[1]明智绪　万　定　李东蛟　朱辰路　杨振兴　冯　进　李曦男　李宗正.LVIS支架在颅内动脉瘤血管内栓塞治疗中的应用[J].中国临床神经外科杂志,2018,(06):398-401.[doi:10.13798/j.issn.1009-153X.2018.06.005]
　MING Zhi-xu,WAN Ding,LI Dong-jiao,et al.Application of LVIS stent in endovascular embolization of intracranial aneurysms[J].,2018,(06):398-401.[doi:10.13798/j.issn.1009-153X.2018.06.005]
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LVIS支架在颅内动脉瘤血管内栓塞治疗中的应用()
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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06期
页码:
398-401
栏目:
论著
出版日期:
2018-06-25

文章信息/Info

Title:
Application of LVIS stent in endovascular embolization of intracranial aneurysms
文章编号:
1009-153X（2018）06-0398-04
作者:
明智绪　万　定　李东蛟　朱辰路　杨振兴　冯　进　李曦男　李宗正
作者单位：750004 银川，宁夏医科大学总医院神经外科（明智绪、万定、李东蛟、朱辰路、杨振兴、冯　进、李曦男、李宗正）
Author(s):
MING Zhi-xu;  WAN Ding;  LI Dong-jiao;  ZHU Chen-lu;  YANG Zhen-xing;  FENG Jin;  LI Xi-nan;  LI Zong-zheng.
Department of Neurosurgery, General Hospital of Ningxia Medical University, Ningxia 750004, China
关键词:
颅内动脉瘤; LVIS支架; 血管内栓塞; 疗效
Keywords:
Intracranial aneurysm;  LIVS stent;  Embolization;  Outcome
分类号:
R 743.9; R 815.2
DOI:
10.13798/j.issn.1009-153X.2018.06.005
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的可行性、安全性及有效性。方法 回顾性分析宁夏医科大学总医院神经外科2014年5月至2017年9月应用LVIS支架辅助弹簧圈栓塞治疗的83例（89枚动脉瘤）颅内动脉瘤的临床资料。结果 共使用LIVS支架90个，双LVIS支架辅助栓塞动脉瘤1枚；支架全部与微导管平行释放，术中完全释放支架61枚，半释放支架28枚；栓塞后即刻DSA示，Raymond分级Ⅰ级64枚，Ⅱ级22枚，Ⅲ级3枚。术中发生血栓形成4例（3例为支架内血栓形成）、动脉瘤破裂1例。术后随访4~36个月；DSA复查52例，6例由即刻栓塞Raymond Ⅱ级转变为Ⅰ级，3例复发；改良Rankin量表评分0~1分 63例，2分 9例，3分及以上11例。结论 LVIS支架辅助弹簧圈栓塞治疗颅内动脉瘤可行、安全，疗效显著；但支架内血栓事件以及如何选择适当型号的支架，仍是值得探讨的问题
Abstract:
Objective To investigate the feasibility, safety and efficacy of LVIS stent assisted coil embolization in the treatment of intracranial aneurysms. Methods The clinical data of 83 patients (89 aneurysms) with intracranial aneurysms treated with LVIS stent-assisted coil embolization from May 2014 to September 2017 in Department of Neurosurgery, General Hospital of Ningxia Medical University were retrospectively analyzed. Results A total of 90 LIVS stents were used. Two LVIS stent-assistances were used in one aneurysm. All stents were released in parallel with the microcatheter. Sixty-one stents were used by complete-releasing and 28 by semi-releasing during the embolization. The DSA immediately after the embolization showed that Raymond grade Ⅰ occlusion was achieved in 64 aneurysms, grade Ⅱ in 22, and grade Ⅲ in 3. The intraoperative thrombosis occurred in 4 patients oh whom 3 were stent thrombosis. The intraoperative aneurysm rupture occurred in 1 patient. The postoperative follow-up ranged from 4 to 36 months. The reexaming DSA of 52 patients showed that the aneurysms with initial Raymond grade Ⅱ occlusion were changed in to grade Ⅰ in 6 patients, and the recurrence of the aneurysms occurred in 3 patients. Sixty-three patients had modified Rankin scale score of 0 to 1 points, 9 had 2 points, and 11 had 3 points or more than. Conclusions The LVIS stent-assisted coil embolization is a feasible, safe and effective treatment for intracranial aneurysms. However, the problems including the stent thrombosis events and how to choose the appropriate stents are still worth exploring.

参考文献/References:

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备注/Memo

备注/Memo:
通讯作者：李宗正，E-mail：nxlizongzh@163.com
更新日期/Last Update: 2018-06-25