支架辅助弹簧圈栓塞治疗颅内宽颈动脉瘤的初步经验

Preliminary Experience of Stent-assisted Coil Embolization of Intracranial Wide-Necked Aneurysms

目的探讨支架辅助弹簧圈栓塞颅内宽颈动脉瘤的方法和经验。方法回顾性分析采用支架辅助栓塞的颅内宽颈动脉瘤30例患者的临床资料、治疗过程及结果。结果所有动脉瘤均成功栓塞。术后即刻栓塞结果:完全栓塞20例,近全栓塞7例,部分栓塞3例。无术中动脉瘤破裂出血,术中发生血栓栓塞并发症1例,术后CT检查发现小面积脑梗死1例。出院时按改良的GOS评分进行评估,5分20例,4分6例,3分4例。结论支架辅助弹簧圈栓塞是宽颈动脉瘤栓塞治疗的一种安全、有效的手段。

Objective To evaluate the method and efficacy of stent-assisted coil embolization for intracranial wide-necked aneurysms.Methods The clinical data of 30 patients with intracranial wideneck aneurysms treated with stent-assisted coil embolization from June 2010 to November 2013 were analyzed retrospectively.Its safety and efficacy were evaluated.Results All aneurysms were embolized successfully.Complete occlusion was achieved in 20 patients,near-complete occlusion in 7 patients; and partial occlusion,in 3 patient.No intraoperative perforation of the aneurysm occurred.thromboembolic complication of parent artery developed in 1 patient.1 patient was found to be complicated with small area cerebral infarction by postoperative CT scan.20 patient discharge with score 5 by modified GOS scale,6 patients with score 4 and 4 patients with score 3.Conclusion The treatment of intracranial aneurysms with stent-assisted coil embolization is safe and effective.