[1]曾 平,谷 震,陈 红,等.大弹簧圈技术与传统方式栓塞治疗颈内动脉-后交通动脉瘤临床效果对比分析[J].介入放射学杂志,2021,30(10):980-984.
 ZENG Ping,GU Zhen,CHEN Hong,et al.Large-sized coil technique versus traditional coil embolization in treating internal carotid artery-posterior communicating artery aneurysms: comparison of clinical effect[J].journal interventional radiology,2021,30(10):980-984.
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大弹簧圈技术与传统方式栓塞治疗颈内动脉-后交通动脉瘤临床效果对比分析()

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

卷:
30
期数:
2021年10
页码:
980-984
栏目:
神经介入
出版日期:
2021-10-25

文章信息/Info

Title:
Large-sized coil technique versus traditional coil embolization in treating internal carotid artery-posterior communicating artery aneurysms: comparison of clinical effect
作者:
曾 平 谷 震 陈 红 陈昱云 李亚捷 王 磊 吴 键 陈 旭
Author(s):
ZENG Ping GU Zhen CHEN Hong CHEN Yuyun LI Yajie WANG Lei WU Jian CHEN Xu.
School of Clinical Medicine, Dali University, Dali, Yunnan Province 671000, China; Department of Neurosurgery, Yunnan Provincial Second People’s Hospital, Kunming, Yunnan Province 650000, China
关键词:
【关键词】 颈内动脉-后交通动脉瘤 大弹簧圈技术 弹簧圈费用 疗效对比
文献标志码:
A
摘要:
【摘要】 目的 对比分析大弹簧圈技术与传统方式栓塞治疗颈内动脉-后交通动脉瘤的临床效果。方法 选取2018年6月至2020年6月云南省第二人民医院收治的68例颈内动脉-后交通动脉瘤介入栓塞治疗患者,根据手术方法不同分为实验组(大弹簧圈技术栓塞治疗)和对照组(传统方式栓塞治疗),每组34例。比较两组术后即刻Raymond-Roy分级、动脉瘤填塞密度、弹簧圈用量、弹簧圈费用、术中支架辅助、手术并发症、出院时Glasgow预后量表(GOS)评分及术后6个月随访GOS评分。结果 实验组患者术后即刻Raymond-Roy分级、弹簧圈用量、弹簧圈费用均低于对照组,动脉瘤填塞密度高于对照组,差异均有统计学意义(P<0.05)。两组患者术中支架辅助、手术并发症、出院时GOS评分及术后6个月随访GOS评分比较,差异无统计学意义(P>0.05)。结论 大弹簧圈技术栓塞治疗颈内动脉-后交通动脉瘤安全有效,与传统方式相比,可提高动脉瘤栓塞密度和治愈率、降低动脉瘤复发率、减少弹簧圈用量及其费用。

参考文献/References:

