[1]王 武,程英升,李明华,等.Willis覆膜支架治疗颅内段颈内动脉病变临床应用[J].介入放射学杂志,2016,(03):185-188.
　WANG Wu,CHENG Ying- sheng,LI Ming- hua,et al.Clinical application of Willis covered stent implantation in treating vascular diseases located at the intracranial segment of the internal carotid artery[J].journal interventional radiology,2016,(03):185-188.
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Willis覆膜支架治疗颅内段颈内动脉病变临床应用 ()

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

卷:
期数:
2016年03期
页码:
185-188
栏目:
神经介入
出版日期:
2016-03-25

文章信息/Info

Title:
Clinical application of Willis covered stent implantation in treating vascular diseases located at the intracranial segment of the internal carotid artery
作者:
王 武;  程英升;  李明华;  顾斌贤
Author(s):
WANG Wu;  CHENG Ying- sheng;  LI Ming- hua;  GU Bin- xian
Department of Medicine， Soochow University， Suzhou， Jiangsu Province 215123， China
关键词:
【关键词】 Willis覆膜支架;  颅内段颈内动脉病变;  血管内治疗
文献标志码:
A
摘要:
【摘要】 目的 评价Willis覆膜支架治疗颅内段颈内动脉病变的效果。方法 回顾性分析2013年4月至2015年4月采用Willis覆膜支架治疗的201例颅内段颈内动脉病变患者。术后3～6个月随访复查DSA和临床观察结果。结果 Willis覆膜支架成功治疗198例颅内段颈内动脉病变，其中囊性动脉瘤88例，外伤性动脉瘤19例，假性动脉瘤35例，外伤性颈动脉海绵窦瘘56例，技术成功率达到98.5%。Willis覆膜支架释放部位依次为颈内动脉C7段9例，C6段28例，C5段32例，C4段110例，C3段19例；支架释放后即刻DSA显示病变完全不显影163例，内漏35例，经球囊后扩或再植入支架治疗后病变完全不显影33例（其中2例闭塞载瘤动脉），2例仍存在内漏。术中发生支架源性血管破裂出血5例，术中成功止血4例；术后再出血1例，死亡2例。术后3～6个月随访复查DSA显示载瘤动脉通畅189例，轻度狭窄5例；病变完全不显影196例。临床随访3～20个月，存活患者无新发神经系统体征。结论 Willis覆膜支架能够安全有效地治疗颅内段颈内动脉病变，但需要更远期随访。

参考文献/References:

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备注/Memo

备注/Memo:
（收稿日期：２０１5-1０-14）
（本文编辑：边 佶）
更新日期/Last Update: 2016-03-22