Lvis支架辅助弹簧圈栓塞颅内动脉瘤的效果  

LVIS STENT-ASSISTED COIL EMBOLIZATION FOR INTRACRANIAL ANEURYSMS

作　　者：李涛[1,2] 闫志勇[1] 

机构地区：[1]青岛大学附属医院神经外科,山东青岛266100 [2]淄博齐都医院神经外科

出　　处：《青岛大学医学院学报》2016年第3期359-361,365,共4页Acta Academiae Medicinae Qingdao Universitatis

摘　　要：目的评估Lvis支架辅助弹簧圈栓塞颅内动脉瘤的安全性与治疗效果。方法我院东院区神经外科病房2014年11月—2015年12月住院的颅内动脉瘤病人31例,包括未破裂动脉瘤2例,破裂动脉瘤29例。所有病人全部采用Lvis支架辅助弹簧圈栓塞动脉瘤,观察病人的治疗效果。结果 31例病人所有支架、弹簧圈均成功置入并释放。术后即刻完全栓塞25例,次全栓塞4例,部分栓塞2例。术中没有动脉瘤破裂出血。手术后颅脑CT检查示小范围脑梗死1例。病人出院时改良的格拉斯哥预后评分5分23例,4分5例,3分3例。结论 Lvis支架辅助弹簧圈栓塞治疗颅内动脉瘤是一种可行的方法,但其长期的安全性及可靠性有待进一步验证。Objective To assess the safety and efficacy of Lvis stent-assisted spring coil in the treatment of intracranial aneurysms（IA）. Methods From November 2014 to December 2015,31 patients with IA-two unruptured aneurysms,and 29 ruptured aneurysm-were treated in our Department.All the patients underwent Lvis-stent-assisted spring coil embolization.The effectiveness of the therapy was observed. Results All the tents and spring coils were successfully inserted and released.Total embolization upon completion of surgery was noted in 25 cases,nearly total embolism in four cases,and partial embolization in two cases.There was no aneurysm rupture bleeding during the procedure.Postoperative CT examination revealed a small area of cerebral infarction in one case.On discharge,according to the modified Glasgow Outcome Scale,five points in 23 patients,four points in five patients and three points in three patients. Conclusion Lvis stent-assisted coil embolization of intracranial aneurysms is a feasible method,but its long-term safety and reliability are yet to be further testified.

关 键 词：颅内动脉瘤 支架 颅内栓塞 治疗结果 

分 类 号：R743[医药卫生—神经病学与精神病学]