CAJ | 학술논문

目的探讨应用新型自膨胀颅内专用支架(Solitaire AB支架)与弹簧圈栓塞相结合治疗后交通动脉宽颈动脉瘤的临床价值. 方法深圳市南山区人民医院神经外科自2010年3月至2012年9月采用新型Solitaire AB支架结合机械可脱弹簧圈栓塞治疗后交通动脉宽颈动脉瘤28例,回顾性分析患者的临床资料和疗效. 结果本组患者中24例致密栓塞,4例部分栓塞.所有患者均恢复良好出院.全部患者术后3个月血管造影随访:24例致密栓塞的动脉瘤均未显影,其中23例载瘤动脉通畅,1例载瘤动脉闭塞；4例部分栓塞动脉瘤颈仍有残留,但无变化. 结论 Solitaire AB颅内支架使用安全,适用于颅内后交通动脉宽颈动脉瘤的支架辅助弹簧圈栓塞,尤其适用于迂曲的脑血管,并发症少.
목적 탐토응용신형자팽창로내전용지가(Solitaire AB지가)여탄황권전새상결합치료후교통동맥관경동맥류적림상개치. 방법 심수시남산구인민의원신경외과자2010년3월지2012년9월채용신형Solitaire AB지가결합궤계가탈탄황권전새치료후교통동맥관경동맥류28례,회고성분석환자적림상자료화료효. 결과 본조환자중24례치밀전새,4례부분전새.소유환자균회복량호출원.전부환자술후3개월혈관조영수방:24례치밀전새적동맥류균미현영,기중23례재류동맥통창,1례재류동맥폐새；4례부분전새동맥류경잉유잔류,단무변화. 결론 Solitaire AB로내지가사용안전,괄용우로내후교통동맥관경동맥류적지가보조탄황권전새,우기괄용우우곡적뇌혈관,병발증소.
Objective To summarize the technique and the clinical value of Solitaire AB stents combined with Axium detachable coil in treatment of wide-necked posterior communicating artery aneurysms.Methods Twenty-eight patients with wide-necked posterior communicating artery aneurysms,admitted to our hospital from March 2010 to September 2012,were performed endovascular procedures by intracranial Solitaire AB stent and Axium detachable coil.Their clinical data and treatment efficacy were retrospectively analyzed.Results All patients were identified as having wide-necked intracranial aneurysms suitable for stent-assisted Axium treatment.Total occlusion in 24 patients and partial occlusion in 4 patients were achieved.All patients recovered well.All patients were angiographically followed-up 3 months after the procedure; among them,no filling was shown for the 23 aneurysms which were densely packed,1 case of parent artery occlusion and 4 aneurysms with neck remnant did not change.Conclusion The Solitaire AB stent is safe intracranial stent-assisted coil for embolization of wide-necked intracranial aneurysms; it is very suitable for treating the wide-necked posterior communicating artery aneurysms with severely tortuous intracranial artery,enjoying few complications.