[1]朱辰路,明智绪,冯进,等.LVIS支架在颈内动脉-后交通段动脉瘤中的应用[J].临床神经外科杂志,2019,16(1):45-53.[doi:10.3969/j.issn.1672-7770.2019.01.010]
 ZHU Chen-lu,MING Zhi-xu,FENG Jin,et al.Application of LVIS stents in treatment of carotid artery-posterior segment aneurysms[J].Journal of Clinical Neurosurgery,2019,16(1):45-53.[doi:10.3969/j.issn.1672-7770.2019.01.010]
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LVIS支架在颈内动脉-后交通段动脉瘤中的应用 ()
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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
16
期数:
2019年第1期
页码:
45-53
栏目:
论著
出版日期:
2019-02-18

文章信息/Info

Title:
Application of LVIS stents in treatment of carotid artery-posterior segment aneurysms
作者:
朱辰路明智绪冯进乔艳玲万定杨振兴黄德俊李宗正
750004 银川,宁夏医科大学总医院神经外科
Author(s):
ZHU Chen-lu MING Zhi-xuFENG Jinet al.
Department of Neurosurgery, General Hospital of Ningxia Medical University, Yinchuan 750004, China
关键词:
动脉瘤LVIS支架栓塞疗效
Keywords:
aneurysm LVIS stent embolism efficacy
分类号:
R739.4
DOI:
10.3969/j.issn.1672-7770.2019.01.010
文献标志码:
A
摘要:
目的探讨LVIS支架辅助弹簧圈栓塞术治疗颈内动脉后交通动脉瘤的可行性、安全性及效果。方法回顾性分析2014年7月—2017年12月,宁夏医科大学总医院神经外科收治的47例颈内动脉后交通动脉瘤患者的临床资料。共有动脉瘤51个,均行LVIS支架辅助栓塞或单纯LVIS支架贴覆术治疗。结果本组47例患者的动脉瘤均栓塞成功。术中支架完全释放者35例,近全释放者1例,半释放者11例;其中4枚微小动脉瘤(1.5 mm×1.2 mm~2.3 mm×2.1 mm)无法置入弹簧圈,进行单纯LVIS支架贴覆术。术后即刻Roymand分级,其中34枚完全栓塞,12枚近全栓塞,1枚部分栓塞(瘤腔内有少量造影剂显影)。患者于术后4个月—2年行颅脑DSA复查示,12例近全栓塞患者转变为完全栓塞,1例部分栓塞患者转变为近全栓塞,无复发的病例。结论采用LVIS支架辅助弹簧圈栓塞治疗颈内动脉后交通动脉瘤创伤小、安全性高、疗效好。
Abstract:
Abstract: ObjectiveTo explore the feasibility, safety and efficacy of LVIS stent-assisted coil embolization in the treatment of posterior carotid artery aneurysms. MethodsThe clinical data of 47 patients with 51 posterior communicating artery aneurysms treated by LVIS stent assisted embolization in General Hospital of Ningxia Medical University from July 2014 to December 2017 were analyzed retrospectively. ResultAll the 47 patients were discharged successfully. Of 47 patients,there were 35 of complete release of the stent, 1 of near total release and 11 cases of partial release. Immediate Roymand grading was performed, of which 34 cases were completely embolised, 12 were nearly complete embolization, and 1 had partial embolization(a small number of contrast agents were developed in the lumen cavity). The other four small aneurysms(2.5 mm×1.7 mm, 2.2 mm×1.5 mm, 1.5 mm×1.2 mm, 2.2 mm×2.1 mm) could not be placed in the spring coil, and the simple LVIS support was performed. In 47 patients, the DSA reexamination performed from 4 months to 2 years after surgery showed 12 cases of near-total embolism were converted to complete embolization and 1 case of partial embolization was converted to near-total embolization without recurrence. ConclusionLVIS stent is used for the treatment of posterior carotid artery aneurysms with low trauma, high safety and good efficacy.

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更新日期/Last Update: 2019-02-18