《中国康复理论与实践》

《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (11): 1074-1075.

• 临床观察 • 上一篇    下一篇

支架结合弹簧圈栓塞大脑中动脉分叉部宽颈动脉瘤

张静波;李佑祥;吴中学;姜除寒;杨新健;张友平;姜鹏;吕明;贺红卫   

  1. 首都医科大学附属北京天坛医院，北京市神经外科研究所，北京市 100050
  • 收稿日期:2009-07-29 修回日期:2009-10-28 出版日期:2009-11-01 发布日期:2009-11-01
  • 通讯作者: 吴中学

Combined Stent and Coils for the Treatment of Middle Cerebral Artery Bifurcation Wide-necked Aneurysms: 15 Cases Report

ZHANG Jing-bo,LI You-xiang,WU Zhong-xue,et al   

  1. Beijing Neurosurgical Institute, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050， China
  • Received:2009-07-29 Revised:2009-10-28 Published:2009-11-01 Online:2009-11-01

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被引次数

4

摘要： 目的 总结应用支架结合弹簧圈栓塞大脑中动脉分叉部宽颈动脉瘤的技术。方法 回顾性分析15例大脑中动脉分叉部宽颈动脉瘤，均采用 Neuroform自膨式支架结合弹簧圈栓塞治疗。结果 11例完全栓塞，4例大部分（>95%）栓塞。1例术后出现一过性脑缺血表现。8例随访6～12个月，1例出现动脉瘤复发。结论 在栓塞大脑中动脉分叉部宽颈动脉瘤时应用Neuroform自膨式支架结合弹簧圈技术，保护了载瘤动脉，疗效满意。

关键词: 支架, 弹簧圈, 大脑中动脉, 宽颈, 动脉瘤, 栓塞, 血管内治疗

Abstract: Objective To summarize the technique of stent combined with coils to treat middle cerebral artery bifurcation wide-necked aneurysms. Methods 15 patients were reported. Results 11 of 15 aneurysms were completely occluded and 4 were incompletely (>95%) occluded. Transient ischemia of cerebral occurred in a case. 8 aneurysms were followed up for 6～12 months, 1 presented neck remnant growth. Conclusion It is satisfied to use the stent combined with coils to treat middle cerebral artery bifurcation wide-necked aneurysm, which may protect the parent artery.

Key words: stent, coil, middle cerebral artery bifurcation, wide-necked, aneurysm, embolization, endovascular therapy