LVIS支架治疗颅内小血管动脉瘤的疗效分析

发布时间：2019-01-25 07:50

【摘要】：目的 探讨在颅内血管直径2.5 mm的动脉中使用LVIS支架辅助栓塞治疗颅内动脉瘤的安全性及有效性。方法 回顾性分析2014年10月至2016年4月于第二军医大学附属长海医院使用LVIS支架辅助栓塞并且载瘤动脉直径2.5 mm的所有颅内囊状动脉瘤30例患者的临床资料,其中破裂动脉瘤7例,未破裂动脉瘤23例;前循环占93.3%(28例),载瘤动脉直径为1.6~2.4 mm,平均(2.1±0.2)mm。分析与手术相关的并发症、DSA及临床结果和4~14个月随访数据。结果 LVIS支架的置入技术成功率为100%;即刻栓塞结果:RaymondⅠ级12例(40.0%),RaymondⅡ级11例(36.7%),RaymondⅢ级7例(23.3%)。2例发生并发症,包括穿支动脉闭塞和术中破裂各1例。25例患者接受DSA随访(RaymondⅠ级21例,Ⅱ级3例、Ⅲ级1例),平均随访时间为(8.1±2.6)个月。1例患者发生支架远端的无症状载瘤动脉狭窄,无一例出现新的神经功能障碍或死亡。结论 在小血管中使用LVIS支架辅助栓塞治疗颅内动脉瘤是安全可行的,中期随访效果较好。但需要更大样本的研究及长期随访结果。
[Abstract]:Objective to evaluate the safety and efficacy of LVIS stent in the treatment of intracranial aneurysms with a diameter of 2. 5 mm. Methods from October 2014 to April 2016, 30 patients with intracranial saccular aneurysms who were treated with LVIS stent-assisted embolization with 2.5 mm diameter of aneurysm in Changhai Hospital affiliated to the second military Medical University were retrospectively analyzed. There were 7 ruptured aneurysms and 23 unruptured aneurysms. The anterior circulation accounted for 93.3% (28 cases), and the diameter of aneurysm carrying artery was 1.6?. 4 mm,. The average was (2. 1 卤0. 2) mm.. The complications, DSA, clinical results and follow-up data of 4 ~ 14 months were analyzed. Results the success rate of LVIS stent implantation was 100%. The results of immediate embolization were as follows: 12 cases (40.0%, 40.0%, 40.0%,), Raymond 鈪，

本文编号：2414945