• Pak J Med Sci · Jul 2021

    Clinical Analysis of Interventional Therapy for Eight Cases of Extracranial ICA Aneurysm.

    • Jian-Feng Xu, Zao-Bin Liu, Tong Wang, and Yang Liu.
    • Jian-Feng Xu, Neurosurgery Department, The Third Hospital of Mianyang/Sichuan Mental Health Center, Mianyang, Sichuan, 621000, P.R. China.
    • Pak J Med Sci. 2021 Jul 1; 37 (4): 1086-1092.

    ObjectiveTo explore the interventional therapy and clinical efficacy of extracranial ICA aneurysm.MethodsThe clinical data of eight patients with extracranial ICA aneurysm treated by interventional stent implantation from December 2014 to February 2018 in the Neurosurgery Department of the Third Hospital of Mianyang were analyzed. And this research was a retrospective analysis. All patients underwent digital subtraction angiography (DSA) and were diagnosed with extracranial carotid artery aneurysm. These patients, therefore, were treated with interventional stent implantation.ResultsInterventional treatment was successfully conducted on all eight patients. In eight patients, the aneurysm cavity was not developed immediately after angiography, and in one case, the aneurysm cavity was developed with coil-assisted embolization. All the internal carotid arteries were well developed, with no complications such as intraoperative rupture, bleeding and thrombosis occur. Follow-up for three months to two years showed that the patients recovered well, the GOS score was 4 points for patients with cerebral infarction, and the rest reached five points. Follow-up CTA showed no signs of aneurysm recurrence or ICA restenosis.ConclusionInterventional stent placement is a preferable and relatively safe method for the treatment of extracranial carotid artery aneurysm with less trauma and short operation time.Copyright: © Pakistan Journal of Medical Sciences.

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