[1]罗　明　闵　强　黄乔春　段发亮.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,(08):458-460.[doi:10.13798/j.issn.1009-153X.2016.08.004]
　LUO Ming,MIN Qiang,HUANG Qiao-chun,et al.Application of Lvis stent to endovascular treatment of intracranial wide-neck aneurysms[J].,2016,(08):458-460.[doi:10.13798/j.issn.1009-153X.2016.08.004]
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Lvis支架在颅内宽颈动脉瘤栓塞中的应用()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2016年08期
页码:
458-460
栏目:
论著
出版日期:
2016-08-18

文章信息/Info

Title:
Application of Lvis stent to endovascular treatment of intracranial wide-neck aneurysms
文章编号:
1009-153X（2016）08-0458-03
作者:
罗　明　闵　强　黄乔春　段发亮
430022，武汉市第一医院神经外科
通讯作者：段发亮，E-mail：duanfaliang@126.com
Author(s):
LUO Ming;  MIN Qiang;  HUANG Qiao-chun;  DUAN Fa-liang.
The First Hospital of Wuhan City, Wuhan 430022, China
关键词:
颅内动脉瘤; 宽颈动脉瘤; Lvis支架; 栓塞术; 疗效
Keywords:
Intracranial aneurysm;  Wide-neck aneurysm;  Endovascular embolization;  Lvis stent;  Curative effects
分类号:
R 743.9; R 815.2
DOI:
10.13798/j.issn.1009-153X.2016.08.004
文献标志码:
A
摘要:
目的 探讨Lvis支架在颅内宽颈动脉瘤栓塞术中的应用效果。方法 对2014年7月至2015年12月应用Lvis支架辅助栓塞治疗的15例宽颈动脉瘤的临床资料进行回顾性分析，评估其疗效。结果 15例中，Raymond Ⅰ级栓塞11例，Ⅱ级3例，Ⅲ级1例；有效栓塞率93.3%。栓塞过程中未发生动脉瘤破裂。术中发生1例血栓事件，经立即溶栓等处理后闭塞动脉再通，但该病人术后1周死于心肌梗死。术后2例出现对侧肢体活动障碍并意识障碍，经肝素化及加大替罗非班用量后好转。所有存活病人术后随访3个月均恢复良好，复查DSA证实动脉瘤均无复发，载瘤动脉通畅。结论 Lvis支架操作简单，各种型号齐全，适合颅内大多数瘤动脉，各项性能均表现良好，适合颅内宽颈动脉瘤的栓塞治疗，但致栓性较强，需重视。
Abstract:
Objective To explore the curative effect of Lvis stent-assisted coils endovascular embolization on intracranial wide-neck aneurysms. Methods The clinical data of 15 patients with intracranial wide-neck aneurysms, who underwent Lvis stent-assisted coils endovascular embolization from July, 2014 to December, 2015 were analyzed retrospectively. Results Of 15 intracranial wide neck aneurysms, 11 were totally occluded, 3 subtotally and 1 partly according to Raymond grading. The effective rate of endovascular embolization was 93.33% (14/15). The aneurysms were not ruptured during the embolization. An occluded middle cerebral artery due to the thrombosis in the operation was recanalized by immediate thrombolysis in a patient, who died from the complications one week after the operation. The limb movement disorder and disturbance of consciousness happened in two patients after the operation, in whom the symptom were improved by heparinization and large dosage of tirofiban treatment. The following-up 3 months after the operation showed that 14 patients were recovered well and all the parent arteries were unobstructed proved by DSA. Conclusions The curative effects of Lvis stent-assisted coils endovascular embolization on intracranial wide-necked aneurysms are good, but the thrombosis of the parent arteries which occurred probably during the operation should be paid attention to.

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更新日期/Last Update: 2016-08-19