1.渭南市中心医院神经内科，陕西 渭南 714000;2.解放军总医院神经内科，北京 100853
王君，Email:wangjun301@126.com。
1.Department of Neurology，Weinan Central Hospital， Weinan， Shaanxi 714000， China;2.Department of Neurology， PLA General Hospital， Beijing 100853， China
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目的 探讨LVIS jr支架在载瘤动脉直径≤3.0 mm的颅内宽颈动脉瘤支架辅助栓塞术中的应用。方法 回顾纳入解放军总医院神经内科2016年1月—2018年12月收治的37例载瘤动脉直径≤3.0 mm的颅内宽颈动脉瘤(瘤颈>4 mm或体颈比<2)，应用LVIS jr支架行动脉瘤支架辅助栓塞术。分析术毕即刻造影、术中并发症、术后数字减影血管造影（DSA）、改良RANKIN量表（MRS）等随访结果。结果 37例动脉瘤患者，栓塞后即刻改良Raymond分级：1级20个（54.05%），2级6个（16.21%），3级11个（29.72%）。术中血栓事件3例(8.10%)。术后复查17例（45.94%），复查时改良Raymond分级、MRS评分较出院均有不同程度改善。结论 LVIS jr支架在颅内宽颈动脉瘤支架辅助栓塞的治疗中安全、有效。 ［国际神经病学神经外科学杂志, 2021, 48(1): 37-39］
Objective To investigate the safety and efficacy of LVIS Jr. stent in stent-assisted embolization of intracranial wide-necked aneurysms with a parent artery diameter of ≤3.0 mm.Methods A retrospective analysis was performed for 37 patients with intracranial wide-necked aneurysms （aneurysm neck >4 mm or dome-to-neck ratio <2） with a parent artery diameter of ≤3.0 mm who were admitted to Department of Neurology， Chinese PLA General Hospital， from January 2016 to December 2018， and LVIS Jr. stent was used for stent-assisted embolization of aneurysms. The safety and efficacy of LVIS Jr. stent in stent-assisted embolization of intracranial wide-necked aneurysms were evaluated based on angiography immediately after surgery， intraoperative complications， digital subtraction angiography after surgery， and modified Rankin Scale （MRS） score during follow-up.Results According to the modified Raymond classification immediately after embolization， of all 37 patients with aneurysms， 20 （54.05%） had grade I aneurysms， 6 （16.21%） had grade II aneurysms， and 11 （29.72%） had grade III aneurysms. Intraoperative thrombotic events were observed in 3 patients （8.10%）. Postoperative reexamination was performed for 17 patients （45.94%）， and these patients had varying degrees of improvements in modified Raymond classification and MRS score.Conclusions LVIS Jr. stent is safe and effective in stent-assisted embolization of intracranial wide-necked aneurysms. ［Journal of International Neurology and Neurosurgery, 2021, 48(1): 37-39］
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郭宝,王君,刘新峰,曹向宇,杜志华456. LVIS jr支架在颅内宽颈动脉瘤中的应用研究[J].国际神经病学神经外科学杂志,2021,48(1):37-39111GUO Bao, WANG Jun, LIU Xin-Feng, CAO Xiang-Yu, DU Zhi-Hua222. Safety and efficacy of LVIS Jr. stent in treatment of intracranial aneurysms[J]. Journal of International Neurology and Neurosurgery,2021,48(1):37-39
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- 收稿日期:2020-09-17
- 最后修改日期:2021-02-11
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- 在线发布日期: 2021-06-03
