STUDY ON DIGITAL SUBTRACTION ANGIOGRAPHY IMAGE AND INTERVENTION RESULTS OF RUPTURED MIDDLE CEREBRAL ARTERY ANEURYSMS

Đặng Phức Đức1, Đỗ Đức Thuần1,
1 Military Hospital 103

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Abstract

Objective: Study on imaging characteristics and the results of treatment of ruptured middle cerebral artery aneurysms by intervention. Subject and method: prospective, descriptive cross sectional and follow long study of 46 patients. They were treatmented ruptured middle cerebral artery aneurysms by intervention in the stroke department of Hospital No103 from  to october 2009 to december 2021. Result: wide neck aneurysm 67.39%. Branch artery exiting from the neck of the aneurysm 63.04%, from the aneurysm in 8.69% and 80.43% in the aneurysm located at the M1-M2 bifurcation. Intervention by Coil alone was 69.56%, of which recanalization was 28.12%. Assistantce techniques: double catheters 4.34%, balloon 4.34%, stent assistantce 10.87%, partial dome 15.21%. Conclusion: A ruptured middle cerebral artery aneurysm usually has a wide neck with a branch artery. Coiling plug alone was high rate but also has a high rate of recanalization. It is possible to use assistantce techniques: such as stents assistantce, partial dome, double catheters or balloons

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References

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