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Endovascular Thrombectomy for Large-Vessel Occlusion Strokes with Preexisting Intracranial Aneurysms

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Abstract

Objective

This study aimed to investigate the safety of endovascular thrombectomy in acute ischemic stroke with preexisting intracranial aneurysms.

Methods

Patients with acute ischemic stroke due to large-artery occlusion combined with intracranial aneurysms, who received endovascular treatment, were analyzed retrospectively, and the procedure-related data were recorded.

Results

Among the 124 patients who suffered acute large-artery occlusion and received endovascular recanalization therapy, intracranial aneurysms were found in seven patients (5.6%). All the seven patients achieved successful recanalization, except one patient who suffered subarachnoid hemorrhage due to the rupture of aneurysm during the procedure.

Conclusions

The prevalence of preexisting cerebral aneurysms in patients with acute ischemic stroke is high, leading to a procedure-related rupture risk. Endovascular treatment devices must be used carefully in these patients, especially when the aneurysms are located within the area where the procedure is performed.

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Authors and Affiliations

  1. Department of Cerebrovascular, Center of the Henan Provincial People’s Hospital, Zhengzhou University People’s Hospital, Weiwu Road No. 7, Zhengzhou, NC, 450003, China

    Tengfei Zhou, Tianxiao Li, Liangfu Zhu, Ziliang Wang, Weixing Bai, Jiangyu Xue & Guang Feng

Authors
  1. Tengfei Zhou
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  2. Tianxiao Li
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  3. Liangfu Zhu
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  4. Ziliang Wang
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  5. Weixing Bai
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  6. Jiangyu Xue
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  7. Guang Feng
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Corresponding author

Correspondence to Tianxiao Li.

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Conflict of interest

All authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee, the 1964 Declaration of Helsinki, and its later amendments or comparable ethical standards. For this type of study, formal consent was not required.

Informed Consent

Retrospective audit of anonymized patient records does not apply.

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Zhou, T., Li, T., Zhu, L. et al. Endovascular Thrombectomy for Large-Vessel Occlusion Strokes with Preexisting Intracranial Aneurysms. Cardiovasc Intervent Radiol 41, 1399–1403 (2018). https://doi.org/10.1007/s00270-018-1945-9

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  • DOI: https://doi.org/10.1007/s00270-018-1945-9

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