[1]刘圣,施海彬,胡卫星,等.Neuroform支架辅助弹簧圈填塞治疗颅内宽颈动脉瘤[J].介入放射学杂志,2009,(12):883.
　LIU Sheng,SHI Haibin,HU Weixin,et al.Neuroform stent－assisted coil embolization for the treatment of intracranial wide－necked aneurysms[J].journal interventional radiology,2009,(12):883.
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Neuroform支架辅助弹簧圈填塞治疗颅内宽颈动脉瘤()

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

卷:
期数:
2009年12期
页码:
883
栏目:
神经介入
出版日期:
2009-12-15

文章信息/Info

Title:
Neuroform stent－assisted coil embolization for the treatment of intracranial wide－necked aneurysms
作者:
刘圣; 施海彬; 胡卫星; 等
２１００２９南京医科大学第一附属医院介入放射科（刘圣、施海彬、杨正强、李麟荪）；神经外科（胡卫星）；神经内科（万琪）
Author(s):
LIU Sheng; SHI Hai－bin; HU Wei－xin; WAN Qi ; YANG Zheng－qiang; LI Lin－sun．
Department of Interventional Radiology，the First Affiliated Hospital of Nanjing Medical University，Nanjing２１００２９，China
关键词:
宽颈动脉瘤; 支架; 弹簧圈; 栓塞
分类号:
R７４３.４
文献标志码:
A
摘要:
目的探讨Neuroform支架辅助弹簧圈填塞治疗颅内宽颈动脉瘤的技术，并评价临床疗效和并发症。方法采用Neuroform支架辅助技术对３１例颅内宽颈动脉瘤进行了弹簧圈填塞治疗。３１例患者共有颅内动脉瘤４３枚，均为破裂动脉瘤，其中３９枚为宽颈动脉瘤，２１枚颈∶体≥１，１８枚颈∶体＜１；４枚为宽颈动脉瘤患者合并的非宽颈动脉瘤。结果３１例患者共置入支架３５枚，其中３例患者两侧颈内动脉各置入１枚支架，１例两侧大脑中动脉各置入１枚。４３枚动脉瘤中４１枚进行了不同程度的填塞，２枚未行填塞。２例宽颈动脉瘤患者置入支架后出现非动脉瘤破裂性出血，均可能由于输送导丝损伤大脑中动脉分支引起；１例后交通动脉瘤患者，弹簧圈飘至大脑中动脉M２段，引起相应脑缺血症状。获随访的２９例中无死亡病例和再次出血病例，２８例生存良好，１例留有明显神经功能障碍。结论支架辅助技术进行弹簧圈填塞治疗颅内宽颈动脉瘤是安全、有效的临床技术，可以拓宽颅内动脉瘤治疗的适应证。

参考文献/References:

［１］Henkes H，Fischer S，Weber W，et al．Endovascular coil occlusion of１８１１intracranial aneurysmsearly angiographic and clinical results［J］．Neurosurgery，２００４，５４：２６８－２８０．
［２］Molyneux AJ ，Kerr RS，Yu LM，et al．International subarachnoid aneurysm trial（ISAT）of

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备注/Memo

备注/Memo:
收稿日期：２００９－０５－０７
更新日期/Last Update: 2009-12-15