支架辅助微弹簧圈栓塞颅内动脉瘤的应用价值  

Clinical research of aneurysms embolized with coils associated with self-expanding stents

作　　者：高天[1] 李冬梅 张士永[1] 刘奇[1] 毛更生[1] 

机构地区：[1]武警总医院神经外科,北京100039

出　　处：《武警医学》2012年第4期318-320,共3页Medical Journal of the Chinese People's Armed Police Force

摘　　要：目的探讨应用颅内专用支架结合微弹簧圈栓塞治疗颅内动脉技术的临床应用价值。方法 44例中,男性20例,女性24例,通过微导管放置颅内专用支架,支架覆盖动脉瘤瘤颈,同时以另一微导管进入动脉瘤腔微弹簧圈栓塞动脉瘤。结果全部病例采用颅内专用支架辅助微弹簧圈栓塞,其中38例致密栓塞,6例部分栓塞。术中、术后未发生颅内出血及支架内血栓形成,患者均恢复良好。36例术后3～6个月脑血管造影随访:其中35例致密栓塞的动脉瘤均未显影,载瘤动脉通畅;1例动脉瘤颈有残留,未见动脉瘤复发;6例患者术后3个月内,未随访;2例失访。结论支架结合弹簧圈栓塞颅内动脉瘤有较好的疗效。Objective To study the clinical value of treating intracranial aneurysms by embolization with coils associated with self-expanding stents.Mehtods A total of 44 patients aged 41 to 76（mean 51 years old）,including 20 male patients and 24 female patients,were recruited.In this study,All the aneurysms were treated by embolization with coils associated with self-expanding stents used specially for intracranial lesion.The stents were detached through microcatheters to make them cover the necks of aneurysms and coils were delivered to the lumens of aneurysms through other microcatheters.Results 38 aneurysms reached complete occlusion and 6 aneurysms reached incomplete occlusion.There was no intra-stent thrombosis in any case and all the patients were evaluated as having benefited a lot when discharged.36 patients were followed up for 3-6 months and all of them underwent cerebral vascular angiography.No recanalization was found and the parent arteries were clear in 35 aneurysms,1 aneurysm was found residual in the neck,and no recurrence was found in any case.Conclusions Treating intracranial aneurysms by embolization with coils associated with self-expanding stents can achieve good outcomes.

关 键 词：颅内动脉瘤 颅内专用支架 微弹簧圈 

分 类 号：R743.9[医药卫生—神经病学与精神病学]