Cargando…

Endovascular Treatment for Aneurysms Located in the Posterior Communicating Artery (PCoA) by the Swinging-Tail Technique: A Technical Note

Purposes: A stent-assisted coil (SAC) is a safe and effective treatment modality for some complex intracranial aneurysms, especially for wide neck aneurysms. However, some wide neck aneurysms with a tough angle and located in the posterior communicating artery (PCoA) are challenging to treat with a...

Descripción completa

Detalles Bibliográficos
Autores principales: Wang, Jiejun, Zhang, Longhui, Dong, Linggen, Zhang, Shuai, Zhu, Haoyu, Jiang, Chuhan, Lv, Ming
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9570506/
https://www.ncbi.nlm.nih.gov/pubmed/36233822
http://dx.doi.org/10.3390/jcm11195955
_version_ 1784810126893383680
author Wang, Jiejun
Zhang, Longhui
Dong, Linggen
Zhang, Shuai
Zhu, Haoyu
Jiang, Chuhan
Lv, Ming
author_facet Wang, Jiejun
Zhang, Longhui
Dong, Linggen
Zhang, Shuai
Zhu, Haoyu
Jiang, Chuhan
Lv, Ming
author_sort Wang, Jiejun
collection PubMed
description Purposes: A stent-assisted coil (SAC) is a safe and effective treatment modality for some complex intracranial aneurysms, especially for wide neck aneurysms. However, some wide neck aneurysms with a tough angle and located in the posterior communicating artery (PCoA) are challenging to treat with a SAC. This study aimed to examine and discuss the swinging-tail technique for treating wide neck aneurysms located in the PCoA using a SAC by Prof. Lv. Materials and Methods: We retrospectively reviewed our institutional clinical database and identified nine patients with neck aneurysms located in the PCoA, and these patients underwent the swinging-tail technique by Prof. Lv, which is a novel technique of releasing a stent, from June 2016 to September 2021. Results: In this study, nine patients underwent SAC treatment using the swinging-tail technique by Prof. Lv. Aneurysmal complete occlusion was observed in every patient without any complications, as shown by immediate postoperative angiography. Additionally, the modified Rankin scale was monitored for clinical outcomes in the follow-up. One patient died postoperatively due to severe SAH with an intraventricular hemorrhage. Four of nine patients underwent imaging follow-up, demonstrating the complete occlusion of aneurysms; eight patients underwent clinical follow-up and achieved a favorable clinical outcome (modified Rankin scale score: 0–2). Conclusion: The SAC treatment for wide neck aneurysms located in the PCoA can be challenging for operators because of the specific location, resulting in inadequate vessel wall apposition by antegrade stenting via the ipsilateral vessel. In this circumstance, the swinging-tail technique may be a feasible and effective choice.
format Online
Article
Text
id pubmed-9570506
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-95705062022-10-17 Endovascular Treatment for Aneurysms Located in the Posterior Communicating Artery (PCoA) by the Swinging-Tail Technique: A Technical Note Wang, Jiejun Zhang, Longhui Dong, Linggen Zhang, Shuai Zhu, Haoyu Jiang, Chuhan Lv, Ming J Clin Med Technical Note Purposes: A stent-assisted coil (SAC) is a safe and effective treatment modality for some complex intracranial aneurysms, especially for wide neck aneurysms. However, some wide neck aneurysms with a tough angle and located in the posterior communicating artery (PCoA) are challenging to treat with a SAC. This study aimed to examine and discuss the swinging-tail technique for treating wide neck aneurysms located in the PCoA using a SAC by Prof. Lv. Materials and Methods: We retrospectively reviewed our institutional clinical database and identified nine patients with neck aneurysms located in the PCoA, and these patients underwent the swinging-tail technique by Prof. Lv, which is a novel technique of releasing a stent, from June 2016 to September 2021. Results: In this study, nine patients underwent SAC treatment using the swinging-tail technique by Prof. Lv. Aneurysmal complete occlusion was observed in every patient without any complications, as shown by immediate postoperative angiography. Additionally, the modified Rankin scale was monitored for clinical outcomes in the follow-up. One patient died postoperatively due to severe SAH with an intraventricular hemorrhage. Four of nine patients underwent imaging follow-up, demonstrating the complete occlusion of aneurysms; eight patients underwent clinical follow-up and achieved a favorable clinical outcome (modified Rankin scale score: 0–2). Conclusion: The SAC treatment for wide neck aneurysms located in the PCoA can be challenging for operators because of the specific location, resulting in inadequate vessel wall apposition by antegrade stenting via the ipsilateral vessel. In this circumstance, the swinging-tail technique may be a feasible and effective choice. MDPI 2022-10-09 /pmc/articles/PMC9570506/ /pubmed/36233822 http://dx.doi.org/10.3390/jcm11195955 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Technical Note
Wang, Jiejun
Zhang, Longhui
Dong, Linggen
Zhang, Shuai
Zhu, Haoyu
Jiang, Chuhan
Lv, Ming
Endovascular Treatment for Aneurysms Located in the Posterior Communicating Artery (PCoA) by the Swinging-Tail Technique: A Technical Note
title Endovascular Treatment for Aneurysms Located in the Posterior Communicating Artery (PCoA) by the Swinging-Tail Technique: A Technical Note
title_full Endovascular Treatment for Aneurysms Located in the Posterior Communicating Artery (PCoA) by the Swinging-Tail Technique: A Technical Note
title_fullStr Endovascular Treatment for Aneurysms Located in the Posterior Communicating Artery (PCoA) by the Swinging-Tail Technique: A Technical Note
title_full_unstemmed Endovascular Treatment for Aneurysms Located in the Posterior Communicating Artery (PCoA) by the Swinging-Tail Technique: A Technical Note
title_short Endovascular Treatment for Aneurysms Located in the Posterior Communicating Artery (PCoA) by the Swinging-Tail Technique: A Technical Note
title_sort endovascular treatment for aneurysms located in the posterior communicating artery (pcoa) by the swinging-tail technique: a technical note
topic Technical Note
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9570506/
https://www.ncbi.nlm.nih.gov/pubmed/36233822
http://dx.doi.org/10.3390/jcm11195955
work_keys_str_mv AT wangjiejun endovasculartreatmentforaneurysmslocatedintheposteriorcommunicatingarterypcoabytheswingingtailtechniqueatechnicalnote
AT zhanglonghui endovasculartreatmentforaneurysmslocatedintheposteriorcommunicatingarterypcoabytheswingingtailtechniqueatechnicalnote
AT donglinggen endovasculartreatmentforaneurysmslocatedintheposteriorcommunicatingarterypcoabytheswingingtailtechniqueatechnicalnote
AT zhangshuai endovasculartreatmentforaneurysmslocatedintheposteriorcommunicatingarterypcoabytheswingingtailtechniqueatechnicalnote
AT zhuhaoyu endovasculartreatmentforaneurysmslocatedintheposteriorcommunicatingarterypcoabytheswingingtailtechniqueatechnicalnote
AT jiangchuhan endovasculartreatmentforaneurysmslocatedintheposteriorcommunicatingarterypcoabytheswingingtailtechniqueatechnicalnote
AT lvming endovasculartreatmentforaneurysmslocatedintheposteriorcommunicatingarterypcoabytheswingingtailtechniqueatechnicalnote