【摘要】 目的探讨支架辅助弹簧圈栓塞治疗大脑前动脉A1段起始处破裂微小动脉瘤的安全性和有效性。方法回顾性分析2010～2018年支架辅助弹簧圈栓塞治疗的11例大脑前动脉A1段起始处破裂微小动脉瘤的临床资料。结果 11例中,6例微导管塑形成"S"形,4例"Z"形,1例"猪尾形"。术后即刻造影显示,Raymond分级Ⅰ级9例,Ⅱ级2例。1例术后3 d出现缺血事件,出院时未遗留神经功能障碍。11例临床随访10～31个月,平均18.4个月,中位随访时间为17个月,随访期间无出血、缺血事件。11例术后6～12个月造影复查,Raymond分级Ⅰ级9例,Ⅱ级2例;临床随访改良Rankin量表评分0～2分9例,3分1例,4分1例。结论支架辅助弹簧圈栓塞是一种治疗大脑前动脉A1段起始处破裂微小动脉瘤的安全、有效的方法。更多还原

【Abstract】 Objective To explore the feasibility, effectiveness, and safety of the stent-assisted coiling embolization for the patients with ruptured proximal anterior cerebral artery(A1) tiny aneurysms. Methods The clinical data of 11 patients with ruptured proximal anterior cerebral artery(A1) tiny aneurysms who received stent-assisted coiling embolization from 2010 to 2018 were analyzed retrospectively. Results Patient-specific catheter shaping was performed in all the patients, of whom 6 were formed to "S" shape, 4 "Z" shape and 1 "pig tail". Raymond grade Ⅰ was achieved in 9 patiens and grade Ⅱ in 2 immediately after the embolization. Ischemic event occurred in 1 patient 3 days after the operation, without neurological disorders on discharge. No ischemic events occurred in all the patients during the follow-up(range, 10～31 months; mean, 18.4 months; median, 17 months). The follow-up(range, 6～12 months) DSA images showed Raymond grade Ⅰ in 9 patiens and grade Ⅱ in 2. The outcomes of clinical follow-up(range, 6～12 months) showed modified Rankin scale score of 0～2 in 9 patients, 3 in 1, and 4 in 1. Conclusion Stent-assisted coiling embolization is a good and safe treatment method for the patients ruptured proximal anterior cerebral artery(A1) tiny aneurysms.更多还原