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Objective To investigate intracranial aneurysms interventional therapy for patient selection, the timing of surgery and the technical points of the prevention and treatment of complications , and provide the basis for the interventional treatment of intracranial aneurysms personalized . Methods We retrospectively analyzed the clinical data of 119 cases of patients with intracranial aneurysms , all patients were diagnosed by digital subtraction angiography (DSA) ~ 2010 10 October 2006 in our hospital . Observed onset age, past medical history , and is accompanied by symptoms , Hunt-Hess grading the overall situation in the preoperative assessment content ; the the DSA examination focuses aneurysm anatomic location, size , shape, number ; investigate cases of endovascular treatment selection, surgical technique, timing of surgery , the efficacy and complications of interventions . Above analysis of Excel spreadsheets . Results of endovascular treatment of 119 patients , 51 cases were male , female 68 cases , mean age 51.7 ± 17.1 years . The peak incidence of aneurysmal subarachnoid hemorrhage in the 40-59 years old ( 69.7% ) . A total of 131 aneurysms ( two aneurysm 10 cases , 3 aneurysm cases) , the multiple aneurysms accounted for 9.2 % . Internal carotid artery system , 113 (86.3 %) , the vertebrobasilar system 18 (13.7 %) . Hunt-Hess clinical grading : 0 7 cases , 6 cases of grade I 89 cases of grade II , III grade 15 cases , Ⅳ grade 2 cases. Simple coil embolization of the patients in this group of 107 cases , 3 cases of Remodeling magazine, technical , nine cases of stent-assisted coil embolization , occlusion of the parent artery in 9 cases, 2 cases of stent implantation alone , cases of vertebral artery fusiform aneurysm spontaneous thrombosis . Aneurysm in 3 cases of intraoperative bleeding , the cases of the end of the coil overflow ; acute thrombosis . Involved in the timing of treatment to bleeding within 3 days after better . Imaging follow-up of 47 patients , 5 cases of aneurysm recurrence , aneurysm rebleeding . Conclusion intravascular interventional treatment is one of the effective methods for the treatment of patients with intracranial aneurysms , select the appropriate timing of surgery and embolization technique , satisfactory clinical results , fewer complications and low mortality . The prognosis with Hunt-Hess grade , the existence of the underlying disease and acute complications related . The long-term efficacy of endovascular treatment needs further follow-up , aneurysm recurrence is the follow-up of important content .
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