两名患有大动脉瘤的患者接受了使用重叠LVIS支架进行的弹簧圈栓塞治疗。
Two Patients with Large Aneurysms in Whom Coil Embolization with Overlapping LVIS Stents Was Performed.
作者信息
Kimura Hajime, Fujimoto Kenta, Chatani Megumi, Kishi Fumihisa, Hayami Hiromichi, Fujimoto Takatoshi
机构信息
Department of Neurosurgery, Higashiosaka City Medical Center, Higashiosaka, Osaka, Japan.
Department of Neurosurgery, Nara Prefecture General Medical Center, Nara, Nara, Japan.
出版信息
J Neuroendovasc Ther. 2021;15(7):467-474. doi: 10.5797/jnet.cr.2020-0139. Epub 2020 Dec 29.
OBJECTIVE
We report two patients with unruptured large aneurysms treated by overlapping stent-assisted coil embolization using low-profile visualized intraluminal support (LVIS) stents.
CASE PRESENTATION
Case 1: An 80-year-old woman presented with abducens nerve palsy due to an internal carotid artery aneurysm. Case 2: A 75-year-old man presented with a partially thrombosed fusiform aneurysm in the vertebral artery (VA). Both patients were treated by overlapping LVIS stent-assisted coil embolization (overlapping LSACE). Digital subtraction angiography (DSA) a few months after embolization demonstrated complete occlusion of the aneurysm, although immediate angiography revealed dome filling.
CONCLUSION
Overlapping LSACE may be an effective treatment method for aneurysms that are difficult to treat by standard SACE and result in better flow-diverting effects.
目的
我们报告两例未破裂大型动脉瘤患者，采用低轮廓可视化腔内支撑（LVIS）支架行重叠支架辅助弹簧圈栓塞治疗。
病例介绍
病例1：一名80岁女性因颈内动脉瘤出现展神经麻痹。病例2：一名75岁男性，椎动脉（VA）有一个部分血栓形成的梭形动脉瘤。两名患者均接受了重叠LVIS支架辅助弹簧圈栓塞术（重叠LSACE）。栓塞术后数月的数字减影血管造影（DSA）显示动脉瘤完全闭塞，尽管即时血管造影显示瘤顶有造影剂充盈。
结论
重叠LSACE可能是一种治疗标准支架辅助弹簧圈栓塞术难以治疗的动脉瘤的有效方法，且能产生更好的血流导向效果。
Zotero 插件