血管内支架结合GDC栓塞治疗基底动脉顶端宽颈动脉瘤

目的 报道应用血管内支架结合电解可脱卸弹簧圈栓塞治疗1例未破裂的基底动脉顶端宽颈动脉瘤的经验及结果。方法 将球囊膨胀型血管内支架跨动脉瘤瘤颈部位置入并准确释放后，微导管超选进入动脉瘤内填塞弹簧圈。结果 支架成功的置入，支架近端在基底动脉，远端在大脑后动脉近段，动脉瘤得到次全栓塞(90％以上)，载瘤动脉及毗邻的侧支血管保持通畅，患者恢复满意。结论 血管内支架结合弹簧圈栓塞治疗基底动脉顶端宽颈动脉瘤是可行的，支架植入对侧支血管血流无明显影响。

Intraluminal stenting and endosaccular coiling for a wide-necked basilar tip anEurysm.

Objective To report our experience and result of intraluminal stenting and endosaccular coiling for an unruptured wide-necked basilar tip aneurysm. Methods Balloon-expandable stent was deployed across the aneurysmal neck through endovascular approach. Microcatheter was superselectively introduced into aneurysmal sac for GDC packing. Results The procedure was technically successful. The proximal segment of stent was deployed in basilar artery, and distal segment in left PCA. The aneurysm was subtotaly (more than 90%) occluded with patency of parent artery and adjacent perforating arteries. Conclusions Endovascular stenting combined with endosaccular coilng is an alternative method for treating basilar tip wide-necked aneurysm, and deployment of stent yields no adversary effect on flow of branch vessels.