[1]杨少春,黄小玉,邱传珍,等.颅内破裂微小动脉瘤介入栓塞治疗技术探讨[J].介入放射学杂志,2016,(01):11-14.
 YANG Shao- chun,HUANG Xiao- yu,QIU Chuan- zhen,et al.Endovascular embolization treatment of ruptured intracranial tiny aneurysms: technical discussion[J].journal interventional radiology,2016,(01):11-14.
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颅内破裂微小动脉瘤介入栓塞治疗技术探讨 ()

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

卷:
期数:
2016年01期
页码:
11-14
栏目:
神经介入
出版日期:
2016-01-25

文章信息/Info

Title:
Endovascular embolization treatment of ruptured intracranial tiny aneurysms: technical discussion
作者:
杨少春 黄小玉 邱传珍 罗穆云 华顺德 陈金明 高志强
Author(s):
YANG Shao- chun HUANG Xiao- yu QIU Chuan- zhen LUO Mu- yun HUA Shun- de CHEN Jin- ming GAO Zhi- qiang
Department of Neurosurgery, First Affiliated Hospital of Gannan Medical College, Ganzhou, Jiangxi Province 341000, China
关键词:
【关键词】 颅内微小动脉瘤 介入治疗 非致密栓塞
文献标志码:
A
摘要:
【摘要】 目的 探讨介入栓塞术治疗颅内破裂微小动脉瘤技术要点,并评估此技术的疗效和安全性。方法 回顾性分析2008年1月至2013年6月采用介入栓塞术治疗的30例共36枚颅内破裂微小动脉瘤的临床、影像学、操作技术和随访资料,其中24枚动脉瘤接受单纯弹簧圈填塞,5枚接受球囊辅助弹簧圈栓塞,7枚接受支架辅助弹簧圈栓塞。结果 术中出现动脉瘤破裂出血2例,死亡1例。术后即刻造影显示,36枚颅内微小动脉瘤中22枚(61.1%)达到致密填塞,14枚(38.9%)非致密填塞。25枚动脉瘤获得3~24个月随访,22枚完全闭塞,1枚留有残颈无变化;患者无再出血,未出现弹簧圈移位和载瘤动脉血栓栓塞事件。结论 采用介入栓塞术治疗颅内破裂微小动脉瘤是安全有效的,操作中不必刻意追求致密填塞。

参考文献/References:

[1] van Rooij WJ, Sluzewski M, Beute GN, et al. Procedural compli- cations of coiling of ruptured intracranial aneurysms: incidence and risk factors in a consecutive series of 681 patients[J]. AJNR Am J Neuroradiol, 2006, 27: 1498- 1501.
[2] Toyoda K, Tsutsumi K, Hirao T, et al. Ruptured intracranial aneurysms in pediatric polyarteritis nodosa: case report[J]. Neurol Med Chir (Tokyo), 2012, 52: 928- 932.
[3] Dima S, Scheau C, Stefanescu F, et al. Endovascular minimally invasive treatment of the intracranial aneurysms: first 124 cases[J]. J Med Life, 2012, 5: 360- 366.
[4] Cha KC, Hong SC, Kim JS. Comparison between lateral supraorbital approach and pterional approach in the surgical treatment of unruptured intracranial aneurysms[J]. J Korean Neurosurg Soc, 2012, 51: 334- 337.
[5] Chalouhi N, Campbell P, Makke Y, et al. Treatment of complex intracranial aneurysms with a telescoping stent technique[J]. J Neurol Surg A Cent Eur Neurosurg, 2012, 73: 281- 288.
[6] Nguyen TN, Raymond J, Guilbert F, et al. Association of endovas- cular therapy of very small ruptured aneurysms with higher rates of procedure- related rupture[J]. J Neurosurg, 2008, 108: 1088- 1092.
[7] 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.
[8] 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, 23: 651- 654.
[9] van Rooij WJ, Keeren GJ, Peluso JP, et al. Clinical and angiographic results of coiling of 196 very small(≤3 mm) intracranial aneurysms[J]. AJNR Am J Neuroradiol, 2009, 30:835- 839.
[10] Asakura F, Tenjin H, Sugawa N, et al. Evaluation of intra- aneurysmal blood flow by digital subtraction angiography: blood flow change after coil embolization[J]. Surg Neurol, 2003, 59: 310- 319.

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备注/Memo

备注/Memo:
(收稿日期:2015-06-04)
(本文编辑:边 佶)
更新日期/Last Update: 2016-01-22