CAJ | 학술논문

目的报告应用Neuroform支架治疗颅内宽颈和梭形动脉瘤的治疗结果.方法 15例病人17个梭形及宽颈颅内动脉瘤,分别位于颈内动脉8个,椎动脉5个,基底动脉顶端1个,大脑中动脉1个,大脑后动脉1个,小脑后下动脉1个.所有的病例,球囊再塑形技术术前均认为存在困难,均使用支架结合弹簧圈栓塞.动脉瘤直径在4～30 mm之间.结果所有病例支架均成功释放,均是先释放支架,再填弹簧圈.完全栓塞及次全栓塞(>95%)的有6例,部分栓塞的有9例.无围手术期脑卒中及死亡,10例病人获得随访,病人神经状况均良好,平均随访时间是(6.2±3.2)个月.结论使用Neuroform支架治疗首发及复发的梭形及宽颈颅内动脉瘤是安全,有效的.未发现与释放支架相关的长期神经系统并发症.大部分病例在短期随访中载瘤动脉瘤通畅,栓塞部位稳定.
목적 보고응용Neuroform지가치료로내관경화사형동맥류적치료결과.방법 15례병인17개사형급관경로내동맥류,분별위우경내동맥8개,추동맥5개,기저동맥정단1개,대뇌중동맥1개,대뇌후동맥1개,소뇌후하동맥1개.소유적병례,구낭재소형기술술전균인위존재곤난,균사용지가결합탄황권전새.동맥류직경재4～30 mm지간.결과 소유병례지가균성공석방,균시선석방지가,재전탄황권.완전전새급차전전새(>95%)적유6례,부분전새적유9례.무위수술기뇌졸중급사망,10례병인획득수방,병인신경상황균량호,평균수방시간시(6.2±3.2)개월.결론 사용Neuroform지가치료수발급복발적사형급관경로내동맥류시안전,유효적.미발현여석방지가상관적장기신경계통병발증.대부분병례재단기수방중재류동맥류통창,전새부위은정.
Objective To evaluate the use of this stent for treatment of fusiform and broad-necked intracranial aneurysms. Method Seventeen fusiform and broad-necked intracranial aneurysms in 15 patients were treated electively. They were located at the internal carotid artery (8), vertebral artery (5), basilar tip(1), middle cerebral artery (1), posterior cerebellar artery (1) and posterior inferior cerebellar artery(1). In all cases,previous attempts with the remodeling technique were technically judged difficult and combined stent placement across the aneurysm neck and subsequent coiling of the sac. Aneurysms diameter size varied from 4 to 30 mm. Results A total of 16 aneurysms in 15 patients were treated with this procedure. In no cases, stent deployment failed. All aneurysms were initially stented, followed by coil placement. Complere or subtotal (>95%) occlusion was achieved in 6 patients, and partial occlusion (<95%) was achieved in 9 patients. The periprocedural rate of any stroke or death was 0%. Angiographic follow-up was obtained in 10 patients. Neurological status remained well in all patients at a mean clinical follow-up of (6.2±3.2)months. Conclusions Primary and recurrence treatment of fusiforra and wide-necked intracranial aneurysms using the Neurofonn stent is feasible and effective. No permanent neurological deficits were associated with stent deployment. Short-term follow-up identified intact parent arteries and stable occlusion rates in the majority of cases.