支架及球囊辅助弹簧圈栓塞治疗颅内宽颈动脉瘤

天津市环湖医院神经外科(天津300060)　佟小光　尚延国目的:探讨颅内宽颈动脉瘤的血管内治疗技术,评价支架及球囊辅助弹簧圈栓塞技术的安全性和有效性。方法:回顾16例宽颈动脉瘤病人的临床资料。对颅内支架及球囊辅助弹簧圈栓塞宽颈动脉瘤技术特点进行探讨,并通过血管造影对病人进行疗效随访观察,评价该技术的安全性和有效性。结果:16例宽颈动脉瘤病人均取得满意疗效,16例病人术后一年均进行DSA随访,动脉瘤无复发;远期疗效仍需长期随访结果。结论:支架及球囊辅助弹簧圈栓塞技术介入治疗颅内宽颈动脉瘤是一种简便、安全、有效的治疗技术。颅内动脉瘤/治疗　支架　颅内栓塞Thetreatmentsofintracranialwild-neckedaneurysmswithballoonorstentassistedcoilembolizationDepartmentofNeurosurgery,TianjinHuanhuHospital(Tianjing300060)　TongXiaoguang　ShangYango　　ABSTRACT　Objective:Tostudyanddiscussnewendovasculartreatmenttechniqueofintracranialwild-neckedaneurysmbyballoonandstentassistedcoilembolization,especiallyfocusingonitssafetyandrealiability.Methods:Toassessclinicalapplicationofballoonandstentassistedcoilembolizationbystudyingclinicdataof16patientswithwild-neckedaneurysmsrespectively.DiscussingthetechnicalfeaturesandComparingthefollowupangiographyresults.Results:16casesweretreatedbycoilembolizationassistedwithballoonandstentwithoutanycomplications.All16casesfollowedupwithDSAafteroneyearpostoperatively.Norecurrencehappenedandtotalocclusionofaneurysmswereachievedeventhroughonfurtherfollowed-updata.Conclusion:Theendovasculartreatmentofintracranialwild-neckedaneurysmwithballoonandstentassistedcoilembolizationissafeandeffective.KEYWORDSIntracranialaneurysm/therapyStentsIntracranialembdism,,[1],[2],,,1　一般资料　200652007516,7,9,4672,5316Hunt-Hess12;42　影响学资料　16,,:4m,21610mm;6;7;3169;7;3　血管内栓塞治疗　,,,,,X,3min,,,,,46220094384(neuroform),3100mg75mg(DSA),,;,Neuroform3.5mm4.5mm,10mm20mm,68mm,0.51mm,Transendneuroform,,,,neuroform,300mg75mg63DSA:(96%100%);(90%95%,);(90%,)12,4;,;6,11612DSA,,Remodeling,Moret[3],,;,,12min,(GDC),:;;,Remodeling,11,6Neuroform[4],:;;,,,,;!11,6,Remodeling,,[5],,Remodeling[6],:,,,,:;;,12DSA,[1]LubiczB,LeclercX,LevivierM,etal.Retractableself-expandablestentforendovasculartreatmentofwide-neckedintracranialaneurysms:preliminaryexperience.Neurosurgery,2006,58(3):451-457.[2]BrismanJL,SongJK.Treatmenoptionsforwide-neckedintracranialaneuryamsusingaself-expandablehydrophiliecoilandaself-expandablestentcombination.AJNR,2005,26:1237-1240.[3]MotetJ,CognardC,WeillA,etal.Theremodelingtechniqueinthetreatmentofwideneckintracranialaneurysms.InterventNeuroradiol,1997,3:21-35.[4]DoerflerA,BeckerW,WankeI,etal.Wndovasculartreatmentofcerebrovasculardisease.Curr-Opin-Neurol,2004,17(4):481-487.[5]CekirgeS,SaatciI.Advancedreconstructiveendovasculartechniquesforthetreatmentofcerebralaneurysms.Neurol-Res,2005,27(1):108-115.[6]MoretJ,PiotinM,SpelleL,etal.Liquidmaterial(Onyx)inaneurysmstreatment.The6thCongressofWorldFederationofIntercentionalandTherapeutic.Neuroradiology(WFITN),2001,9(3):54.(:2008-08-20)46320094384