Solitaire AB支架辅助栓塞颅内宽颈动脉瘤临床体会  

The treatments of intracranial wild-necked aneurysms with Solitaire AB stent assisted coil embolization

作　　者：黄锦庆[1] 蒋秋华[1] 邱万斌 林荃[2] 张震宇[1] 杨华[3] 

机构地区：[1]赣州市人民医院神经外科,江西赣州341000 [2]信丰县人民医院ICU,江西信丰341600 [3]贵阳医学院附属医院神经外科,贵州贵阳550004

出　　处：《赣南医学院学报》2011年第3期347-349,共3页JOURNAL OF GANNAN MEDICAL UNIVERSITY

摘　　要：目的:探讨Solitaire AB支架辅助栓塞颅内宽颈动脉瘤的安全性和有效性。方法:回顾性分析12例15个颅内宽颈动脉瘤病人的临床资料。对Solitaire AB支架辅助弹簧圈栓塞颅内宽颈动脉瘤技术特点进行探讨,并对病人进行疗效随访观察,评价该技术的安全性和有效性。结果:12例宽颈动脉瘤病人Solitaire AB支架辅助栓塞手术均取得满意效果,1例栓塞术后第12天突发再出血后死亡,11例病人术后CTA随访,随访2个月至18个月,动脉瘤无复发;远期疗效需长期随访。结论:Solitaire AB支架辅助弹簧圈栓塞颅内宽颈动脉瘤是一种安全可行和有效的方法。Objective：To study and discuss endovascular treatment technique of intracranial wild-necked aneurysm by solitaire AB stent assisted coil embolization,especially focusing on its safety and reliability.Methods：To assess clinical application of solitaire AB stent assisted coil embolization by studying clinic data of 12 patients with wild-necked aneurysms respectively.Discussing the technical features and comparing the follow up CT angiography（CTA） results.Results：12 cases were treated by coil embolization assisted with solitaire AB stent obtaining satisfactory results without any complications.One case died on the twelfth day after embolization with unexpected bleeding.The remaining 11 cases followed up with CTA from 2 months to 18 months post operatively.No recurrence happened and total occlusion of 10 aneurysms were achieved even through on further followed-up data.Conclusion：The endovascular treatment of intracranial wild-necked aneurysm with solitaire AB stent assisted coil embolization is safe and effective.

关 键 词：颅内宽颈动脉瘤 栓塞治疗 SOLITAIRE AB支架 

分 类 号：R730.56[医药卫生—肿瘤]