南方医科大学学报2016，Vol.36Issue(8)：1165-1168,4.DOI:10.3969/j.issn.1673-4254.2016.08.27
Willis覆膜支架治疗颈内动脉血泡样动脉瘤的临床效果
Efficacy and safety of Willis covered stent for treatment of blood blister-like aneurysm
摘要
Abstract
Objective To evaluate the safety and short-term efficacy of Willis covered stent for treatment of blood blister-like aneurysms (BBA). Methods Eight patients with BBA were treated with Willis covered stent system during the period from December 2014 to February 2016. The guiding catheter was placed as high as possible to facilitate the delivery of the covered stent system. Results Nine covered stents were implanted in the aneurysms of 8 patients (8 aneurysms), and 8 stents were released successfully in the parent arteries. In 6 patients, angiography immediately after stent release showed complete disappearance of the aneurysm and the parent arteries remained patent. One patient experienced a minor endoleak after stent implantation, and another stent was implanted to eliminate the endoleak. Iatrogeniccarotid-cavernous fistula occurred in 1 patient due to tortuosity of the parent artery, for which superficial temporal artery-to-middle cerebral artery bypass combined with parent artery occlusion was performed instead; the patient recovered smoothly and the bypass remained patent at 6 months after the operation. No other periprocedural complications occurred in these patients. Follow-up study showed no new-onset neurological deficits in these 8 patients, who had mRS score of 0 in 6 patients and of 1 in 2 patients. Digital subtractive angiography at 6 months after the operation demonstrated no aneurysm in these patients, and only one patient showed mild stenosis in the parent artery. Conclusion Willis covered stents are effective for treatment of BBA with good safety and short-term outcomes.关键词
颈内动脉血泡样动脉瘤/Willis覆膜支架/介入治疗Key words
blood blister-like aneurysms/Willis covered stents/endovascular therapy引用本文复制引用
王刚,张国忠,李明洲,何小艳,刘丹,宋烨,漆松涛,冯文峰..Willis覆膜支架治疗颈内动脉血泡样动脉瘤的临床效果[J].南方医科大学学报,2016,36(8):1165-1168,4.基金项目
广东省医学科研基金 （）
