LVIS支架辅助微弹簧圈栓塞老年颅内宽颈动脉瘤疗效探讨  

Microcoils embolization for the treatment of intracranial wide-necked aneurysms under LVIS stent assistance in elderly patients

作　　者：李彤[1] 孙永全[1] 刘赫[1] 钟红亮[1] 贾建文[1] 杨洪超 Li Tong;Sun Yongquan;Liu He;Zhong Hongliang;Jia Jianwen;Yang Hongchao(Department of Interventional Neuroradiology, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China)

机构地区：[1]首都医科大学附属北京朝阳医院神经介入科,100020

出　　处：《中华老年医学杂志》2018年第7期803-805,共3页Chinese Journal of Geriatrics

摘　　要：目的总结LVIS支架辅助微弹簧圈栓塞老年颅内宽颈动脉瘤的初步应用经验。方法回顾使用LVIS支架辅助微弹簧圈栓塞颅内宽颈动脉瘤老年患者47例（动脉瘤48个）。结果47个动脉瘤栓塞成功，1例因支架中段不能打开释放失败回收。术后即刻行Raymond分级评价为Ⅰ级25个（52％）、Ⅱ级18个（39．5％）、Ⅲ级4例（8．5％），栓塞有效率91．5％。3～12个月数字减影血管造影（DSA）随访患者36例，动脉瘤36个。mRS评分0分28个、1分4个、2分3个、3分1个，良好率为97％。结论LVIS支架辅助微弹簧圈栓塞老年颅内宽颈动脉瘤应用能避免或减少其相关并发症的发生。Objective To summarize operation experiences in applying microcoils embolization for the treatment of intracranial wide-necked aneurysms using the low-profile visualized intraluminal stent support （LVIS） in elderly patients. Methods We reviewed data of 47 elderly patients （48 aneurysms） with intracranial wide-necked aneurysms treated with LVIS stent-assisted microcoils embolization. Results Forty-seven aneurysms were embolized successfully,one stent was withdrawn because its midpiece failed to stretch. Instant Raymond classifications evaluation after the surgery showed Grade I in 52.1% （25/48 aneurysms）,Grade ]I in 37.5% （18/48 aneurysms）,and Grade m in 8.3 % （4/48 aneurysms）. Besides,the effective rate of aneurysms embolization was 91.5 %. During 3-to 12-month follow-up with digital subtraction angiography （DSA） in 36 patients （36 aneurysms）, mRS was scored 0 （best effectiveness） in 28 cases,scored 1 in 4 cases, scored 2 in 3 cases,and scored 3 in 1 case, and the total favorable rate was 97%. Conclusions LVIS stent-assisted microcoils embolization for the treatment of intracranial wide-necked aneurysms in elderly patients may avoid or reduce the incidence of complication.

关 键 词：支架 颅内动脉瘤 LVIS支架 微弹簧圈 

分 类 号：R743[医药卫生—神经病学与精神病学]