Safety of intravascular re -canalization of acute cerebral artery occlusion combined with intracranial aneurysms: an analysis of 7 cases / 中华神经医学杂志

ABSTRACT

Objective To investigate the safety of endovascular thrombectomy in acute ischemic stroke patients with pre-existing intracranial aneurysms. Methods Seven patients with acute ischemic stroke combined with intracranial aneurysms, admitted to and received endovascular treatment in our hospital from January 2014 to December 2016, were chosen. The clinical data and safety were analyzed retrospectively. Results All patients with pre-existing intracranial aneurysms suffered acute large artery occlusion achieved successful endovascular re-canalization, and one patient suffered subarachnoid hemorrhage due to the rupture of aneurysm during the procedure. Three patients had grading 2b of Thrombolysis in Cerebral Infarction (TICI), and 4 had grading 3 of TICI. Four patients had 0-2 scores of modified Rankin Scale (mRS), one had 3 scores, and two died. Conclusion Endovascular thrombectomy in acute ischemic stroke patients with pre-existing intracranial aneurysms is safe.