[1]田红岸,赵 卫,易根发. 颅内动脉瘤内支架辅助治疗的并发症分析[J].介入放射学杂志,2012,(11):885-889.
　TIAN Hong- an,ZHAO Wei,YI Geng- fa.. Endovascular stent- assited management for the treatment of intracranial aneurysms： an analysis of complications[J].journal interventional radiology,2012,(11):885-889.
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 颅内动脉瘤内支架辅助治疗的并发症分析 ()

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

卷:
期数:
2012年11期
页码:
885-889
栏目:
神经介入
出版日期:
2012-11-28

文章信息/Info

Title:
 Endovascular stent- assited management for the treatment of intracranial aneurysms： an analysis of complications
作者:
 田红岸;  赵 卫;  易根发
Author(s):
  TIAN Hong- an;  ZHAO Wei;  YI Geng- fa.
 Medical Imaging Center， the First Affiliated Hospital， Kunming Medical University， Kunming 650031， China
关键词:
 ; 【关键词】 颅内动脉瘤;  支架;  并发症
文献标志码:
A
摘要:
 【摘要】 目的 分析内支架辅助治疗颅内动脉瘤的并发症，探讨降低并发症的方法。方法 2009年6月至2012年3月收治38例颅内动脉瘤患者，其中曾有蛛网膜下腔出血17例，无出血史21例；颅内单发动脉瘤26例，多发动脉瘤12例，总计50枚动脉瘤中，位于前交通动脉11枚，后交通动脉17枚，大脑中动脉8枚，椎动脉5枚，颈内动脉床突段9枚。在对38例50枚动脉瘤的介入治疗中，采用单纯弹簧圈栓塞4枚，单纯支架覆盖12枚，支架辅助弹簧圈栓塞34枚，其中使用LEO支架27枚，Neuroform支架16枚，Solitaire支架3枚。结果 38例患者的50枚动脉瘤中，对46枚行支架治疗，动脉瘤内支架辅助治疗的总并发症率为19.6%（9/46），包括术中动脉瘤破裂出血3例，支架诱发血栓形成5例（均为LEO支架），致支架移位1例，术后发生脑梗死致偏瘫2例，因并发肺部感染死亡1例；术中支架打开不良1例。结论 颅内动脉瘤的内支架辅助治疗有较高的脑血管并发症，需要加强内支架辅助治疗的围手术期管理，以减低并发症发生率和改善并发症患者的预后。

参考文献/References:

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备注/Memo

备注/Memo:
 （收稿日期：2012-04-20）
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