[1]周兵,方淳,李明华,等.颅内微小动脉瘤的介入弹簧圈栓塞治疗及中期随访观察[J].介入放射学杂志,2008,(12):845-849.
 ZHOU Bing,FANG Chun,LI Minghua,et al.Interventional coil embolization for micro-intracranial aneurysms and the midterm follow-up[J].journal interventional radiology,2008,(12):845-849.
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颅内微小动脉瘤的介入弹簧圈栓塞治疗及中期随访观察()

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

卷:
期数:
2008年12期
页码:
845-849
栏目:
神经介入
出版日期:
2008-12-15

文章信息/Info

Title:
Interventional coil embolization for micro-intracranial aneurysms and the midterm follow-up
作者:
周兵方淳李明华
作者单佗:200233上海交通大学附属第六人民医院放射科
Author(s):
ZHOU BingFANG ChunLI Ming-huaWANG Wu XU Hao-wenWANG JueZHANG Pei-lei.
Department of Interventional and Diagnostic Radiology,Shanghai6th People’s Hospital,Shanghai Jiao tong University,Shanghai200233,China
关键词:
微动脉瘤弹簧圈栓塞支架颈残留残余动脉瘤
分类号:
R743.4
文献标志码:
A
摘要:
目的探讨治疗微小动脉瘤的介入弹簧圈栓塞技术,并评价其临床疗效和中期随访结果。方法回顾性分析2004年至2007年在我科治疗并经系统随访的破裂微小动脉瘤患者19例,共20枚动脉瘤。其中9枚动脉瘤单纯使用弹簧圈填塞,9枚使用支架辅助弹簧圈填塞,2枚使用球囊辅助弹簧圈填塞。结果所有动脉瘤使用弹簧圈成功填塞,技术成功率100%。术后即刻造影显示动脉瘤完全闭塞5例,瘤颈残留9例,瘤腔残留6例。有3例出现弹簧圈部分遗留于载瘤动脉,未出现弹簧圈移位和血栓形成。19例患者均经历1年以上随访。临床随访显示所有患者未出现动脉瘤再次破裂出血;17例完全恢复,未遗留神经系统并发症;1例残留轻度偏瘫,1例遗留动眼神经不全麻痹。1年后造影随访显示15枚动脉瘤完全闭塞,4枚瘤颈残留,1枚瘤腔残留扩大。未发现弹簧圈脱出、移位、载瘤动脉瘤狭窄。结论介入弹簧圈填塞术治疗微小动脉瘤安全、有效,选择合适的栓塞技术是治疗的关键。

参考文献/References:

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备注/Memo

备注/Memo:
收稿日期:2008-09-15
更新日期/Last Update: 2008-12-15