Guo Xin-Bin, Yan Bao-Jun, Guan Sheng
Department of Interventional Radiology, The First Affiliated Hospital of Zhengzhou University, 1 Jianshe Road, Zhengzhou, 450052, China.
J Neuroimaging. 2014 Nov-Dec;24(6):599-602. doi: 10.1111/jon.12121. Epub 2014 Apr 7.
To explore the safety and opportunity of the "waffle-cone" technique for the treatment of intracranial aneurysm.
From November 2009 and May 2012, consecutive data were collected from 136 patients with aneurysms treated by the stent-assisted coiling procedure. Six of these patients were treated using the "waffle-cone" technique.
All the 6 patients were complex, wide-neck, bifurcation cerebral aneurysms. And the angles between the parent artery and distal vessels are acute. Two ruptured aneurysms located at the terminus of basilar artery, three ruptured aneurysms located at the anterior communicating artery, and one ruptured aneurysm located at trifurcation MCA. All the 6 patients were treated using the "waffle-cone" technique, 4 patients had Raymond classification Class I and 2 patients had Class II after the procedure. No complications occurred perioperative. There were no lesion-related strokes or deaths during the 6-month follow-up period.
The "waffle-cone" technique is a safe, simple and alternative for the complex, wide-necked bifurcation aneurysms with acute angles between the parent artery and distal vessels. Long-term following-up results are needed to evaluate the efficacy of this technique.
探讨“华夫饼锥”技术治疗颅内动脉瘤的安全性及可行性。
收集2009年11月至2012年5月期间136例行支架辅助弹簧圈栓塞术治疗的动脉瘤患者的连续资料。其中6例患者采用“华夫饼锥”技术治疗。
6例患者均为复杂、宽颈、分叉部脑动脉瘤，载瘤动脉与远端血管夹角均为锐角。2例破裂动脉瘤位于基底动脉末端，3例破裂动脉瘤位于前交通动脉，1例破裂动脉瘤位于大脑中动脉分叉处。6例患者均采用“华夫饼锥”技术治疗，术后4例Raymond分级为I级，2例为II级。围手术期无并发症发生。随访6个月期间无与病变相关的卒中或死亡。
“华夫饼锥”技术对于载瘤动脉与远端血管夹角为锐角的复杂、宽颈分叉部动脉瘤是一种安全、简单的替代方法。需要长期随访结果来评估该技术的疗效。
