[1]李 辉,段传志,何旭英,等.颅内夹层动脉瘤血管内治疗进展[J].介入放射学杂志,2015,(01):87-90.
 LI Hui,DUAN Chuan zhi,HE Xu ying,et al.Endovascular treatment of intracranial dissecting aneurysms: recent progress in clinical research[J].journal interventional radiology,2015,(01):87-90.
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颅内夹层动脉瘤血管内治疗进展 ()

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

卷:
期数:
2015年01期
页码:
87-90
栏目:
综述
出版日期:
2015-01-25

文章信息/Info

Title:
Endovascular treatment of intracranial dissecting aneurysms: recent progress in clinical research
作者:
李 辉 段传志 何旭英 李西锋 张 炘 刘彦超
Author(s):
LI Hui DUAN Chuan zhi HE Xu ying LI Xi feng ZHANG Xin LIU Yan chao.
Department of Neurosurgery, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong 510282, China
关键词:
【关键词】 夹层动脉瘤 血管内治疗 支架
文献标志码:
A
摘要:
【摘要】 夹层动脉瘤是颅内血管病变少见疾病之一。它是指病理性夹层发生在动脉中膜层内或中膜和外膜之间造成动脉壁膨出,发生的动脉瘤样扩张。其动脉瘤壁破裂引起的蛛网膜下腔出血是导致患者致残、致死的主要原因。由于颅内夹层动脉瘤各自不同的临床特点,尚无统一的治疗方案。目前国内外对颅内夹层动脉瘤的治疗方式主要有闭塞载瘤动脉、支架辅助弹簧圈栓塞等,两者长期随访研究结果显示缺血及出血事件无明显差异。目前国内外更为关注的是载瘤动脉的重建。一些新的治疗理念如多支架重叠重建载瘤动脉等越来越得到多数学者的推崇。本文就其血管内治疗进展予以综述,为临床治疗提供理论参考。

参考文献/References:

[1] Mizutani T, Aruga T, Kirino T, et al. Recurrent subarachnoid hemorrhage from untreated ruptured vertebrobasilar dissecting aneurysms[J]. Neurosurgery, 1995, 36: 905 911.
[2] Wang H, Du R, Stary J, et al. Dissecting aneurysms of the posterior cerebral artery: current endovascular/surgical evaluation and treatment strategies[J]. Neurosurgery, 2012, 70: 1581 1588.
[3] Albuquerque FC, Fiorella DJ, Han PP, et al. Endovascular management of intracranial vertebral artery dissecting aneurysms[J]. Neurosurg Focus, 2005, 18: E3.
[4] 黄 伟, 刘建民, 许 亦, 等. 血管内治疗椎基底动脉夹层动脉瘤(附45例分析)[J]. 中国微侵袭神经外科杂志, 2008, 13: 307 309.
[5] Ahn JY, Han IB, Kim TG, et al. Endovascular treatment of intracranial vertebral artery dissections with stent placement or stent assisted coiling[J]. AJNR, 2006, 27: 1514 1520.
[6] Park SI, Kim BM, Kim DI, et al. Clinical and angiographic follow up of stent only therapy for acute intracranial vertebro basilar dissecting aneurysms[J]. AJNR, 2009, 30: 1351 1356.
[7] Zenteno MA, Santos Franco JA, Freitas Modenesi JM, et al. Use of the sole 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.
[8] Lylyk P, Ceratto R, Hurvitz D, et al. Treatment of a vertebral dissecting aneurysm with stents and coils: technical case report[J]. Neurosurgery, 1998, 43: 385 388.
[9] Lü X, Li Y, Xinjian Y, et al. Results of endovascular treatment for intracranial wide necked saccular and dissecting aneurysms using the Enterprise stent: a single center experience[J]. Eur J Radiol, 2012, 81: 1179 1183.
[10] 曲怀谦, 缪中荣, 张鸿祺, 等. 血管内治疗椎动脉夹层动脉瘤18例[J]. 中国脑血管病杂志, 2004, 1: 298 302.
[11] Wilkinson DA, Wilson TJ, Stetler WR, et al. Subarachnoid haemorrhage with bilateral intracranial vertebral artery dissecting aneurysms treated by staged endovascular stenting[J]. BMJ Case Rep, 2013.
[12] 刘爱华, 吴中学, 李佑祥, 等. 血管内支架技术治疗颅内椎动脉动脉瘤[J]. 中国医学影像技术, 2005, 21: 450 452.
[13] 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.
[14] He M, Zhang H, Lei D, et al. Application of covered stent grafts for intracranial vertebral artery dissecting aneurysms[J]. J Neurosurg, 2009, 110: 418 426.
[15] Ding H, He M, You C, et al. Application of endovascular covered stent for treating vertebral dissecting aneurysm and carotid cavernous fistula[J]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi, 2009, 23(2): 215 218.
[16] 林耀波, 谭少华. 带膜支架治疗椎动脉夹层动脉瘤的疗效分析[J]. 中国临床实用医学, 2010, 4: 102 103.
[17] La Barge DV, Ng PP, Stevens EA, et al. Extended intracranial applications for ethylene vinyl alcohol copolymer (Onyx): mycotic and dissecting aneurysms. Technical note[J]. J Neurosurg, 2009, 111: 114 118.
[18] Oh DC, Hirsch JA, Yoo AJ. Novel use of onyx for treatment of intracranial vertebral artery dissection[J]. J Neurointerv Surg, 2012, 4: 31 33.
[19] Cekirge HS, Saatci I, Geyik S, et al. Intrasaccular combination of metallic coils and onyx liquid embolic agent for the endovascular treatment of cerebral aneurysms[J]. J Neurosurg, 2006, 105: 706 712.
[20] Narata AP, Yilmaz H, Schaller K, et al. Flow diverting stent for ruptured intracranial dissecting aneurysm of vertebral artery[J]. Neurosurgery, 2012, 70: 982 988.
[21] Ducruet AF, Crowley RW, Albuquerque FC, et al. Reconstruc tive endovascular treatment of a ruptured vertebral artery dissecting aneurysm using the Pipeline embolization device[J]. J Neurointerv Surg, 2013, 5: e20.
[22] Byrne JV, Beltechi R, Yarnold JA, et al. Early experience in the treatment of intra cranial aneurysms by endovascular flow diversion: a multicentre prospective study[J]. PLoS One, 2010, 5.
[23] Mehta B, Burke T, Kole M, et al. Stent within a stent technique for the treatment of dissecting vertebral artery aneurysms[J]. AJNR, 2003, 24: 1814 1818.
[24] Suh SH, Kim BM, Park SI, et al. Stent assisted coil emboliza tion followed by a stent within a stent technique for ruptured dissecting aneurysms of the intracranial vertebrobasilar artery. Clinical article[J]. J Neurosurg, 2009, 111: 48 52.

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备注/Memo

备注/Memo:
(收稿日期:2014-03-30)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2015-01-26