Enterprise支架辅助弹簧圈栓塞技术治疗急性破裂宽颈颅内动脉瘤的临床观察OA
Clinical Observation of Enterprise Stent-Assisted Coil Embolization Technique in the Treatment of Acute Ruptured Wide-necked Intracranial Aneurysms
目的 探讨Enterprise支架辅助弹簧圈栓塞技术治疗急性破裂宽颈颅内动脉瘤的临床效果.方法 选取 2022 年 2 月至 2025 年 2 月驻马店市中心医院收治的急性破裂宽颈颅内动脉瘤者 80 例,依据治疗方式不同分为两组.对照组 40 例患者接受LVIS支架辅助弹簧圈栓塞技术治疗,研究组 40 例患者接受Enterprise支架辅助弹簧圈栓塞技术治疗,对比两组的即刻栓塞效果、手术情况、临床预后、复发及并发症发生情况.结果 研究组的即刻栓塞效果与临床预后均优于对照组(P<0.05);两组的术中弹簧逃逸率、复发率、并发症总发生率对比差异不明显(P>0.05),而研究组的释放解脱时间及手术时长均短于对照组(P<0.05).结论 对于急性破裂宽颈颅内动脉瘤,Enterprise支架辅助弹簧圈栓塞技术在实现更优的即刻栓塞效果与改善患者临床预后方面表现更为突出,这主要得益于其更短的释放解脱时间与手术时长;而在安全性与复发率方面,其与LVIS支架辅助弹簧圈栓塞技术则无明显差异.
Objective To investigate the clinical efficacy of Enterprise stent-assisted coil embolization technique in the treatment of acute ruptured wide-neck intracranial aneurysms.Methods A total of 80 patients with acute ruptured wide-neck intracranial aneurysms admitted to Zhumadian Central Hospital from February 2022 to February 2025 were selected and divided into two groups according to different treatment methods.40 patients in the control group received LVIS stent-assisted coil embolization technique treatment,while 40 patients in the study group received Enterprise stent-assisted coil embolization technique treatment.The immediate embolization effect,surgical status,clinical prognosis,recurrence and complication rates were compared between the two groups.Results The study group showed better immediate embolization effect and clinical prognosis compared to the control group(P<0.05).There was no significant difference in the intraoperative spring coil escape rate,recurrence rate and total complication rate between the two groups(P>0.05).However,the stent release/detachment time and total surgical duration in the study group were shorter than those in the control group(P<0.05).Conclusions For acute ruptured wide-neck intracranial aneurysms,Enterprise stent-assisted coil embolization technique demonstrates superior performance in achieving better immediate embolization effect and improving clinical prognosis,primarily attributable to its shorter release/detachment time and overall surgical duration.Regarding safety and recurrence rates,it shows no significant difference compared to LVIS stent-assisted coil embolization technique.
梁浩;金俊;冯文献;王栋
驻马店市中心医院 神经介入科,河南 驻马店 463000驻马店市中心医院 神经介入科,河南 驻马店 463000驻马店市中心医院 神经介入科,河南 驻马店 463000南阳市第二人民医院 神经外科,河南 南阳 473000
医药卫生
急性破裂宽颈颅内动脉瘤Enterprise支架栓塞效果并发症复发
Acute ruptured wide-neck intracranial aneurysmEnterprise stentEmbolization effectComplicationRecurrence
《临床医学工程》 2026 (2)
145-148,4
河南省医学科技攻关计划联合共建项目(项目编号:LHGJ20191469)
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