Combined implantation of intracranial Solitaire AB stent with endovascular coil in treatment of wide-necked posterior communicating artery aneurysms / 中华神经医学杂志

Objective To summarize the technique and the clinical value of Solitaire AB stents combined with Axium detachable coil in treatment of wide-necked posterior communicating artery aneurysms.Methods Twenty-eight patients with wide-necked posterior communicating artery aneurysms,admitted to our hospital from March 2010 to September 2012,were performed endovascular procedures by intracranial Solitaire AB stent and Axium detachable coil.Their clinical data and treatment efficacy were retrospectively analyzed.Results All patients were identified as having wide-necked intracranial aneurysms suitable for stent-assisted Axium treatment.Total occlusion in 24 patients and partial occlusion in 4 patients were achieved.All patients recovered well.All patients were angiographically followed-up 3 months after the procedure; among them,no filling was shown for the 23 aneurysms which were densely packed,1 case of parent artery occlusion and 4 aneurysms with neck remnant did not change.Conclusion The Solitaire AB stent is safe intracranial stent-assisted coil for embolization of wide-necked intracranial aneurysms; it is very suitable for treating the wide-necked posterior communicating artery aneurysms with severely tortuous intracranial artery,enjoying few complications.

Treatment of very severe brain injuries / 中华创伤杂志(英文版)

<p><b>OBJECTIVE</b>To sum up the experience in treating very severe traumatic brain injuries.</p><p><b>METHODS</b>Retrospective analysis of 68 patients with very severe traumatic brain injuries treated in our hospital from 1997 to 2002 was done.</p><p><b>RESULTS</b>Forty-one (60%) patients died. In the 50 patients treated surgically 27 (40%) survived, 8 recovered well, 9 had moderate disability and 10 had severe deficits. The 18 patients treated non-operatively all died.</p><p><b>CONCLUSIONS</b>Much attention should be given to the observation of the changes of severe brain injuries with cranial base injury. Timely operative decompression, basic life support, keeping effective brain blood perfusion and effective oxygen supply, improving cerebral microcirculation and preventing or controlling complications are the main methods to raise the successful rate of treating very severe brain injuries and the life quality of the patients.</p>