[1]任建庄,张萌帆,张 凯,等.Wallstent双支架重叠技术治疗复杂内脏动脉瘤五例[J].介入放射学杂志,2014,(12):1036-1040.
 REN Jian zhuang,ZHANG Meng fan,ZHANG Kai,et al.Safety and efficacy of dual Wallstent stenting in managing complicated visceral aneurysms: initial experience in 5 cases[J].journal interventional radiology,2014,(12):1036-1040.
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Wallstent双支架重叠技术治疗复杂内脏动脉瘤五例 ()

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

卷:
期数:
2014年12期
页码:
1036-1040
栏目:
血管介入
出版日期:
2014-12-25

文章信息/Info

Title:
Safety and efficacy of dual Wallstent stenting in managing complicated visceral aneurysms: initial experience in 5 cases
作者:
任建庄 张萌帆 张 凯 黄郭灏 段旭华 李腾飞 韩新巍
Author(s):
REN Jian zhuang ZHANG Meng fan ZHANG Kai HUANG Guo hao DUAN Xu hua LI Teng fei HAN Xin wei.
Department of Interventional Radiology, First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan Province 450052, China
关键词:
【关键词】 内脏动脉瘤 Wallstent 介入放射学
文献标志码:
A
摘要:
【摘要】 目的 初步评价Wallstent双支架重叠技术治疗复杂内脏动脉瘤的安全性和疗效。方法 回顾性分析2012年3月至2013年11月连续收治的5例内脏动脉瘤患者,包括1例脾动脉起始部梭形动脉瘤、1例脾动脉中段囊状动脉瘤、1例腹腔干囊状动脉瘤、1例肝总动脉囊状动脉瘤、1例肠系膜上动脉宽颈动脉瘤。瘤体平均直径(23.0 ± 8.7)mm。5例内脏动脉瘤均行Wallstent双支架重叠植入治疗,术后给予抗血小板药物治疗,术后6个月、1年、2年行CTA(computed tomographic angiography)检查,观察动脉瘤闭塞情况,支架、载瘤动脉和侧支血管和穿支动脉通畅情况。结果 5例患者支架均成功植入,术后30 d内1例腹腔干动脉瘤患者出现轻微腹痛,给予止痛、扩血管药物等对症处理后1周后症状消失,余患者无其他手术相关并发症发生。5例患者术后随访6 ~ 24个月(平均13个月),动脉瘤均较前均缩小或消失。其中1例肝总动脉囊状动脉瘤患者术后6个月CTA显示支架内轻度狭窄(狭窄 < 25%)同时合并部分穿支动脉闭塞,但无明显临床症状,余患者支架、侧支血管和穿支动脉均通畅。结论 Wallstent双支架重叠技术植入治疗复杂内脏动脉瘤具有较好的技术成功率和疗效,侧支血管和穿支动脉长期通畅率较高。

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备注/Memo

备注/Memo:
(收稿日期:2014-06-09)
(本文编辑:李 欣)
更新日期/Last Update: 2014-12-24