[1]温宏峰,王凌霄,王培福.脑静脉窦测压指导静脉窦狭窄支架成形术及疗效评价[J].介入放射学杂志,2018,27(01):5-8.
 WEN Hongfeng,WANG Lingxiao,WANG Peifu.Application of cerebral venous sinus pressure measurement in guiding stent angioplasty for venous sinus stenosis: evaluation of its curative effect[J].journal interventional radiology,2018,27(01):5-8.
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脑静脉窦测压指导静脉窦狭窄支架成形术及疗效评价()

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

卷:
27
期数:
2018年01期
页码:
5-8
栏目:
神经介入
出版日期:
2018-01-25

文章信息/Info

Title:
Application of cerebral venous sinus pressure measurement in guiding stent angioplasty for venous sinus stenosis: evaluation of its curative effect
作者:
温宏峰 王凌霄 王培福
Author(s):
WEN Hongfeng WANG Lingxiao WANG Peifu
Department of Neurology, Aerospace Center Hospital, Beijing 100049, China
关键词:
【关键词】 颅内高压 脑静脉窦 狭窄 血管成形术
文献标志码:
A
摘要:
【摘要】 目的 评价脑静脉窦微导管测压指导血管内支架成形术治疗静脉窦狭窄的效果。方法 42例诊断为特发性颅内压增高(IIH)伴局限性静脉窦狭窄患者接受微导管静脉窦DSA造影及测压,对其中32例狭窄远近端压力差>12 mmHg患者行球囊扩张及支架成形术,并复测静脉窦内压。术后评估患者临床症状改善情况,随访观察并发症及症状有无复发,静脉窦是否通畅。结果 32例静脉窦支架成形术均获成功,术后患者颅内高压症状明显缓解,未出现相关并发症。手术前后狭窄远近端压力差比较,差异有统计学意义(P<0.05),与腰椎穿刺脑脊液压力平行。术后1周患者头痛症状明显改善,视力无明显改善。术后随访12个月,患者临床症状无复发,MRV或DSA复查提示静脉窦主干血流通畅,无再狭窄。结论脑血管内支架成形术治疗IIH伴静脉窦狭窄患者相对安全、有效,微导管静脉窦测压对适应证选择及疗效评价有临床指导意义。

参考文献/References:

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相似文献/References:

[1]卢振产,张 冰,郑少俊,等.脑血管介入评估脑静脉窦与特发性颅内压增高相关性[J].介入放射学杂志,2017,(02):105.
 LU Zhenchan,ZHANG Bing,ZHENG Shaojun,et al.Evaluation of the correlation between cerebral venous sinus and idiopathic intracranial hypertension with cerebrovascular intervention technique[J].journal interventional radiology,2017,(01):105.
[2]白卫星,贺迎坤,康晓雨,等.股静脉入路脑静脉窦内支架成形术治疗特发性颅内高压伴静脉窦狭窄13例[J].介入放射学杂志,2020,29(07):650.
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备注/Memo

备注/Memo:
(收稿日期:2017-05-08)
(本文编辑:边 佶)
更新日期/Last Update: 2018-01-25