[1]马金阳,汪 雷,董元训,等.Willis覆膜支架治疗复杂颈内动脉病变的临床应用[J].介入放射学杂志,2022,31(12):1185-1189.
 MA Jinyang,WANG Lei,DONG Yuanxun,et al.Clinical application of Willis covered stent implantation in treating complex internal carotid artery lesions[J].journal interventional radiology,2022,31(12):1185-1189.
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Willis覆膜支架治疗复杂颈内动脉病变的临床应用()

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

卷:
31
期数:
2022年12
页码:
1185-1189
栏目:
临床研究
出版日期:
2023-01-11

文章信息/Info

Title:
Clinical application of Willis covered stent implantation in treating complex internal carotid artery lesions
作者:
马金阳 汪 雷 董元训 胡火军 黄 松 符常涛
Author(s):
MA Jinyang WANG Lei DONG Yuanxun HU Huojun HUANG Song FU Changtao.
Institute of Neurology, China Three Gorges University; Department of Neurosurgery, Yichang Municipal Central People’s Hospital, Yichang, Hubei Province 443003, China
关键词:
【关键词】 Willis覆膜支架 复杂颈内动脉病变 血管内治疗
文献标志码:
A
摘要:
【摘要】 目的 评价Willis覆膜支架治疗复杂颈内动脉病变中的可行性、安全性和有效性。方法 回顾性分析2015年7月至2021年1月宜昌市中心人民医院采用Willis覆膜支架治疗的18例复杂颈内动脉病变患者临床资料。入院后均经脑血管DSA造影明确诊断,术前准备完成后行覆膜支架植入术。术后进行临床和DSA或CTA影像随访,改良Rankin量表(mRS)评分评估疗效。结果 18例患者中有6例未破裂囊状宽颈大动脉瘤,5例破裂的血泡样动脉瘤,6例颈内动脉海绵窦瘘,1例外伤性假性动脉瘤。共成功植入Willis覆膜支架19枚。13例患者支架释放后即刻造影显示病变消失;5例出现内漏,其中4例球囊扩张后内漏消失,病变封闭良好,1例出现支架塌陷,再植入1枚支架后病变消失。未发生手术操作相关并发症。随访3~18个月,所有患者无新发神经功能障碍,DSA或CTA复查显示病变完全消失,载瘤动脉通畅,无复发。1例术后6个月发生支架内狭窄,二次复查后狭窄好转。mRS评分0分17例,1分1例。结论 初步结果表明,Willis覆膜支架治疗复杂颈内动脉病变可行、安全,近中期疗效良好。

参考文献/References:

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 WANG Wu,CHENG Ying- sheng,LI Ming- hua,et al.Clinical application of Willis covered stent implantation in treating vascular diseases located at the intracranial segment of the internal carotid artery[J].journal interventional radiology,2016,(12):185.
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备注/Memo

备注/Memo:
(收稿日期:2022- 02- 15)
(本文编辑:边 佶)
更新日期/Last Update: 2023-01-11