SolitaireAB支架在辅助栓塞颅内破裂微小动脉瘤中的应用  

Clinical application of Solitaire AB stent in assisting coiling embolization for intracranial ruptured and tiny aneurysms

作　　者：张继方[1] 王厚中[2] 李传峰[2] 李延团[1] 

机构地区：[1]中国海洋大学医药学院,青岛266003 [2]青岛市市立医院神经外科

出　　处：《中华神经外科杂志》2014年第7期707-710,共4页Chinese Journal of Neurosurgery

摘　　要：目的评价SolitaireAB支架在辅助栓塞颅内微小动脉瘤中的临床应用价值。方法应用SolitaireAB支架治疗颅内微小动脉瘤9例，其中后交通动脉动脉瘤4枚，眼动脉段动脉瘤3枚，基底动脉顶端动脉瘤1枚，大脑中动脉动脉瘤2枚。结果所有的支架均成功放置。9例中完全栓塞6例，瘤颈残留3例。术中无动脉瘤破裂。全部患者随访8-13个月，无再出血病例，其中7例获得影像学随访，未发现支架内再狭窄或动脉瘤复发。结论SolitaireAB支架辅助弹簧圈栓塞治疗破裂颅内微小动脉瘤是安全、可行的。该技术通过增加瘤颈周围的填塞密度和改善血流动力学进一步提高长期疗效。Objective To evaluate the application of Solitaire AB stent in assisting coiling embolization for intracranial tiny aneurysms. Methods A total of 9 consecutive patients with intracranial tiny aneurysm were treated with Solitaire AB stent - assisted coiling embolization. The intracranial aneurysms were located at posterior communicating artery （ n = 4）, ophthalmic artery （ n = 3 ）, top of the basilar artery （ n = 1 ） and middle cerebral artery （ n = 2）. Results All the Solitaire AB stent were successfully placed in 9 aneurysms. Of the 9 patients, complete embolization of the lesion was achieved in 6 and partial embolization in 3 without rupture of the aneurysms during the performance. During the follow - up period, no new attack was seen. There was no in - stent stenosis or recurrence of aneurysms in 9 patients who were followed -up by the cerebral angiography from 8 to 13 months. Conclusions The endovascular treatment of ruptured and tiny intracranial aneurysms by the stent - assisted coiling technique was safe and feasible. The long - term curative effects of the endovascular emholization on tiny aneurysms might be further improved by increasing the packing density and diverting blood flow.

关 键 词：颅内微小动脉 SOLITAIRE AB支架 血管内治疗 

分 类 号：R739.41[医药卫生—肿瘤]