山东医药2017，Vol.57Issue(11)：1-3,3.DOI:10.3969/j.issn.1002-266X.2017.11.001
LVIS支架置入辅助弹簧圈栓塞治疗颅内宽颈动脉瘤
LVIS stents assisted coil embolization in treatment of intracranial wide-necked aneurysms
摘要
Abstract
Objective To investigate the curative effect of LVIS stents assisted coil embolization in treatment of intracranial wide-necked aneurysms, and to summarize the experience of operation.Methods Fifty-three patients (62 aneurysms) with intracranial wide-necked aneurysms treated with LVIS stents assisted coil embolization were retrospectively analyzed.Results Sixty-two aneurysms were embolized successfully.Raymond classification right after the surgery hinted grade Ⅰ in 42 aneurysms (68%), grade Ⅱ in 16 aneurysms (26%), and grade Ⅲ in 4 aneurysms (6%).In total, initial complete and near-complete obliteration were achieved in 94%.Intraoperative LVIS stents were completely open in 56 cases, not completely open in 6 cases.Perioperative complications occurred in 3 patients.The incidence of complications in LVIS stents opened incompletely was higher than the LVIS stents opened completely, P=0.015.The patients were followed up for 6 months, mRS scored 0 in 49 cases, scored 1 in 2 cases, scored 2 in 1 case, scored 3 in 1 case, and in total the favorable rate was 98%.Three aneurysms recurred, no case recurred in Class Ⅰ group, 2 cases recurred in Class Ⅱ group and 1 case recurred in Class Ⅲ group.Conclusion The LVIS stents assisted coil embolization in treatment of intracranial wide-necked aneurysms is safe and effective.The open degree of intraoperative LVIS stents is directly related to the postoperative complications and prognosis.关键词
颅内动脉瘤/宽颈动脉瘤/LVIS支架/弹簧圈栓塞术Key words
intracranial aneurysms/wide-necked aneurysms/LVIS stents/coil embolization分类
医药卫生引用本文复制引用
冀方愿,宋英,杨新健..LVIS支架置入辅助弹簧圈栓塞治疗颅内宽颈动脉瘤[J].山东医药,2017,57(11):1-3,3.基金项目
国家重点研发计划项目(2016YFC1300800) （2016YFC1300800）
国家自然科学基金资助项目(81301003,81371315,81471167,81220108007) （81301003,81371315,81471167,81220108007）
首都卫生发展科研专项项目(2014-1-1071). （2014-1-1071）
