血管内治疗颅内远端动脉瘤疗效评价  

Efficacy evaluation of endovascular treatment for distal intracranial aneurysms

作　　者：胡振坤 马亚伟 徐睿[1] 朱继[1] 张晓冬[1] 孙晓川[1] HU Zhen-kun;MA Ya-wei;XU Rui(Department of Neurosurgery,The First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]重庆医科大学附属第一医院神经外科,重庆400016

出　　处：《临床神经外科杂志》2021年第4期366-370,共5页Journal of Clinical Neurosurgery

摘　　要：目的探讨颅内远端动脉瘤血管内治疗的临床疗效。方法回顾分析行血管内治疗的42例颅内远端动脉瘤患者的临床资料,分析血管内治疗的方式、效果及并发症。结果本组患者中,30例患者(71.4%)术后即刻血管造影为RaymondⅠ级栓塞,3例支架辅助弹簧圈栓塞的患者术后出现了缺血相关并发症,2例使用Onyx液体栓塞剂的患者术后发生脑梗死。在具有临床随访资料的30例患者中,90%(27/30)的患者预后良好(mRS评分小于3分)。结论血管内治疗颅内远端动脉瘤是安全、有效的。小口径支架的使用增加了前循环动脉瘤治疗的成功率,Onyx液体栓塞剂治疗载瘤血管迂曲狭窄的后循环动脉瘤疗效显著,并发症较少。Objective To evaluate the clinical effect of endovascular treatment for distal intracranial aneurysms.Methods The clinical data of 42 patients with distal intracranial aneurysms who received endovascular treatment were collected.The safeness,effectiveness and complication of endovascular treatment were analyzed.Results In this group,30(71.4%)had Raymond I grade angiography immediately after operation,3 with stent assisted coil embolization had ischemia related complications,and 2 with Onyx liquid embolic agent showed cerebral infarction by CT.Of the 30 patients with clinical follow-up data,90%(27/30)had a good prognosis(mRS score less than 3).Conclusions Endovascular treatment of distal intracranial aneurysms is safe and effective.The use of micro stents has increased the success rate of the treatment of distal anterior circulation aneurysms,and Onyx liquid embolization is effective in the treatment of posterior circulation aneurysms with tortuous stenosis of the parent vessels with fewer complications.

关 键 词：颅内远端动脉瘤 血管内治疗 支架 Onyx液体栓塞剂 

分 类 号：R739.41[医药卫生—肿瘤]