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目的:对应用Solitaire AB支架辅助弹簧圈栓塞治疗的颅内宽颈动脉瘤的临床和影像效果进行回顾性研究。方法:2010年1月—2012年12月使用Solitaire AB支架辅助弹簧圈栓塞治疗颅内宽颈动脉瘤21例,其中未破裂动脉瘤13例,破裂动脉瘤8例,对患者的术中情况和术后随访情况进行研究。结果:支架均成功定位、释放,1例出现支架内血栓形成,1例弹簧圈部分脱出。16例随访(6~29)个月,全部改良Rankin评分≤1。栓塞术后造影复查14例,2例复发需要再次治疗。结论:Solitaire AB支架辅助弹簧圈栓塞治疗的颅内宽颈动脉瘤安全,中期复查结果满意。
Objective: To retrospectively study the clinical and imaging results of wide-neck intracranial aneurysms treated with Solitaire AB stent-assisted coil embolization. METHODS: From January 2010 to December 2012, 21 cases of wide-necked intracranial aneurysms were treated with Solitaire AB stent-assisted coil embolization. Among them, 13 cases were unruptured aneurysms and 8 cases were ruptured aneurysms. The patients’ Postoperative follow-up study. Results: All the stents were successfully positioned and released. One case had stent thrombosis, and one case had part of the coil spring off. Sixteen patients were followed up (6 ~ 29) months, all modified Rankin score ≤1. 14 cases underwent angiography after embolization, and 2 cases needed to be treated again. Conclusion: The intracranial wide-necked aneurysm treated with Solitaire AB stent-assisted coil embolization is safe and the results of mid-term review are satisfactory.