支架结合弹簧圈栓塞大脑中动脉分叉部宽颈动脉瘤

Combined Stent and Coils for the Treatment of Middle Cerebral Artery Bifurcation Wide-necked Aneurysms:15 Cases Report

目的总结应用支架结合弹簧圈栓塞大脑中动脉分叉部宽颈动脉瘤的技术。方法回顾性分析15例大脑中动脉分叉部宽颈动脉瘤,均采用Neuroform自膨式支架结合弹簧圈栓塞治疗。结果11例完全栓塞,4例大部分(>95%)栓塞。1例术后出现一过性脑缺血表现。8例随访6～12个月,1例出现动脉瘤复发。结论在栓塞大脑中动脉分叉部宽颈动脉瘤时应用Neuroform自膨式支架结合弹簧圈技术,保护了载瘤动脉,疗效满意。

Objective To summarize the technique of stent combined with coils to treat middle cerebral artery bifurcation wide-necked aneurysms.Methods 15 patients were reported.Results 11 of 15 aneurysms were completely occluded and 4 were incompletely （〉95%） occluded.Transient ischemia of cerebral occurred in a case.8 aneurysms were followed up for 6-12 months,1 presented neck remnant growth.Conclusion It is satisfied to use the stent combined with coils to treat middle cerebral artery bifurcation wide-necked aneurysm, which may protect the parent artery.