SolitaireAB支架辅助弹簧圈栓塞治疗后交通动脉宽颈动脉瘤  

Combined implantation of intracranial Solitaire AB stent with endovascular coil in treatment of wide-necked posterior communicating artery aneurysms

作　　者：王浩[1] 宋伟健[1] 翟宝进[1] 罗杰[1] 魏强国[1] 

机构地区：[1]深圳市南山区人民医院神经外科,518052

出　　处：《中华神经医学杂志》2013年第7期700-702,共3页Chinese Journal of Neuromedicine

摘　　要：目的探讨应用新型自膨胀颅内专用支架（SolitaireAB支架）与弹簧圈栓塞相结合治疗后交通动脉宽颈动脉瘤的临床价值。方法深圳市南山区人民医院神经外科自2010年3月至2012年9月采用新型SolitaireAB支架结合机械可脱弹簧圈栓塞治疗后交通动脉宽颈动脉瘤28例，回顾性分析患者的临床资料和疗效。结果本组患者中24例致密栓塞，4例部分栓塞。所有患者均恢复良好出院。全部患者术后3个月血管造影随访：24例致密栓塞的动脉瘤均未显影，其中23例载瘤动脉通畅，1例载瘤动脉闭塞：4例部分栓塞动脉瘤颈仍有残留，但无变化。结论SolitaireAB颅内支架使用安全，适用于颅内后交通动脉宽颈动脉瘤的支架辅助弹簧圈栓塞，尤其适用于迂曲的脑血管，并发症少。Objective To summarize the technique and the clinical value of Solitaire AB stems combined with Axium detachable coil in treatment of wide-necked posterior communicating artery aneurysms. Methods Twenty-eight patients with wide-necked posterior communicating artery aneurysms, admitted to our hospital fxom March 2010 to September 2012, were performed endovascular procedures by intracranial Solitaire AB stent and Axium detachable coil. Their clinical data and treatment efficacy were retrospectively analyzed. Results All patients were identified as having wide-necked intracranial aneurysms suitable for stent-assisted Axium treatment. Total occlusion in 24 patients and partial occlusion in 4 patients were achieved. All patients recovered well. All patients were angiographically followed-up 3 months after the procedure; among them, no filling was shown for the 23 aneurysms which were densely packed, 1 case of parent artery occlusion and 4 aneurysms with neck remnant did not change. Conclusion The Solitaire AB stent is safe intracranial stentt-assisted coil for embolization of wide-necked intracranial aneurysms; it is very suitable for treating the wide-necked posterior communicating artery aneurysms with severely tortuous intracranial artery, enjoying few complications.

关 键 词：颅内动脉瘤 后交通动脉 SolitaireAB自膨式支架 

分 类 号：R743.3[医药卫生—神经病学与精神病学]