【摘要】 目的　探讨血管内支架技术在颅内椎动脉动脉瘤的应用价值。方法　回顾性分析 18 例采用支架治疗的颅内椎动脉动脉瘤,其中椎动脉梭形动脉瘤10例,全部一期支架结合弹簧圈技术治疗;椎动脉夹层动脉瘤8例,单纯支架技术 4例,支架技术二期联合弹簧圈技术治疗4例。结果　16例造影随访3~24 个月全部治愈,无复发及狭窄。2 例术后出现一过性脑缺血的表现。结论　在治疗椎动脉梭形及夹层动脉瘤时应区别对待,血管内支架辅助 GDC技术可保持载瘤动脉通畅,是一种安全、有效的选择。更多还原

【Abstract】 Objective To evaluate the technique of stent placement in treatment of vertebral artery aneurysms. Methods Eighteen patients with aneurysms which underwent stent placement were retrospectively analyzed, 10 fusiform aneurysms which performed by using stent and GDC; 8 dissecting aneurysms which performed by using stent first, stent placement was followed by coil placement in 4 aneurysms. Results Sixteen patients were followed up by angiographic studies from 3 to 24 months, all patients were cured, revealing no aneurysm regrowth and no incident of in-stent stenosis, 2 of 18 aneurysm showed up transient ischemia of cerebral. Conclusion The treatment of fusiform aneurysms and dissecting aneurysm of vertebral artery is distinguishing, using stent combined with GDC to treat fusiform and dissecting aneurysm may restore the patency of parent artery.更多还原