[1]巴华君,蔡建勇,陆 川,等.支架辅助下弹簧圈栓塞颅内宽颈动脉瘤长期随访分析[J].介入放射学杂志,2015,(01):5-9.
 BA Hua jun,CAI Jian yong,LU Chuan,et al.Stent assisted coil embolization for the treatment of intracranial wide necked aneurysms: long term follow up analysis[J].journal interventional radiology,2015,(01):5-9.
点击复制

支架辅助下弹簧圈栓塞颅内宽颈动脉瘤长期随访分析 ()

PDF下载中关闭

分享到:

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

卷:
期数:
2015年01期
页码:
5-9
栏目:
神经介入
出版日期:
2015-01-25

文章信息/Info

Title:
Stent assisted coil embolization for the treatment of intracranial wide necked aneurysms: long term follow up analysis
作者:
巴华君 蔡建勇 陆 川 陈献东 孙 军
Author(s):
BA Hua jun CAI Jian yong LU Chuan CHEN Xian dong SUN Jun.
Department of Neurosurgery, Wenzhou Municipal Central Hospital, Wenzhou, Zhejiang Province 325000, China
关键词:
【关键词】 颅内宽颈动脉瘤 支架辅助弹簧圈栓塞 长期随访 复发率 支架内狭窄发生率
文献标志码:
A
摘要:
【摘要】 目的 观察使用支架辅助弹簧圈栓塞治疗颅内宽颈动脉瘤患者术后3年以上的复发率、支架内狭窄率、动脉瘤再破裂发生率。方法 47例支架辅助弹簧圈栓塞颅内宽颈动脉瘤患者,术后3年以上接受DSA下全颈脑血管造影检查。结果 出现不同程度的支架内狭窄3例,其中1例出现载廇动脉慢性闭塞。复发5例,其中1例为小型前交通动脉瘤,患者动脉瘤体可见部分显影;4例为超过1.5 cm的颈内动脉虹吸段的大型动脉瘤,栓塞后半年随访发现,动脉瘤内弹簧圈压缩,瘤体再度显影,该4例中有3例经过2次栓塞后即时显影消失,但仍有2例3年随访动脉瘤体再度显影,另1例拒绝2次栓塞,继续随访中。3年随访期内无一例患者栓塞后动脉瘤再破裂。结论 支架辅助弹簧圈栓塞颅内宽颈动脉瘤术式有效、可行,复发率低,支架内狭窄发生率不高,长期效果良好。

参考文献/References:

