Neuroform支架治疗颅内宽颈动脉瘤的初步结果

Neuroform Stent implantation for teatment of intracranial wide-necked aneurysms:preliminary outcome

目的探讨和总结应用Neuroform自膨式支架结合弹簧圈治疗颅内宽颈动脉瘤的技术与初步结果。方法回顾性分析32例颅内宽颈动脉瘤,瘤颈/瘤体为1/2～1/1,均采用Neuroform自膨式支架结合弹簧圈技术治疗。结果24例完全栓塞,8例大部分(>95%)栓塞。2例术后出现一过性脑缺血的表现。14例随访0.5～1年,有2例出现动脉瘤复发。结论在栓塞宽颈颅内动脉瘤时应用Neuroform自膨式支架结合弹簧圈技术,使弹簧圈无法突入载瘤动脉,提高了宽颈颅内动脉瘤的疗效。

Objective To summarize the technique and preliminary outcome of Neuroform stent combined with Guglielmi detachable coil （GDC） to treat wide-necked intracranial aneurysms. Methods 32 cases with aneurysms which underwent 32 endovascular procedures performed by using stent were retrospectively analyzed. The ratio of aneurysm neck/body is 1/2-1/1. Results 24 aneurysms were completely occluded and other 8 were incompletely （〉95%） occluded. Transient ischemia of cerebral occured in 2 cases. 14 aneurysms were followed up 0.5-1 year after. 2 aneurysms of them appeared neck remnant growth. Conclusion Using Neuroform stent combined with GDC to treat wide-necked intracranial aneurysm may prevent the herniation of GDC into the artery and increase the outcome of wide-necked intacranial aneurysm.