The Application of “Stilted Building” Technique in the Embolization of Aneurysms with Secondary Branches
Table 1
Patient, aneurysm, procedure, and follow-up data.
Stilted building technique
Stilted building technique +SAC
Stilted building technique +BAC
Total
General
Sex
Men
3
3
1
7
Women
9
8
1
18
Age (years)
Aneurysm characteristics
Aneurysm location
AcomA
4
0
0
4
MCA
3
7
1
11
PcomA
5
3
1
9
BA
0
1
0
1
Relationship with the parent artery
Sidewall
6
5
1
12
Bifurcation
6
6
1
13
Aneurysm size (mm)
Rupture status
Ruptured
9
7
2
18
Unruptured
3
4
0
7
Branch/origin
A2/aneurysm neck
4
0
0
4
/aneurysm sidewall
0
0
0
0
M2/aneurysm neck
2
5
1
8
/aneurysm sidewall
0
2
0
2
PcomA/aneurysm neck
2
2
1
5
/aneurysm sidewall
3
1
0
4
Others
Subsidiary MCA
1
1
Pericallosal artery
1
1
PCA, SCA
1
1
Central sulcus artery
1
1
Follow-up
Perioperative complications
Hemorrhage
0
0
0
0
Ischemia
1
2
0
3
Others
0
0
0
0
DSA
Follow-up rate
8%
64%
100%
36%
Average time (month)
7
7.1
6.5
6.4
Outcome
One patient had limited blood flow in the left posterior communicating artery; the remaining patients had no recurrence and the branches were unobstructed
No recurrence and the branches were unobstructed
No recurrence and the branches were unobstructed
mRS
0
11
8
2
21
1
1
2
0
3
2
0
0
0
0
3
0
0
0
0
4
0
0
0
0
5
0
0
0
0
6
0
1(death from ventricular fibrillation)
0
1
Total
12
11
2
25
AcomA: anterior communication artery; MCA: middle cerebral artery; PcomA: posterior communication artery; BA: basilar artery; PCA: posterior cerebral artery; SCA: superior cerebellar artery.