[1] 张海林, 任 军, 赵贤军, 等. 新型颅内Solitaire支架辅助弹簧圈栓塞颅内复杂动脉瘤[J]. 中国临床神经外科杂志, 2011, 16: 466 469.
[2] Biondi A, Janardhan V, Katz JM, et al. Neuroform stent assisted coil embolization of wide neck intracranial aneurysms: strategies in stent deployment and midterm follow up[J]. Neurosurgery, 2007, 61: 460 468; discussion 468 469.
[3] 李 敏, 王 武, 李明华, 等. Neuroform3支架辅助弹簧圈栓塞脑宽颈动脉瘤的长期随访疗效[J]. 介入放射学杂志, 2012, 21: 356 361.
[4] Moret J, Cognard C, Weill A, et al. Reconstruction technic in the treatment of wide neck intracranial aneurysms. Long term angiographic and clinical results. Apropos of 56 cases[J]. J Neuroradiol, 1997, 24: 30 44.
[5] Henkes H, Fischer S, Weber W, et al. Endovascular coil occlusion of 1811 intracranial aneurysms: early angiographic and clinical results[J]. Neurosurgery, 2004, 54: 268 280.
[6] 邢 鸣, 杨鹏飞, 黄清海, 等. 支架治疗颈内动脉分叉部宽颈动脉瘤[J]. 介入放射学杂志, 2012, 21: 92 97.
[7] 陈 状, 李 林, 王伟民, 等. SolitaireAB支架结合弹簧圈治疗颅内宽颈动脉瘤的初步经验[J]. 介入放射学杂志, 2013, 22: 447 450.
[8] Kastrati A, Hall D, Sch?觟mig A. Longterm outcome after coronary stenting[J]. Curr Control Trials Cardiovasc Med, 2000, 1: 48 54.
[9] Lubicz B, Fran?觭ois O, Levivier M, et al. Preliminary experience with the enterprise stent for endovascular treatment of complex intracranial aneurysms: potential advantages and limiting characteristics[J]. Neurosurgery, 2008, 62: 1063 1069.
[10] Mocco J, Snyder KV, Albuquerque FC, et al. Treatment of intracranial aneurysms with the Enterprise stent: a multicenter registry[J]. J Neurosurg, 2009, 110: 35 39.
[11] Urbach H, Tschampa H, Kovács A, et al. The enterprise stent for the treatment of intracranial aneurysms: stenting strategies[J]. Klin Neuroradiol, 2009, 19: 197 203.
[12] 刘 圣, 施海彬, 胡卫星, 等. Neuroform支架辅助弹簧圈填塞治疗颅内宽颈动脉瘤[J]. 介入放射学杂志, 2009, 18: 883 887.
[13] Cantón G, Levy DI, Lasheras JC. Hemodynamic changes due to stent placement in bifurcating intracranial aneurysms[J]. J Neurosurg, 2005, 103: 146 155.
[14] Sedat J, Chau Y, Mondot L, et al. Endovascular occlusion of intracranial wide necked aneurysms with stenting (Neuroform) and coiling: mid term and long term results[J]. Neuroradiology, 2009, 51: 401 409.
[15] De Paula Lucas C, Piotin M, Spelle L, et al. Stent jack technique in stent assisted coiling of wide neck aneurysms[J]. Neurosurgery, 2008, 62: ONS414 ONS416.
[16] Wanke I, Forsting M. Stents for intracranial wide necked aneurysms: more than mechanical protection[J]. Neuroradiology, 2008, 50: 991 998.
[17] Fiorella D, Albuquerque FC, Deshmukh VR, et al. Usefulness of the neuroform stent for the treatment of cerebral aneurysms: results at initial (3 6 mo) follow up[J]. Neurosurgery, 2005, 56: 1191 1201.
[18] Lubicz B, Bandeira A, Bruneau M, et al. Stenting is improving and stabilizing anatomical results of coiled intracranial aneurysms[J]. Neuroradiology, 2009, 51: 419 425.
[19] Kim DJ, Suh SH, Lee JW, et al. Influences of stents on the outcome of coil embolized intracranial aneurysms: comparison between a stent remodeled and non remodeled treatment[J]. Acta Neurochir (Wien), 2010, 152: 423 429.
[20] Yahia AM, Latorre JG, Gordon V, et al. Progressive occlusion of aneurysms in Neuroform Stent assisted treatment of intracranial aneurysms[J]. J Neurol Neurosurg Psychiatry, 2011, 82: 278 282.
[21]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.
[22] Kim DJ, Suh SH, Lee JW, et al. Influences of stents on the outcome of coil embolized intracranial aneurysms: comparison between a stent remodeled and non remodeled treatment[J]. Acta Neurochir (Wien), 2010, 152: 423 429.
[23] Henkes H, Bose A, Felber S, et al. Endovascular coil occlusion of intracranial aneurysms assisted by a novel self expandable nitinol microstent (neuroform)[J]. Interv Neuroradiol, 2002, 8: 107 119.
[24] Wanke I, Doerfler A, Schoch B, et al. Treatment of wide necked intracranial aneurysms with a self expanding stent system: initial clinical experience[J]. AJNR, 2003, 24: 1192 1199.
[25] Howington JU, Hanel RA, Harrigan MR, et al. The neuroform stent, the first microcatheter delivered stent for use in the intracranial circulation[J]. Neurosurgery, 2004, 54: 2 5.
[26] Fiorella D, Albuquerque FC, Han P, et al. Preliminary experience using the Neuroform stent for the treatment of cerebral aneurysms[J]. Neurosurgery, 2004, 54: 6 16.
[27] Broadbent LP, Moran CJ, Nehra A, et al. Transfer of a self expanding stent to a braided microcatheter with the aid of transcatheter illumination: technical report and illustrative case[J]. AJNR, 2003, 24: 1517 1519.
[28] Chow MM, Woo HH, Masaryk TJ, et al. A novel endovascular treatment of a wide necked basilar apex aneurysm by using a Y configuration, double stent technique[J]. AJNR, 2004, 25: 509 512.
[29] Lylyk P, Miranda C, Ceratto R, et al. Curative endovascular Reconstruction of cerebral aneurysms with the pipeline embolization device: the Buenos Aires experience[J]. Neurosurgery, 2009, 64: 632 642.

相似文献/References:

[1]吾布力哈斯穆·吐穆尔,卡合尔曼·卡德尔,凯丽比努尔·阿迪力,等.支架辅助弹簧圈栓塞基底动脉夹层动脉瘤近期疗效分析 [J].介入放射学杂志,2018,27(11):1018.
 Wubulihasimu·Tumuer,Kaheerman·Kadeer,Kailibinuer·Adili,et al.Stent- assisted coil embolization for basilar artery dissecting aneurysm: analysis of short- term efficacy [J].journal interventional radiology,2018,27(01):1018.
[2]张清平,李宝民,魏强国,等.双微导管技术治疗急性期前循环破裂宽颈动脉瘤13例[J].介入放射学杂志,2019,28(07):675.
 ZHANG Qingping,LI Baomin,WEI Qiangguo,et al.Dual microcatheter technique for the treatment of acute ruptured wide- necked aneurysm of anterior circulation: preliminary results in 13 patients[J].journal interventional radiology,2019,28(01):675.
[3]陈衍江,权 涛,徐浩文,等.多支架辅助弹簧圈栓塞和密网支架治疗颅内宽颈大动脉瘤效果比较[J].介入放射学杂志,2020,29(09):871.
 CHEN Yanjiang,QUAN Tao,XU Haowen,et al.Multi-stent assisted coil embolization versus flow diverter for the treatment of large intracranial wide-necked aneurysms: comparison of curative effects[J].journal interventional radiology,2020,29(01):871.

备注/Memo

备注/Memo:
(收稿日期:2014-08-12)
(本文编辑:李 欣)
更新日期/Last Update: 2015-01-26