[1]李 敏,王 武,李明华,等. Neuroform3支架辅助弹簧圈栓塞脑宽颈动脉瘤的长期随访疗效[J].介入放射学杂志,2012,(05):356-361.
 ,,et al. The Neuroform3 stentassisted endovascular coil embolization for the treatment of intracranial widenecked aneurysms longterm followup results[J].journal interventional radiology,2012,(05):356-361.
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 Neuroform3支架辅助弹簧圈栓塞脑宽颈动脉瘤的长期随访疗效 ()

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

卷:
期数:
2012年05期
页码:
356-361
栏目:
神经介入
出版日期:
2012-05-30

文章信息/Info

Title:
 The Neuroform3 stentassisted endovascular coil embolization for the treatment of intracranial widenecked aneurysms longterm followup results
作者:
 李 敏 王 武 李明华 顾斌贤
Author(s):
 LI Min WANG Wu LI Minghua GU Binxian.
  Department of Diagnostic and Interventional Neuroradiology, the Affiliated Sixth People's Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200233, China
关键词:
 【关键词】 脑动脉瘤 蛛网膜下腔出血 Neuroform3支架 弹簧圈 栓塞
文献标志码:
A
摘要:
 【摘要】   目的 评价Neuroform3支架辅助弹簧圈栓塞脑宽颈动脉瘤的长期随访疗效。 方法 2007年至2011年应用Neuroform3支架辅助弹簧圈栓塞118例脑动脉瘤,其中86例为破裂出血性动脉瘤,32例为未破裂动脉瘤,76例在出血72 h内实施了治疗。术后对患者进行脑血管造影和临床随访。 结果 支架准确释放115例(97.5%),因为血管扭曲和痉挛失败植入支架1例,支架移位2例。实施单纯支架植入2例,采用微导管经支架网眼技术66例,支架后释放技术49例。术后即刻造影示动脉瘤完全栓塞87例(74.4%),次全栓塞30例(25.6%)。术中无动脉瘤破裂出血事件发生,术后症状性脑梗死3例,无症状性脑梗死5例。术后随访6 ~ 60个月,平均26.8个月,共随访到105例,复查1 ~ 5次脑血管造影,完全栓塞99例(84.6%),次全栓塞病例中11例(36.7%)存在血栓形成;9例(7.7%)瘤体复发,其中5例进行了再次治疗达到完全栓塞,术后所有患者均无再出血,除3例外,所有患者支架内无明显狭窄。 结论 Neuroform3支架辅助弹簧圈栓塞脑宽颈动脉瘤安全、有效,仍需更长期的随访和多中心研究。

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 (收稿日期:20111130)
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