25 اسفند 1403
logo

مرکز تحقیقات رادیولوژی نوین و تهاجمی

دانشگاه علوم پزشکی تهران

مقالات مرکز تحقیقات رادیولوژی نوین و تهاجمی 

  • تاریخ انتشار : 1403/12/25 - 11:12
  • number of visits : 3
  • زمان مطالعه : 1 دقیقه

Outcome after Neuro-interventional Treatment of Intracranial Aneurysm (as a First Treatment Modality)

Outcome after Neuro-interventional Treatment of Intracranial Aneurysm {faces}

Endovascular treatment is widely applied as the first-line treatment for intracranial aneurysms and includes simple coiling (SC), stent-assisted coiling (SAC), flow diversion stent, and flow disruption stent. The present study is a retrospective cohort study performed in Imam Khomeini Hospital, Department of Neurovascular Intervention, between March 2016 and March 2021. A total number of 229 patients with intracranial aneurysms who underwent therapeutic intravascular interventions were enrolled, of which 89 were treated with SC, 111 with SAC, 25 with flow diversion stent, and 4 with flow disruption stent. The mean age of the subjects was 51.8±12.6 years, and 51.1% were male. Modified Raymond-Roy classification (MRRC) was used to define the occlusion outcome. The success rate, considered as Class I and Class II of MRRC at treatment time was 89% (94.4% in SC, and 84.7% in SAC), which was increased to 90.9% (94% in SC, 93% in SAC, 69.6% in flow diversion stenting, 100% in flow disruption) at 6-month follow-up, and 84.6% (80.8% in SC, 87.8% in SAC, 78.3% in flow diversion stenting, and 100% in flow disruption) at 12-month follow-up. The mean modified Rankin Scale (mRS) before the procedure was 0.05±0.26 which was increased to 0.22±0.76 after the procedure, 0.22±0.76 at 6 months, and 0.30±0.95 at 12 months (P<0.001). Similar to previous studies, the present study demonstrates that neurovascular intervention can treat ruptured aneurysms as the first therapeutic modality with favourable outcomes. A double-blind, randomized clinical trial is needed to eliminate the confounding factors and better demonstrate the outcome.

  • Article_DOI : 10.1016/j.radcr.2023.11.075
  • نویسندگان : hossein ghanaati,mohammad reza amiri-nikpour
  • گروه خبر : پژوهش,research article
  • کد خبر : 292529
مدیر سیستم
تهیه کننده:

مدیر سیستم

0 نظر برای این مطلب وجود دارد

ارسال نظر

نظر خود را وارد نمایید:

متن درون تصویر را در جعبه متن زیر وارد نمائید *
متن مورد نظر خود را جستجو کنید
تنظیمات پس زمینه