[1]樵凡原,王飞,张昌伟.血流导向支架治疗颈内动脉血泡样动脉瘤[J].介入放射学杂志,2025,34(02):134-139.
 QIAO Fanyuan,WANG Fei,ZHANG Changwei..Flow diverter stents for blood blister-like aneurysms of the internal carotid artery [J].journal interventional radiology,2025,34(02):134-139.
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血流导向支架治疗颈内动脉血泡样动脉瘤()

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

卷:
34
期数:
2025年02
页码:
134-139
栏目:
神经介入
出版日期:
2025-02-17

文章信息/Info

Title:
Flow diverter stents for blood blister-like aneurysms of the internal carotid artery 
作者:
樵凡原王飞张昌伟
Author(s):
QIAO FanyuanWANG FeiZHANG Changwei.
Department of Neurosurgery,Affiliated Jiangjin Hospital of Chongqing University,Chongqing 402260,China
关键词:
【关键词】血泡样动脉瘤血流导向支架颈内动脉弹簧圈栓塞血管内治疗
文献标志码:
A
摘要:
【摘要】目的评估使用血流导向支架治疗血泡样动脉瘤(blood blister-like aneurysms,BBA)的安全性及有效性。方法回顾性分析2022年1月至2023年6月四川大学华西医院收治的14例BBA患者的临床及影像学数据,包括基线资料、动脉瘤数据、手术方式、手术相关并发症以及随访结果。结果
14例患者中,有5例使用Pipeline血液导向装置(Pipeline embolization device,PED)辅助弹簧圈栓塞,有3例单纯使用PED,有5例使用Tubridge密网支架(TB)辅助弹簧圈栓塞,有1例单纯使用TB。4例单纯使用血流导向支架的患者术后即刻造影时见动脉瘤内造影剂滞留,余均未见动脉瘤显影。1例使用TB辅助弹簧圈栓塞的患者术后并发迟发性大面积脑梗死导致死亡。1例单纯使用PED的患者出现右侧肢体偏瘫,随访时改良Rankin(mRS)评分为2分;余12例患者在出院时及随访时mRS评分均为0分。13例患者随访时造影见动脉瘤完全闭塞。结论血流导向支架辅助弹簧圈栓塞或单纯使用血流导向支架治疗BBA安全有效,但围术期有潜在动脉瘤再出血和脑梗死风险。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2024-03-20)
(本文编辑:新宇)
更新日期/Last Update: 2025-02-17