[1]梁甲宁　张　广　刘彬冰　任　森　史怀璋.颅内动脉瘤LVIS支架辅助栓塞后中长期随访分析[J].中国临床神经外科杂志,2018,(03):152-154.[doi:10.13798/j.issn.1009-153X.2018.03.004]
　LIANG Jia-ning,ZHANG Guang,LIU Bin-bing,et al.Effects and safety of LVIS stent-assisted embolization of intracranial aneurysms: a long-term follow-up study[J].,2018,(03):152-154.[doi:10.13798/j.issn.1009-153X.2018.03.004]
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颅内动脉瘤LVIS支架辅助栓塞后中长期随访分析()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2018年03期
页码:
152-154
栏目:
论著
出版日期:
2018-04-01

文章信息/Info

Title:
Effects and safety of LVIS stent-assisted embolization of intracranial aneurysms: a long-term follow-up study
文章编号:
1009-153X（2018）03-0152-03
作者:
梁甲宁　张　广　刘彬冰　任　森　史怀璋
作者单位：150001 哈尔滨市，哈尔滨医科大学附属第一医院神经外科（梁甲宁、张　广、刘彬冰、任　森、史怀璋）
Author(s):
LIANG Jia-ning;  ZHANG Guang;  LIU Bin-bing;  REN Sen;  SHI Huai-zhang.
Department of Neurosurgery, First Affiliated Hospital, Harbin Medical University, Harbin, 150001, China
关键词:
颅内动脉瘤; LVIS支架; 弹簧圈; 栓塞; 疗效
Keywords:
Intracranial aneurysm;  LVIS stent;  Embolizations;  Follow-up study
分类号:
R 743.9; R 815.2
DOI:
10.13798/j.issn.1009-153X.2018.03.004
文献标志码:
A
摘要:
目的 探讨LVIS支架辅助弹簧圈栓塞治疗颅内动脉瘤中长期的安全性、有效性。方法 回顾性分析2014~2017年采用LVIS支架辅助弹簧圈栓塞的108例（116枚动脉瘤）颅内动脉瘤的临床资料。随访时间为6~30个月，平均（14.3±5.4）个月。结果 栓塞后即刻造影显示均达到致密栓塞。栓塞后6个月，mRS评分0~2分，且无新发神经功能退化或出血死亡病例；DSA复查显示栓塞良好、动脉瘤稳定110枚（94.8%），有血栓栓塞（血管狭窄）并发症6枚（5.17%），且无神经功能缺陷症状，仅影像检查与术后即刻造影对比有狭窄，无再次出血、无复发需再次手术病例。结论 LVIS支架辅助弹簧圈栓塞治疗颅内动脉瘤有着良好的中长期安全性、有效性。
Abstract:
Objective To explore the long-term safety and effectiveness of LVIS stent-assisted embolization coiling of intracranial aneurysms. Methods The clinical data of 108 patients with 116 intracranial aneurysms which were treated by LVIS-assisted embolization from 2014 to 2017 were analyzed retrospectively. All the patients were followed up from 6 to 30 months [mean, (14.3±5.4) months] after the embolization. Results No patients had the rupture or the recurrence of the aneurysms and no patient died during the following-up. Of 116 aneurysms, 110 (94.8%) were embolized well and 6 not. There was cerebrovascular stenosis in 6 (5.17%) cases. Modified Rankin Scale Scores ranged from 0 to 2 points in all the patients. Conclusion LVIS stent-assisted embolization is a safe and effective method to treat intracranial aneurysms.

参考文献/References:

[1] Kadkhodayan Y, Rhodes N, Blackburn S, et al. Comparison of Enterprise with Neuroform stent-assisted coiling of intracranial aneurysms [J]. Am J Roentgenol, 2013, 200(4): 872-878.
[2] Zhang X, Zhong J, Gao H, et al. Endovascular treatment of intracranial aneurysms with the LVIS device: a systematic review [J]. J Neurointerv Surg, 2017, 9(6): 553.
[3] 杨鹏飞，刘建民，洪　波，等. 支架半释放技术辅助栓塞颅 内复杂动脉瘤[J]. 介入放射学杂志，2009，18（10）：723- 726.
[4] Lubicz B, Collignon L, Raphaeli G, et al. Solitaire stent for endovascular treatment of intracranial aneurysms: imme- diate and mid-term results in 15 patients with 17 aneurysms [J]. J Neurointerv Surg, 2010, 37(2): 83-88.
[5] Feng Z, Fang Y, Xu Y, et al. The safety and efficacy of low profile visualized intraluminal support (LVIS) stents in assi- sting coil embolization of intracranial saccular aneurysms: a single center experience [J]. J Neurointerv Surg, 2016, 8 (11): 1192-1196.
[6] Zhang X, Zhong J, Gao H, et al. Endovascular treatment of intracranial aneurysms with the LVIS device: a systematic review [J]. J Neurointerv Surg, 2017, 9(6): 553-557.
[7] Poncyljusz W, Biliński P, Safranow K, et al. The LVIS/LVIS Jr. stents in the treatment of wide-neck intracranial aneury- sms: multicentre registry [J]. J Neurointerv Surg, 2015, 7(7): 524-529.
[8] Ge H, Lv X, Yang X, et al. Lvis stent versus Enterprise stent for the treatment of unruptured intracranial aneurysms [J]. World Neurosurg, 2016, 91: 365-370.
[9] Kim ST, Jeong HW, Jeong YG, et al. A self-expanding nitinol stent (enterprise) for the treatment of wide-necked intracranial aneurysms: angiographic and clinical results in 40 aneurysms [J]. J Cerebrovasc Endovasc Neurosurg, 2013, 15(4): 299-306.
[10] Mocco J, Snyder KV, Albuquerque FC, et al. Treatment of intracranial aneurysms with the Enterprise stent: a multi- center registry [J]. J Neurosurg, 2009, 110(1): 35-39.
[11] 胡　骁　周林裕　殷汉荣，等. Lvis支架辅助弹簧圈栓塞 破裂宽颈前交通动脉动脉瘤的疗效分析[J]. 中国临床神 经外科杂志，2017，22（5）：325-326.
[12] 罗　明　闵　强　黄乔春，等. Lvis支架在颅内宽颈动脉 瘤栓塞中的应用[J]. 中国临床神经外科杂志，2016，21 （8）：458-460.
[13] Chao W, Tian Z, Jian L, et al. Flow diverter effect of LVIS stent on cerebral aneurysm hemodynamics: a comparison with Enterprise stents and the Pipeline device [J]. J Transl Med, 2016, 14(1): 1-10.
[14] Chung J, Matsuda Y, Nelson J, et al. A new low-profile visualized intraluminal support (LVIS) device, LVIS Blue: laboratory comparison between old and new LVIS [J]. Neurol Res, 2018. Epub ahead of print.

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更新日期/Last Update: 2018-05-05