论文部分内容阅读
目的探讨血流导向支架Pipeline栓塞装置(PED)治疗颅内复杂动脉瘤的近期疗效和安全性。方法回顾性分析我院应用PED治疗5例颈内动脉瘤患者的临床资料及手术后近期疗效。结果 5例患者共5个动脉瘤,均成功置入PED,4例患者仅单纯置入PED治疗,1例患者置入PED后辅助弹簧圈栓塞治疗。治疗后即刻造影显示瘤腔内造影剂滞留。临床随访所有患者均未见并发症发生。PED治疗动脉瘤术后6个月和12个月动脉瘤的完全栓塞率分别为60%(3/5)和100%(5/5),且均无明显并发症发生,载瘤动脉及远端血管通畅。结论 PED治疗颅内复杂动脉瘤安全可行,近期疗效满意.远期疗效仍需进一步评价。
Objective To investigate the short-term curative effect and safety of the PIP with PED catheter in the treatment of complex intracranial aneurysms. Methods The clinical data of 5 cases of internal carotid aneurysm treated with PED in our hospital were analyzed retrospectively and the short-term curative effect after operation. Results A total of 5 aneurysms were included in 5 patients. All of the 5 patients were successfully treated with PED. Only 4 patients were treated with PED, and 1 patient was treated with coil embolization after PED implantation. Immediately after treatment angiography showed tumor contrast agent retention. Clinical follow-up No complications occurred in all patients. The complete embolization rate of aneurysms in PED group was 60% (3/5) and 100% (5/5) at 6 months and 12 months after operation, respectively. There was no significant complication, End vascular smooth. Conclusions PED is safe and feasible for the treatment of complicated intracranial aneurysms, and the short-term curative effect is satisfactory. The long-term curative effect still needs further evaluation.