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目的探讨Neuroform支架植入结合Matrix II弹簧圈栓塞治疗颅内宽颈动脉瘤的疗效、技术要点、安全性及并发症防治。方法对诊断颅内宽颈动脉瘤6例的病人,其中大脑前动脉瘤1例,后交通动脉瘤2例,眼动脉瘤1例,大脑中动脉分叉部动脉瘤1例,基底动脉顶端1例,4例先行Neuroform支架瘤颈成形,将微导管通过支架网眼置入动脉瘤内,填塞弹簧圈;2例先置入微导管于动脉瘤内,再释放支架后栓塞。术后3~6个月随访4例。结果所有病例栓塞操作均顺利完成,无手术并发症;其中致密填塞4例,部分致密填塞2例,术后病人均恢复良好,4例短期随访无再出血及血栓栓塞症状发生。结论Neuroform支架结合MatrixII弹簧圈治疗颅内宽颈动脉瘤安全、有效。
Objective To investigate the efficacy, technical points, safety and complications prevention and treatment of Neuroform stent combined with Matrix II coil embolization in the treatment of wide-necked intracranial aneurysm. Methods Six patients with wide-necked intracranial aneurysms were diagnosed. Among them, there were 1 anterior cerebral aneurysm, 2 posterior communicating aneurysm, 1 ophthalmic aneurysm, 1 anterior cerebral artery bifurcation aneurysm, 1 basilar artery apical 1 For example, in 4 cases, neuroform neoplasms were first formed, and the microcatheter was inserted into the aneurysm through the mesh of the stent to fill the coil. In 2 cases, the microcatheter was placed in the aneurysm first and then the stent was released. Four cases were followed up from 3 to 6 months after operation. Results All embolization procedures were successfully performed without complications. Among them, 4 were densely packed and 2 were partially densely packed. All patients recovered well after operation. No recurrence and no thromboembolism occurred in 4 patients in short-term follow-up. Conclusion The Neuroform stent combined with Matrix II coil is safe and effective in treating intracranial wide-necked aneurysms.