[1]黄志伟,李学东,覃 军,等. Solitaire AB支架辅助栓塞颅内动脉瘤临床随访研究[J].介入放射学杂志,2015,(04):282-291.
　HUANG Zhi wei,LI Xue dong,QING Jun,et al.SolitaireAB stent assisted endovascular embolization of intracranial wide necked aneurysms： a clinical follow up study[J].journal interventional radiology,2015,(04):282-291.
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2015年04期
页码:
282-291
栏目:
神经介入
出版日期:
2015-04-25

文章信息/Info

Title:
SolitaireAB stent assisted endovascular embolization of intracranial wide necked aneurysms： a clinical follow up study
作者:
黄志伟;  李学东;  覃 军;  陆建吾;  黄河清
Author(s):
HUANG Zhi wei' target="_blank" rel="external">"serif"; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: 宋体; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA"> HUANG Zhi wei;  LI Xue dong;  QING Jun;  LU Jian wu;  HUANG He qing
 Department of Neurosurgery， Fourth Affiliated Hospital， Guangxi Medical University， Liuzhou， Guangxi Province 545005， China
关键词:
颅内动脉瘤;  支架;  弹簧圈;  栓塞;  随访研究
文献标志码:
A
摘要:
目的 观察Solitaire AB支架辅助弹簧圈栓塞治疗颅内宽颈动脉瘤初中期效果。方法 回顾性分析2009年至2012年期间采用Solitaire AB支架辅助弹簧圈栓塞治疗的49例颅内宽颈动脉瘤患者49个动脉瘤，其中41例患者41个动脉瘤（26个破裂出血，15个未破裂）术后随访12～48个月，根据改良Rankin评分、DSA、CTA或MRA检查评价颅内动脉瘤影像学及临床结果。结果 栓塞术后有2例动脉瘤再次破裂出血，3例脑梗死，1例载瘤动脉闭塞，死亡1例，并发症发生率为14.2%。栓塞术后12个月DSA、MRA或CTA检查显示，32个动脉瘤（32/41，78.0%）完全栓塞，明显高于术后即刻（21个，42.9%）（P＝0.02）；瘤颈残留7个（17.1%），部分栓塞2个（4.9%），均较术后即刻有改善。24个动脉瘤（58.5%）稳定而无变化，复发4个（9.7%）。末次随访时改良Rankin评分显示0分18例（43.9%），1分10例（24.4%），2分5例（12.2%），3分4例（9.8%），4分2例（4.85%），5分2例（4.85%）。患者日常活动能力自理率为80.5%，预后良好。结论 Solitaire AB支架辅助弹簧圈栓塞治疗颅内宽颈动脉瘤安全有效，有助于提高完全栓塞率，降低操作相关并发症。

参考文献/References:

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备注/Memo

备注/Memo:
（收稿日期：２０１4-０8-０4）
（本文编辑：边 佶）
更新日期/Last Update: 2015-04-27