Tubridge血流导向装置治疗支架辅助栓塞后复发性颈内动脉血泡样动脉瘤

Tubridge flow diverter for the treatment of recurrent internal carotid blood blister-like aneurysms after stent-assisted embolization

目的探讨使用Tubridge血流导向装置治疗支架辅助栓塞后复发性颈内动脉血泡样动脉瘤的安全性及有效性。方法回顾性连续纳入2018年6月至2021年4月期间海军军医大学附属长海医院神经外科采用Tubridge血流导向装置治疗的复发性颈内动脉血泡样动脉瘤患者,分析围手术期安全性、术后即刻及随访结果。结果共纳入6例既往支架辅助弹簧圈栓塞后复发的颈内动脉血泡样动脉瘤患者。首次支架辅助栓塞治疗至置入Tubridge的时间间隔为14~90 d。4例患者采用单纯Tubridge置入,另外2例填塞弹簧圈后再置入Tubridge。围手术期无并发症,临床随访5~36个月,无再出血。5例患者接受血管造影随访1~3个月,动脉瘤均完全消失。结论Tubridge血流导向装置治疗复发性血泡样动脉瘤安全且有效。

Objective To investigate the safety and efficacy of Tubridge flow diverter for the treatment of recurrent internal carotid blood blister-like aneurysms after stent-assisted embolization.Methods From June 2018 to April 2021,patients with recurrent internal carotid blood blister-like aneurysms treated with Tubridge flow diverter in the Department of Neurosurgery,Changhai Hospital,Naval Medical University were enrolled retrospectively.The perioperative safety,immediate postoperative and follow-up results were analyzed.Results A total of 6 patients with recurrent internal carotid blood blister-like aneurysm after stent-assisted embolization were enrolled.The time interval from the first stent-assisted embolization to Tubridge placement was 14 to 90 d.Tubridge implantation alone was used in 4 patients,and Tubridge was implanted in the other 2 patients after the coils were packed.There were no complications during the perioperative period,and no rebleeding was observed after clinical follow-up for 5 to 36 months.Five patients were followed up by angiography for 1-3 months,and the aneurysms disappeared completely.Conclusion Tubridge flow diverter for the treatment of recurrent internal carotid blood blister-like aneurysms is safe and effective.