低剖面可视化腔内支撑装置双支架技术治疗基底动脉顶端宽颈动脉瘤3例  

Dual low-profile visualized intraluminal support device for the treatment of wide-necked aneurysms located at the basilar artery apex:report of three cases

作　　者：谢宜兴 张红妹[1] 孙成建[1] 刘国平[1] 张照龙 赵晓龙[1] 邵黎明 徐锐[1] XIE Yixing;ZHANG Hongmei;SUN Chengjian;LIU Guoping;ZHANG Zhaolong;ZHAO Xiaolong;SHAO Liming;XU Rui(Department of Interventional Radiology,Affiliated Hospital of Qingdao University,Qingdao,Shandong Province 266000,China)

机构地区：[1]青岛大学附属医院介入医学科,山东266000

出　　处：《介入放射学杂志》2021年第11期1150-1154,共5页Journal of Interventional Radiology

摘　　要：目的探讨低剖面可视化腔内支撑装置(LVIS)双支架技术在治疗基底动脉顶端宽颈动脉瘤中的初步临床应用及疗效。方法对3例基底动脉顶端宽颈动脉瘤患者进行LVIS双支架平行技术辅助弹簧圈栓塞治疗。结果3例患者均取得成功,术后即刻均显示动脉瘤致密栓塞。患者1、3分别于术后7个月、6个月随访,复查造影分别显示为瘤颈复发、瘤体复发,其中瘤体复发患者再次栓塞后达到致密栓塞;患者2术后6个月电话随访结果显示,改良Rankin量表(mRS)评分2分,较出院时明显好转。结论LVIS双支架技术治疗基底动脉顶端宽颈动脉瘤安全有效,中远期疗效有待进一步研究,可能与双支架排列方式有关。Objective To discuss the preliminary clinical application and therapeutic outcome of dual low-profile visualized intraluminal support(LVIS)stent-assisted coil embolization for wide-necked aneurysms located at the basilar artery apex.Methods Dual LVIS stent-assisted coil embolization by using dual stent parallel technique was performed in three patients with wide-necked aneurysms located at basilar artery apex.Results Successful dual LVIS stent-assisted coil embolization was accomplished in all the three patients.Angiography performed immediately after operation showed that all aneurysms achieved compact embolization.Two patients received follow-up angiography reexamination at postoperative 6 months and 7 months respectively,and the two patients developed recurrence of aneurysm neck(n=1)or recurrence of aneurysm cavity(n=1).The patient having recurrence of aneurysm cavity received embolization treatment again and compact embolization of aneurysm cavity was achieved.In another patient,the postoperative 6-month telephone follow-up results showed that the modified Rankin Scale(mRS)score was 2 points,which was significantly improved than that evaluated at the time of discharge.Conclusion For the treatment of wide-necked aneurysms located at basilar artery apex,dual LVIS stent-assisted coil embolization is safe and effective,but its mid-long-term efficacy needs to be further investigated.The arrangement pattern of the two stents may have some effect on the efficacy.(J Intervent Radiol,2021,30:1150-1154)

关 键 词：宽颈动脉瘤 基底动脉瘤 双支架 Y形支架 

分 类 号：R743.3[医药卫生—神经病学与精神病学]