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Treatment of the acute thromboembolic event during endovascular embolization of intracranial aneurysm
- Source :
- Journal of Interventional Medicine, Vol 3, Iss 4, Pp 208-212 (2020)
- Publication Year :
- 2020
- Publisher :
- KeAi Communications Co., Ltd., 2020.
-
Abstract
- Objective: The study aimed to discuss the treatment of acute thromboembolic event (TE) during endovascular embolization of intracranial aneurysms. Methods: Between April 2013 and April 2019, 158 patients with 167 intracranial aneurysms were treated with endovascular embolization in our hospital, in which 9 cases of acute TEs occurred during the embolization procedures. The clinical data, radiological findings and treatments of the 9 patients were reviewed and analyzed. Results: The TEs occurred at the aneurysmal neck in 3 patients, at distal part of the parent artery in 3, in the stent in 2, and at the proximal part of the parent artery in 1. Intra-arterial (IA) infusion of tirofiban were performed in 6 patients, mechanical thromboectomy (MT) with a stent in 2 patients, and combined use of the two methods in 1 patients. According to the modified Thrombolysis In Cerebral Infarction (mTICI) score, 7 patients had recanalization of 2b/3a, 1 patients had recanalization of 1, and 1 patients had recanalization of 0. At discharge, the mRS score was 0 in 3 patients, 1 in 3 patients, and 2, 3, 4 in 1 patient each. 6 months after the endovascular treatment, the mRS score was 0 in 5 patients, 1 in 2 patients, and 3 in 1 patient. Conclusions: IA tirofiban and MT are effective remedies for the acute TE during endovascular embolization of intracranial aneurysm, reasonable selection of which may improve the prognosis of patients.
Details
- Language :
- English
- ISSN :
- 20963602
- Volume :
- 3
- Issue :
- 4
- Database :
- Directory of Open Access Journals
- Journal :
- Journal of Interventional Medicine
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.6bd0e8afc45939eaecfb6b870286c
- Document Type :
- article
- Full Text :
- https://doi.org/10.1016/j.jimed.2020.08.002