吕超,黄小军,李侠,蒋晓帆,任宏远.双LVIS支架套叠辅助弹簧圈栓塞治疗颅内血泡样动脉瘤[J].中国介入影像与治疗学,2020,17(9):533-537
双LVIS支架套叠辅助弹簧圈栓塞治疗颅内血泡样动脉瘤
Double LVIS stent intussusception assisted coils embolization in treatment of intracranial blood blister-like aneurysm
投稿时间:2020-03-04  修订日期:2020-07-20
DOI:10.13929/j.issn.1672-8475.2020.09.005
中文关键词:  颅内动脉瘤  支架  栓塞,治疗性  脑血管造影术
英文关键词:intracranial aneurysm  stents  embolization, therapeutic  cerebral angiography
基金项目:
作者单位E-mail
吕超 空军军医大学西京医院神经外科, 陕西 西安 710032  
黄小军 西安市北方医院神经外科, 陕西 西安 710043  
李侠 空军军医大学西京医院神经外科, 陕西 西安 710032 sjwklixia@sina.com 
蒋晓帆 空军军医大学西京医院神经外科, 陕西 西安 710032  
任宏远 西安市北方医院神经外科, 陕西 西安 710043  
摘要点击次数: 92
全文下载次数: 69
中文摘要:
      目的 观察双LVIS支架套叠辅助弹簧圈栓塞治疗颅内血泡样动脉瘤(BBA)的效果。方法 回顾性分析45例接受支架辅助弹簧圈栓塞治疗的BBA患者资料,按治疗方式分为双LVIS支架组(DLS组,18例)和非双LVIS支架组(NDLS组,27例),对比2组手术效果、围手术期并发症及随访结果。结果 DLS组、NDLS组术后即刻完全栓塞率分别为72.22%(13/18)和55.56%(15/27),围手术期并发症发生率分别为16.67%(3/18)、25.93%(7/27),组间差异均无统计学意义(P均>0.05)。术后3、6个月,2组神经功能恢复良好率差异均无统计学意义(P均>0.05)。术后3个月DLS组复发率15.38%(2/13),低于NDLS组的57.89%(11/19,P=0.03);术后6个月2组复发率(0 vs 13.33%)差异无统计学意义(P>0.05)。结论 双LVIS支架套叠辅助弹簧圈栓塞治疗BBA安全、有效,能降低术后3个月复发率。
英文摘要:
      Objective To observe the effect of double LVIS stent intussusception assisted coils embolization in treatment of intracranial blood blister-like aneurysm (BBA). Methods Data of 45 patients with BBA and treated by stent-assisted coils embolization were retrospectively analyzed. The patients were divided into double LVIS stent group (DLS group, 18 cases) and non-double LVIS stent group (NDLS group, 27 cases) according to the disparate therapy method. The operation outcomes, perioperative complications and follow-up results were compared between groups. Results The immediately completely embolization rate in DLS group was 72.22% (13/18), in NDLS group was 55.56% (15/27), and the perioperative complications rate in DLS group was 16.67%(3/18), in NDLS group was 25.93%(7/27) (both P>0.05). No significant difference of the immediately completely embolization rate nor of perioperative complications rate was found between 2 groups (both P>0.05). At the 3- and 6-month follow-up, no significant difference of neurological recovery outcomes post operation was found between 2 groups (both P>0.05). The aneurysm recurrence rate in DLS group was 15.38% (2/13), lower than that in NDLS group (57.89%, 11/19) at 3-month follow-up (P=0.03). No significant difference of aneurysm recurrence rate at 6-month follow-up was found between groups (0 vs 13.33%, P>0.05). Conclusion Double LVIS stent intussusception assisted coils embolization is safe and effective for treatment of BBA, which can significantly reduce 3-month aneurysm recurrence rate.
查看全文  查看/发表评论  下载PDF阅读器
关闭