摘要
目的 评估应用新型颅内支架Solitaire结合弹簧圈治疗颅内动脉瘤的有效性和安全性,总结该支架的使用经验.方法 自2010年8月至2010年12月20例患者采用该支架辅助进行动脉瘤栓塞.通过手术前后影像学评价和患者出院时GOS评分,评估应用该支架的安全性和有效性.结果 所有支架均成功释放,手术成功率100%.总并发症发生率为15%,致死率为5%,手术相关并发症发生率5%.20例动脉瘤中,完全栓塞率65%,瘤颈残留率10%,不完全栓塞率25%.其中19例患者预后良好,GOS评分5分,1例患者死亡.结论 Solitaire支架在辅助治疗颅内动脉瘤方面是安全有效的.就其适用范围而言,该支架似乎更适合于直径2 mm以上的血管,其长期疗效仍需要进一步观察.
Objective To evaluate the safety and efficiency of Solitaire？ AB neurovascular remodeling device - assisted coil embolization for patients with wide - necked or complex aneurysms. Method From August 2010 to December 2010, the consecutive data were collected from 20 patients with aneurysms treated with comined stenting. All patients underwent clinical and angiographic follow - up after the initial treatment. Results Successful position of the remodeling device was obtained in all cases. There were three complications （ 15% ）, and only one complication （5% ） was attributed to the application of stent. One of the three patients was dead for hydrocephalus caused by cerebral hemorrhage during AVM embolization. One thromboembolic complication occurred after the stent was deployed. One ophthalmic artery occlusion occurred after coiling. The proportion of patients in whom Raymond class 1 occlusion was obtained was 65% （ n = 13）. Raymond class 2 occlusion was achieved in 10% （ n = 2） and Raymond class 3 occlusion in 25% （ n =5）. Nineteen patients left the hospital with a good clinical status. Conclusions The initial technical and clinical results of Solitaire？ AB device - assisted coiling of aneurysm are encouraging. But we suggest that it may be applied in the vessel which diameter is more than 2 mm. In addition,the long - term outcome of patients and experiences of using this device need further study.
出处
《中华神经外科杂志》
CSCD
北大核心
2011年第7期660-663,共4页
Chinese Journal of Neurosurgery
关键词
颅内动脉瘤
支架
介入治疗
栓塞
Intracranial aneurysm
Stent
Endovascular intervention
Coil
