[1]刘志华,沈 进,赵 卫,等. 球囊联合支架辅助弹簧圈栓塞颅内分叉部宽颈动脉瘤 [J].介入放射学杂志,2015,(06):463-466.
　LIU Zhi- hua,SHEN Jin,ZHAO Wei,et al.Balloon combined with stent- assisted steel- coil embolization for the treatment of intracranial wide- necked aneurysms located at artery bifurcation sites[J].journal interventional radiology,2015,(06):463-466.
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球囊联合支架辅助弹簧圈栓塞颅内分叉部宽颈动脉瘤

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

卷:
期数:
2015年06期
页码:
463-466
栏目:
神经介入
出版日期:
2015-06-25

文章信息/Info

Title:
Balloon combined with stent- assisted steel- coil embolization for the treatment of intracranial wide- necked aneurysms located at artery bifurcation sites
作者:
刘志华;  沈 进;  赵 卫;  石 潆
Author(s):
LIU Zhi- hua;  SHEN Jin;  ZHAO Wei;  SHI Ying
Medical Imaging Center， First Affiliated Hospital， Kunming Medical University， Kunming， Yunnan Province 650031， China
关键词:
【关键词】 球囊;  支架;  弹簧圈;  颅内动脉瘤;  分叉部
文献标志码:
A
摘要:
【摘要】 目的 分析球囊联合支架辅助弹簧圈栓塞术治疗颅内分叉部宽颈动脉瘤的优势。方法 回顾性分析2014年1月至4月昆明医科大学第一附属医院采用球囊联合支架辅助弹簧圈栓塞术治疗20例共25枚颅内分叉部宽颈动脉瘤患者的临床资料。20例患者中曾患蛛网膜下腔出血12例，无出血史8例；25枚颅内分叉部宽颈动脉瘤中位于基部动脉未端分叉部14枚，大脑中动脉分叉部8枚，颈内动脉末端分叉部3枚。根据Raymond分级评价介入治疗术后即刻和3个月后三维DSA检查结果，根据改良Rankin 量表（mRS）评分评价术后3个月临床疗效。结果 球囊联合支架辅助弹簧圈栓塞术后即刻三维DSA检查显示25枚颅内分叉部宽颈动脉瘤中RaymondⅠ级21枚，Ⅱ级2枚， Ⅲ级2枚；术后3个月DSA随访显示RaymondⅠ级20枚，Ⅱ级3枚，Ⅲ级2枚。术后3个月mRS评分显示17例患者0分， 1例患者1分，均预后良好；2例患者4～6分，预后不良。结论 球囊联合支架辅助弹簧圈栓塞术在颅内分叉部宽颈动脉瘤介入治疗术中具有明显优势。

参考文献/References:

［1］ Luo CB, Teng MM, Chang FC, et al. Stent- assisted coil emboliza- tion of intracranial aneurysms: a single center experience［J］. J Chin Med Assoc, 2012, 75: 322- 328.
［2］ Rohde S, Bendszus M, Hartmann M, et al. Treatment of a wide- necked aneurysm of the anterior cerebral artery using two Enterprise stents in “Y”- configuration stenting technique and coil embolization: a technical note［J］. Neuroradiology, 2010, 52: 231- 235.
［3］ Siddiqui MA, J Bhattacharya J, Lindsay KW, et al. Horizontal stent- assisted coil embolisation of wide- necked intracranial aneurysms with the Enterprise stent—a case series with early angiographic follow- up［J］. Neuroradiology, 2009, 51: 411- 418.
［4］ Harrigan MR, Deveikis JP. Intracranial aneurysm trentment［A］.Handbook of Cerebrovascular Disease and Neurointerventional Tech nique［M］. 2nd ed. New York： Springer, 2013: 189- 241.
［5］ Jabbour PM, Tjoumakaris SI, Rosenwasser RH. Endovascular management of intracranial aneurysms［J］. Neurosurg Clin N Am, 2009, 20: 383- 398.
［6］ Miyachi S, Matsubara N, Izumi T, et al. Stent/balloon combination assist technique for wide- necked basilar terminal aneurysms［J］. Interv Neuroradiol, 2013, 19: 299- 305.
［7］ Raymond J, Guilbert F, Weill A, et al. Long- term angiographic recurrences after selective endovascular treatment of aneurysms with detachable coils［J］. Stroke, 2003, 34: 1398- 1403.
［8］ Uyttenboogaart M, Stewart RE, Vroomen PC, et al. Optimizing cutoff scores for the Barthel index and the modified Rankin scale for defining outcome in acute stroke trials［J］. Stroke, 2005, 36: 1984- 1987.
［9］ Gao B, Baharoglu MI, Cohen AD, et al. Y- stent coiling of basilar bifurcation aneurysms induces a dynamic angular vascular remodeling with alteration of the apical wall shear stress pattern［J］. Neurosurgery, 2013, 72: 617- 629.
［10］ Gao B, Baharoglu MI, Cohen AD, et al. Stent- assisted coiling of intracranial bifurcation aneurysms leads to immediate and delayed intracranial vascular angle remodeling［J］. AJNR Am J Neuroradiol, 2012, 33: 649- 654.
［11］ Thorell WE, Chow MM, Woo HH, et al. Y- configured dual intracranial stent- assisted coil embolization for the treatment of wide- necked basilar tip aneurysms［J］. Neurosurgery, 2005, 56: 1035- 1040.
［12］ Akgul E, Aksungur E, Balli T, et al. Y- stent- assisted coil embolization of wide- neck intracranial aneurysms. A single center experience［J］. Interv Neuroradiol, 2011, 17: 36- 48.
［13］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， 21： 885- 889．
［14］ Heller RS, Malek AM. Delivery technique plays an important role in determining vessel wall apposition of the Enterprise self- expanding intracranial stent［J］. J Neurointerv Surg, 2011, 3: 340- 343.

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备注/Memo

备注/Memo:
(收稿日期：２０１5-０1-14）
（本文编辑：边 佶）
更新日期/Last Update: 2015-06-24