LVIS支架辅助弹簧圈栓塞在颅内宽颈动脉瘤的应用
周磊;聂庆彬;杜世伟;徐祎;成思;李冬梅;毛更生
【期刊名称】《中国微侵袭神经外科杂志》 【年(卷),期】2017(022)005
【摘要】目的 探讨LVIS支架辅助弹簧圈栓塞在颅内宽颈动脉瘤的安全性及短期有效性.方法 回顾性分析使用LVIS支架辅助栓塞治疗的31例(共32个)颅内宽颈动脉瘤.根据Raymond分级、改良Rankin量表(mRS)评分及影像学随访结果 等评估临床应用价值.结果共放置LVIS支架34枚,均成功释放,其中LVIS支架20枚,LVIS Jr支架14枚.术中动脉瘤破裂2例,发生支架远端血栓2例,支架打开不良1例.在术后即刻造影中发现,动脉瘤完全栓塞者29个,瘤颈残留2个,瘤腔残留1个.所有病人术后随访3~12个月,未发现动脉瘤再破裂出血.结论 LVIS支架辅助弹簧圈栓塞颅内宽颈动脉瘤可行、安全,并且短期有效,但由于随访时间短,需要进一步研究来评价LVIS支架的长期有效性.%Objective To investigate the safety and short-term efficacy of LVIS (low profile visualized intraluminal support) stent-assisted coil embolization in wide-necked intracranial aneurysms. Methods The clinical data of 31 patients with 32 wide-necked intracranial aneurysms undergoing LVIS stent-assisted coil embolization were analyzed retrospectively. The clinical application was valued by Raymond classification, the modified Rankin scale (mRS) and imaging follow-up results. Results The 34 LVIS stents, including 20 LVIS stents and 14 LVIS Jr stents, were successfully inserted and released. During the procedure, aneurysm rupture occurred in 2
LVIS支架辅助弹簧圈栓塞在颅内宽颈动脉瘤的应用
