Dissertation > Excellent graduate degree dissertation topics show

Endovascular Treatment of Refractory Intracranial Aneurysms

Author: WangZhenQiu
Tutor: ZhangJian
School: Dalian Medical University
Course: Neurosurgery
Keywords: Refractory intracranial aneurysms Interventional treatment Embolism
CLC: R739.41
Type: Master's thesis
Year: 2013
Downloads: 9
Quote: 0
Read: Download Dissertation

Abstract


ntracranial aneurysm is the first cause of subarachnoid hemorrhage after cerebralthrombosis and cerebral hemorrhage, cerebrovascular accident, ranked third, isrecognized worldwide as a great danger of cerebrovasculardisease, with high mortalityand morbidity.With the rapid development of endovascular treatment of intracranialaneurysms cure rate gradually increased, but the refractory intracranial aneurysmendovascular treatment remains challenging.Objective:Analyzed retrospectively by simply stent thrombosis, simple coilembolization and stent combined with coil the medical records of the treatment ofrefractory intracranial aneurysms, outlined three methods of operating points andconsiderations, and intraoperative complications and postoperativedisease treatment andprevention, and to assess the long-term and short-term efficacy of the three. Explore thefactors that affect aneurysm recurrence after embolization. Sum up experience, to laythe foundation for future clinical treatment.Method:Summary Review our department treatment of the medical records of26patients with refractory intracranial aneurysms, including the patient’s gender, age, onsetof clinical symptoms, preoperative Hunt-Hess grade, imaging findings, aneurysmmorphology, size,parts, embolization methods and materials, intraoperative andpostoperative complications, and postoperative clinical follow-up.Result:26patients with refractory intracranial aneurysms were successfullyembolism, no failure case. The immediate effect of embolization induction: completeocclusion in22cases (85%) of the tumor cavity, subtotal plug1(4%), incompleteembolization in3patients (11%). Simple Guglielmi detachable coil incompleteembolization cases, two cases of simple bracket the parent artery embolization; stentcoil embolization of23cases, including complete occlusion in22cases, subtotalembolization.26patients were followed up: the modified Rankin rating:021cases(84%),1-2in3cases (15%)3-51(1%),1died. Simple stent thrombosis after11daysafter aneurysm rupture the one cases25days after the rupture of the aneurysm; the coil alone does not fully embolism,7days after aneurysm rupture; stent-assisted coilembolization, aneurysm cases of the disease no longer exists. The aneurysm-yearfollow-up without recurrence in23cases (88%). According to statistics, the highrecurrence rate for simple coil embolization and simple application of the stent in thetreatment of intracranial aneurysms.Conclusion: Endovascular treatment of intracranial aneurysms is a minimallyinvasive, low-risk, patient recovery time is short, the advantages, especially forrefractory intracranial aneurysm, is a safe and reliable method. Stent-assisted coiltreatment of for refractory intracranial aneurysms, the efficacy of the best embolization.According to the type to select the type of aneurysm embolization materials andmethods will directly affect the effect of embolism and prognosis.

Related Dissertations

  1. To Investigate the Effect of MTX Joint Mifepristone on Patients with Ectopic Pregnancy,R714.22
  2. The Investigation of the Clinical Value of the Interventional Therapy of Cervical Pregnancy through Uterine Artery (Analysis of 12 Medical Cases of Illness),R714.22
  3. Diagnosis and Treatment of Hepatic Artery Thrombosis after Liver Transplantation,R657.3
  4. Clinical Value of Inferior Vena Caval Filter Insertion under CDFI Guidance Through Right Internal Jugular Vein,R445.1
  5. Dextran Microspheres Embolization Uterine Artery for Treatment of Adenomyosis,R711.71
  6. A Study on the Content and Signiticance of Color Doppler Ultrasonography of Budd-Chiari Syndrome before Interventional Therapy,R445.1
  7. Reserch of Micro-Hydrogel Beads Prepared by Chitosan/α, β-glycerophosphate as Embolism Material,R318.08
  8. Comparison Study on MSCTPA and V/Q Imaging in Diagnosis of Pulmonary Embolism,R563.5
  9. The Estabolish of Acute Pulmonary Thrombo-embolism Animal Model and the Role of IL-13, TGF-β in Pulmonary Embolism,R-332
  10. Clinical score , D- dimer testing for the diagnosis of acute pulmonary embolism,R563.5
  11. Application of Dual Energy Pulmonary Angiography with Dual-source CT in Pulmonary Embolism,R563.5
  12. The Factors Affect the Early Prognosis of Patients with Ruptured Intracranial Aneurysm after Endovascular Therapy,R651.1
  13. Clinical Study of Interventional Embolization for the Treatment of Cerebral Dural Arteriovenous Fistula,R651.1
  14. Evaluation of Therapeutic Effects with Microspheres Embolization for Giant Hepatocellular Carcinoma,R735.7
  15. Preventing and Curing of Post-operational Acute Pulmonary Embolism,R619
  16. Diagnosis Value of Multislice Spiral CT Pulmonary Angiography in Pulmonary Embolism,R816.4
  17. Computed Tomography Pulmonar Angiography-the Application and Study of Simulated Low-Dose,R816.4
  18. Preparation and Studies on Two-pulsed Capsular-shaped Verapamil Hydrochloride Delivery System Controlled by Erodible Plug,R944
  19. The Clinical Evaluation of the Combination Treatment with Endostar and GP Interventional Chemotherapy for NSCLC,R734.2
  20. Preventive Effect of Glucocorticoid Combined with Low-molecular-dextran on Fat Embolism Syndrome by Oleic Acid in Rats,R68
  21. Clinical Study on Lipid Etabolism of Avascular Necrosis of Femoral Head,R681.8

CLC: > Medicine, health > Oncology > Nervous system tumors > Intracranial tumors and brain tumors
© 2012 www.DissertationTopic.Net  Mobile