[1]韦成聪、谢昌纪、周志宇、陈杰飞.LVIS支架辅助栓塞治疗颅内后循环动脉瘤的疗效[J].临床神经外科杂志,2019,16(04):406-409.[doi:10.13798/j.issn.1009-153X.2019.07.008]
 WEI Cheng-cong,XIE Chang-ji,ZHOU Zhi-yu,et al.Clinical effects of LVIS devices-assisted endovascular treatment on posterior circulation intracranial aneurysms[J].Journal of Clinical Neurosurgery,2019,16(04):406-409.[doi:10.13798/j.issn.1009-153X.2019.07.008]
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LVIS支架辅助栓塞治疗颅内后循环动脉瘤的疗效()
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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04期
页码:
406-409
栏目:
论著
出版日期:
2019-08-15

文章信息/Info

Title:
Clinical effects of LVIS devices-assisted endovascular treatment on posterior circulation intracranial aneurysms
文章编号:
1009-153X(2019)07-0406-04
作者:
韦成聪、谢昌纪、周志宇、陈杰飞
530001 南宁,广西壮族自治区民族医院神经外科
Author(s):
WEI Cheng-cong XIE Chang-ji ZHOU Zhi-yu CHEN Jie-fei.
Department of Neurosurgery, National Hospital of Guangxi Zhuang Autonomous Region, Nanning 530001, China
关键词:
颅内动脉瘤后循环LVIS支架预后
Keywords:
Posterior circulation Intracranial aneurysm LVIS stent Prognosis
分类号:
R 743.9; R 815.2
DOI:
10.13798/j.issn.1009-153X.2019.07.008
文献标志码:
A
摘要:
目的 探讨LVIS支架辅助栓塞治疗颅内后循环动脉瘤的安全性及有效性。方法 回顾性分析2015年9月至2018年5月采用LVIS支架辅助栓塞治疗的39例(40个动脉瘤)颅内后循环动脉瘤的临床资料。采用单支架27例(单支架组),双支架12例(双支架组)。结果 39例共使用LVIS支架51枚,其中40枚支架释放时一次性完全打开,10枚释放支架后采用导管导丝按摩技术后完全打开,1枚支架打开不完全。单支架组和双支架组围手术期并发症发生率(0% vs. 11.1%)无统计学差异(P>0.05)。术后即刻造影显示:单支架组和双支架组有效栓塞率(92.6% vs. 91.7%)无统计学差异(P>0.05)。术后6个月DSA复查:单支架组和双支架组动脉瘤完全闭塞率(77.7% vs. 75.0%)及复发率(7.4% vs. 8.3%)均无统计学差异(P>0.05)。术后6个月改良Rankin量表评分0分19例,1分15例,2分2例,3分3例。结论 LVIS支架辅助栓塞治疗颅内后循环颅内动脉瘤效果满意,短期影像学随访显示双支架辅助栓塞结果并不优于单支架组。
Abstract:
Objective To investigate the effects of low profile visualized intraluminal support (LVIS) stent-assisted endovascular treatment on the posterior circulation intracranial aneurysms and its safety. Methods The clinical data of 39 patients with 40 posterior circulation intracranial aneurysms treated with LVIS stent-assisted coil embolization from September, 2015 to May, 2018 were analyzed retrospectively. According to the number of used stents, the patients were divided into single stent group (n=27) and double stent group(n=12), and the curative effects were compared between both the groups. Results DSA immediately after the embolization showed that the effects of aneurysmal embolization achieved Raymond gradeⅠin 6 patients, Ⅱ in 19 and Ⅲ in 2 of the single sent group and Raymond grade I in 4, Ⅱ in 7 and Ⅲ in 1 of double sent group. The good rate (modified Rankin score 0~2 points) of the prognosis was 92.3% (36/39) and the rates of aneurysmal recurrence were 7.4% and 8.3% respectively in the single sent group and double sent group 6 months after the embolization. There was no significant difference in the rates of aneurymal recurrence between both the groups (P>0.05). Conclusions The effects of LVIS stent-assisted endovascular treatment on the posterior circulation intracranial aneurysms is satisfactory. The single stent-assisted embolization is similar to double sent-assisted embolization in the curative effects on the posterior circulation intracranial aneurysms.

参考文献/References:

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备注/Memo

备注/Memo:
(2019-01-26收稿,2019-03-28修回)基金项目:广西壮族自治区卫生厅自筹经费计划课题(Z2014178) 通讯作者:周志宇,E-mail: 1481748826@qq.com
更新日期/Last Update: 1900-01-01