摘要
目的探讨LVIS支架一期辅助栓塞治疗颅内多发动脉瘤的安全性和有效性。方法回顾性分析使用LVIS支架一期辅助栓塞治疗颅内多发动脉瘤共35例(73枚动脉瘤)患者的资料,其中单支架组19例(38枚动脉瘤)、多支架组16例(35枚动脉瘤),通过比较两组动脉瘤的栓塞程度、围手术期并发症及随访mRS评分,评估LVIS支架不同应用方式治疗颅内多发动脉瘤的有效性和安全性。结果单支架组共置入19个支架,多支架组共置入32个支架。两组术后即刻有效栓塞:单支架组30/38(78.9%),多支架组28/35(80%);两组随访有效栓塞:单支架组29/32(90.6%),多支架组28/30(93.3%)。两组共有5枚支架打开不良,4枚支架血栓形成,术后6个月mRS评分(0~2分)74.2%,两组围手术期支架相关并发症及术后6个月mRS评分比较无统计学意义(P=0.372,P=0.876)。结论应用LVIS单支架或多支架一期辅助栓塞治疗颅内多发动脉瘤安全、有效,重视术中支架释放方法及技巧,提高支架使用的安全性。
Objective To investigate the safety and effectiveness of Lvis stent in the treatment of multiple intracranial aneurysms with primary auxiliary embolization.Methods Retrospective analysis of the data of 35 patients with multiple intracranial aneurysms(73 aneurysms)treated with Lvis stent primary auxiliary embolization,including 19 patients with single stent group(38 aneurysms)and 16 patients with multiple stent group(35 aneurysms).By comparing the embolization,perioperative complications and follow-up mRS scores of the two groups of aneurysms,the effectiveness and safety of different methods of treating multiple intracranial aneurysms with Lvis stent were evaluated.Results A total of 19 stents were placed in the single stent group and 32 stents were placed in the multiple stent group.The two groups had immediate effective embolization after surgery:single stent group 30/38(78.9%),multiple stent group 28/35(80%),and two groups of follow-up effective embolization:single stent group 29/32(90.6%),Multiple stent group 28/30(93.3%).In the two groups,there were 5 stents with poor opening and 4 stent thrombosis.The mRS score(0-2)was 74.2%at 6 months after surgery.There was no statistical significance between the perioperative stent related complications and mRS score at 6 months(P=0.372,P=0.876).Conclusion The use of Lvis single stent or multiple stent auxiliary embolization in the treatment of MIA is safe,effective,and emphasizes the method and technique of stent release during surgery to improve the safety of stent use.
作者
凌国源
莫立根
林雄
严峻
雷奕
刘红
LING Guoyuan;MO Ligen;LIN Xiong(Department of Neurosurgery,Affiliated Tumor Hospital of Guangxi Medical University,Nanning,Guangxi Zhuang Autonomous Region 530021,P.R.China)
出处
《临床放射学杂志》
CSCD
北大核心
2020年第10期2083-2087,共5页
Journal of Clinical Radiology
基金
广西自然科学基金面上项目(编号:2018GXNSFAA281151)
作者简介
通讯作者:莫立根
