Elewa Mohamed Khaled
Neurology Department, Ain Shams University Hospitals, 38 El-Abbasia, Cairo, 11566 Egypt.
Egypt J Neurol Psychiatr Neurosurg. 2018;54(1):33. doi: 10.1186/s41983-018-0040-0. Epub 2018 Nov 7.
Endovascular management for cerebral saccular aneurysm has evolved in the last decade with evolution in both equipment and material. Coiling is still the mainstay of cerebral aneurysm endovascular management. In Egypt, practice outcome needs evaluation especially at low-volume centers.
To discuss the technical and management outcomes of our first symptomatic and asymptomatic cerebral saccular aneurysm case series treated with simple coiling.
Clinical, treatment, and outcome variables of consecutive symptomatic and asymptomatic cerebral aneurysm cases treated with simple coiling between January 2011 and June 2016 in one center were analyzed.
In 31 patients, 35 aneurysms were found, 34 aneurysms (97.1%) were treated by endovascular coiling, and only one aneurysm (2.9%) was not fit for endovascular treatment. Total occlusion was achieved in 29 aneurysms (82.9%). Neck remnants were present in 4 aneurysms (11.4%). Partial coiling (incomplete occlusion) was achieved in 1 aneurysm (2.9%). Regarding functional outcome (mRS at discharge), 25 patients had good outcome (mRS = 0, 1, 2, 3) and 6 patients had poor outcome (mRS = 4, 5, 6).
The endovascular coiling could be used as a first-choice option for treatment of saccular cerebral aneurysms at our center despite the low case rate.
在过去十年中，随着设备和材料的发展，颅内囊状动脉瘤的血管内治疗也在不断演进。线圈栓塞仍是颅内动脉瘤血管内治疗的主要方法。在埃及，尤其是在低手术量的中心，治疗效果需要评估。
探讨我们首例采用单纯线圈栓塞治疗的有症状和无症状颅内囊状动脉瘤病例系列的技术和治疗效果。
分析了2011年1月至2016年6月在一个中心采用单纯线圈栓塞治疗的连续性有症状和无症状颅内动脉瘤病例的临床、治疗及预后变量。
31例患者共发现35个动脉瘤，34个动脉瘤（97.1%）接受了血管内线圈栓塞治疗，仅1个动脉瘤（2.9%）不适合血管内治疗。29个动脉瘤（82.9%）实现了完全闭塞。4个动脉瘤（11.4%）存在颈部残留。1个动脉瘤（2.9%）实现了部分栓塞（不完全闭塞）。关于功能预后（出院时的改良Rankin量表评分），25例患者预后良好（改良Rankin量表评分=0、1、2、3），6例患者预后不良（改良Rankin量表评分=4、5、6）。
尽管病例数较少，但在我们中心，血管内线圈栓塞可作为颅内囊状动脉瘤治疗的首选方法。
