Solitaire AB支架辅助栓塞颅内动脉瘤临床随访研究

发布时间：2018-04-02 23:14

  本文选题：颅内动脉瘤　切入点：支架　出处：《介入放射学杂志》2015年04期

【摘要】：目的观察Solitaire AB支架辅助弹簧圈栓塞治疗颅内宽颈动脉瘤初中期效果。方法回顾性分析2009年至2012年期间采用Solitaire AB支架辅助弹簧圈栓塞治疗的49例颅内宽颈动脉瘤患者49个动脉瘤,其中41例患者41个动脉瘤(26个破裂出血,15个未破裂)术后随访12~48个月,根据改良Rankin评分、DSA、CTA或MRA检查评价颅内动脉瘤影像学及临床结果。结果栓塞术后有2例动脉瘤再次破裂出血,3例脑梗死,1例载瘤动脉闭塞,死亡1例,并发症发生率为14.2%。栓塞术后12个月DSA、MRA或CTA检查显示,32个动脉瘤(32/41,78.0%)完全栓塞,明显高于术后即刻(21个,42.9%)(P=0.02);瘤颈残留7个(17.1%),部分栓塞2个(4.9%),均较术后即刻有改善。24个动脉瘤(58.5%)稳定而无变化,复发4个(9.7%)。末次随访时改良Rankin评分显示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%)。患者日常活动能力自理率为80.5%,预后良好。结论 Solitaire AB支架辅助弹簧圈栓塞治疗颅内宽颈动脉瘤安全有效,有助于提高完全栓塞率,降低操作相关并发症。
[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�炴湳鍚�12涓�鏈圖SA,MRA鎴朇TA妫，

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