Nano弹簧圈在脉络膜前动脉微小动脉瘤血管内治疗中的应用  

Nano coils in endovascular treatment of anterior choroidal artery micro-aneurysms

作　　者：温志锋[1] 潘起晨[1] 梁传声[1] WEN Zhi-feng;PAN Qi-ceng;LIANG Chuan-sheng(Department of Neurosurgery,The First Affiliated Hospital of China Medical University,Shenyang,Liaoning 110001,China)

机构地区：[1]中国医科大学附属第一医院神经外科,辽宁沈阳110001

出　　处：《中国临床研究》2021年第10期1329-1332,共4页Chinese Journal of Clinical Research

基　　金：辽宁省自然科学基金课题面上项目(2019-MS-370)。

摘　　要：目的探讨应用Nano弹簧圈栓塞治疗脉络膜前动脉微小动脉瘤的安全性及有效性。方法选择2017年6月至2019年6月行血管内治疗的动脉瘤患者983例,对经影像评估后适合入组的15例脉络膜前动脉微小动脉瘤患者的临床资料[术中弹簧圈的稳定性、脉络膜前动脉缺血发生率、术中动脉瘤栓塞程度、出院时的改良Rankin量表(mRS)评分、3个月后随访的格拉斯哥预后评分(GOS)]进行回顾性分析。结果术中动脉瘤RaymondⅠ级栓塞11例(11/15),RaymondⅡ级栓塞4例(4/15),术中出现0例脉络膜前动脉闭塞。术后出现肢体肌力下降2例(2/15),均完全恢复。术中及术后无出现破裂出血情况。出院时mRS评分0分13例(13/15),1分为2例(2/15)。3个月随访,无再发缺血及出血情况,失访1例,随访的14例均为GOS 5分。结论脉络膜前微小动脉瘤应用Nano弹簧圈进行血管内治疗安全、可靠、稳定。Objective To explore the safety and efficacy of endovascular treatment of Nano coil embolization for anterior choroidal artery(AChA)micro-aneurysms.Methods A total of 983 patients with aneurysms who underwent endovascular treatment from June 2017 to June 2019 were selected,of which 15 patients with AChA micro-aneurysms suitable for inclusion after image evaluation,and the 15 patients'clinical data(stability of intraoperative coil,incidence of AChA ischemia,degree of intraoperative aneurysm embolization,mRS score at discharge and GOS score after 3 months of follow-up)were analyzed retrospectively.Results Raymond gradeⅠembolization of aneurysms was achieved in 11 patients(11/15),Raymond grade Ⅱ embolization of aneurysms was achieved in 4 patients(4/15),without AChA occlusion occurring during operation.The limb muscle strength reduced after operation in 2 cases(2/15)and recovered completely.No bleeding due to rupture occurred during or after operation.At discharge,the mRS score was 0 in 13 cases(13/15)and 1 in 2 cases(2/15).At 3 month of follow-up,there was no recurrent ischemia and bleeding,and GOS scores were 5 points in 14 patients.One patient was lost to follow up.Conclusion Endovascular treatment of AChA micro-aneurysms with Nano coil is safe,reliable and stable.

关 键 词：脉络膜前动脉 微小动脉瘤 血管内治疗 Nano弹簧圈 

分 类 号：R743.4[医药卫生—神经病学与精神病学]