本文選題：顱內(nèi)動(dòng)脈瘤　切入點(diǎn)：支架　出處：《介入放射學(xué)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(nèi)寬頸動(dòng)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(nèi)寬頸動(dòng)脈瘤患者49個(gè)動(dòng)脈瘤,其中41例患者41個(gè)動(dòng)脈瘤(26個(gè)破裂出血,15個(gè)未破裂)術(shù)后隨訪12~48個(gè)月,根據(jù)改良Rankin評(píng)分、DSA、CTA或MRA檢查評(píng)價(jià)顱內(nèi)動(dòng)脈瘤影像學(xué)及臨床結(jié)果。結(jié)果栓塞術(shù)后有2例動(dòng)脈瘤再次破裂出血,3例腦梗死,1例載瘤動(dòng)脈閉塞,死亡1例,并發(fā)癥發(fā)生率為14.2%。栓塞術(shù)后12個(gè)月DSA、MRA或CTA檢查顯示,32個(gè)動(dòng)脈瘤(32/41,78.0%)完全栓塞,明顯高于術(shù)后即刻(21個(gè),42.9%)(P=0.02);瘤頸殘留7個(gè)(17.1%),部分栓塞2個(gè)(4.9%),均較術(shù)后即刻有改善。24個(gè)動(dòng)脈瘤(58.5%)穩(wěn)定而無變化,復(fù)發(fā)4個(gè)(9.7%)。末次隨訪時(shí)改良Rankin評(píng)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�(dòng)能力自理率為80.5%,預(yù)后良好。結(jié)論 Solitaire AB支架輔助彈簧圈栓塞治療顱內(nèi)寬頸動(dòng)脈瘤安全有效,有助于提高完全栓塞率,降低操作相關(guān)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(hào)：1702537