| Summary: | Objective To investigate the application, safety and effectiveness of "rivets" technique in endovascular therapy of internal carotid artery anterior wall anuerysms. Methods A retrospective study was carried on 8 patients suffered from aneurysm in anterior wall of the internal carotid artery and treated by endovascular therapy with rivets technique in our department from January 2010 to May 2018. Their clinical data, postoperative cerebral angiography, and clinical outcomes by follow-up digital subtraction angiography (DSA) were collected and analyzed. Results All aneurysms in the 8 patients were safely and successfully embolized during the operation, and no intraoperative aneurysm rupture happened. One patient was found having a little residual of aneurysm neck in the DSA results in 1 week, 3 months and 6 months after the operation, and this patient was followed up further since the coil was stable in form. DSA reexamination in 6 months after operation showed the other 7 patients had well repaired carotid artery intima, indicating that the aneurysm was cured completely. Conclusion The "riveting" technology can enhance the anti-impact ability of the coil at the neck of aneurysm. Combined with the stent guiding the blood flow, the technology can safely and effectively treat these easily ruptured aneurysms.
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