血管内多支架套叠伴或不伴弹簧圈栓塞重建治疗椎基底动
脉梭形动脉瘤
祁鹏;王大明;刘加春;王利军;陆军
【期刊名称】《中华外科杂志》 【年(卷),期】2016(054)005
【摘要】Objective To explore the feasibility,safety and efficacy of endovascular reconstructive treatment by multiple overlapping stents with or without coils.Methods Totally 17 patients of vertebrobasilar fusiform aneurysms treated by multiple overlapping stents with or without coils between September 2011 and September 2015 in Department of Neurosurgery,Beijing Hospital were retrospectively reviewed.There were 15 male and 2 female patients with mean age of (47 ± 13) years.Clinical manifestations included subarachnoid hemorrhage in 5 patients,cerebral ischemia or infarction in the posterior circulation in 5 patients,mass effect accompanied with brainstem infarction in 1 patients,headache or dizziness in 4,and incidental findings in 2 patients.Aneurysm located in intracranial vertebral artery in 11 patients,vertebrobasilar junction in 2 patients,and basilar trunk in 4 patients.Mean aneurysmal size was 18.5 mm × 8.0 mm (length × width).Results Sole stenting with overlapping stents was performed in 8 patients,and overlapping stents with coils was applied in 9 patients.Post-procedural hemorrhage occurred in a patient with a giant
血管内多支架套叠伴或不伴弹簧圈栓塞重建治疗椎基底动脉梭形动脉瘤
