摘要
目的 探讨眼动脉段颈内动脉瘤介入治疗适应证、策略及疗效。方法 头颅CT平扫诊断蛛网膜下腔出血患者5例，1．5T场强MRA或64排螺旋CT容积扫描3D重建，或急诊行DSA全脑血管造影显示动脉瘤，5例患者均为眼动脉段颈内动脉瘤，动脉瘤位于眼动脉段颈内动脉的腹侧或腹内侧壁，呈帐篷顶样，瘤颈宽、瘤顶尖。采用LEO支架置入载瘤动脉，微弹簧圈填塞瘤囊。结果5例患者置入5个LEO支架，填塞微弹簧圈1～4枚，平均2．4枚，栓塞后DSA造影显示载瘤动脉通畅，瘤囊内无对比剂充盈。结论眼动脉段颈内动脉瘤应用血管内支架辅助微弹簧圈栓塞治疗，具有创伤相对小、适应证较宽、动脉瘤栓塞效果确切的优点。支架置入脑动脉的长期影响有待进一步观察。
Objective To discuss the carotid-ophthalmic aneurysms interventional treatment indications, strategy and effect. Methods 5 cases with subarachnoid hemorrhage were reveald by CT scan. The aneurysm was reveald by 1.5T MRA,64 spiral CTA or emergency DSA cerebral angiography alone. The 5 carotid-ophthalmic aneurysms were in the ventral medial of carotid artery, and were tent-like wide-neck. The LEO-stent, micro-coil packing sac were used. Results 5 LEO-stents were used, 1 to 4 microcoils were packed,2.4 coils were on average. DSA angiography showed that the parent artery was patency, the sac was without contrast agent filling. Conclusion The carotid-ophthalmic wide-necked aneurysms, endovascular stent assisted coiling is safe and effective. Longterm outcome needs further study.
出处
《中国实用神经疾病杂志》
2008年第4期14-16,共3页
Chinese Journal of Practical Nervous Diseases
关键词
蛛网膜下腔出血
颈内动脉
动脉瘤
支架
微弹簧圈
栓塞
Subarachnoid hemorrhage
Internal carotid artery
Aneurysms
Stent
Microcoil
Embolization
