ABSTRACT
Objective To observe the value of Neuroform Atlas stent-assisted coil embolization for treating wide-necked basilar artery tip aneurysm(BTA).Methods A total of 21 patients with single wide-necked BTA who underwent Neuroform Atlas stent-assisted coil embolization were enrolled,including 14 cases of ruptured BTA complicated with subarachnoid hemorrhage(SAH).Clinical and imaging data after treatment were observed,and serious adverse event(SAE)was recorded.Prognosis was evaluated with modified Rankin scale(mRS),while the status of arterial occlusion was assessed with Raymond grade.The value of Neuroform Atlas stent-assisted coil embolization for treating wide-necked BTA was analyzed.Results Totally 29 Neuroform Atlas stents were successfully implanted in 21 cases.Four patients with ruptured BTA complicated with SAH developed SAE during hospitalization,among them,1 patient died of ruptured BTA and bleeding again,1 died of cerebral hernia,while shunt dependent hydrocephalus and ischemic event occurred each in 1 case.The rest 19 cases were followed up for 6(6,12)months,and the last follow-up mRS score of 12 cases were 0,of 3 cases were 1,of 2 cases were 2 and of the other 2 cases were 3.Fifteen patients underwent reexamination of digital subtraction angiography during follow-up,and 11 BTA were classified as grade Ⅰ,3 as grade Ⅱ and 1 as grade Ⅲ.No stent stenosis nor occlusion was observed.Conclusion Neuroform Atlas stent-assisted coil embolization was safe and effective for treating wide-necked BTA.
ABSTRACT
The gastric cancer is closely related to the coagulation function.On the one hand,gastric cancer result in changes of coagulation mechanism such as blood coagulation,anticoagulation and fibrinolysis coagulation,which further result in hypercoagulable state and thrombosis related diseases.On the other hand,the abnormal of the coagulation function aggravate the progress of stomach cancer,and affect the prognosis of patients seriously.We review the domestic and international studies on the relationships between gastric cancer and coagulation function,and clinical doctors should pay attention to the abnormal of coagulation function and anticoagulaion treatment on gastric cancer.