PDF(Pubmed)
Abstract：
UNASSIGNED: We present our initial experience using the microcatheter-guided compartment packing (MCP) technique for endovascular embolization of acutely ruptured complex intracerebral aneurysms (ARCIAs) and evaluate the safety, feasibility, and efficiency of this technique.
UNASSIGNED: This retrospective, single-center study included 28 patients who underwent coil embolization using the MCP technique for ARCIAs at our institution between January 2021 and January 2022. The MCP technique was the placement of microcatheters in different compartments within the aneurysm to deploy the coils simultaneously or sequentially. Patient demographics, aneurysm characteristics, procedural parameters, grade of occlusion, complications, and clinical results were analyzed. The clinical outcomes were evaluated with modified Rankin Scale (mRS) scores.
UNASSIGNED: Of the 28 patients successfully treated with the MCP technique, 24 (85.7%) aneurysms were considered as complete occlusions (Raymond I) based on the immediate postembolization angiogram results. Complications occurred in 2/28 treatments, including guidewire perforation with subarachnoid hemorrhage and cerebral vasospasm-related cerebral infarction. An angiography follow-up demonstrated complete occlusion in 25/28 aneurysms. Twenty-six (92.9%) patients had favorable 90-day outcomes (mRS 0-2) after the endovascular coil embolization.
UNASSIGNED: The MCP technique is simple, safe, and effective, achieving good packing density and initial occlusion rate when used to treat ARCIAs.
UNASSIGNED: This retrospective, single-center study included 28 patients who underwent coil embolization using the MCP technique for ARCIAs at our institution between January 2021 and January 2022. The MCP technique was the placement of microcatheters in different compartments within the aneurysm to deploy the coils simultaneously or sequentially. Patient demographics, aneurysm characteristics, procedural parameters, grade of occlusion, complications, and clinical results were analyzed. The clinical outcomes were evaluated with modified Rankin Scale (mRS) scores.
UNASSIGNED: Of the 28 patients successfully treated with the MCP technique, 24 (85.7%) aneurysms were considered as complete occlusions (Raymond I) based on the immediate postembolization angiogram results. Complications occurred in 2/28 treatments, including guidewire perforation with subarachnoid hemorrhage and cerebral vasospasm-related cerebral infarction. An angiography follow-up demonstrated complete occlusion in 25/28 aneurysms. Twenty-six (92.9%) patients had favorable 90-day outcomes (mRS 0-2) after the endovascular coil embolization.
UNASSIGNED: The MCP technique is simple, safe, and effective, achieving good packing density and initial occlusion rate when used to treat ARCIAs.
摘要：
UNASSIGNED：我们介绍了使用微导管引导的隔室填塞（MCP）技术对急性破裂的复杂脑内动脉瘤（ARCIA）进行血管内栓塞的初步经验，并评估了安全性，可行性,和这种技术的效率。
未经评估：本次回顾，单中心研究纳入了在2021年1月至2022年1月期间在我们机构接受了使用MCP技术治疗ARCIA的线圈栓塞术的28例患者.MCP技术是将微导管放置在动脉瘤内的不同隔室中以同时或顺序地展开线圈。患者人口统计学，动脉瘤特征，程序参数,咬合程度,并发症,并对临床结果进行分析。采用改良Rankin量表(mRS)评分评价临床结局。
未经证实：在使用MCP技术成功治疗的28例患者中，根据立即的栓塞后血管造影结果，24个（85.7％）动脉瘤被认为是完全闭塞（RaymondI）。并发症发生在2/28治疗中，包括导丝穿孔伴蛛网膜下腔出血和脑血管痉挛相关性脑梗死。血管造影随访显示25/28动脉瘤完全闭塞。血管内线圈栓塞后，26例（92.9％）患者的90天预后良好（mRS0-2）。
未经评估：MCP技术很简单，安全,而且有效,当用于治疗ARCIA时，实现良好的包装密度和初始闭塞率。
未经评估：本次回顾，单中心研究纳入了在2021年1月至2022年1月期间在我们机构接受了使用MCP技术治疗ARCIA的线圈栓塞术的28例患者.MCP技术是将微导管放置在动脉瘤内的不同隔室中以同时或顺序地展开线圈。患者人口统计学，动脉瘤特征，程序参数,咬合程度,并发症,并对临床结果进行分析。采用改良Rankin量表(mRS)评分评价临床结局。
未经证实：在使用MCP技术成功治疗的28例患者中，根据立即的栓塞后血管造影结果，24个（85.7％）动脉瘤被认为是完全闭塞（RaymondI）。并发症发生在2/28治疗中，包括导丝穿孔伴蛛网膜下腔出血和脑血管痉挛相关性脑梗死。血管造影随访显示25/28动脉瘤完全闭塞。血管内线圈栓塞后，26例（92.9％）患者的90天预后良好（mRS0-2）。
未经评估：MCP技术很简单，安全,而且有效,当用于治疗ARCIA时，实现良好的包装密度和初始闭塞率。
