of Nanchang University from January 2015 to December 2022 were collected, their clinical characteristics, surgical results and prognosis were further analyzed.

Results

Five cases with BBA treated by FD were enrolled finally. All of operative procedures were success in this study, and there were no complications and rebleeding in perioperative period. The average follow-up period was (4.40±1.51) months, with 4 cases of aneurysm cured and 1 case of recurrence who had suffered brain infraction located in right frontotemporal area after four months follow-up. The mRS score was 0 when all patients were discharge, but at the last follow-up, 4 cases with mRS were 0, one with mRS was 4.

Conclusion

The FD treatment for BBA has certain safety and effectiveness.

Key words: Blood blister-like aneurysm, Flow diverter, Endovascular therapy, Embolization

Lingfeng Lai, Xiaofei Huang, Cong Ding, Xiaobing Zhou. Clinical outcomes of blood blister-like aneurysm treated by flow diverter[J]. Chinese Journal of Brain Diseases and Rehabilitation(Electronic Edition), 2024, 14(03): 166-170.

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References 18

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序号	年龄（岁）	性别	动脉瘤位置	Hunt-Hess分级（级）	Fisher分级（级）	支架类型	Raymond分级（级）	出院后随访时间（月）	影像学结果	末次随访mRS评分（分）
1	59	女	L-ICA C6	Ⅰ	Ⅰ	Tubridge	Ⅰ	3	治愈	0
2	49	女	R-ICA C6	Ⅱ	Ⅳ	Pipeline	Ⅱ	4	复发	4
3	36	女	L-ICA C6	Ⅲ	Ⅲ	Tubridge	Ⅰ	6	治愈	0
4	38	男	R-ICA C6	Ⅰ	Ⅰ	Tubridge	Ⅰ	6	治愈	0
5	46	女	R-ICA C6	Ⅱ	Ⅰ	Pipeline	Ⅰ	3	治愈	0

序号	年龄（岁）	性别	动脉瘤位置	Hunt-Hess分级（级）	Fisher分级（级）	支架类型	Raymond分级（级）	出院后随访时间（月）	影像学结果	末次随访mRS评分（分）
1	59	女	L-ICA C6	Ⅰ	Ⅰ	Tubridge	Ⅰ	3	治愈	0
2	49	女	R-ICA C6	Ⅱ	Ⅳ	Pipeline	Ⅱ	4	复发	4
3	36	女	L-ICA C6	Ⅲ	Ⅲ	Tubridge	Ⅰ	6	治愈	0
4	38	男	R-ICA C6	Ⅰ	Ⅰ	Tubridge	Ⅰ	6	治愈	0
5	46	女	R-ICA C6	Ⅱ	Ⅰ	Pipeline	Ⅰ	3	治愈	0

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