支架辅助电解脱弹簧圈栓塞治疗颅内宽颈动脉瘤疗效分析  

The efficacy of stent-assisted embolization with electric-relief coil on intracranial wide-necked aneurysms

作　　者：罗妙泉[1] 李劲松[1] 张敬泉[1] 胡威[1] 刘光普[1] 

机构地区：[1]广东梅州市人民医院神经外科,梅州514000

出　　处：《中国实用神经疾病杂志》2013年第24期50-51,共2页Chinese Journal of Practical Nervous Diseases

摘　　要：目的 探讨Neuroform自膨式支架辅助电解脱弹簧圈栓塞治疗颅内宽颈动脉瘤的方法及临床效果.方法 15例颅内宽颈动脉瘤患者中,10例采用平行式栓塞,5例采用顺序式.结果 所有支架均成功释放并行弹簧圈栓塞,栓塞后造影复查见完全栓塞及大部分栓塞13例,部分栓塞2例,15例患者术后3～6个月复查DSA,均未见复发,部分栓塞的2例患者复查造影时残腔消失,未发生脑出血及脑梗死.结论 通过支架辅助电解脱弹簧圈栓塞治疗颅内宽颈动脉瘤,无论采用平行式或还是顺序式均安全、有效,具有致密栓塞率高的特点,栓塞疗效满意.Objective To explore the method and clinical effect of self-expanding stent-assisted embolization with electric- relief coil on intracranial wide-necked aneurysms. Methods Fifteen cases that were given stent-assisted electric relief coil em- bolism of intracranial wide-necked aneurysms were retrospectively analyzed, 10 cases were given parallel embolism, and 5 cases were given sequential embolism. Results All stents were successfully released and the coil of embolism was finished. After em- bolism we found by angiography that fully embolism and most embolism were 13 cases, 2 cases were partial occlusion. After 3 ;6 months through review DSA, 15 patients all showed no recurrence, residual cavity of 2 cases with partial occlusion had dis- appeared and cerebral hemorrhage or cerebral infarction did not occur. Conclusion Stent-assisted embolization with electric-re- lief coil for intracranial wide-necked aneurysms, whether parallel or sequential method, is safe and effective, and it had the characteristics of high dense embolism, and its embolism made the patients satisfaction.

关 键 词：宽颈动脉瘤 自膨式支架 电解脱弹簧圈 栓塞 

分 类 号：R743[医药卫生—神经病学与精神病学]