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| Effect of Stent-assisted Coil Embolization in the Treatment of Large or Giant Intracranial Aneurysms:36 Case Report |
| MA Chuan-yu, LIU Jian-ren |
| The First Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou 510405 |
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Abstract 【Objective】To investigate the effect of stent-assisted coil embolization in the treatment of large or giant intracranial aneurysms. 【Methods】The clinical data of 65 patients with large or giant intracranial aneurysms treated in our hospital were retrospectively studied. They were divided into observation group (stent-assisted coil embolization,n=36) and control group (simple coil embolization, n=29). The degree of embolism, prognosis and intraoperative complications were compared between the two groups.【Results】The degree of immediate embolization in the observation group was 61.11%, which was better than 34.48% in the control group (Z=2.212,P=0.027<0.05). There were 23 cases (63.89%) with mRS score of 0-1 in the observation group and 18 cases (62.07%) with good prognosis in the control group. There was no significant difference between the two groups (χ2=0.023,P=0.88>0.05). Fisher test analysis showed that there was no significant difference in aneurysm re-rupture, coil displacement, detachment and rotation, aneurysm ischemia and cerebral vasospasm between the observation group and the control group (P>0.05).【Conclusion】Stent-assisted coil embolization has good clinical effect and safety in the treatment of large or giant intracranial aneurysms, which is worthy of clinical application.
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Received: 10 October 2018
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2019, Vol. 36 
