覆膜支架治疗颅内动脉疾病.pdf

介入放射学杂志2O10年4月第19卷第4期JlnterventRadiol2010，Vo1．19，No．4

·综述Generalreview·

覆膜支架治疗颅内动脉疾病

王永利，程永德，李明华

【摘要】近年来覆膜支架治疗颅内动脉疾病的报道渐多，r}l冠脉覆膜支架的临床应用过渡到专_}fj

颅内覆膜支架的基础研究和临床试验。应用覆膜支架治疗的颅内动脉疾病主要为巨大、宽颈或微d,N动

脉瘤、各种原所致的颅内动脉假性动脉瘤、椎基底动脉梭形或夹层动脉瘤和海绵窦动静脉瘘等。这类

颅内动脉的病变足F1手术和血管内治疗材料和技术难以解决的。覆膜支架使用后可直接、有效封堵动

脉瘤颈和瘘j【，使梭形动脉瘤及载瘤m管再塑形。但也会产生脑神经功能缺失、穿支或母体血管13J塞。本

文对覆膜支．架治疗颅内动脉病变的幽内、外心用和研究动态，所治疗的疾病部位和类型、治疗效果及存

问题进行顾性分析

【关键词】膜支架；颅内动脉；动脉瘤；颈动脉海绵窦瘘

中图分类号：R743．4文献标志码：A文章编号：l008—794X(2010)一04—0331—06

CoveredstentimplantationforthetreatmentofintracranialarterialdisordersWANGYong-li，CHENG

Yong-de，L1Ming-hua．DepartmentoflnterventionalRadiology，FengxianCentralHospital，Shanghai

201400．C，Iina

Correspondingauthor：WANGYong-li，E—mail：yongliwang2008@163．cont

【Abstract】Thecoronarycoveredstentshavebeenmoreandmoreusedtotreatintracranialarterial

diseasesfor1’P(：entyeal’S．andthehotpointinstudyhasgraduallychangedfromclinicalapplicationof

coronarycoveredstentstothefundamentalandclinicaltrialofspecially—designedintracranialcoveredstents．

ThecoveredstentsaremaiM}emph)yedf(1rthetreatmentofintraeranialarterialdisorders．includinggiant．

wide—neeke(1orminutecerebralaneurysms，intracrania1pseudoaneurysmscausedbyavarietyofreasons．

fusiformordissectinganeurysmsofvertebral—basicartery．andinternalcarotidcavernousfistula．etc．ItiS

verydifficuhforcurrentsurgicalorendovasculartreatment，bothmateriallyandtechnically，todea1withthe

abovementionedintracranialdisorders．Thecoveredstentcanrestoretheanatomicshapeofarterybydirect

sealingtheaneurysmalneckandthefistula．Thecomplicationsofcoveredstenttreatmentincludedefectof

cranialnerves，occlusionofparentarteryorbranches，Thisarticleaimstoreviewtherelatedmedical

literaturepublishedbothathomeandabroad，tomakearetrospectiveanalysisofthetherapeuticresults，and

toputforwardsomeissuesofcommoninterest．(JInterventRadiol，2010，