[1] Golshani K, Ferrell A, Zomorodi A, et al. A review of the management of posterior communicating artery aneurysms in the modern era[J]. Surg Neurol Int, 2010, 1: 88.
[2] 赵飞龙,王 斌,祖庆泉,等. 后交通动脉动脉瘤伴动眼神经麻痹的形态学危险因素分析[J]. 介入放射学杂志, 2020, 29:867-870.
[3] Molyneux AJ, Birks J, Clarke A, et al. The durability of endovascular coiling versus neurosurgical clipping of ruptured cerebral aneurysms: 18 year follow-up of the UK cohort of the International Subarachnoid Aneurysm Trial(ISAT)[J]. Lancet, 2015, 385: 691-697.
[4] 蒋定尧,钱 聪. 颅内动脉瘤血管内介入治疗进展[J]. 浙江医学, 2019, 41:2033-2036.
[5] Pop R, Aloraini Z, Mihoc D, et al. Embolization of very small (≤3 mm) unruptured intracranial aneurysms: a large single-center experience on treatment of unruptured versus ruptured cases[J]. World Neurosurg, 2019, 128: e1087-e1095.
[6] Cho YD, Lee JY, Seo JH, et al. Early recurrent hemorrhage after coil embolization in ruptured intracranial aneurysms[J]. Neuroradiology, 2012, 54: 719-726.
[7] 吕 超,李亚东,李 侠,等. 球囊辅助技术在颅内动脉瘤弹簧圈栓塞术中破裂中的应用[J]. 国际脑血管病杂志, 2020, 28:674-679.
[8] 陈 振,张 松,晋亚洲,等. 支架辅助弹簧圈栓塞与单纯弹簧圈栓塞治疗颅内破裂动脉瘤疗效的对比分析[J]. 中华神经外科杂志, 2020, 36:38-43.
[9] 徐浩文,韩凯昊,付晓杰,等. 血流导向装置联合弹簧圈栓塞治疗颅内动脉瘤的效果分析[J]. 中华神经医学杂志, 2020, 19:799-804.
[10] 薛绛宇,赵同源,蔡栋阳,等. 大规格弹簧圈栓塞术在颅内动脉瘤中的临床疗效探讨[J]. 中华介入放射学电子杂志, 2017, 5:244-248.
[11] Junior JR, Telles JPM, da Silva SA, et al. Epidemiological analysis of 1404 patients with intracranial aneurysm followed in a single Brazilian institution[J]. Surg Neurol Int, 2019, 10: 249.
[12] Wardlaw JM, White PM. The detection and management of unruptured intracranial aneurysms[J]. Brain, 2000, 123( Pt 2): 205-221.
[13] Molyneux A, Kerr R, Stratton I, et al. International Subarachnoid Aneurysm Trial(ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms:a randomised trial[J]. Lancet, 2002, 360: 1267-1274.
[14] Golnari P, Nazari P, Garcia RM, et al. Volumes, outcomes, and complications after surgical versus endovascular treatment of aneurysms in the United States(1993-2015): continued evolution versus steady-state after more than 2 decades of practice[J]. J Neurosurg, 2020, 134:848-861.
[15] Tong FC, Cloft HJ, Dion JE. Endovascular treatment of intracranial aneurysms with Guglielmi Detachable Coils: emphasis on new techniques[J]. J Clin Neurosci, 2000, 7: 244-253.
[16] Mena F, Vinuela F, Duckwiler G, et al. Pitfalls of GDC embolisation of intracranial aneurysms[J]. Interv Neuroradiol, 1998, 4: 231-240.
[17] 赵 林,杨 明,董鹏飞,等. 等圈技术栓塞颅内动脉瘤[J]. 脑与神经疾病杂志, 2018, 26:216-220.
[18] Gallas S, Januel AC, Pasco A, et al. Long-term follow-up of 1036 cerebral aneurysms treated by bare coils: a multicentric cohort treated between 1998 and 2003[J]. AJNR Am J Neuroradiol, 2009, 30: 1986-1992.
[19] Raymond J, Guilbert F, Weill A, et al. Long-term angiographic recurrences after selective endovascular treatment of aneurysms with detachable coils[J]. Stroke, 2003, 34: 1398-1403.
[20] Choi HH, Cho YD, Yoo DH, et al. Comparative analysis of coil embolization in posterior and anterior communicating artery aneurysms[J]. J Neurointerv Surg, 2019, 11: 790-795.
[21] 方治军,张 东. 颅内动脉瘤介入栓塞术后二次复发的影响因素分析[J]. 中华解剖与临床杂志, 2019, 24:375-379.
[22] Murayama Y, Nien YL, Duckwiler G, et al. Guglielmi detachable coil embolization of cerebral aneurysms:11 years’ experience[J]. J Neurosurg, 2003, 98: 959-966.
[23] 马向科,杨 阳. 血管内治疗颅内动脉瘤的影像学及临床预后分析[J]. 首都医科大学学报, 2018, 39:950-954.
[24] Park YK, Bae HJ, Cho DY, et al. Risk factors for recurrence and retreatment after endovascular treatment of intracranial saccular aneurysm larger than 8 mm[J]. Acta Neurochir(Wien), 2019, 161: 939-946.
[25] Hope JK, Byrne JV, Molyneux AJ. Factors influencing successful angiographic occlusion of aneurysms treated by coil embolization[J]. AJNR Am J Neuroradiol, 1999, 20: 391-399.
[26] Kwon BJ, Han MH, Oh CW, et al. Anatomical and clinical outcomes after endovascular treatment for unruptured cerebral aneurysms. A single-center experience[J]. Interv Neuroradiol, 2002, 8: 367-376.
[27] Jeon YI, Kwon DH. Current status and future prospect of endovascular neurosurgery[J]. J Korean Neurosurg Soc, 2008, 43: 69-78.
[28] Sluzewski M, Menovsky T, Van Rooij WJ, et al. Coiling of very large or giant cerebral aneurysms: long-term clinical and serial angiographic results[J]. AJNR Am J Neuroradiol, 2003, 24: 257-262.
[29] Tamatani S, Ito Y, Koike T, et al. Evaluation of the stability of intracranial aneurysms occluded with guglielmi detachable coils[J]. Interv Neuroradiol, 2001, 7(Suppl 1): 143-148.
[30] 郑永涛,刘盈君,徐 锋,等. 对影响颅内动脉瘤弹簧圈填塞率的相关因素的探讨[J]. 中华神经外科杂志, 2015, 31:254-258.
[31] Satoh K, Matsubara S, Hondoh H, et al. Intracranial aneurysm embolization using interlocking detachable coils. correlation between volume embolization rate and coil compaction[J]. Interv Neuroradiol, 1997, 3(Suppl 2): 125-128.
[32] Vanzin JR, Abud DG, Rezende MT, et al. Number of coils necessary to treat cerebral aneurysms according to each size group: a study based on a series of 952 embolized aneurysms[J]. Arq Neuropsiquiatr, 2012, 70: 520-523.

备注/Memo

备注/Memo:
(收稿日期:2020-09-23)
(本文编辑:边 佶)
更新日期/Last Update: 2021-10-13