双支架重叠技术治疗未破裂椎基底动脉夹层动脉瘤的近期疗效分析

Effect of double stent overlapping technique on unruptured vertebral basilar artery dissecting aneurysm

目的探讨双支架重叠技术治疗未破裂椎基底动脉夹层动脉瘤的可行性及治疗效果。方法分析衡水市第四人民医院神经外科采用双支架重叠技术治疗的12例未破裂椎基底动脉夹层动脉瘤患者的临床资料。结果所有支架成功释放,位置满意。术后即刻数字减影血管造影(DSA)复查未见支架部位血栓形成及急性闭塞。所有患者DSA随访6~12个月,夹层动脉瘤完全闭塞治愈9例、夹层动脉瘤缩小2例、无明显变化1例。所有患者无围手术期出血或缺血并发症,随访期间未见载瘤动脉内膜过度增生及狭窄并发症。结论双支架重叠技术是治疗未破裂椎基底动脉夹层动脉瘤的有效方法。

Objective To explore the feasibility of double stent overlapping in the treatment of unruptured vertebral basilar artery dissecting aneurysms.Methods The clinical data of 12 patients with unruptured vertebral basilar artery dissecting aneurysm treated by double stent overlap technique in neurosurgery of Hengshui the NO.4 People's Hospital were retrospectively analyzed.Results All scaffolds were successfully released and the position was satisfactory.After operation,Immediate DSA examination showed no thrombosis and acute occlusion were found.All patients DSA followed up for 6-12 months,9 patients were cured with complete occlusion of dissection aneurysm,2 patients with dissection aneurysm were reduced,and 1 patient had no obvious change.All patients had a good prognosis,no perioperative bleeding or ischemic complications,and no hyperplastic and stenosis complications were found during follow-up.Conclusion Double stent overlap is an effective method for the treatment of unruptured vertebral basilar artery dissecting aneurysms.