Neuroform Atlas支架辅助弹簧圈栓塞治疗宽颈基底动脉顶端动脉瘤  

Neuroform Atlas stent-assisted coil embolization for treating wide-necked basilar artery tip aneurysm

作　　者：武宏杰[1] 郭孝龙[1] WU Hongjie;GUO Xiaolong(Department of Neurosurgery,the First Affiliated Hospital of Henan University of Science and Technology,Luoyang 471000,China)

机构地区：[1]河南科技大学第一附属医院神经外科,河南洛阳471000

出　　处：《中国介入影像与治疗学》2023年第12期705-708,共4页Chinese Journal of Interventional Imaging and Therapy

摘　　要：目的观察Neuroform Atlas支架辅助弹簧圈栓塞治疗宽颈基底动脉顶端动脉瘤(BTA)的价值。方法纳入21例接受Neuroform Atlas支架辅助弹簧圈栓塞的单发宽颈BTA患者,其中14例BTA破裂致蛛网膜下腔出血(SAH),观察治疗后临床及影像学表现,记录严重不良事件(SAE);以改良Rankin量表(mRS)评价预后、以Raymond分级评估动脉瘤闭塞程度,评估Neuroform Atlas支架辅助弹簧圈栓塞治疗宽颈BTA的价值。结果共对21例植入29枚Neuroform Atlas支架。住院期间4例BTA破裂伴SAH患者出现SAE,其中1例BTA再次破裂出血致死、1例死于脑疝,1例出现分流依赖性脑积水,1例发生缺血性事件。术后随访6(6,12)个月,19例中,末次随访mRS评分12例0分、3例1分、2例2分、2例3分;其中15例接受复查造影,动脉瘤分级Ⅰ级11个、Ⅱ级3个、Ⅲ级1个,均未见支架内狭窄或闭塞。结论Neuroform Atlas支架辅助弹簧圈栓塞用于治疗宽颈BTA较为安全、有效。Objective To observe the value of Neuroform Atlas stent-assisted coil embolization for treating wide-necked basilar artery tip aneurysm(BTA).Methods A total of 21 patients with single wide-necked BTA who underwent Neuroform Atlas stent-assisted coil embolization were enrolled,including 14 cases of ruptured BTA complicated with subarachnoid hemorrhage(SAH).Clinical and imaging data after treatment were observed,and serious adverse event(SAE)was recorded.Prognosis was evaluated with modified Rankin scale(mRS),while the status of arterial occlusion was assessed with Raymond grade.The value of Neuroform Atlas stent-assisted coil embolization for treating wide-necked BTA was analyzed.Results Totally 29 Neuroform Atlas stents were successfully implanted in 21 cases.Four patients with ruptured BTA complicated with SAH developed SAE during hospitalization,among them,1 patient died of ruptured BTA and bleeding again,1 died of cerebral hernia,while shunt dependent hydrocephalus and ischemic event occurred each in 1 case.The rest 19 cases were followed up for 6(6,12)months,and the last follow-up mRS score of 12 cases were 0,of 3 cases were 1,of 2 cases were 2 and of the other 2 cases were 3.Fifteen patients underwent reexamination of digital subtraction angiography during follow-up,and 11 BTA were classified as gradeⅠ,3 as gradeⅡand 1 as gradeⅢ.No stent stenosis nor occlusion was observed.Conclusion Neuroform Atlas stent-assisted coil embolization was safe and effective for treating wide-necked BTA.

关 键 词：颅内动脉瘤 基底动脉 支架 栓塞 治疗性 介入治疗 

分 类 号：R743[医药卫生—神经病学与精神病学] R815[医药卫生—临床医学]