实用医学杂志Issue(9)：1418-1420,3.DOI:10.3969/j.issn.1006-5725.2015.09.010
支架辅助弹簧圈治疗未破裂椎动脉夹层动脉瘤的疗效分析
Stent-assisted coiling for unruptured vertebral dissecting aneurysm
摘要
Abstract
Objective To evaluate the efficacy of stent-assisted coiling in the treatment of unruptured vertebral dissecting aneurysm. Methods We retrospectively reviewed 59 consecutive patients with unruptured vertebral dissecting aneurysms that underwent endovascular treatment. 31 patients received single stent-assisted coiling, 28 patients received multiple stent-assisted coiling. Results Clinical outcome was favorable in 56 of the 59 patients, the modified Rankin Scale score had no difference in both groups (P = 0.24). The immediate obliteration grade in multiple-stent group was higher than that in single-stent group (75.0% vs. 41.9%, P=0.010). What′s more, the recurrence rate was lower in multiple-stent group (0% vs. 19.4%, P = 0.043). Conclusions Stent-assisted coiling in the treatment of unruptured vertebral dissecting aneurysm is safe and effective , multilayer disposition of stents with coils will decrease the complications and facilitate the aneurysmal occlusion. Larger , prospective studies are necessary to explore the long-term outcomes of reconstruction therapy.关键词
动脉瘤, 夹层/未破裂椎动脉夹层动脉瘤/支架辅助栓塞术/复发/预后Key words
Aneurysm, dissecting/Unruptured vertebral dissecting aneurysm/Stent-assisted coiling/Recurrence/Outcome引用本文复制引用
李辉,李西锋,何旭英,段传志,张炘,刘彦超,朱国辉..支架辅助弹簧圈治疗未破裂椎动脉夹层动脉瘤的疗效分析[J].实用医学杂志,2015,(9):1418-1420,3.基金项目
国家自然科学基金项目（编号81271315）；广东省科技计划项目 （）
