《中国康复理论与实践》 ›› 2006, Vol. 12 ›› Issue (05): 433-434.

• 临床观察 • 上一篇    下一篇

应用支架治疗颅内宽颈动脉瘤的探讨

喻博; 刘云会; 王成林; 刁宏宇; 李少一; 于宏伟; 桑猛; 陈红侠; 刘丽   

  1. 中国医科大学附属第二医院神经外一科 辽宁沈阳市 110004
  • 收稿日期:2006-03-15 出版日期:2006-05-25 发布日期:2006-05-25

Stent Implantation for Teatment of Intracranial Wide-Necked Aneurysms: 12 Cases Report

YU Bo, LIU Yun-hui, WANG Cheng-lin, et al   

  1. Department of Neurosurgery, the Second Affiliated Hospital, China Medical University, Shenyang110004, Liaoning, China
  • Received:2006-03-15 Published:2006-05-25 Online:2006-05-25

摘要: 目的总结应用支架结合弹簧圈和单纯应用覆膜支架治疗颅内宽颈动脉瘤的初步经验。方法回顾分析12例颅内宽颈动脉瘤,10例应用支架结合弹簧圈技术治疗,2例颈动脉海绵窦段动脉瘤应用覆膜支架治疗。结果应用支架结合弹簧圈技术治疗10例,8例完全栓塞,2例大部分(>95%)栓塞。应用覆膜支架治疗2例动脉瘤完全闭塞。影像随访10例3~12月,动脉瘤完全消失。临床随访12例,死亡1例。结论在栓塞宽颈颅内动脉瘤时选择应用支架结合弹簧圈技术或单纯应用覆膜支架可取得满意疗效。

关键词: 支架, 弹簧圈, 宽颈动脉瘤

Abstract: ObjectiveTo investigate the effect of endovascular stent with or without coil graft on intracranial wide-necked aneurysms. Methods12 cases with intracranial wide-necked aneurysms, among whom, 10 cases were treated with stents and coils, 2 C4 aneurysms were treated with graft stent, were analyzed retrospectively. ResultsOf the 10 cases who were treated with stents and coils, 8 patients were completely occluded and other 2 patients were incompletely (>95%) occluded. 2 cases accepted graft stent were obliterated. Follow-up with angiography in 10 patients for 3~12 months revealed that all the aneurysms were completely occluded. 1 patient among them died. ConclusionEndovascular stent with or without coil graft is effective on intracranial wide-necked aneurysms.

Key words: stent, coil, wide-necked aneurysm