[1]崔艳峰,徐 浩,祖茂衡,等.介入栓塞治疗颅内微小动脉瘤的临床研究[J].介入放射学杂志,2014,(08):651-654.
CUI Yan feng,XU Hao,ZU Mao heng,et al.Clinical study of interventional embolization for the treatment of tiny intracranial aneurysms[J].journal interventional radiology,2014,(08):651-654.
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介入栓塞治疗颅内微小动脉瘤的临床研究()
《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]
- 卷:
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- 期数:
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2014年08期
- 页码:
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651-654
- 栏目:
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神经介入
- 出版日期:
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2014-08-25
文章信息/Info
- Title:
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Clinical study of interventional embolization for the treatment of tiny intracranial aneurysms
- 作者:
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崔艳峰; 徐 浩; 祖茂衡; 顾玉明; 张庆桥; 魏 宁; 许 伟; 刘洪涛
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- Author(s):
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CUI Yan feng; XU Hao; ZU Mao heng; GU Yu ming; ZHANG Qing qiao; WEI Ning; XU Wei; LIU Hong tao.
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Department of Interventional Radiology, the Affiliated Hospital of Xuzhou Medical College, Xuzhou, Jiangsu Province 221002, China
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- 关键词:
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【关键词】 颅内微小动脉瘤; 宽颈; 支架; 栓塞
- 文献标志码:
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A
- 摘要:
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【摘要】 目的 探讨血管内栓塞治疗颅内微小动脉瘤(直径 ≤ 3.0 mm)的技巧及疗效。方法 2010年12 月—2013年7 月收治颅内微小动脉瘤患者12例,其中窄颈动脉瘤7例(颈体比 ≤ 1/2),行单纯弹簧圈栓塞治疗;宽颈动脉瘤5例(颈体比 > 1/2),使用支架辅助弹簧圈栓塞治疗。按Raymond 分级方法,术后即刻评价栓塞效果及并发症,术后30 d 根据GOS 评分评定,并进行电话及造影随访。结果 12例患者的12枚动脉瘤均成功栓塞,成功率为100%。术后即刻造影示动脉瘤完全栓塞8枚(66.7%),瘤腔残留4 枚(33.3%)。GOS 评分评定预后5 级12例。12例患者术后电话随访1 ~ 12个月,无动脉瘤再次破裂出血。结论 采用介入栓塞治疗颅内微小动脉瘤可行,但安全性及疗效仍需进一步观察。
参考文献/References:
[1] van Rooij WJ, Sprengers ME, de Gast AN, et al. 3D rotational angiography: the new Gold standard in the detection of additional intracranial aneurysms[J]. AJNR, 2008, 29: 976 979.
[2] Lanzino G, Kallmes DF. Endovascular treatment of very small ruptured intracranial aneurym[J]. J Neurosurg, 2008, 108: 1087.
[3] Nguyen TN, Raymond J, Guilbert F, et al. Association of endovascular therapy of very small ruptured aneurysms with higher rates of procedure related rupture[J]. J Neurosurg, 2008, 108: 1088 1092.
[4] Lu J, Liu JC, Wang LJ, et al. Tiny intracranial aneurysms: endovascular treatment by coil embolisation or sole stent deployment[J]. Eur J Radiol, 2012, 81: 1276 1281.
[5] Ioannidis I, Lalloo S, Corkill R, et al. Endovascular treatment of very small intracranial aneurysm[J]. J Neursurg, 2010, 112: 551 556.
[6] Molyneux A, Kerr R, International Subarachnoid Aneurysm Trial (ISAT) Collaborative Group, et al. International subarachnoid aneurysm trial(ISAT) of neurosurgical clipping versus endovascular coiling in 2 143 patients with ruptured intracranial aneurysms: a randomized trial[J]. J Lancet, 2007, 11: 304 314.
