LVIS支架辅助栓塞治疗颅内动脉瘤20例的临床分析

发布时间：2018-02-24 07:03

  本文关键词： LVIS支架 颅内动脉瘤 支架辅助栓塞　出处：《国际神经病学神经外科学杂志》2016年06期 　论文类型：期刊论文

【摘要】：目的探讨LVIS支架辅助栓塞颅内动脉瘤的安全性及有效性。方法选取应用LVIS支架辅助栓塞治疗20例患者的颅内动脉瘤20个。并对其临床资料、血管内治疗方法及效果进行回顾性分析,根据Raymond分级评价动脉瘤栓塞程度,改良Rankin量表(modified Rankin Scale,mRS)评估其预后效果。结果所有患者支架释放满意。术后即刻造影见Raymond分级Ⅰ级栓塞15例(75%),Ⅱ级栓塞4例(20%),Ⅲ级栓塞1例(5%)。经术后3~12月随访的18个动脉瘤中,均未见复发,其中16个动脉瘤影像学治愈(88.9%),2个瘤颈残留但稳定(11.1%)。在访的18位患者中15位预后良好(mRS:0-2分)。结论 LVIS支架辅助弹簧圈栓塞安全可行,可提高动脉瘤的栓塞率和降低复发率,远期临床效果还有待大样本随访和临床经验的总结。
[Abstract]:Objective to investigate the safety and efficacy of LVIS stent-assisted embolization of intracranial aneurysms. Methods 20 patients with intracranial aneurysms were treated with LVIS stent-assisted embolization. Methods and results of endovascular treatment were retrospectively analyzed, and the degree of embolization of aneurysms was evaluated according to Raymond classification. The modified Rankin scale was used to evaluate the prognosis. Results the stents were released satisfactorily in all patients. Immediately after operation, Raymond grade 鈪，

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