支架辅助微弹簧圈栓塞颅内动脉瘤的应用价值

高天; 李冬梅; 张士永; 刘奇; 毛更生

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武警医学 ›› 2012, Vol. 23 ›› Issue (4) : 318-320.

论著

支架辅助微弹簧圈栓塞颅内动脉瘤的应用价值

高天，李冬梅，张士永，刘奇，毛更生

作者信息 +

Clinical research of aneurysms embolized with coils associated with self-expanding stents

北京，武警总医院神经外科

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文章历史 +

摘要

目的探讨应用颅内专用支架结合微弹簧圈栓塞治疗颅内动脉技术的临床应用价值。方法44例中，男性20 例，女性24例，通过微导管放置颅内专用支架，支架覆盖动脉瘤瘤颈，同时以另一微导管进入动脉瘤腔微弹簧圈栓塞动脉瘤。结果全部病例采用颅内专用支架辅助微弹簧圈栓塞，其中38 例致密栓塞，6 例部分栓塞。术中、术后未发生颅内出血及支架内血栓形成，患者均恢复良好。36例术后3～6个月脑血管造影随访：其中35 例致密栓塞的动脉瘤均未显影，载瘤动脉通畅；1例动脉瘤颈有残留，未见动脉瘤复发；6例患者术后3个月内，未随访；2例失访。结论支架结合弹簧圈栓塞颅内动脉瘤有较好的疗效。

Abstract

Objective To study the clinical value of treating intracranial aneurysms by embolization with coils associated with self-expanding stents. MehtodsA total of 44 patients aged 41 to 76（mean 51 years old）, including 20 male patients and 24 female patients, were recruited. In this study, All the aneurysms were treated by embolization with coils associated with self-expanding stents used specially for intracranial lesion. The stents were detached through microcatheters to make them cover the necks of aneurysms and coils were delivered to the lumens of aneurysms through other microcatheters. Results38 aneurysms reached complete occlusion and 6 aneurysms reached incomplete occlusion. There was no intra-stent thrombosis in any case and all the patients were evaluated as having benefited a lot when discharged. 36 patients were followed up for 3-6 months and all of them underwent cerebral vascular angiography. No recanalization was found and the parent arteries were clear in 35 aneurysms, 1 aneurysm was found residual in the neck, and no recurrence was found in any case. ConclusionsTreating intracranial aneurysms by embolization with coils associated with self-expanding stents can achieve good outcomes.

导出引用

高天，李冬梅，张士永，刘奇，毛更生. 支架辅助微弹簧圈栓塞颅内动脉瘤的应用价值[J]. 武警医学. 2012, 23(4): 318-320

GAO Tian, LI Dongmei, ZHANG Shiyong, LIU Qi, and MAO Gengsheng. Clinical research of aneurysms embolized with coils associated with self-expanding stents[J]. Medical Journal of the Chinese People Armed Police Forces. 2012, 23(4): 318-320

中图分类号： R743.9

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