支架辅助弹簧圈栓塞术治疗颅内破裂微小宽颈动脉瘤。
Stent-assisted coiling for the treatment of ruptured micro-intracranial wide-necked aneurysms.
作者信息
Yu Ming, Liu Fangjiu, Jiang Shijie, Nie Bengang
机构信息
Department of Neurology, Suining Central Hospital, Sui Ning, China.
Laboratory Department, Suining Central Hospital, Sui Ning, China
出版信息
Interv Neuroradiol. 2015 Feb;21(1):40-3. doi: 10.15274/inr-2014-10097.
The stent-assisted coil embolization technique has been increasingly used in the clinic, but its efficacy and safety have yet to be assessed. This study aimed to evaluate the efficacy and safety of stent-assisted coiling in the treatment of micro-intracranial wide-necked aneurysms. Between May 2007 and November 2011, a total of 35 micro-intracranial wide-necked ruptured aneurysms were occluded with Enterprise stent-assisted coils. The patients were followed up for two years. Stent-assisted coiling was performed successfully in all cases, and stent placement was satisfactory without any complications. Of 35 aneurysms, 13 (37.1%) were completely occluded, ten (28.5%) had residual necks, and 12 (34.2%) had residual aneurysms. In the two-year follow-up, no aneurysm rupture occurred and no patients had nerve dysfunction. All patients were reviewed by digital subtraction angiography or computed tomography angiography. One patient had a residual neck (2.8%), and no patients experienced stent restenosis or thromboembolic events. In general, stent-assisted coiling is effective and safe for the treatment of micro-intracranial wide-necked aneurysms.
支架辅助弹簧圈栓塞技术已在临床上越来越多地使用，但其疗效和安全性尚未得到评估。本研究旨在评估支架辅助弹簧圈栓塞术治疗颅内微小宽颈动脉瘤的疗效和安全性。2007年5月至2011年11月，共有35例颅内微小宽颈破裂动脉瘤采用Enterprise支架辅助弹簧圈进行栓塞。对患者进行了两年的随访。所有病例支架辅助弹簧圈栓塞均成功，支架置入满意，无任何并发症。35个动脉瘤中，13个（37.1%）完全闭塞，10个（28.5%）有残余颈部，12个（34.2%）有残余动脉瘤。在两年的随访中，无动脉瘤破裂发生，无患者出现神经功能障碍。所有患者均通过数字减影血管造影或计算机断层血管造影进行复查。1例患者有残余颈部（2.8%），无患者出现支架再狭窄或血栓栓塞事件。总体而言，支架辅助弹簧圈栓塞术治疗颅内微小宽颈动脉瘤有效且安全。
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