摘要
目的:探讨血管内支架结合电解可脱卸弹簧圈(GDC)治疗颅内宽颈动脉瘤的疗效、治疗护理要点、安全性及并发症的防治。方法:对明确诊断为颅内宽颈动脉瘤的20例患者行血管内支架结合电解可脱卸弹簧圈介入治疗。动脉瘤位置:前交通动脉瘤8例,后交通动脉瘤4例,颈内动脉海绵窦段动脉瘤3例,大脑中动脉瘤2例,基底动脉瘤2例,颈内动脉海绵窦段合并前交通动脉瘤1例。结果:20例患者均成功释放支架,患者全部治愈出院。其中17例致密栓塞,3例大部填塞。血管造影检查:动脉瘤不显影,载瘤动脉及邻近主要血管分支通畅,均无再出血或血栓栓塞等相关并发症。结论:血管内支架结合弹簧圈是治疗颅内宽颈动脉瘤安全、有效的方法,短期治疗效果肯定,正确的围手术期处理,可以提高手术的成功率,减少并发症。
Objective：To explore experience of endovascular stenting combined with coiling for intracranial wide-neck aneurysms and to investigate its safety and efficacy, essential points for treatment and nursing, prevent and treatment of complications. Methods： 20 patients with wide-neck intracranial aneurysms undergone endovascular procedures were reviewed, including 3 intracavernous sinus part of carotid artery aneurysms, 2 middle cerebral artery aneurysms, 2 basilar artery aneurysms, 1 intracavernous sinus carotid artery aneurysm combined with anterior communicating artery aneurysm. Results： All patients were clinically cured. The stents were deployed in 20 patients and total occlusion was obtained in 17 cases and, subtotally in 3 cases. In all cases DSA was repeated, which showed no recanalization in all patients and revealed patency of the parent arteries and main branches. No re-bleeding or thrombosis and other complications occurred. Conclusion： Endovascular therapy combined stent implantation and coil placement would be a valid and safe alteration for the treatment of wide-neck intracranial aneurysms. Short--term outcome was effective. Perioperative management is important for improving resection rate and reducing complications.
出处
《医学影像学杂志》
2011年第7期951-953,共3页
Journal of Medical Imaging
