[1]韦成聪、谢昌纪、周志宇、陈杰飞.LVIS支架辅助栓塞治疗颅内后循环动脉瘤的疗效[J].中国临床神经外科杂志,2019,(07):406-409.[doi:10.13798/j.issn.1009-153X.2019.07.008]
　WEI Cheng-cong,XIE Chang-ji,ZHOU Zhi-yu,et al.Clinical effects of LVIS devices-assisted endovascular treatment on posterior circulation intracranial aneurysms[J].,2019,(07):406-409.[doi:10.13798/j.issn.1009-153X.2019.07.008]
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LVIS支架辅助栓塞治疗颅内后循环动脉瘤的疗效()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2019年07期
页码:
406-409
栏目:
论著
出版日期:
2019-07-25

文章信息/Info

Title:
Clinical effects of LVIS devices-assisted endovascular treatment on posterior circulation intracranial aneurysms
文章编号:
1009-153X（2019）07-0406-04
作者:
韦成聪、谢昌纪、周志宇、陈杰飞
530001 南宁，广西壮族自治区民族医院神经外科
Author(s):
WEI Cheng-cong;  XIE Chang-ji;  ZHOU Zhi-yu;  CHEN Jie-fei.
Department of Neurosurgery, National Hospital of Guangxi Zhuang Autonomous Region, Nanning 530001, China
关键词:
颅内动脉瘤; 后循环; LVIS支架; 预后
Keywords:
Posterior circulation;  Intracranial aneurysm;  LVIS stent;  Prognosis
分类号:
R 743.9; R 815.2
DOI:
10.13798/j.issn.1009-153X.2019.07.008
文献标志码:
A
摘要:
目的 探讨LVIS支架辅助栓塞治疗颅内后循环动脉瘤的安全性及有效性。方法 回顾性分析2015年9月至2018年5月采用LVIS支架辅助栓塞治疗的39例（40个动脉瘤）颅内后循环动脉瘤的临床资料。采用单支架27例（单支架组），双支架12例（双支架组）。结果 39例共使用LVIS支架51枚，其中40枚支架释放时一次性完全打开，10枚释放支架后采用导管导丝按摩技术后完全打开，1枚支架打开不完全。单支架组和双支架组围手术期并发症发生率（0% vs. 11.1%）无统计学差异（P>0.05）。术后即刻造影显示：单支架组和双支架组有效栓塞率（92.6% vs. 91.7%）无统计学差异（P>0.05）。术后6个月DSA复查：单支架组和双支架组动脉瘤完全闭塞率（77.7% vs. 75.0%）及复发率（7.4% vs. 8.3%）均无统计学差异（P>0.05）。术后6个月改良Rankin量表评分0分19例，1分15例，2分2例，3分3例。结论 LVIS支架辅助栓塞治疗颅内后循环颅内动脉瘤效果满意，短期影像学随访显示双支架辅助栓塞结果并不优于单支架组。
Abstract:
Objective To investigate the effects of low profile visualized intraluminal support (LVIS) stent-assisted endovascular treatment on the posterior circulation intracranial aneurysms and its safety. Methods The clinical data of 39 patients with 40 posterior circulation intracranial aneurysms treated with LVIS stent-assisted coil embolization from September, 2015 to May, 2018 were analyzed retrospectively. According to the number of used stents, the patients were divided into single stent group (n=27) and double stent group(n=12), and the curative effects were compared between both the groups. Results DSA immediately after the embolization showed that the effects of aneurysmal embolization achieved Raymond gradeⅠin 6 patients, Ⅱ in 19 and Ⅲ in 2 of the single sent group and Raymond grade I in 4, Ⅱ in 7 and Ⅲ in 1 of double sent group. The good rate (modified Rankin score 0~2 points) of the prognosis was 92.3% (36/39) and the rates of aneurysmal recurrence were 7.4% and 8.3% respectively in the single sent group and double sent group 6 months after the embolization. There was no significant difference in the rates of aneurymal recurrence between both the groups (P>0.05). Conclusions The effects of LVIS stent-assisted endovascular treatment on the posterior circulation intracranial aneurysms is satisfactory. The single stent-assisted embolization is similar to double sent-assisted embolization in the curative effects on the posterior circulation intracranial aneurysms.

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备注/Memo

备注/Memo:
（2019-01-26收稿，2019-03-28修回）基金项目：广西壮族自治区卫生厅自筹经费计划课题（Z2014178）通讯作者：周志宇，E-mail： 1481748826@qq.com
更新日期/Last Update: 2019-07-25