论文部分内容阅读
目的探讨支架辅助弹簧圈栓塞治疗颅内复杂动脉瘤的临床疗效。方法 63例(63处)复杂动脉瘤患者,均行支架辅助弹簧圈栓塞治疗,术后即刻脑血管造影评估栓塞效果,术后6个月脑血管造影评估疗效。结果支架辅助弹簧圈栓塞治疗术后即刻造影显示38例动脉瘤达完全栓塞,13例栓塞程度达95%,7例为90%,3例为80%,2例<80%;术中未出现弹簧圈游走事件,围手术期无死亡病例,并发症发生率7.9%;术后6个月,4例复发者再次行栓塞治疗,栓塞程度均≥95%。结论支架辅助弹簧圈栓塞术治疗颅内复杂动脉瘤微创、安全、有效。
Objective To investigate the clinical efficacy of stent-assisted coil embolization in the treatment of complex intracranial aneurysms. Methods Sixty-three patients with complex aneurysms were treated with stent-assisted coil embolization. Cerebral angiography was performed to evaluate the effect of embolization. Cerebral angiography was performed at 6 months after operation to evaluate the curative effect. Results Immediate thromboembolism of the stent-assisted coil embolization showed complete embolization of 38 aneurysms, 95% embolization in 13 cases, 90% in 7 cases, 80% in 3 cases and 80% in 2 cases; no intraoperative occlusion occurred There were no perioperative deaths in the perioperative period. The complication rate was 7.9%. In the 6 months after operation, 4 patients relapsed were treated with embolization again. The embolization degree was ≥95%. Conclusion The stent-assisted coil embolization is a safe and effective method for the treatment of complicated intracranial aneurysms.