ResearcherID - CLICK HERE Scientific Journal Impact Factor (SJIF-2020) - CLICK HERE

ENDOVASCULAR TREATMENT OF SACCULAR ANEURYSMS IN POSTERIOR CIRCULATION

Mustafa Najibullah MD, Atawula Tuersun, Nizamidingjiang Rexiati, ,Maimaitili¡¤Aisha MD, GENG DangMurenJiafu MD

Saccular aneurysms are very exceptional when we compare them with their saccular correspondents. They are really very difficult to be treated due to the high rating of rebleeding and morbidity. Many advanced techniques are in use now days like Bypass, stent only technique, stent-assisted coiling and more recently flow diversion. (JOHN HOPKINS Medicine, 2011) Objective: The objective of this article is to review various techniques used for the treatment of saccular aneurysms in posterior circulation implemented on Chinese patients. The various tables give detailed information about patient’s condition, diagnosis and treatment. Material and methods: During the time period of 2012 to 2017, 101 patients were identified and among them signs of PCSAs were observed in 37 patients. The age range was 12-74 years, 51% of the patients were males and remaining 49% were females. The percentage of the patients with subarachnoid hemorrhage (SAH) was 67 and 87% of the patients were suffering from severe headache. A few of the PCSA patients showed neural deficit and additional field deficits. (CG, 1979) Result: A clinical improvement and a stable last result were observed in PCSA patients with the percentage of 90. After surgery 3 patients suffered from vegetative stage. One patient died eight hours after surgery due to the enterocelia bleeding and due to shock. 2 patients died due to the rebleeding after few hours of surgery. 1 patient died after 6 days of surgery, he was suffering from a fatal aneurysm having a giant size of P= 0.005. Angiographic treatment after surgery was given to most of the patients for several months. A few complications raised after surgery among the patients like Aneurysmal rebleeding, infarction, deterioration and neural deficit.

FULL TEXT