[1]陈炳基,蒋小燕,冯 睿,等.支架辅助弹簧圈栓塞治疗宽颈肾动脉瘤临床效果观察[J].介入放射学杂志,2021,30(04):336-339.
 CHEN Bingji,JIANG Xiaoyan,FENG Rui,et al.Stent-assisted coil embolization for wide-necked renal aneurysms: observation of clinical effect[J].journal interventional radiology,2021,30(04):336-339.
点击复制

支架辅助弹簧圈栓塞治疗宽颈肾动脉瘤临床效果观察()

PDF下载中关闭

分享到:

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

卷:
30
期数:
2021年04
页码:
336-339
栏目:
血管介入
出版日期:
2021-05-04

文章信息/Info

Title:
Stent-assisted coil embolization for wide-necked renal aneurysms: observation of clinical effect
作者:
陈炳基 蒋小燕 冯 睿 冯家烜 李荣宾
Author(s):
CHEN Bingji JIANG Xiaoyan FENG Rui FENG Jiaxuan LI Rongbin.
Department of Emergency Surgery, Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian Province 362000, China
关键词:
【关键词】 支架辅助 弹簧圈栓塞 宽颈肾动脉瘤
文献标志码:
A
摘要:
【摘要】 目的 探讨支架辅助弹簧圈栓塞治疗宽颈肾动脉瘤的临床效果。方法 回顾性分析2016年2月至2019年6月福建医科大学附属第二医院医院和上海长海医院采用支架辅助弹簧圈栓塞治疗的14例宽颈肾动脉瘤患者手术资料和临床结果。结果 14例宽颈肾动脉瘤患者共20枚动脉瘤,平均最大直径为(22.4±10.3) mm,平均颈宽为(15.7±7.4) mm,手术成功率为100%。术后12个月,患者收缩压和舒张压与术前相比显著下降(P<0.005),血清肌酐显著降低(P<0.001),肾功能改善。术后6个月动脉瘤腔血栓形成率显著升高。随访期间1例患者因肾小球肾炎导致肾衰竭行透析,1例支架内狭窄后再次行血管成形术,3例动脉瘤内未完全血栓化,给予二次栓塞。术后1、6、12个月肾动脉通畅率分别为100%、96%、100%,未发现载瘤动脉闭塞,无急性不良事件发生。结论 支架辅助弹簧圈栓塞治疗宽颈肾动脉瘤安全有效,患者血压恢复正常,肾功能明显改善。

参考文献/References:

[1] Orion KC, Abularrage CJ. Renal artery aneurysms: movement toward endovascular repair[J]. Semin Vasc Surg, 2013, 26: 226- 232.
[2] Klausner JQ, Lawrence PF, Harlander- Locke MP, et al. The contemporary management of renal artery aneurysms[J]. J Vasc Surg, 2015, 61: 978- 984.
[3] Coleman DM, Stanley JC. Renal artery aneurysms[J]. J Vasc Surg, 2015, 62: 779- 785.
[4] Buck DB, Curran T, McCallum JC, et al. Management and outcomes of isolated renal artery aneurysms in the endovascular era[J]. J Vasc Surg, 2016, 63:77- 81.
[5] Tsilimparis N, Reeves JG, Dayama A, et al. Endovascular vs open repair of renal artery aneurysms: outcomes of repair and long- term renal function[J]. J Am Coll Surg, 2013, 217: 263- 269.
[6] Loffroy R, Gergele F, Rao P, et al. Endovascular management of a posttraumatic pseudoaneurysm of the common carotid artery with superselective coil embolization[J]. J Vasc Surg, 2011, 53: 1119- 1120.
[7] Bastounis E, Pikoulis E, Georgopoulos S, et al. Surgery for renal artery aneurysms: a combined series of two large centers[J]. Eur Urol, 1998, 33: 22- 27.
[8] Rundback JH, Rizvi A, Rozenblit GN, et al. Percutaneous stent- graft management of renal artery aneurysms[J]. J Vasc Interv Radiol, 2000, 11: 1189- 1193.
[9] 王志向,王林辉. 肾动脉瘤治疗进展[J]. 现代泌尿外科杂志,2016, 21:887- 890.
[10] 金 涛,赵纪春. 24例肾动脉瘤治疗回顾性分析[J]. 中国普外基础与临床杂志, 2019, 26:162- 167.
[11] Elaassar O, Auriol J, Marquez R, et al. Endovascular techniques for the treatment of renal artery aneurysms[J]. Cardiovasc Intervent Radiol, 2011, 34: 926- 935.
[12] Amenta PS, Dalyai RT, Kung D, et al. Stent- assisted coiling of wide- necked aneurysms in the setting of acute subarachnoid hemorrhage: experience in 65 patients[J]. Neurosurgery, 2012, 70: 1415- 1429.
[13] 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, 24:5- 9.
[14] 卫 任,熊 江,郭 伟,等. 支架联合钢圈栓塞治疗肾动脉瘤一例[J]. 介入放射学杂志, 2010, 19:681- 682.

相似文献/References:

[1]谭孝华,许日初,熊宗凡,等.移植肾微导管栓塞治疗一例[J].介入放射学杂志,2000,(04):249.
[2]杜世伟,李静伟,陈 健,等.微导管复合塑形在弹簧圈栓塞伴有胚胎型大脑后动脉的破裂后交通动脉瘤术中的应用 [J].介入放射学杂志,2018,27(06):495.
 DU Shiwei,LI Jingwei,CHEN Jian,et al.Application of multiple shaping microcatheter in coil embolization for ruptured posterior communicating artery aneurysms associated with embryonic type of posterior cerebral artery [J].journal interventional radiology,2018,27(04):495.
[3]倪 恒,刘 圣,赵林波,等.Neuroform EZ支架辅助弹簧圈栓塞治疗颈内动脉眼动脉段动脉瘤中远期安全性和有效性分析[J].介入放射学杂志,2021,30(06):537.
 NI Heng,LIU Sheng,ZHAO Linbo,et al.Neuroform EZ stent-assisted coil embolization for ophthalmic segment aneurysms of internal carotid artery: clinical analysis of mid-long term safety and efficacy[J].journal interventional radiology,2021,30(04):537.

备注/Memo

备注/Memo:
(收稿日期:2020- 02- 11)
(本文编辑:边 佶)
更新日期/Last Update: 2021-04-30