[1]施万印,李永东,李明华,等.弹簧圈再栓塞或覆膜支架治疗颅内动脉瘤复发[J].介入放射学杂志,2010,(04):269.
　SHI Wanyin,LI YongDong,LI MingHua,et al.Endovascular treatment of recurrent intracranial aneurysms with re－coiling or covered stents[J].journal interventional radiology,2010,(04):269.
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弹簧圈再栓塞或覆膜支架治疗颅内动脉瘤复发()

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

卷:
期数:
2010年04期
页码:
269
栏目:
神经介入
出版日期:
2010-04-15

文章信息/Info

Title:
Endovascular treatment of recurrent intracranial aneurysms with re－coiling or covered stents
作者:
施万印; 李永东; 李明华; 等
２００２３３上海交通大学附属第六人民医院介入影像科
Author(s):
SHI Wan－yin; LI Yong－Dong; LI Ming－Hua; GAO Bu－lang; FANG Chun; CHENG Ying－sheng; WANG Wu ; LI Wen－bin; ZHAO Jun－gong; ZHANG Pei－lei; WANG Jue; LI Min．
Institute of Diagnostic and Interventional Neuroradiology，The Sixth Affiliated People’s Hospital，Shanghai Jiao Tong University，Shanghai２００２３３，China
关键词:
颅内动脉瘤; 复发; 栓塞; 覆膜支架
分类号:
R７４３.４
摘要:
目的报道用弹簧圈再次栓塞或覆膜支架治疗颅内复发动脉瘤的经验。方法２９１例患者共３０５枚颅内动脉瘤行可脱卸弹簧圈治疗。随访期间，１４２例颅内动脉瘤中有４１例（２８．９％）动脉瘤复发。６个月内有脑血管造影随访的３１例共３１枚复发动脉瘤纳入本研究，其中２０例行可脱卸弹簧圈再栓塞（A组），１１例行覆膜支架置入术（B组）。将动脉瘤血管造影结果分为完全闭塞、不完全闭塞；临床评估分级为完全康复，改善，无变化，加重或进展。收集并分析技术成功率，即刻和末次血管造影结果等资料。结果所有复发动脉瘤弹簧圈栓塞和支架置入技术均获得成功。即刻脑血管造影示A组１１例（５５％）动脉瘤完全闭塞，B组８例（７２．７％）完全闭塞；末次脑血管造影示A组１０例（５０％）动脉瘤完全闭塞，B组１１例（１００％）完全闭塞，两组间差异有统计学意义（P＝０．００５）。结论弹簧圈栓塞后动脉瘤复发，可以行弹簧圈再次栓塞术或覆膜支架置入术治疗和闭塞瘤腔。覆膜支架可能比弹簧圈栓塞能更有效地完全闭塞复发动脉瘤

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备注/Memo

备注/Memo:
收稿日期：２００９－１２－２９
更新日期/Last Update: 2010-04-15