Jia L#, Wang J#, Zhang L, Ming LV* and Yang X*
Department of Interventional Neuroradiology, Beijing Neurosurgical Institute and Beijing Tian Tan Hospital, China
#These authors contributed equally to this work
Background: Patients undergoing endovascular treatment by Stent-Assisted Coiling (SAC) require dual antiplatelet therapy, which may increase the risk of intracranial hemorrhage. Therefore, SAC is controversial in Intracranial Ruptured Aneurysms (IRA). Objective: To evaluate the effectiveness and safety of treating IRA with SAC versus single coiling. Methods: We retrospectively analyzed the data from 151 patients with spontaneous subarachnoid hemorrhage resulting from IRA confirmed by digital subtraction angiography who underwent SAC or single coiling therapy in our hospital from January 2017 to December 2017. Results: There were 152 aneurysms in 151 patients; 64 aneurysms were treated with SAC, while 88 were treated with single coiling. Follow-up angiography showed that the complete occlusion rate in the SAC group was similar to that in the single coiling group (89.7% vs. 78.2%, respectively; P=0.08). In addition, the total perioperative complication rate in the SAC group was similar to that in the single coiling group (23.4% vs. 19.5%, respectively; P=0.56). During follow-up, the SAC group had a similar incidence of favorable outcomes (modified Rankin Scale score, 0-2) compared with the single coiling group (88.3% vs. 83.3%, respectively; P=0.41). Conclusion: SAC may be as effective and safe as single coiling for IRA.
Intracranial ruptured aneurysms; Stent-assisted coiling; Single coiling
Jia L, Wang J, Zhang L, Ming LV, Yang X. Safety and Efficacy of Endovascular Treatment for Intracranial Ruptured Aneurysms: Stent-Assisted Coiling vs. Single Coiling. Clin Surg. 2019; 4: 2658.