Treatment of the acute thromboembolic event during endovascular embolization of intracranial aneurysm
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...
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| Format: | Article |
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KeAi Communications Co., Ltd.
2020-12-01
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| Series: | Journal of Interventional Medicine |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2096360220300508 |
| _version_ | 1818327749845057536 |
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| author | Bing Zhou Yang He Jun Cheng XiaoDong Lu MingZhao Zhang Bo Li RongQing Qin ZhongMing Gao |
| author_facet | Bing Zhou Yang He Jun Cheng XiaoDong Lu MingZhao Zhang Bo Li RongQing Qin ZhongMing Gao |
| author_sort | Bing Zhou |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-13T12:21:13Z |
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| institution | Directory Open Access Journal |
| issn | 2096-3602 |
| language | English |
| last_indexed | 2024-12-13T12:21:13Z |
| publishDate | 2020-12-01 |
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| series | Journal of Interventional Medicine |
| spelling | doaj.art-cac6bd0e8afc45939eaecfb6b870286c2022-12-21T23:46:35ZengKeAi Communications Co., Ltd.Journal of Interventional Medicine2096-36022020-12-0134208212Treatment of the acute thromboembolic event during endovascular embolization of intracranial aneurysmBing Zhou0Yang He1Jun Cheng2XiaoDong Lu3MingZhao Zhang4Bo Li5RongQing Qin6ZhongMing Gao7Department of Interventional Neuroradiology, Hangzhou Normal University Hospital, Hangzhou City, Zhejiang Province, China; Corresponding author. Department of Interventional Neuroradiology, Hangzhou Normal University Hospital, No. 126, Wenzhou Road, 310015, Hangzhou City, Zhejiang Province, China.Department of Interventional Neuroradiology, Hangzhou Normal University Hospital, Hangzhou City, Zhejiang Province, ChinaDepartment of Neurosurgery, Hangzhou Normal University Hospital, Hangzhou City, Zhejiang Province, ChinaDepartment of Neurology, Hangzhou Normal University Hospital, Hangzhou City, Zhejiang Province, ChinaDepartment of Interventional Neuroradiology, Hangzhou Normal University Hospital, Hangzhou City, Zhejiang Province, ChinaDepartment of Interventional Neuroradiology, Hangzhou Normal University Hospital, Hangzhou City, Zhejiang Province, ChinaDepartment of Interventional Neuroradiology, Hangzhou Normal University Hospital, Hangzhou City, Zhejiang Province, ChinaDepartment of Neurology, Hangzhou Normal University Hospital, Hangzhou City, Zhejiang Province, ChinaObjective: 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.http://www.sciencedirect.com/science/article/pii/S2096360220300508AneurysmEmbolizationMechanical thromboectomy, MTThromboembolic event, TEIntra-arterial, IA |
| spellingShingle | Bing Zhou Yang He Jun Cheng XiaoDong Lu MingZhao Zhang Bo Li RongQing Qin ZhongMing Gao Treatment of the acute thromboembolic event during endovascular embolization of intracranial aneurysm Journal of Interventional Medicine Aneurysm Embolization Mechanical thromboectomy, MT Thromboembolic event, TE Intra-arterial, IA |
| title | Treatment of the acute thromboembolic event during endovascular embolization of intracranial aneurysm |
| title_full | Treatment of the acute thromboembolic event during endovascular embolization of intracranial aneurysm |
| title_fullStr | Treatment of the acute thromboembolic event during endovascular embolization of intracranial aneurysm |
| title_full_unstemmed | Treatment of the acute thromboembolic event during endovascular embolization of intracranial aneurysm |
| title_short | Treatment of the acute thromboembolic event during endovascular embolization of intracranial aneurysm |
| title_sort | treatment of the acute thromboembolic event during endovascular embolization of intracranial aneurysm |
| topic | Aneurysm Embolization Mechanical thromboectomy, MT Thromboembolic event, TE Intra-arterial, IA |
| url | http://www.sciencedirect.com/science/article/pii/S2096360220300508 |
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