[1]杨志刚,刘建民,许奕,等.新型可回撤自膨胀支架在颅内动脉瘤治疗中的应用[J].介入放射学杂志,2008,(07):459.
　YANG Zhigang,LIU Jianmin,XU Yi,et al.Application of a novel retrievable self－expanding stent in intracranial aneurysm treatment[J].journal interventional radiology,2008,(07):459.
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新型可回撤自膨胀支架在颅内动脉瘤治疗中的应用()

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

卷:
期数:
2008年07期
页码:
459
栏目:
神经介入
出版日期:
2008-07-15

文章信息/Info

Title:
Application of a novel retrievable self－expanding stent in intracranial aneurysm treatment
作者:
杨志刚; 刘建民; 许奕; 黄清海; 洪波; 赵文元; 赵瑞
２００４３３上海第二军医大学长海医院神经外科
Author(s):
YANG Zhi－gang; LIU Jian－min; XU Yi ; HUANG Qing－hai; HONG Bo ; ZHAO Wen－yuan; ZHAO Rui．
Department of Neurosurgery，Changhai Hospital，Second Military Medical University，Shanghai２００４３３，China
关键词:
颅内动脉瘤; 颅内支架; 支架辅助弹簧圈栓塞
分类号:
R７４３
文献标志码:
A
摘要:
目的评价新型可回撤自膨胀支架（LEO）在颅内动脉瘤治疗中的应用价值。方法回顾分析应用LEO支架治疗的４３例患者４４枚颅内动脉瘤，其中单纯支架治疗１６例，支架结合弹簧圈治疗２５例，双支架治疗２例，双支架结合弹簧圈治疗１例。并对其进行影像学及临床随访。结果治疗中支架位置调整方便，所有病例支架均成功释放，１例位置欠理想，１例发生急性支架内血栓，随访中１例发生晚期支架内血栓，１例发生内膜过度增生，２２枚（５０．０％）动脉瘤达即刻致密栓塞，２９例获得影像随访的患者中７２．４％动脉瘤治愈或较前好转，１３．８％动脉瘤稳定，３例夹层动脉瘤发生瘤体短期内增大，２例患者死亡。结论LEO系统具有释放可控性强、简捷安全、可选择型号广泛等优点，在颅内动脉瘤栓塞和管壁重建中有一定优势。

参考文献/References:

［１］Benitez RP，Silva MT ，Klem J，et al．Endovascular occlusion of wide－necked aneurysms with a new intracranial microstent （Neuroform）and detachable coils［J］．Neurosurgery，２００４，５４：１３５９－１３６７．
［２］Barath K，Cassot F，Rufenacht DA，et al．Anatomically shaped internal carotid artery aneurysm in vitro model for flow analysis to evaluate stent effect［J］．AJNR，２００４，２５：１７５０－１７５９．
［３］Canton G，Levy DI ，Lasheras JC，et al．Flow changes caused by the sequential deployment of stents across the neck of sidewall cerebral aneurysms ［J］．J Neurosurg，２００５，１０３：８９１－９０２．
［４］Lubicz B，Leclerc X，Levivier M，et al．Retractable self－expandable stent for endovascular treatment of wide－necked intracranial aneurysms ：Preliminary experience［J］．Neurosur－gery，２００６，５８：４５１－４５７．
［５］Yavuz K，Geyik S，Pamuk AG，et al．Immediate and midterm follow－up results of using an electrodetachable，fully retrievable SOLO stent system in the endovascular coil occlusion of wide－necked cerebral aneurysms ［J］．J Neurosurg，２００７，１０７：４９－５５．
［６］Vanninen R，Manninen H，Ronkainen A．Broad－based intra－cranial aneurysms ：Thrombosis induced by stent placement ［J］．AJNR，２００３，２４：２６３－２６６．
［７］Hoi Y，Meng H，Woodward SH，et al．Effects of arterial geometry on aneurysm growth：Three dimensional computational fluid dynamics study［J］．J Neurosurg，２００４，１０１：６７６－６８１．
［８］Lieber BB，Stancampiano AP，Wakhloo AK．Alteration of hemodynamics in aneurysm models by stenting：Influence of stent porosity［J］．Ann Biomed Eng，１９９７，２５：４６０－４６９．
［９］Lylyk P，Ferrario A，Pasbon B，et al．Buenos Aires experience with the Neuroform self－expanding stent for the treatment of intracranial aneurysms ［J］．J Neurosurg，２００５，１０２：２３５－２４１．

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备注/Memo

备注/Memo:
收稿日期：２００８－０１－２８
更新日期/Last Update: 2008-07-15