Enterprise Stent-Assisted Coiling of Wide-Necked Intracranial Aneurysms: Clinical and Angiographic Follow-up
Enterprise Stent-Assisted Coiling of Wide-Necked Intracranial Aneurysms: Clinical and Angiographic Follow-up
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DOI：
10.1177/159101991201800408
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发表时间：
2012-12-01
影响因子：
1.7
通讯作者：
Li, Y.
中科院分区：
文献类型：
--
作者：
Jia, J.;Lv, X.;Li, Y.
我们评价并报告了使用Enterprise支架行支架辅助弹簧圈栓塞宽颈颅内动脉瘤的临床和血管造影结局，在2009年4月至2011年10月期间，169例诊断为182个宽颈颅内动脉瘤的患者接受了Enterprise支架置入术。对患者的人口统计学资料、手术数据、手术相关并发症、血管造影结果和临床结果进行了回顾和评价，169例手术中有166例支架成功展开（98.2%）。4例患者发生了急性手术相关并发症，包括3例患者血栓栓塞和1例患者死亡的动脉瘤穿孔。即刻血管造影结果显示101个动脉瘤（56.4%）完全闭塞，55个动脉瘤（30.7%）接近完全闭塞。在平均8.1个月时对108例患者的119个动脉瘤进行了随访血管造影：在95个动脉瘤（79.8%）中观察到完全闭塞，在12个动脉瘤（10.1%）中观察到接近完全闭塞。在2例患者中观察到迟发性支架内血栓形成，在1例患者中观察到无症状的支架内狭窄。10个动脉瘤（8.4%，10/119）显示再通，所有动脉瘤随后均成功回缩。对132例患者进行了平均11.4个月的临床随访，其中118例（89.4%）使用改良兰金量表（mRS）确定具有良好的临床结局
We evaluate and report our clinical and angigraphic outcomes associated with stent-assisted coil embolization of wide-necked intracranial aneurysms using the Enterprise stent.One hundred sixty-nine patients diagnosed with 182 wide-necked intracranial aneurysms underwent placement of the Enterprise stent between April 2009 and October 2011. Demographic information, procedural data, procedure-related complications, angio graphic results, and clinical outcomes were reviewed and evaluated.Stent deployment was successful in 166 out of 169 procedures (98.2%). Four patients had acute procedure-related complications, including th romboembolism in three patients and aneurysm perforation resulting in the death of one patient. Immediate angio graphic results showed complete occlusion in 101 aneurysms (56.4%) and near-complete occlusion in 55 aneurysms (30.7%). Follow-up angiography was performed in 108 patients with 119 aneurysms at a mean of 8.1 months: complete occlusion was observed in 95 aneurysms (79.8%) and near-complete occlusion was found in 12 aneurysms (10.1%). Delayed intra-stent thromboses were observed in two patients, and asymptomatic in-stent stenosis was observed in one patient. Ten aneurysms (8.4%, 10/119) demonstrated recanalization, all of which were subsequently recoiled successfully. Clinical follow-up was obtained for 132 patients at a mean of 11.4 months, out of which 118 (89.4%) had favorable clinical outcomes as determined using a modified Rankin Scale (mRS)