Chen Feiyu, Fang Xiaoyu
Department of Neurosurgery, Ningbo Second Hospital, Ningbo, Zhejiang 315312, P.R. China.
Department of Ophthalmology and Otorhinolaryngology, Ningbo Yinzhou Second Hospital, Ningbo, Zhejiang 315040, P.R. China.
Exp Ther Med. 2019 Mar;17(3):1656-1662. doi: 10.3892/etm.2018.7139. Epub 2018 Dec 28.
Middle cerebral artery (MCA) aneurysm is a serious medical condition mainly occurring in the proximal and bifurcation tracts. Evidence has indicated that endovascular treatment is an effective surgical method for patients with MCA aneurysm. In the present study, the efficacy of endovascular treatment with low-profile visualized intraluminal support (LVIS) stent for MCA aneurysms was evaluated in comparison with that using a non-LVIS stent device. A total of 92 patients who underwent endovascular treatment of MCA aneurysms with LVIS stent or non-LVIS stent were included in the present study. The clinical presentation, aneurysmal characteristics, technical feasibility, procedural complications, as well as angiographic and clinical follow-up results were analyzed. The computed tomography scan demonstrated that endovascular treatment with LVIS stent markedly reduced pre-operative and intra-operative ruptures. It was indicated that endovascular treatment with LVIS stent resulted in less post-operative symptoms and cases of disability according to the modified Rankin scale score. In conclusion, the present outcomes provide evidence that endovascular treatment with an LVIS stent is an efficient method for the treatment of MCA aneurysm.
大脑中动脉(MCA)动脉瘤是一种主要发生在近端和分叉段的严重病症。有证据表明,血管内治疗是MCA动脉瘤患者的一种有效手术方法。在本研究中,对使用低轮廓可视化腔内支撑(LVIS)支架进行血管内治疗MCA动脉瘤的疗效与使用非LVIS支架装置的疗效进行了比较。本研究共纳入92例行LVIS支架或非LVIS支架血管内治疗MCA动脉瘤的患者。分析了临床表现、动脉瘤特征、技术可行性、手术并发症以及血管造影和临床随访结果。计算机断层扫描显示,使用LVIS支架进行血管内治疗可显著减少术前和术中破裂。根据改良Rankin量表评分表明,使用LVIS支架进行血管内治疗导致术后症状和残疾病例较少。总之,目前的结果提供了证据,表明使用LVIS支架进行血管内治疗是治疗MCA动脉瘤的一种有效方法。