[1]史 跃,黄玉杰,蔡廷江,等.支架辅助机械解脱弹簧圈栓塞治疗Willis环周围宽颈动脉瘤的临床应用[J].介入放射学杂志,2011,(06):429.
 SHI Yue,HUANG Yu-jie,CAI Ting-jiang,et al.Clinical application of stent-assisted mechanically-detachable coil embolization in treating wide-necked aneurysms around the Willis circle[J].journal interventional radiology,2011,(06):429.
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支架辅助机械解脱弹簧圈栓塞治疗Willis环周围宽颈动脉瘤的临床应用()

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

卷:
期数:
2011年06期
页码:
429
栏目:
神经介入
出版日期:
2011-06-30

文章信息/Info

Title:
Clinical application of stent-assisted mechanically-detachable coil embolization in treating wide-necked aneurysms around the Willis circle
作者:
史 跃   黄玉杰   蔡廷江   王安明   高从敬
221004 江苏徐州 解放军第九七医院介入放射科,神经外科;南京大学医学院附属鼓楼医院神经外科
Author(s):
SHI Yue HUANG Yu-jie CAI Ting-jiang WANG An-ming GAO Cong-jing.
Department of Interventional Radiology, No.97 Hospital of PLA, Xuzhou, Jiangsu Province 221004, China
关键词:
颅内动脉瘤 宽颈支架 机械解脱弹簧圈 栓塞
分类号:
R743.4
文献标志码:
A
摘要:
目的 探讨应用Solitaire AB支架辅助AxiumTM机械解脱弹簧圈栓塞治疗Willis环周围宽颈动脉瘤的技术、方法及疗效。方法 采用Seldinger技术,对21例Willis环周围宽颈动脉瘤应用Solitaire AB支架辅助AxiumTM机械解脱弹簧圈栓塞治疗,9例通过支架网孔置入微导管行动脉瘤栓塞,支架解脱;对12例载瘤动脉迂曲导管不易进入网孔者,采用先将支架跨过动脉瘤两端,将微导管置于动脉瘤内距瘤底部1/3 ~ 1/2处,弹簧圈部分释放后,再释放支架进行动脉瘤栓塞,解脱支架。结果 21例患者所有支架、弹簧圈置入顺利,释放位置满意,技术成功率100%。21枚动脉瘤完全栓塞16枚,占76.2%;大部栓塞5枚,占24.8%。术后患者恢复良好,随访3 ~ 6个月,未发生出血或脑血栓形成。结论 联合使用Solitaire AB支架辅助AxiumTM机械解脱弹簧圈栓塞治疗Willis环周围宽颈动脉瘤是一种安全、有效的方法,但其长期疗效仍需进一步观察。

参考文献/References:

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备注/Memo

备注/Memo:
收稿日期:20101018
更新日期/Last Update: 2011-06-30