比较Lvis支架辅助弹簧圈和Solitaire支架辅助弹簧圈栓塞治疗颅内破裂宽颈动脉瘤的安全性和有效性

目的 比较Lvis支架辅助弹簧圈和Solitaire支架辅助弹簧圈栓塞治疗颅内破裂宽颈动脉瘤的安全性和有效性。 方法 对2014年6月-2017年8月于宿州市第一人民医院脑血管病诊疗中心使用Lvis支架辅助弹簧圈或Solitaire支架辅助弹簧圈栓塞治疗颅内破裂宽颈动脉瘤的88例患者的病情资料进行回顾性分析,其中,观察组(Lvis支架辅助弹簧圈治疗组,45例)和对照组(Solitaire支架辅助弹簧圈治疗组,43例)。对2组患者栓塞治疗术后进行随访,采用GOS预后评分比较两种支架栓塞治疗的安全性,根据术后患者血管造影结果、Raymond分级标准比较两种支架栓塞治疗的有效性。 结果 术后GOS预后评分,观察组高于对照组,差异有统计学意义(P<0.05);患者血管造影结果显示,观察组的支架栓塞成功率高于对照组(P<0.05)、复发率低于对照组(P<0.05),差异有统计学意义;术后即刻Raymond分级和随访Raymond分级,观察组优于对照组,差异有统计学意义(P<0.05)。 结论 Lvis支架辅助弹簧圈栓塞治疗颅内宽颈动脉瘤破裂时,能提高致密栓塞率,并能减少动脉瘤的复发率及再次出血率,安全性和有效性优于Solitaire支架辅助弹簧圈。 

A comparative study of safety and efficiency between LVIS stent assistant spring ring and Solitaire stent spring ring for the ruptured wide-necked intracranial aneurysm

Objective To compare the safety and efficiency of Lvis stent assistant spring ring and Solitaire assistant spring ring in the treatment of the ruptured wide-necked intracranial aneurysm. Methods The clinical data of 88 patients with the ruptured wide-necked intracranial aneurysm undergoing Lvis stent assistant spring ring or Solitaire assistant spring ring in our hospital between June, 2014 and August, 2017 were analyzed retrospectively. Forty-five patients in the observation group received Lvis stent assistant spring ring, while 43 patients in the control group received Solitaire stent assistant spring ring. All the patients in the two groups were followed up to investigate the safety of the two methods by Glasgow Outcome Score (GOS). The result of computed tomography angiogram (CTA) and the Raymond-Roy Occlusion Classification (RROC) were used to compare the efficiency of two methods. Results The postoperative GOS in the observation group was higher than that in the control group (P<0.05); CTA result showed that the success rate in the observe group was higher than that in the control group (P<0.05), while the recurrence rate was lower than that in the control group (P<0.05); RROC immediate after the operation and during the follow-up in the observation group were better than those in the control group, the difference was statistically significant (P<0.05). Conclusion Livs stent assistant spring ring for intracranial wide-necked aneurysm can increase dense embolism rate, and decrease recurrence rate of arterial aneurysm and re-bleeding rate, with a better safety and efficiency level as compared with Solitaire stent spring ring.