Patient.
Examination and laboratory tests: skull base aneurysm
Treatment: Had an imaging and various tests, and the doctor suggested that the neck be pressed now and one carotid artery be blocked in twenty days, or a ‘trial period’ dense mesh stent be installed at Changhai Hospital.
Medical history: There are years of dizziness without attention.
1, can a dense mesh stent be installed, 2, what is the mortality rate of the dense mesh stent so far, and 3, what is the total cost? Huang Qinghai, Department of Neurosurgery, Shanghai Changhai Hospital A: Dense mesh stents can be used for endovascular treatment of almost all intracranial aneurysms. However, at present, we mainly use this stent for the treatment of skull base aneurysms and unruptured aneurysms. The key to deciding whether a dense mesh stent can be used is the condition of the vessel. Occlusion of the internal carotid artery should not be the treatment of choice for endovascular treatment of aneurysms; rather, every effort should be made to repair the diseased vessel with the treatment. At present, we have applied dense mesh stents to treat more than 50 cases of intracranial aneurysms, and there has not been one case of death, and the results of medium and long-term follow-up are very satisfactory. The dense mesh stent is still in the clinical trial stage, and the cost of using the dense mesh stent is free of charge, but it may be necessary to fill some spring coils inside the aneurysm depending on the morphology of the aneurysm and the patient’s condition! The overall cost is considerably lower than the original treatment of simply having a stent combined with spring coil embolization.