[1]徐德才 李健 张弢 娄飞云 姜之全**.闭环支架半释放技术在颅内宽颈动脉瘤血管内介入治疗中的应用[J].中国微创外科杂志,2023,01(5):341-346.
　Xu Decai,Li Jian,Zhang Tao,et al.Semijailing Technique Using Closedcell Stent for Coiling of Widenecked Intracranial Aneurysms[J].Chinese Journal of Minimally Invasive Surgery,2023,01(5):341-346.
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闭环支架半释放技术在颅内宽颈动脉瘤血管内介入治疗中的应用()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2023年5期
页码:
341-346
栏目:
临床研究
出版日期:
2023-05-25

文章信息/Info

Title:
Semijailing Technique Using Closedcell Stent for Coiling of Widenecked Intracranial Aneurysms
作者:
徐德才 李健 张弢 娄飞云 姜之全**
(蚌埠医学院第一附属医院神经外科，蚌埠233000)
Author(s):
Xu Decai;  Li Jian;  Zhang Tao;  et al.
Department of Neurosurgery, First Affiliated Hospital of Bengbu Medical College, Bengbu 233000, China
关键词:
动脉瘤; 弹簧圈; 支架辅助; 栓塞
Keywords:
Aneurysm; Coil; Stentassisted; Embolization
文献标志码:
A
摘要:
目的探讨闭环支架半释放技术在弹簧圈栓塞颅内宽颈动脉瘤治疗中的安全性和有效性。方法回顾性分析2019年12月~2021年1月采用闭环支架半释放技术辅助弹簧圈栓塞治疗37例颅内宽颈动脉瘤的临床和影像学资料。共40个动脉瘤，其中破裂动脉瘤21个，未破裂19个。结果16个动脉瘤使用LVIS支架，24个动脉瘤使用Enterprise或Enterprise2支架。技术成功率100%(40/40)。术中支架内血栓形成发生率8.1%(3/37)。术后即刻DSA显示Raymond Ⅰ级32个，Ⅱ级5个，Ⅲ级3个。出院时改良Rankin量表(modified Rankin Scale，mRS)评分0分32例，1分2例，2分3例。37例随访时间6~19个月，平均9.6月。出院后3个月mRS 0分33例，1分2例，2分2例。末次DSA显示Raymond Ⅰ级31个，Ⅱ级6个，Ⅲ级3个。31个动脉瘤治愈，7个动脉瘤稳定，2个动脉瘤复发。结论闭环支架半释放技术在颅内宽颈动脉瘤的血管内介入治疗中安全有效。
Abstract:
ObjectiveTo evaluate the safety and efficacy of semijailing technique using closedcell stent for coiling of widenecked intracranial aneurysms.MethodsA retrospective review of 37 patients with widenecked intracranial aneurysms from December 2019 to January 2021 were enrolled. There were a total of 40 aneurysms, including 21 ruptured aneurysms and 19 unruptured ones.ResultsThe LVIS stents were used in 16 aneurysms and the Enterprise/Enterprise2 stents were used in 24 aneurysms. The technical success rate was 100% (40/40). The incidence of intraoperative instent thrombosis was 8.1% (3/37). Immediate postoperative DSA showed 32 aneurysms of Raymond Grade Ⅰ, 5 aneurysms of grade Ⅱ and 3 aneurysms of grade Ⅲ. At discharge, the modified Rankin Scale (mRS) was 0 in 32 cases, 1 in 2 cases, and 2 in 3 cases. All the 37 cases were followed up for 6-19 months (mean, 9.6 months). At three months after discharge, the mRS was 0 in 33 cases, 1 in 2 cases, and 2 in 2 cases. The last DSA showed Raymond class Ⅰ in 31 aneurysms, Raymond class Ⅱ in 6 aneurysms and Raymond class Ⅲ in 3 aneurysms. A total of 31 aneurysms were cured, 7 aneurysms were stable, and 2 aneurysms recurred.ConclusionSemijailing technique is safe and effective for coiling of widenecked intracranial aneurysms.

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备注/Memo

备注/Memo:
基金项目：蚌埠医学院重点科技项目(2020byzd161)**通讯作者，Email：bbjiangzhq@163.com
更新日期/Last Update: 2023-08-10