摘要
目的探讨支架辅助弹簧圈治疗复杂颅内动脉瘤疗效、并发症及其应用价值。方法 32例患者,共37枚动脉瘤,采用血管内支架辅助弹簧圈栓塞治疗。结果支架辅助弹簧圈治疗32例患者37个动脉瘤,术中栓塞完成后立即DSA检查显示:完全栓塞19例(59.38%),次全栓塞7例(21.88%),不完全栓塞6例(18.75%);术中出现并发症者5例(15.63%),血管痉挛者2例(6.25%),支架轻微移位、塌陷者1例(3.13%),弹簧圈脱逸者1例(3.13%),脑栓塞1例(3.13%)。术后随访3个月～1年,全部随访。格拉斯预后评估:5分22例(68.75%),4分8例(25.00%),3分2例(6.25%)。结论对于颅内巨大动脉瘤、宽颈动脉瘤、夹层动脉瘤、梭形动脉瘤等可采用支架辅助栓塞,疗效明确,并发症少。
Objective To discuss efficacy of endovascular stent combined with coil to treat in complicated intracranial aneurysms, complications and clinical application valuer.Methods All 32 patients with 37 aneurysms wered embolized by spring coil in the help of the stent.Results All 32 patients with 37 aneurysms wered embolized by Spring coil in the help of the stent.DSA images after endovascular embolization display that 19 cases were completely embolized, 7 patients were done less more completely, the rests were not done completely.There were 4 patients with complication, vasospasm appeard in 2 of the patients, slight shift and collapse of stent arose in one, and escape of stent emerged, cerebral embolism occurred in one. Follow-up of 3 months to 6 years, by glasgow outcome scale, scales of 22 patients were five, it of 8 were four, it of 2 were three. Conclusion Endovascular embolization of spring coil in the help of stent is applied in great aneurysm, wide neck aneurysm, dissecting aneurysm, fusiform aneurysm,at al. it is efficacy and its complications is less.
出处
《当代医学》
2012年第34期6-7,共2页
Contemporary Medicine
关键词
颅内复杂动脉瘤
血管内栓塞治疗
支架
弹簧圈
Complicated intracranial aneurysm
Endovascular embolization
Stent
Spring coil
