单支架辅助水凝胶弹簧圈治疗椎基底动脉夹层动脉瘤  

Single-stent Assisted Hydrogel-coated Coils for the Endovascular Treatment of Vertebral-basal Dissecting Aneurysm

作　　者：杨晨 齐飚 李秋平 YANG Chen;QI Biao;LI Qiuping(Xiamen Branch,Zhongshan Hospital,Fudan University,Xiamen 361015,China)

机构地区：[1]复旦大学附属中山医院厦门医院

出　　处：《中外医学研究》2019年第31期39-41,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：厦门市科技惠民计划项目(项目编号：3502Z20184006)

摘　　要：目的:探讨单支架辅助水凝胶弹簧圈治疗椎基底动脉夹层动脉瘤(vertebrobasilar dissecting aneurysms,VBDAs)的临床效果。方法:回顾性分析2013年1月-2017年6月笔者所在医院收治的26例VBDAs患者的临床资料。26例VBDAs患者均行单支架辅助水凝胶弹簧圈栓塞治疗,术后行影像学及临床随访。结果:术后即刻造影结果显示,完全栓塞19例,次全栓塞4例,部分栓塞3例。术中无操作相关并发症发生,术后3例出现并发症。26例患者术后临床随访平均(13.3±7.8)个月,造影显示治愈21例,改善1例,稳定2例,复发2例,随访mRS评分0~2分25例,3~6分1例。结论:采用单支架辅助水凝胶弹簧圈治疗椎基底动脉夹层动脉瘤安全有效。Objective: To investigate the clinical outcomes of single-stent assisted hydrogel-coated coils treatment for vertebrobasilar dissecting aneurysms(VBDAs). Method: A retrospective analysis of 26 patients with VBDAs admitted to hospital from January 2013 to June 2017. All VBDA patients were treated with single-stent assisted hydrogel-coated coils embolization, then postoperative angiographic and clinical follow-up were done. Result: Immediate postoperative angiography revealed that the endovascular treatment achieved complete embolization in 19 cases, subtotal embolization in 4 cases, and partial embolization in 3 cases. No operation-related complications occurred during endovascular treatment, however, 3 patients suffered post-operative complications. The average clinical follow-up period of 26 patients was(13.3±7.8) months. 21 cases were cured, 1 case was improved, 2 cases were stable, 2 cases had recurrence. The follow-up mRS score was 0-2 points in 25 cases and 3-6 points in 1 case. Conclusion: Single-stent assisted hydrogel-coated coils for the endovascular treatment of VBDAs are safe and effective.

关 键 词：椎基底动脉夹层动脉瘤 血管内治疗 水凝胶弹簧圈 单支架辅助 

分 类 号：R65[医药卫生—外科学]