本文選題：顱內動脈瘤　切入點：支架　出處：《介入放射學雜志》2015年04期

【摘要】：目的觀察Solitaire AB支架輔助彈簧圈栓塞治療顱內寬頸動脈瘤初中期效果。方法回顧性分析2009年至2012年期間采用Solitaire AB支架輔助彈簧圈栓塞治療的49例顱內寬頸動脈瘤患者49個動脈瘤,其中41例患者41個動脈瘤(26個破裂出血,15個未破裂)術后隨訪12~48個月,根據(jù)改良Rankin評分、DSA、CTA或MRA檢查評價顱內動脈瘤影像學及臨床結果。結果栓塞術后有2例動脈瘤再次破裂出血,3例腦梗死,1例載瘤動脈閉塞,死亡1例,并發(fā)癥發(fā)生率為14.2%。栓塞術后12個月DSA、MRA或CTA檢查顯示,32個動脈瘤(32/41,78.0%)完全栓塞,明顯高于術后即刻(21個,42.9%)(P=0.02);瘤頸殘留7個(17.1%),部分栓塞2個(4.9%),均較術后即刻有改善。24個動脈瘤(58.5%)穩(wěn)定而無變化,復發(fā)4個(9.7%)。末次隨訪時改良Rankin評分顯示0分18例(43.9%),1分10例(24.4%),2分5例(12.2%),3分4例(9.8%),4分2例(4.85%),5分2例(4.85%)�；颊呷粘；顒幽芰ψ岳砺蕿�80.5%,預后良好。結論 Solitaire AB支架輔助彈簧圈栓塞治療顱內寬頸動脈瘤安全有效,有助于提高完全栓塞率,降低操作相關并發(fā)癥。
[Abstract]:Objective to observe the effect of Solitaire AB stent assisted coils embolization for intracranial wide carotid aneurysms.Methods 49 patients with intracranial wide-necked aneurysms treated with Solitaire AB stent-assisted coils from 2009 to 2012 were retrospectively analyzed.Forty-one aneurysms (26 ruptured bleeding, 15 unruptured aneurysms) were followed up for 12 ~ 48 months. The imaging and clinical results of intracranial aneurysms were evaluated by modified Rankin score and DSA-CTA or MRA.Results after embolization, there were 2 cases of ruptured aneurysm and 3 cases of cerebral infarction. One case died and the complication rate was 14.2%.鏍撳鏈悗12涓湀DSA,MRA鎴朇TA媯，

本文編號：1702537