Treatment of posterior-communicating wide-necked aneurysms with endovascular stent and Guglielmi detachable coils / 中华外科杂志

ABSTRACT

<p><b>OBJECTIVE</b>To summarize our clinical experience in treating posterior-communicating wide-necked aneurysms using endovascular stent and Guglielmi detachable coils (GDCs).</p><p><b>METHODS</b>The coronary stents were implanted across the neck of 32 posterior-communication wide-necked aneurysms. Microcatheters were introduced into the aneurysm sac through stent mesh, GDCs were used to embolize aneurysms.</p><p><b>RESULTS</b>All operations were successful. Total occlusion was achieved in 26 patients, over 90% in 4, 60 - 70% in 2. The patients were perfectly recovered with patency of the parent arteries.</p><p><b>CONCLUSION</b>Endovascular therapy combined with stent implatation and GDC placement is a valid approach to the treatment of posterior-communication wide-necked aneurysms.</p>