支架辅助栓塞颅内相对宽颈微小动脉瘤的临床研究

白永连; 王峰; 刘永晟; 李克; 纪东华

中国临床医学影像杂志 ›› 2015, Vol. 26 ›› Issue (5) : 362-364.

论著

支架辅助栓塞颅内相对宽颈微小动脉瘤的临床研究

白永连1，王峰2，刘永晟2，李克2，纪东华2

作者信息 +

Clinical study of stent-assisted coil embolization for very small intracranial aneurysms with relatively wide neck

BAI Yong-lian1, WANG Feng2, LIU Yong-sheng2, LI Ke2, JI Dong-hua2

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摘要

目的：分析颅内相对宽颈微小动脉瘤血管内治疗的疗效及随访结果。方法：回顾性分析41例（43个）颅内宽颈微小动脉瘤血管内治疗的结果，所有患者进行随访，进行改良Rankin评分（mRS）。15例患者行动脉造影随访。结果：术后即刻栓塞程度：0级栓塞12个动脉瘤，1级栓塞26个动脉瘤，5个动脉瘤未进行栓塞。手术相关并发症：2例术后出现脑梗塞。平均随访16.3月，随诊时mRS 0分30例，1分6例，2分2例，3分1例，5分1例。结论：支架辅助栓塞是治疗颅内相对宽颈微小动脉瘤的安全有效方法。

Abstract

Objective: To analyze the efficacy and follow-up results of endovascular treatment of very small intracranial aneurysms with relatively wide neck. Methods: 43(41 patients) very small intracranial aneurysms with relatively wide neck were treated with stent-assisted coil embolization. Immediate postprocedural and follow-up data were retrospectively evaluated. Follow-up results were achieved in all patients, and the main outcome was measured with modified Rankin scale(mRS). Angiography follow-up data were available in 15 patients. Results: Grade 0 occlusion was achieved in 12 aneurysms, Grade 1 in 26 aneurysms, and 5 aneurysms were failed to embolize. Cerebral infarction was encountered in 2 patients. During follow-up(mean time duration was 16.3 months), Modified Rankin Scale was 0 in 30 cases, 1 in 6 cases, 2 in 2 cases, 3 in 1 cases, and 5 in 1 case. Conclusions: Endovascular treatment can be performed safely and effectively in very small intracranial aneurysms with relatively wide neck.

导出引用

白永连;王峰;刘永晟;李克;纪东华. 支架辅助栓塞颅内相对宽颈微小动脉瘤的临床研究[J]. 中国临床医学影像杂志. 2015, 26(5): 362-364

BAI Yong-lian;WANG Feng;LIU Yong-sheng;LI Ke;JI Dong-hua. Clinical study of stent-assisted coil embolization for very small intracranial aneurysms with relatively wide neck[J]. Journal of China Clinic Medical Imaging. 2015, 26(5): 362-364

中图分类号： Ｒ739.41 Ｒ816.1