覆膜支架在颈内动脉海绵窦段病变治疗中的应用

Application of covered stent in treatment of vascular lesion in cavernous segment of internal carotid artery

目的评价应用覆膜支架治疗颈内动脉海绵窦段病变的价值。方法采用覆膜支架治疗11例颈内动脉海绵窦段病变,其中颈内动脉海绵窦瘘5例,颈内动脉海绵窦段动脉瘤6例,术后1年行全脑血管造影随访和临床随访。结果 11例患者中,成功应用覆膜支架治疗9例,成功置入覆膜支架的9例患者,术后即刻血管造影显示病变完全消失,临床症状逐渐好转,无手术相关并发症,术后1年行全脑血管造影复查8例,结果显示病变消失,责任动脉均保持通畅。结论覆膜支架在处理颈内动脉海绵窦段动脉瘤或颈内动脉海绵窦瘘方面,有治疗成功率高,疗效好,并发症少,复发率低等特点,值得推广。

Objective To evaluate the treatment of carotid cavernous vascular diseases by covered stent. Methods A total of 11 patients with carotid cavemous vascular diseases were treated with covered stent including 5 cases of internal carotid cavernous fistula and 6 cases of aneurysms in cavernous sqoa^nt of internal carotid artery. DSA and clinical follow-up were performed 1 year after operation. Results The covered stents were successfully performed in 9 of 11 patients. Angiography showed complete embolism in 9 cases and the symptoms after stenting were improved. DSA and clinical follow-up confirmed no recurrence. Conclusion Covered stent is a useful tool to treat carotid cavernous fistula and anettrysms in cavernous segment of internal carotid artery.