[7] 刘建民, 许 奕, 洪 波, 等. 颅内自膨胀支架结合弹簧圈治疗脑动脉瘤[J]. 介入放射学杂志, 2004, 13: 196 200.
[8] Zenteno MA, Santos Franco JA, Freitas Modenesi J, et al. Use of the solo stenting technique for the management of aneurysms in the posterior circulation in a prospective series of 20 patients[J]. J Neurosurg, 2008, 108: 1104 1118.
[9] Benndorf G, Klucznik RP, Meyer D, et al.“Cross over” technique for horizontal stenting of an internal carotid bifurcation aneurysm using a new self expandable stent: technical case report[J]. Neurosurgery, 2006, 58: ONS E172; discussion ONS E172.
[10] 杨鹏飞, 刘建民, 洪 波, 等. 支架半释放技术辅助栓塞颅内复杂动脉瘤[J]. 介入放射学杂志, 2009, 18: 723 726.
[11] 黄清海, 刘建民, 杨鹏飞, 等. 支架后释放技术在颅内宽颈动脉瘤栓塞治疗中的应用[J]. 中华脑血管病杂志: 电子版, 2009, 3: 208 213.
[12] Perez Arjona E, Fessler RD. Basilar artery to bilateral posterior cerebral artery “Y stenting” for endovascular Reconstruction of wide neck basilar apex aneurysm: report of three cases[J]. Neurol Res, 2004, 26: 276 281.
[13] Sani S, Lopes DK. Treatment of a middle cerebral artery bifurcation aneurysm using a double neuroform stent “Y” configuration and coil embolization: technical case report[J]. Neurosurgery, 2005, 57: E209; discussion E209.
[14] Horowitz M, Levy E, Sauvageau E, et al. Intra/extra aneurysmal stent placement for management of complex and wide necked bifurcation aneurysms: eight cases using the waffle cone technique[J]. Neurosurgery, 2006, 58: ONS 258; discussion ONS 262.
[15] 孙文萍, 方 淳, 李明华, 等. 颈内动脉床突上段微小动脉瘤的血管内治疗和长期随访[J]. 临床放射学杂志, 2010, 29: 1667 1671.
[16] Fang C, Li MH, Zhu YQ, et al. The effectiveness and feasibility of endovascular coil embolization for very small cerebral aneurysms: mid and long term follow up[J]. Ann Vasc Surg, 2010, 24: 400 407.
[17] Biondi A, Janardhan V, Katz JM, et al. Neuroform stent assisted coilembolization of wide neck intracranial aneurysms: strategies instent deployment and midterm follow up[J]. Neurosugery, 2007, 61: 460 468.
[18] Lieber BB, Gounis MJ. The physics of endoluminal stenting in the treatment of cerebrovascular aneurysms[J]. Neurol Res, 2002, 24: S33 S42.
[19] Cantón G, Levy DI, Lasheras JC. Hemodynamic changes due to stent placement in bifurcating intracranial aneurysms[J]. J Neurosurg, 2005, 103: 146 155.
[20] 张 鑫, 刘建民, 周晓平, 等. 血管内支架结合弹簧圈栓塞犬宽颈动脉瘤的病理学研究[J]. 中华神经外科杂志, 2007, 23: 585 588.
[21] Yang MS, Wong HF, Yang TH, et al. Alternative option in the treatment of very small ruptured intracranial aneurysms[J]. Surg Neurol, 2009, 72: S41 S46.
[22] 顾斌贤, 李明华, 王 武, 等. 单个弹簧圈栓塞颅内微小动脉瘤的单中心经验[J]. 介入放射学杂志, 2012, 21: 7 13.
[23] 高 天, 李冬梅, 杜世伟, 等. 栓塞治疗35例颅内破裂微小动脉瘤[J]. 介入放射学杂志, 2013, 22: 1039 1042
备注/Memo
- 备注/Memo:
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(收稿日期:2013 -10-25)
(本文编辑:侯虹鲁)
更新日期/Last Update:
2014-08-22