Clinical Analysis of Interventional Therapy for Eight Cases of Extracranial ICA Aneurysm

Jian-Feng Xu; Zao-Bin Liu; Tong Wang; Yang Liu

doi:10.12669/pjms.37.4.3957

Clinical Analysis of Interventional Therapy for Eight Cases of Extracranial ICA Aneurysm

Pak J Med Sci. 2021 Jul-Aug;37(4):1086-1092. doi: 10.12669/pjms.37.4.3957.

Authors

Jian-Feng Xu¹, Zao-Bin Liu², Tong Wang³, Yang Liu⁴

Affiliations

¹ Jian-Feng Xu, Neurosurgery Department, The Third Hospital of Mianyang/Sichuan Mental Health Center, Mianyang, Sichuan, 621000, P.R. China.
² Zao-Bin Liu, Neurosurgery Department, The Third Hospital of Mianyang/Sichuan Mental Health Center, Mianyang, Sichuan, 621000, P.R. China.
³ Tong Wang, Neurosurgery Department, The Third Hospital of Mianyang/Sichuan Mental Health Center, Mianyang, Sichuan, 621000, P.R. China.
⁴ Yang Liu Neurosurgery Department, The Third Hospital of Mianyang/Sichuan Mental Health Center, Mianyang, Sichuan, 621000, P.R. China.

Abstract

Objective: To explore the interventional therapy and clinical efficacy of extracranial ICA aneurysm.

Methods: The clinical data of eight patients with extracranial ICA aneurysm treated by interventional stent implantation from December 2014 to February 2018 in the Neurosurgery Department of the Third Hospital of Mianyang were analyzed. And this research was a retrospective analysis. All patients underwent digital subtraction angiography (DSA) and were diagnosed with extracranial carotid artery aneurysm. These patients, therefore, were treated with interventional stent implantation.

Results: Interventional treatment was successfully conducted on all eight patients. In eight patients, the aneurysm cavity was not developed immediately after angiography, and in one case, the aneurysm cavity was developed with coil-assisted embolization. All the internal carotid arteries were well developed, with no complications such as intraoperative rupture, bleeding and thrombosis occur. Follow-up for three months to two years showed that the patients recovered well, the GOS score was 4 points for patients with cerebral infarction, and the rest reached five points. Follow-up CTA showed no signs of aneurysm recurrence or ICA restenosis.

Conclusion: Interventional stent placement is a preferable and relatively safe method for the treatment of extracranial carotid artery aneurysm with less trauma and short operation time.

Keywords: Aneurysm; Extracranial ICA; Interventional therapy; Stent.