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支架结合弹簧圈治疗颅内大型动脉瘤的初步探讨合弹簧圈治疗颅内大型动脉瘤的初步探讨
作者:李旭 傅继东 王永照 王韶光 仲雷 李磊 
单位: 
关键词:颅内动脉瘤  支架  栓塞  治疗性 
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出版年,卷(期):页码:2011,18(3):159-161
摘要:

摘要:目的 分析颅内支架辅助弹簧圈栓塞治疗颅内大型动脉瘤疗效。方法 回顾性分析采用颅内支架
结合弹簧圈治疗12 例颅内大型动脉瘤患者的临床资料。应用支架包括Neuroform 4 枚和Enterprise 8 枚。结
果 12 枚支架均成功释放,所有支架辅助弹簧圈栓塞术后即刻造影,其中动脉瘤获致密栓塞9 例,瘤颈残留1
例,瘤体显影2 例。出院时改良Rankin 量表(mRS)评分0 ~ 2 分9 例,3 ~ 4 分2 例,5 分1 例。术后6 个月随访
复查造影11 例,其中动脉瘤获致密栓塞8 例,均未见复发;瘤颈残留1 例,术后6 ~ 12 个月复查示瘤颈显影明显
减淡;瘤体显影2 例,术后12 个月复查示瘤腔消失。结论 支架辅助弹簧圈栓塞颅内大型动脉瘤能保持载瘤动
脉通畅,动脉瘤栓塞致密,安全有效。

Combined treatment of stent and coils for large intracranial aneurysms  L I X u倡, FU Ji‐dong ,W A NG Yongz
hao , W A NG Zhao‐guang , ZHONG Lei , L I Lei . 倡Dep artment o f Neurosurgery , Peop le’ s Hospital o f
Longkou‐City o f Shandong , Longkou Shandong 265701 , China
Corresponding author :LI Xu , Email : lixu23@ yahoo畅com畅cn
  ABSTRACT : Objective  To preliminarily evaluate the efficacy and safety of combined stent and coil
treatment for large intracranial aneurysms .Methods  The clinical data of 12 patients with 12 large intracranial
aneurysms and treated with combined stent and coils were analyzed retrospectively . Twelve stents were used ,
including 4 neuroform and 8 enterprise .Results  All the stents were successfully deployed .Of all the aneurysms
treated with stent in combination with coils ,the aneurysms were completely obliterated in 9 cases ,aneurysm neck
residual was present in 1 case and tumor was visualized in 2 cases .The modified Rankin Scale (mRS) score at
discharge was 0‐2 in 9 patients ,3‐4 in 2 and 5 in 1 .Eleven cases had been followed up for 6‐12 months .The
follow‐up angiogram did not show recanalization in 8 aneurysms , 1 aneurysm neck residual with contrasted
stagnation had improved and two partly visual aneurysm disappeared .Conclusions  The combined treatment of
stent and coils was safe and effective for large intracranial aneurysms and may protect the parent artery .The stent
had good compliance and the aneurysms were completely occluded .
  Key words : intracranial aneurysm ;stents ;embolization ,therapentic

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