摘要
目的探讨血流导向支架Pipeline栓塞装置(PED)治疗颅内复杂动脉瘤的近期疗效和安全性。方法回顾性分析我院应用PED治疗5例颈内动脉瘤患者的临床资料及手术后近期疗效。结果 5例患者共5个动脉瘤,均成功置入PED,4例患者仅单纯置入PED治疗,1例患者置入PED后辅助弹簧圈栓塞治疗。治疗后即刻造影显示瘤腔内造影剂滞留。临床随访所有患者均未见并发症发生。PED治疗动脉瘤术后6个月和12个月动脉瘤的完全栓塞率分别为60%(3/5)和100%(5/5),且均无明显并发症发生,载瘤动脉及远端血管通畅。结论 PED治疗颅内复杂动脉瘤安全可行,近期疗效满意.远期疗效仍需进一步评价。
Objective To investigate the short-term efficacy and safety of blood flow-guided scaffold pipeline embolization device(PED) in the treatment of intracranial complex aneurysms. Methods The clinical data and the short-term efficacy after surgery of 5 patients with internal carotid artery aneurysm treated by PED in our hospital were retrospectively analyzed. Results 5 patients with 5 aneurysms were successfully implanted with PED. Four patients were treated with PED alone and one patient was treated with auxiliary coil embolization therapy after implanted with PED. Angiography immediately after treatment revealed intra-tumor contrast agent retention. No complications occurred during clinical follow-up of all patients. The complete embolization rates of the aneurysms at 6 and 12 months after operation were 60%(3/5) and 100%(5/5), respectively, and no significant complications occurred. Tumor carrier arteries and distal vascular were smooth. Conclusion PED is safe and feasible for the treatment of intracranial complex aneurysms. The short-term efficacy is satisfactory while the long-term efficacy still needs further evaluation.
出处
《中国现代医生》
2017年第25期19-21,25,169,共5页
China Modern Doctor
基金
江西省卫生计生委科技计划项目(20167034)
关键词
颅内复杂动脉瘤
血管内介入治疗
Pipeline栓塞装置
血流导向
近期疗效
Intracranial complex aneurysms
Intravascular interventional therapy
Pipeline embolization device
Blood flow guidance
Short-term effect
