[1]秦飞云,李真保,刘佳强.LEO Baby支架在颅内小血管微小动脉瘤血管内治疗中的应用分析[J].介入放射学杂志,2026,(01):80-86.[doi:10.3969/j.issn.1008-794X.2026.01.014 ]
 QIN Feiyun,LI Zhenbao,LIU Jiaqiang..Application of LEO baby stent in the endovascular treatment of very small intracranial aneurysms in small parent vessels[J].J Intervent Med,2026,(01):80-86.[doi:10.3969/j.issn.1008-794X.2026.01.014 ]
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LEO Baby支架在颅内小血管微小动脉瘤血管内治疗中的应用分析()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2026年01
页码:
80-86
栏目:
临床研究
出版日期:
2026-01-25

文章信息/Info

Title:
Application of LEO baby stent in the endovascular treatment of very small intracranial aneurysms in small parent vessels
文章编号:
1008-794X(2026)-001-0080-07
作者:
秦飞云 李真保 刘佳强
241001 安徽芜湖 皖南医学院第一附属医院(弋矶山医院)神经外科
Author(s):
QIN FeiyunLI ZhenbaoLIU Jiaqiang.
Department of Neurosurgery,The First Affiliated Hospital of Wannan Medical College(Yijishan Hospital),Wuhu,Anhui Province 241001,China
关键词:
LEO Baby支架 微小动脉瘤 小血管 血管内治疗 并发症
分类号:
R743.9
DOI:
10.3969/j.issn.1008-794X.2026.01.014
文献标志码:
B
摘要:
目的 评估LEO Baby支架在颅内小血管微小动脉瘤血管内治疗中的安全性和有效性,并对相关并发症作简要分析。方法 回顾性分析2020年8月至2023年5月在皖南医学院第一附属医院(弋矶山医院)神经外科运用LEO Baby支架治疗的颅内小血管微小动脉瘤患者的临床及影像学资料,如性别、年龄、既往病史、出院和随访时临床预后和动脉瘤闭塞程度、有无动脉瘤复发,以及术中、术后并发症如血栓、支架内狭窄等,并对患者的临床及影像学结果进行分析,总结相关临床治疗经验。结果 共纳入62例患者共62枚颅内小血管微小动脉瘤,均采用LEO Baby支架辅助栓塞治疗,包括11例破裂微小动脉瘤及51例未破裂微小动脉瘤。共植入62枚LEO Baby支架,其中6例患者出现围手术期并发症。1例患者出现术中动脉瘤破裂,给予快速弹簧圈填塞后出血停止,术后仅轻微头痛,出院时无神经功能缺损。1例患者出现术后再出血,出血量不多,给予保守治疗后出血最终吸收,未遗留明显后遗症及神经功能缺损。4例患者发生术中支架内血栓形成,其中3例发生于破裂动脉瘤患者,均给予动脉内替罗非班溶栓处理后血管再通。3例患者术后恢复良好,无神经功能缺损; 另1例患者术后复查头颅CT见术侧颞叶缺血梗塞灶,并遗留对侧肢体偏瘫。动脉瘤术后即刻完全闭塞率为54.8%(34/62)。出院时,61例患者恢复良好(GOS评分≥4分)。所有患者均在术后1年内接受脑血管造影,动脉瘤完全闭塞率达90.3%,无一例患者出现动脉瘤术后复发。4例患者随访造影时发现支架内狭窄,但均无明显临床症状,未做特殊处理,给予继续随访观察。结论 运用LEO Baby支架治疗颅内小血管微小动脉瘤安全有效,可以获得较好的动脉瘤完全闭塞率。但破裂动脉瘤急性期使用时具有相对较高的支架内血栓形成的发生率。

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(收稿日期:2024-12-29)
(本文编辑:茹 实)

备注/Memo

备注/Memo:
通信作者: 李真保 E-mail:lizhenbao-86@163.com
更新日期/Last Update: 2026-01-25