支架辅助弹簧圈栓塞治疗大脑前A1段动脉瘤分析  

Effect of stent-assisted coil embolization for the treatment of A1 segment anterior cerebral artery aneurysms

作　　者：吴琪[1] 张鑫[1] 张庆荣[1] 文立利[1] 张翔圣[1] 薛锦[1] 陈姝娟[1] 邓金龙[1] 王汉东[1] WU Qi;ZHANG Xin;ZHANG Qing-rong;WEN Li-li;ZHANG Xiang-sheng;XUE Jin;CHEN Shu-juan;DENG Jin-long;WANG Han-dong(Department of Neurosurgery, Nanjing General Hospital of Nanjing Military Region, PLA, Nanjing 210002, Jiangsu, China)

机构地区：[1]南京军区南京总医院神经外科,南京医学博士210002

出　　处：《医学研究生学报》2018年第6期613-616,共4页Journal of Medical Postgraduates

基　　金：国家自然科学基金(81471183);江苏省自然科学基金(BK20141377)

摘　　要：目的大脑前A1段动脉瘤的血管内介入治疗比较困难。文中旨在探讨支架辅助弹簧圈栓塞治疗大脑前A1段动脉瘤的效果。方法回顾性分析2015年6月至2017年7月南京军区南京总医院神经外科住院治疗的8例大脑前A1段动脉瘤患者临床资料。所有患者均在静吸复合全身麻醉下完成血管内介入治疗。术后即刻造影观察动脉瘤栓塞情况并进行影像学随访,随访6~30个月,平均(13±9)个月,进行格拉斯哥预后评分(GOS)。结果术后即刻造影显示8个动脉瘤均完全栓塞,载瘤动脉均保留。7例患者均未发生破裂出血与新发神经功能障碍,GOS评分均为5分,预后良好。术后5例患者分别于术后完成DSA随访,动脉瘤均不显影。结论支架辅助弹簧圈栓塞大脑前A1段动脉瘤技术上可行,是大脑前A1段动脉瘤治疗方式的一种选择,值得临床推广。Objective It is difficult to conduct the intravascular interventional treatment of A1 segment anterior cerebral artery aneurysms. This article aimed to investigate the effect of stent-assisted coil embolization for the treatment of A1 segment anterior cerebral artery aneurysms. Methods Retrospective analysis was made on the clinical data of 8 patients with A1 segment anterior cerebral artery aneurysms who were treated in Department of Neurosurgery in Nanjing General Hospital of Nanjing Military Command from June 2015 to July 2017. All the patients underwent endovascular intervention under static inhalation combined with general anesthesia.Immediately after the operation,angiography was performed to observe the embolization of the aneurysm and imaging follow-up was performed. The follow-up period was 6 to 30 months,with an average of（ 13±9） months,followed by Glasgow Outcome Scale（ GOS） scoring. Results Immediate postoperative angiography showed that all8 aneurysms were completely embolized and the parent artery remained. Seven patients had no ruptured hemorrhage and no new neurological dysfunction,with 5 points of GOS score and good prognosis.Five patients underwent DSA follow-up after surgery with no developed aneurysm. Conclusion Stent-assisted coil embolization is technically feasible in treating A1 segment anterior cerebral artery aneurysms,which is a choice worthy of clinical promotion.

关 键 词：颅内动脉瘤 大脑前A1段动脉瘤 血管内治疗 支架 

分 类 号：R782.1[医药卫生—口腔医学]