Willis覆膜支架在颈内动脉海绵窦瘘中的应用  

Application of WILLIS Coveted Stents in the Carotid Cavemous Fistula

作　　者：刘学政[1] 肖贱英[1] 

机构地区：[1]井冈山大学临床医学院神经外科,江西吉安343000

出　　处：《临床放射学杂志》2016年第9期1429-1431,共3页Journal of Clinical Radiology

基　　金：江西省科技厅重点研发计划项目(编号:20161BBG70070)

摘　　要：目的评价应用Willis覆膜支架治疗颈内动脉海绵窦瘘(CCF)的价值。方法 2014年1月至2015年7月本院采用Willis覆膜支架治疗CCF 7例,分析患者的临床资料和疗效。结果 7例患者共置入Willis覆膜支架7枚。均一次成功置入支架,术后即刻血管造影显示病变完全消失,责任动脉通畅。7例随访6例临床症状逐渐好转,无手术相关并发症,术后半年行全脑血管造影复查5例,结果显示病变消失,责任动脉均保持通畅。结论Willis覆膜支架治疗CCF成功率高,疗效好,并发症少,可作为可脱球囊栓塞失败患者的替代治疗方法。但仍需更长期的随访和大样本多中心研究。Objective To evaluate the treatment of carotid cavernous fistula by WILLIS covered stents. Methods The clinical data and curative effect of 7 patients with carotid cavernous fistula treated by WILLIS covered stents from January 2014 to July 2015 were analyzed. Results A total of 7 patients were implanted with 7 WILLIS covered stent. All cases were once successfully implanted WILLIS covered stent. Postoperative angiography immediately showed the fistula disappeared completely and parent artery patency. 6 cases＇ clinical symptoms gradually improved,and no complications related to surgery were found in the follow-up. 5 cases had cerebral angiography 6 months after the operation showing that the fistula disappeared completely,and parent artery patency. Conclusion WILLIS covered stent therapy carotid cavernous fistula have high success rate,good curative effect and fewer complications. It is alternative treatment if patients treatedwith detachable balloon embolization fail. But it still requires a longer term follow-up as well as large sample and multi center study.

关 键 词：Willis覆膜支架 颈内动脉海绵窦瘘 介入治疗 

分 类 号：R651.1[医药卫生—外科学]