[1]顾斌贤,李明华,王武.弹簧圈血管内栓塞颅内动脉瘤危急事件中支架的应用[J].介入放射学杂志,2011,(02):93-96.
　GU Bin-xian,LI Ming-hua,WANG Wu.Management of stent for an emergency situation during coil embolization of intracranial aneurysms[J].journal interventional radiology,2011,(02):93-96.
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弹簧圈血管内栓塞颅内动脉瘤危急事件中支架的应用()

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

卷:
期数:
2011年02期
页码:
93-96
栏目:
神经介入
出版日期:
2011-03-15

文章信息/Info

Title:
Management of stent for an emergency situation during coil embolization of intracranial aneurysms
作者:
顾斌贤; 李明华; 王武
２００２３３上海交通大学附属第六人民医院介入影像科
Author(s):
GU Bin-xian; LI Ming-hua; WANG Wu．
Department of Diagnostic and Interventional Neuroradiology，the Affiliated Sixth People’s Hospital，School of Medicine，Shanghai Jiaotong University，Shanghai２００２３３，China
关键词:
支架; 颅内动脉瘤; 弹簧圈; 血管内治疗; 移位; 突出; 解旋
分类号:
R７４３
文献标志码:
A
摘要:
目的探讨在血管内弹簧圈栓塞颅内动脉瘤过程中出现弹簧圈移位、突出或脱出和解旋等危急事件的原因及支架应用的价值。方法回顾性分析１２例弹簧圈栓塞颅内动脉瘤出现危急事件的病例，其中９例为宽颈动脉瘤；１０例出现动脉瘤破裂出血；２例动脉瘤最大径为５～１２mm，７例为３～５mm，３例＜３mm；造影和临床随访超过１８个月。结果危急事件为弹簧圈移位３例，突出或脱出７例，解旋２例。处理方法为８例植入了支架，无一例出现缺血事件；未植入支架的４例中解旋１例，成功回收，突出或脱出３例。术后２例出现缺血事件。随访造影未见支架内狭窄和再出血事件。结论利用支架处理这些危急事件可行、有效；弹簧圈的危急事件与弹簧圈与动脉瘤大小不匹配、后置弹簧圈填塞、过度填塞和微导管操作等因素有关。

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备注/Memo

备注/Memo:
收稿日期：２０１０-０９-１５
更新日期/Last Update: 2011-03-15