[1]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):537-541.
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(06):537-541.
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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()
《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]
- 卷:
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30
- 期数:
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2021年06
- 页码:
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537-541
- 栏目:
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神经介入
- 出版日期:
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2021-06-26
文章信息/Info
- Title:
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Neuroform EZ stent-assisted coil embolization for ophthalmic segment aneurysms of internal carotid artery: clinical analysis of mid-long term safety and efficacy
- 作者:
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倪 恒; 刘 圣; 赵林波; 贾振宇; 曹月洲; 施海彬
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- Author(s):
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NI Heng; LIU Sheng; ZHAO Linbo; JIA Zhenyu; CAO Yuezhou; SHI Haibin.
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Department of Interventional Radiology, First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu Province 210029, China
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- 关键词:
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【关键词】 颈内动脉眼动脉段动脉瘤; Neuroform EZ支架; 弹簧圈栓塞
- 文献标志码:
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A
- 摘要:
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【摘要】 目的 评价Neuroform EZ支架辅助弹簧圈栓塞治疗颈内动脉眼动脉段动脉瘤的中远期安全性和有效性。方法 回顾性分析2015年4月至2018年12月在南京医科大学第一附属医院接受Neuroform EZ支架辅助弹簧圈栓塞治疗的连续104例颈内动脉眼动脉段动脉瘤患者临床和影像学资料。重点分析动脉瘤特征、术后即刻和进展性闭塞率、围手术期并发症及临床随访结果。 结果 共104例患者116枚眼动脉段动脉瘤接受治疗,其中16例动脉瘤性蛛网膜下腔出血。根据眼动脉段动脉瘤Krisht分型,上侧型36枚,后侧型32枚,内侧型41枚,外侧型7枚。支架辅助弹簧圈填塞治疗均获成功。手术并发症发生率为2.9%,均为小血栓栓塞事件。术后即刻造影显示动脉瘤完全闭塞60枚(51.7%),近全闭塞54枚(46.6%),部分闭塞2枚(1.7%)。89例患者93枚动脉瘤接受平均(7.6±5.4)个月造影随访,首次随访造影显示完全闭塞率进展至92.5%(86枚),未见迟发性支架内狭窄。动脉瘤复发3枚(3.2%),均再次接受弹簧圈栓塞后达到完全闭塞。96例(92.3%)患者临床随访平均(18.5±11.2)个月,其中95例(99.0%)改良Rankin量表(mRS)评分为0~2分,远期预后良好。 结论 Neuroform EZ支架辅助弹簧圈栓塞治疗颈内动脉眼动脉段动脉瘤安全有效,中远期随访中可提供更稳定闭塞率,且未见支架内再狭窄。
参考文献/References:
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备注/Memo
- 备注/Memo:
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(收稿日期:2020-07-09)
(本文编辑:边 佶)
更新日期/Last Update:
2021-06-25