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LVIS支架在颈内动脉-后交通段动脉瘤中的应用

朱辰路 明智绪 冯进 乔艳玲 万定 杨振兴 黄德俊 李宗正

临床神经外科杂志2019,Vol.16Issue(1):45-48,53,5.
临床神经外科杂志2019,Vol.16Issue(1):45-48,53,5.DOI:10.3969/j.issn.1672-7770.2019.01.010

LVIS支架在颈内动脉-后交通段动脉瘤中的应用

Application of LVIS stents in treatment of carotid artery-posterior segment aneurysms

朱辰路 1明智绪 1冯进 1乔艳玲 1万定 1杨振兴 1黄德俊 1李宗正1

作者信息

  • 1. 宁夏医科大学总医院神经外科, 750004 银川
  • 折叠

摘要

Abstract

Objective To explore the feasibility, safety and efficacy of LVIS stent-assisted coil embolization in the treatment of posterior carotid artery aneurysms. Methods The clinical data of 47 patients with 51 posterior communicating artery aneurysms treated by LVIS stent assisted embolization in General Hospital of Ningxia Medical University from July 2014 to December 2017 were analyzed retrospectively. Result All the 47 patients were discharged successfully. Of 47 patients, there were 35 of complete release of the stent, 1 of near total release and 11 cases of partial release. Immediate Roymand grading was performed, of which 34 cases were completely embolised, 12 were nearly complete embolization, and 1 had partial embolization (a small number of contrast agents were developed in the lumen cavity). The other four small aneurysms (2. 5 mm × 1. 7 mm, 2. 2 mm × 1. 5 mm, 1. 5 mm × 1. 2 mm, 2. 2 mm × 2. 1 mm) could not be placed in the spring coil, and the simple LVIS support was performed. In 47 patients, the DSA reexamination performed from 4 months to 2 years after surgery showed 12 cases of near-total embolism were converted to complete embolization and 1 case of partial embolization was converted to near-total embolization without recurrence. Conclusion LVIS stent is used for the treatment of posterior carotid artery aneurysms with low trauma, high safety and good efficacy.

关键词

动脉瘤/LVIS支架/栓塞疗效

Key words

aneurysm/LVIS stent/embolism efficacy

分类

医药卫生

引用本文复制引用

朱辰路,明智绪,冯进,乔艳玲,万定,杨振兴,黄德俊,李宗正..LVIS支架在颈内动脉-后交通段动脉瘤中的应用[J].临床神经外科杂志,2019,16(1):45-48,53,5.

基金项目

宁夏医科大学科学研究基金资助一般项目 (XN2016075) (XN2016075)

临床神经外科杂志

OACSTPCD

1672-7770

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