[1]张祥海,陈金华,向建波,等. 双容积重建透明影像在颅内动脉瘤支架植入术中的应用[J].介入放射学杂志,2014,(06):466-469.
 ZHANG Xiang- hai,CHEN Jin- hua,XIANG Jian- bo,et al. Application of dual volume reconstruction translucent imaging in performing stent implantation for intracranial aneurysms[J].journal interventional radiology,2014,(06):466-469.
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 双容积重建透明影像在颅内动脉瘤支架植入术中的应用()

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

卷:
期数:
2014年06期
页码:
466-469
栏目:
神经介入
出版日期:
2014-07-05

文章信息/Info

Title:
 Application of dual volume reconstruction translucent imaging in performing stent implantation for intracranial aneurysms
作者:
 张祥海 陈金华 向建波 闫红野 周 林
Author(s):
 ZHANG Xiang- hai CHEN Jin- hua XIANG Jian- bo YAN Hong- ye ZHOU Lin.
 Department of Radiology, Institute of Field Surgery Research, Daping Hospital, Third Military Medical University, Chongqing 400042, China
关键词:
 【关键词】 颅内动脉瘤 三维容积重建 支架 透明影像 栓塞
文献标志码:
A
摘要:
 【摘要】 目的 探讨双容积重建透明影像在支架结合弹簧圈栓塞颅内动脉瘤中的应用价值。方法 2011年11月—2012年9月收治颅内动脉瘤患者30例,行颅内支架结合弹簧圈栓塞治疗。比较患者常规二维造影(2D- DSA)、三维旋转造影(3D- RA)和双容积重建透明影像能显示的支架标记点数目。结果30例患者共植入34枚支架,在所有支架的206个标记点中,2D- DSA、3D- RA和双容积透明影像能清晰显示的标记点分别为146(70.8%)、123(59.7%)和190个(92.2%),三种造影方法间的支架标记点的显示率差异有统计学意义(P < 0.05)。结论 双容积重建透明影像能清晰显示颅内支架的标记点,在颅内支架的植入术中有巨大的应用价值。

参考文献/References:

 [1] Molyneux AJ, Kerr RS, Birks J, et al. Risk of recurrent subarachnoid haemorrhage, death, or dependence and standardised mortality ratios after clipping or coiling of an intracranial aneurysm in the International Subarachnoid Aneurysm Trial (ISAT): long- term follow- up[J]. Lancet Neurol, 2009, 8: 427 - 433.
[2] 程美雄, 谢晓东, 王朝华, 等. Neuroform支架结合弹簧圈治疗颅内复杂动脉瘤[J]. 华西医学, 2009, 24: 148 - 150.
[3] Molyneux A, Kerr R, Stratton I, et al. International subarachnoid aneurysm trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2 143 patients with ruptured intracranial aneurysms: a randomised trial[J]. Lancet, 2002, 360: 1267 - 1274.
[4] Fernandez Zubillaga A, Guglielmi G, Vi?觡uela F, et al. Endovascular occlusion of intracranial aneurysms with electrically detachable coils: correlation of aneurysm neck size and treatment results[J]. AJNR, 1994, 15: 815 - 820.
[5] Geremia G, Hakjin M, Brennecke L. Embolization of experimentallv created aneurysms with in travascular stent device[J]. AJNR, 1994, 15: 1223 - 1231.
[6] Lieber BB, Gounis MJ. The physics of endoluminal stenting in the treatment of cerebrovascular aneurysms[J]. Neurol Res, 2002, 24: S33 - S42.
[7] Higashida RT, Smith W, Gress D, et al. Intravascular stent and endovascular coil placement for a ruptured fusiform aneurysm of the basilar artery. Case report and review of the literature[J]. J Neurosurg, 1997, 87: 944 - 949.
[8] Biondi A, Janardhan V, Katz JM, et al. Neuroform stent- assisted coil embolization of wide- neck intracranial aneurysms: strategies in stent deployment and midterm follow- up[J]. Neurosurgery, 2007, 61: 460 - 468; discussion 468 - 9.
[9] Lopes D, Sani S. Histological postmortem study of an internal carotid artery aneurysm treated with the Neuroform stent[J]. Neurosurgery, 2005, 56: E416; discussion E416.
[10] 张 鑫, 刘建民, 周晓平, 等. 血管内支架结合弹簧圈栓塞犬宽颈动脉瘤的病理学研究[J]. 中华神经外科杂志, 2007, 23: 585 - 588.
[11] 陈展略, 杨广奇, 浦峥嵘. 西门子血管造影最新技术进展-来自2009年北美放射性年会报道[J]. 影像诊断与介入放射学,2010, 19: 188 - 190.
[12] 赵 亮, 王 嵇, 许建荣. 双容积重建评价脑动脉瘤介入栓塞中的应用价值[J]. 介入放射学杂志, 2012, 21: 1020 - 1022.
[13] 崔艳蜂, 徐 浩, 祖茂衡, 等. Solitaire AB支架在辅助栓塞颅内宽颈动脉瘤中的临床应用[J]. 介入放射学杂志, 2013, 22: 617 - 620.
[14] 孙 靖, 史万超, 苏治国, 等. 16例双容积重建技术在颅内动脉瘤血管内栓塞中的价值分析[J]. 哈尔滨医药, 2012, 32: 337, 341.
[15] Blum MB, Schmook M, Schernthaner R, et al. Quantification and detectability of instent stenosis with CT angiography and MR angiography in arterial stents in vitro[J]. AJR, 2007, 189: 1238 - 1242.
[16] Hiratsuka Y, M IM, Kiriyama I, et al. Diagnosis of unruptured intracranial aneurysms: 3T MR angiography versus 64- channel multidetector row CT angiography[J]. Magn Reson Med, 2008, 7: 169 - 178.
[17] van Rooij WJ, Sprengers ME, de Gast AN, et al. 3D rotational angiography: the new Gold standard in the detection of additional intracranial aneurysms[J]. AJNR, 2008, 29: 976 - 979.

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备注/Memo

备注/Memo:
 (收稿日期:2013-12-10)
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