Neuroform支架结合弹簧圈治疗颅内复杂动脉瘤

Treatment of Complex Intracranial Aneurysms with Neuroform Stent Implantation and Coil Placement

目的：探讨血管内Neuroform支架置人联合弹簧圈栓塞治疗颅内复杂动脉瘤的疗效、技术要点、安全性及并发症防治。方法：研究对象为20例颅内复杂动脉瘤患者，其中颈内动脉海绵窦段4例，眼动脉段3例，后交通动脉段7例，脉络膜前动脉起始部1例，大脑中动脉M1段1例，椎动脉颅内段4例。首先将微导管置人瘤腔，然后跨瘤颈释放支架，栓塞弹簧圈。结果：所有病例栓塞操作均顺利完成。其中致密栓塞13例，大部分栓塞7例；术后脑梗塞1例，1个月后恢复；2例弹簧圈尾端疝人载瘤动脉，均未引起相应的临床症状。随访3～24个月，平均13个月，无再出血及血栓栓塞症状。结论：血管内支架植入联合弹簧圈治疗颅内复杂动脉瘤安全有效。

Objective：To investigate the efficacy, technical tip, safety and complication of combining Neuroform stent and coil for complex intracranial aneurysms. Methods： Among 20 cases of complex intracranial aneurysms, including 4 cavernous part of internal carotid artery aneurysms, 3 ophthalmic artery aneurysms, 7 posterior communicating aneurysms, 1 anterior choroidal artery aneurysm, 4 vertebral aneurysm. Firstly, the microcatheters were implanted into the aneurysms,and then the stents which spanned the neck of the aneurysms were implanted,last the coils were released. Resuits：All the operations succeeded. The aneurysms were packed totally in 13 cases and subtotally in 7 cases. Thrombo- embolic events occurred in 1 patient who was completely recovered 1 month later. No re-bleeding or thromboembolism symptom were found in 3 - 24 months＇ foltowup. Conclusion： Combined endovascular stent and coil is a safe and effective method for the treatment of complex intracranial aneurysms.