支架辅助弹簧圈结合双微导管技术治疗颅内大型动脉瘤的病例报告  

Combining stent assisted coil and double microcatheter case report for the treatment of intracranial large artery aneurysms

作　　者：李庆民[1] 李亚娟[1] 

机构地区：[1]泰山医学院附属泰山医院,山东泰安271000

出　　处：《泰山医学院学报》2015年第3期260-263,共4页Journal of Taishan Medical College

摘　　要：目的报道支架辅助弹簧圈结合双微导管技术治疗25个颅内宽颈大型动脉瘤的方法和治疗效果,探讨其可行性。方法应用支架辅助弹簧圈结合双微导管技术栓塞治疗25个颅内宽颈大型动脉瘤。所有患者均以支架辅助弹簧圈结合双微导管技术动脉瘤进行栓塞,观察栓塞效果和后期恢复情况。结果 25个颅内大型或巨大型宽颈动脉瘤应用此技术栓塞,22例患者动脉瘤手术栓塞过程顺利,术后复诊无动脉瘤再出血、动脉血栓栓塞发生和支架内血管狭窄。结论此技术可更加致密的填塞动脉瘤,更好的弥补既往支架辅助弹簧圈栓塞动脉瘤时动脉瘤流出道残留死腔的缺陷,有效减少大型或者巨大动脉瘤的复发。Objective：To evaluate efficacy,safety,prevention and treatment of complications of combining stent and coils for intracranial large artery aneurysms. Methods：The clinical data of 25 patients with intracranial large or giant artery aneurysms treated with combined stent and coils were analyzed retrospectively. In all 25 patients treated with auxiliary spring coil stent combined with double micro catheter tamponade for large intracranial aneurysms,the results were observed and the situations were reviewed. Results：The 25 stents were successfully deployed. Complete embolization was achieved in 22 patients. All patients were found no aneurysm bleeding again,thromboembolism symptoms and stent stenosis after one year. Conclusion：The effective way to prevent intracranial wide necked aneurysms interventional embolization of large re-currence is the hemodynamic changes of local and dense packing aneurysm cavity and the aneurysm neck. This technology can make up the previous stent assisted coil embolization of aneurysm of artery tumor residual outflow tract defects in dead cavity,and can be tamponade aneurysm more compact. In a word,this technology can effectively reduce the large or giant aneurysm recurrence.

关 键 词：宽颈大型动脉瘤 血管内支架 双微导管 栓塞 

分 类 号：R651.1[医药卫生—外科学]