《中国康复理论与实践》

《中国康复理论与实践》 ›› 2005, Vol. 11 ›› Issue (07): 533-534.

• 专题 • 上一篇    下一篇

Neuroform支架治疗颅内宽颈动脉瘤的初步结果

张静波; 吴中学; 王忠诚; 李佑祥; 姜除寒; 杨新健; 张友平; 姜鹏; 吕明; 尹可   

  1. 北京市神经外科研究所 北京市 100050
  • 收稿日期:2005-06-09 出版日期:2005-07-25 发布日期:2005-07-25

Neuroform Stent implantation for teatment of intracranial wide-necked aneurysms:preliminary outcome

ZHANG Jing-bo, WU Zhong-xue, WANG Zhong-cheng,et al   

  1. Beijing Neurosurgical Institute,Beijing 100050,China
  • Received:2005-06-09 Published:2005-07-25 Online:2005-07-25

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摘要： 目的探讨和总结应用Neuroform自膨式支架结合弹簧圈治疗颅内宽颈动脉瘤的技术与初步结果。方法回顾性分析32例颅内宽颈动脉瘤,瘤颈/瘤体为1/2～1/1,均采用Neuroform自膨式支架结合弹簧圈技术治疗。结果24例完全栓塞,8例大部分(>95%)栓塞。2例术后出现一过性脑缺血的表现。14例随访0.5～1年,有2例出现动脉瘤复发。结论在栓塞宽颈颅内动脉瘤时应用Neuroform自膨式支架结合弹簧圈技术,使弹簧圈无法突入载瘤动脉,提高了宽颈颅内动脉瘤的疗效。

关键词: 支架, 弹簧圈, 颈内动脉, 宽颈动脉瘤

Abstract: ObjectiveTo summarize the technique and preliminary outcome of Neuroform stent combined with Guglielmi detachable coil (GDC) to treat wide-necked intracranial aneurysms. Methods32 cases with aneurysms which underwent 32 endovascular procedures performed by using stent were retrospectively analyzed.The ratio of aneurysm neck/body is 1/2～1/1. Results24 aneurysms were completely occluded and other 8 were incompletely (>95%) occluded. Transient ischemia of cerebral occured in 2 cases. 14 aneurysms were followed up 0.5～1 year after. 2 aneurysms of them appeared neck remnant growth.ConclusionUsing Neuroform stent combined with GDC to treat wide-necked intracranial aneurysm may prevent the herniation of GDC into the artery and increase the outcome of wide-necked intacranial aneurysm.

Key words: stent, coil, intracranial artery, wide-necked aneurysm