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TITLE:

ENDOVASCULAR TREATMENT OF POSTERIOR CIRCULATION ANEURYSMS: A SINGLE CENTER’S EXPERIENCE OF 111 CASES

AUTHORS:

Mustafa Najibullah MD, Atawula Tuersun, Nizamidingjiang Rexiati, Sanawar Abbas, Maimaitili·Aisha MD, GENG DangMurenJiafu MD

ABSTRACT:

Objective: Endovascular treatment is considered as the cure at initial level treatment modality for posterior circulation aneurysms. In this work, we analyze the treatment patterns and complication rates of treatment of endovascular system for the circulation in the posterior aneurysms treated in our center. Methods: This is a cross-sectional examination. Amid the underlying treatment, the angiographic projections in the aneurysm were utilized. The speeds of the aneurysm impediment were resolved. The condition of the clinical at introduction was dictated by the Hunt-Hess reviewing framework. Pre-procedural and post procedural clinical information were acquired from examinations directed by neurosurgeons of the stroke unit. Results: 44.1% of patients were between 40 and 50 years with 52.3% of patients being females. Vertebral artery aneurysms were the most commonly encountered with a percentage of 30.6%. Coiling was performed in 46.8% of patients, and stent-assisted coiling was performed in 32.4% patients. Clinical deterioration was the most common posttreatment complication (18%). Nutritional deficit was the second most common posttreatment complication (15.3%). The in-hospital mortality was 5.4%. The mean follow-up was 9.59 months (range 2–48 months). There was no mortality during the follow-up period. Conclusion: All the results of these outcomes propose that multimodality of the board ought to be recommended for a good outcome in the cure of back dissemination aneurysms. Neurosurgeons and Interventional neuroradiologists ought to consider the area of back flow aneurysms before the treatment. Keywords: Posterior circulation aneurysms; coiling; clipping; flow diversion.

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