NeuroformⅡ支架结合弹簧圈治疗颅内宽颈动脉瘤的临床研究

Clinical study of NeuroformⅡ stents combined with coiling for treatment of wide-necked cerebral aneurysms

目的探讨NeuroformⅡ支架结合弹簧圈治疗颅内宽颈动脉瘤的适应证,技术要点,并发症防治,评估该技术的安全性及疗效。方法86例颅内宽颈动脉瘤采用NeuroformⅡ支架结合电解可脱卸弹簧圈栓塞,术后3、6及12个月随访临床症状,6-12个月造影随访。结果68例宽颈动脉瘤致密添塞,18例不全添塞,所有患者载瘤动脉通畅,支架均到位;75例临床症状随访,均无再出血及血栓形成;59例造影随访,56例动脉瘤不显影,3例动脉瘤再通,5例有轻度血管狭窄。结论NeuroformⅡ支架结合弹簧圈治疗颅内宽颈动脉瘤是一种微创、安全、有效的方法,但远期疗效有待于进一步观察。

Objective To report experience of NeuroformⅡstents combined with coiling for intracranial wide -necked aneurysms and to investigate its indication, technical tip, prevention and treatment of complication, safety and efficacy. Methods 86 patients with intracranial wide-necked aneurysms were treated with combined Neuroformll stenting and coiling. And all patients were received anglo-graphic and followed - up after the treatment. Results The NeuroformⅡ stents were deployed in every patient and total occlusion was obtained in 68 cases and more than 90% occlusion in 18 cases. The patients recovered well with patency of the parent arteries. No re - bleeding or symptom related to thrombosis occurred during clinical following - up. Angiogram showed no recanalization in 56 out of 59 cases, there were 5 patients with mild stenosis in proximal segment of the stents. Conclusion NeuroformⅡstents combined with coiling for treatment of wide - necked cerebral aneurysms was a safety and valid method. However, long - term outcome need further study.