Willis覆膜支架治疗床突旁动脉瘤的疗效及中远期随访观察  

Willis covered stent for paraclinoid aneurysms:efficacy and mid-long-term follow-up results

作　　者：王昊 杨华江 曾实 许明伟 马健行 许民辉 徐伦山 杨东虹 Wang Hao;Yang Huajiang;Zeng shi;Xu Mingwei;Ma Jianxing;Xu Minhui;Xu Lunshan;Yang Donghong(Department of Neurosurgery,Daping Hospital,Army Medical University,Chongqing 400042,China)

机构地区：[1]陆军特色医学中心(大坪医院)神经外科,重庆400042

出　　处：《中华医学杂志》2022年第15期1119-1122,共4页National Medical Journal of China

摘　　要：回顾陆军特色医学中心神经外科2014年5月至2021年1月应用Willis覆膜支架(WCS)系统治疗27例床突旁动脉瘤患者的临床资料和随访结果,其中17例(63.0%)单纯应用WCS,10例(37.0%)辅助弹簧圈栓塞。随访期间2例发生术后内漏(7%),其中1例(Ⅰ型内漏)自愈,另1例(Ⅲ型内漏)再次置入WCS治愈,其余患者无动脉瘤复发,载瘤动脉通畅、无支架移位及内狭窄。改良mRS评分良好率92.6%(25/27)。应用WCS治疗床突旁动脉瘤是一种安全、有效的治疗方法。The clinical data and follow-up results of 27 paraspinoid aneurysms treated by Willis covered stent(WCS)in Department of Neurosurgery,Army Medical University from May 2014 to January 2021 were retrospectively analyzed.Among them,17 cases(63.0%)were treated with WCS alone,and 10 cases(37.0%)were assisted with coiling embolization.During the follow-up,postoperative internal leakage occurred in 2 patients(7%),of which 1(typeⅠ)wasself-healing and the other 1(typeⅢ)was cured by WCS implantation again.The remaining patients had no aneurysm recurrence,unobstructed parent artery,stent displacement and internal stenosis.92.6%(25/27)of the improved mRS scores were good.WCS is a safe and effective method for the treatment of parabedinal aneurysms.

关 键 词：颅内动脉瘤 Willis覆膜支架 随访研究 

分 类 号：R651.1[医药卫生—外科学]