颅内动脉瘤LVIS支架辅助栓塞后中长期随访分析

Effects and safety of LVIS stent-assisted embolization of intracranial aneurysms: a long-term follow-up study

目的探讨LVIS支架辅助弹簧圈栓塞治疗颅内动脉瘤中长期的安全性、有效性。方法回顾性分析2014~2017年采用LVIS支架辅助弹簧圈栓塞的108例(116枚动脉瘤)颅内动脉瘤的临床资料。随访时间为6~30个月,平均(14.3±5.4)个月。结果栓塞后即刻造影显示均达到致密栓塞。栓塞后6个月,mRS评分0~2分,且无新发神经功能退化或出血死亡病例;DSA复查显示栓塞良好、动脉瘤稳定110枚(94.8%),有血栓栓塞(血管狭窄)并发症6枚(5.17%),且无神经功能缺陷症状,仅影像检查与术后即刻造影对比有狭窄,无再次出血、无复发需再次手术病例。结论 LVIS支架辅助弹簧圈栓塞治疗颅内动脉瘤有着良好的中长期安全性、有效性。

Objective To explore the long-term safety and effectiveness of LVIS stent-assisted embolization coiling of intracranial aneurysms.Methods The clinical data of 108 patients with 116 intracranial aneurysms which were treated by LVIS-assisted embolization from 2014 to 2017 were analyzed retrospectively.All the patients were followed up from 6 to 30 months[mean,(14.3±5.4)months]after the embolization.Results No patients had the rupture or the recurrence of the aneurysms and no patient died during the following-up.Of 116 aneurysms,110(94.8%)were embolized well and 6 not.There was cerebrovascular stenosis in 6(5.17%)cases.Modified Rankin Scale Scores ranged from 0 to 2 points in all the patients.Conclusion LVIS stent-assisted embolization is a safe and effective method to treat intracranial aneurysms.