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目的探讨覆膜支架在治疗颅内动脉疾病中应用的可行性和适应证。方法使用覆膜支架行病变隔绝术治疗20例患者。根据靶血管的直径和病变的长度,选择覆膜支架的直径和长度。共治疗椎动脉颅内段动脉瘤5例、颅底以上颈内动脉动脉瘤7例,经蝶手术致颈内动脉破损1例,外伤性颈内动脉动脉瘤3例、外伤性颈内动脉海绵窦瘘3例、颈内动脉海绵窦段狭窄伴自发性颈内动脉海绵窦瘘1例。共使用覆膜支架21枚,裸支架与覆膜支架联合使用3例。结果一次性成功放置支架17例,病变即刻消失14例,术后复查消失3例,操作失败3例。短暂性轻偏瘫1例。结论合理使用覆膜支架是治疗部分颅内动脉病变的良好手段,但覆膜支架的应用也有一定的局限性。
Objective To investigate the feasibility and indications of stent-graft in the treatment of intracranial arterial disease. Methods Twenty patients were treated with stent-graft isolation. Depending on the diameter of the target vessel and the length of the lesion, the diameter and length of the stent graft are chosen. A total of 5 cases of intracranial aneurysm of vertebral artery were treated, 7 cases of internal carotid artery aneurysm above skull base, 1 case of internal carotid artery injury in transsphenoidal surgery, 3 cases of traumatic internal carotid artery aneurysm, 3 cases of traumatic internal carotid artery sponge 3 cases of sinus fistula, 1 case of internal carotid cavernous sinus stenosis with spontaneous internal carotid cavernous fistula. A total of 21 scaffolds were used, and 3 cases were treated with bare scaffolds and scaffolds. Results The stent was successfully placed in 17 cases at one time. The lesions disappeared instantly in 14 cases. There were 3 cases disappeared after operation and 3 cases failed to operate. Transient hemiparesis in 1 case. Conclusion The rational use of stent-graft is a good treatment for some intracranial arterial lesions, but the application of covered stent has some limitations.