LVIS支架辅助Target弹簧圈栓塞治疗颅内微小动脉瘤47例效果观察
Efficacy of LVIS stent-assisted Target coil embolization in treatment of very small intracranial aneu-rysms:An analysis of 47 cases
徐洪章 1张照龙 2徐锐2
作者信息
- 1. 青岛大学附属医院介入医学中心,山东青岛 266003;荣成市石岛人民医院CT室
- 2. 青岛大学附属医院介入医学中心,山东青岛 266003
- 折叠
摘要
目的 评估LVIS支架辅助Target弹簧圈栓塞颅内微小动脉瘤的临床效果.方法 回顾性分析2015年7月-2023年5月我中心采用LVIS支架辅助Target弹簧圈介入栓塞的47例微小动脉瘤患者的临床资料及随访结果.结果 47例患者术后即刻造影显示致密栓塞32例(68.1％),瘤颈残留11例(23.4％),部分栓塞4例(8.5％).围手术期并发症4例(8.5％),包括2例破裂动脉瘤发生术中出血(1例死亡,1例致密栓塞后无明显后遗症),1例破裂动脉瘤术后合并颅内感染(抗感染治疗后无神经系统功能缺损),1例术中血栓形成(术中应用替罗非班后无神经系统功能缺损).33例患者进行了影像学随访,其中动脉瘤完全闭塞29例(87.9％),动脉瘤稳定4例(12.1％).随访过程中1例患者出院14 d后颞叶出血死亡,余患者无再出血发生.结论 LVIS支架辅助Target弹簧圈栓塞颅内微小动脉瘤较为安全、有效,适合在临床推广使用.
Abstract
Objective To investigate the efficacy of LVIS stent-assisted Target coil embolization in the treatment of very small intracranial aneurysms.Methods A retrospective analysis was performed for the clinical data and follow-up results of 47 patients with very small intracranial aneurysms who underwent LVIS stent-assisted Target coil embolization in our center from July 2015 to May 2023.Results For the 47 patients,angiography immediately after surgery showed dense embolization in 32 pa-tients(68.1％),residual aneurysm neck in 11 patients(23.4％),and partial embolization in 4 patients(8.5％).Perioperative com-plication was observed in 4 patients(8.5％),among whom 2 had intraoperative bleeding due to ruptured aneurysms(1 died and 1 had no obvious sequela after dense embolization),1 had intracranial infection after ruptured aneurysm surgery(with no neurolo-gical deficit after anti-infective therapy),and 1 had thrombosis during surgery(with no neurological deficit after the intraoperative application of tirofiban).Radiological follow-up examination was performed for 33 patients,among whom 29(87.9％)achieved complete embolization of aneurysms and 4(12.1％)had stable aneurysms.During follow-up,1 patient died due to temporal lobe hemorrhage after 14 days of discharge,while the other patients did not experience rebleeding.Conclusion LVIS stent-assisted Target coil embolization is safe and effective in the treatment of very small intracranial aneurysms,and therefore,it holds promise for clinical application.
关键词
颅内动脉瘤/栓塞,治疗性/血管内操作/支架/治疗结果Key words
Intracranial aneurysm/Embolization,therapeutic/Endovascular procedures/Stents/Treatment outcome引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据