Complex弹簧圈栓塞颅内分叶状动脉瘤34例临床分析

Efficacy of Complex coils in embolization of intracranial lobulated aneurysms: a clinical analysis of 34 cases

目的探讨Complex弹簧圈作为成篮圈栓塞颅内分叶状动脉瘤的治疗效果。方法回顾性分析2017年4月至2018年4月我科使用Complex弹簧圈作为成篮圈进行分叶状动脉瘤栓塞的34例患者资料,并对术中脑血管造影和随访结果进行探讨。结果依据Raymond分级标准,术中动脉瘤闭塞情况:RaymondⅠ级,27例(79.4%);RaymondⅡ级,5例(14.7%)。术后6个月造影复查共31例,未发现复发病例,动脉瘤闭塞情况:RaymondⅠ级,28例(90.3%);RaymondⅡ级,3例(9.7%)。围术期未发生与Complex弹簧圈相关的出血及缺血性并发症。结论 Complex弹簧圈在分叶状动脉瘤内成篮成功率高,栓塞程度致密,并发症未见增加。

Objective To evaluate the efficacy of Complex coils as the framing coils on the embolization of intracranial lobulated aneurysms. Methods From April 2017 to April 2018, 34 patients with lobulated aneurysms admitted in our neurosurgery department were enrolled in this study. They all underwent implantation of Complex coils as the framing coils, and their clinical data were collected and retrospectively analyzed. The results of intraoperative cerebral angiography and follow-up outcomes were discussed. Results According to the Raymond standard of aneurysm occlusion, grade Ⅰ occurred in 27 of 34 patients(79.4%), and grade Ⅱ in 5 patients(14.7%), in intraoperative assessment. In the 31 patients who were followed-up through digital subtraction angiography at 6 months after operation, no recurrence was found. In the assessment of aneurysm occlusion, Raymond grade Ⅰ was achieved in 28 patients(90.3%), and Raymond grade Ⅱ in 3 patients(9.7%). No complications associated with Complex coils were observed during perioperative period. Conclusion Complex coils achieves a high success rate as forming frame in the embolization of lobulated aneurysms, with no obvious increase in complications.