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向守卫, 徐丁, 王朝华等. 20例颈内动脉血泡样动脉瘤血管内治疗分析[J]. 四川大学学报(医学版), 2017, 48(1): 158-161.
引用本文: 向守卫, 徐丁, 王朝华等. 20例颈内动脉血泡样动脉瘤血管内治疗分析[J]. 四川大学学报(医学版), 2017, 48(1): 158-161.

20例颈内动脉血泡样动脉瘤血管内治疗分析

  • 摘要: 目的 研究血泡样动脉瘤(BBA)介入治疗的可行性和有效性。方法 回顾性分析我科2013~2015年介入治疗20例BBA的临床特点、诊疗经过和随访结果。结果 20例患者分别接受带膜支架置入术、球囊闭塞颈内动脉及支架辅助弹簧圈栓塞术,1例覆膜支架置入后再出血死亡,1例行颈内动脉球囊阻断术发生血管痉挛死亡,1例行双支架辅助栓塞围手术期血管痉挛死亡。患者出院时改良Rankin量表(mRS)评分为:0~2分15例,3~4分2例。17例患者临床随访1~26个月(平均9.3个月),mRS评分均≤2分。1例患者因年龄较大,拒绝行影像随访。16例患者均接受影像学随访,其中14例动脉瘤完全闭塞,1例瘤颈残留保持稳定,1例不完全栓塞瘤体缩小。结论 支架辅助弹簧圈治疗BBA可行且有效,多支架辅助栓塞技术能降低动脉瘤复发率。

     

    Abstract: Objective To study the feasibility and effectiveness of endovascular treatment to blood blister-like aneurysms (BBA) in internal carotid artery. Methods Retrospective analyzed the clinical features, outcomes, and complications of 20 cases of BBA treated with endovascular intervention techniques from 2013-2015 in our center. Results The patients were treated with covered stent, internal carotid artery balloon occlusion, and stents assisted coiling, respectively. One death occurred after the patient accepted covered stent treatment, another 2 death was due to vasospasm after internal carotid artery balloon occlusion, and double stents assisted coiling, respectively. The modified Rankin Scale (mRS) score when patients being discharged were 0-2 in 15 cases, and 3-4 in 2 cases. There were 17 cases with clinical follow-up from 1 to 26 months (9.3 months on average), the mRS scores were all less than 2 points. 16 cases accepted angiographic review. 14 cases had BBA totally occluded, 1 case had stable neck residue, and 1 case had incompleted occlusion and the aneurysm dwindled at follow-up. Conclusion Stent-assisted coiling is feasible and effective in the treatment of BBA in internal carotid artery.

     

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