[1]宋稳鹏,白京岳,孟庆斌,等.血流导向装置与传统血管内重建治疗椎动脉夹层动脉瘤对比研究[J].介入放射学杂志,2022,31(06):545-549.
SONG Wenpeng,BAI Jingyue,MENG Qingbin,et al.Flow diverter device versus traditional endovascular reconstruction for vertebral dissecting aneurysms: a comparative study[J].journal interventional radiology,2022,31(06):545-549.
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血流导向装置与传统血管内重建治疗椎动脉夹层动脉瘤对比研究()
《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]
- 卷:
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31
- 期数:
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2022年06
- 页码:
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545-549
- 栏目:
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神经介入
- 出版日期:
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2022-07-31
文章信息/Info
- Title:
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Flow diverter device versus traditional endovascular reconstruction for vertebral dissecting aneurysms: a comparative study
- 作者:
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宋稳鹏; 白京岳; 孟庆斌; 范 锋; 管 生
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- Author(s):
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SONG Wenpeng; BAI Jingyue; MENG Qingbin; FAN Feng; GUAN Sheng.
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Department of Neurointervention, First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan Province 450052, China
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- 关键词:
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【关键词】 颅内动脉瘤; 椎动脉夹层; 血流导向装置; 血管内重建; 疗效对比
- 文献标志码:
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A
- 摘要:
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【摘要】 目的 探讨血流导向装置(FD)与传统血管内重建治疗椎动脉夹层动脉瘤(VADA)的安全性和有效性。 方法 回顾性分析2018年1月至2021年1月郑州大学第一附属医院采用介入手术治疗的72例VADA患者临床资料。其中男41例,女31例。根据治疗方式不同分为FD治疗组(n=25)和传统血管内治疗组(n=47)。对比分析两种术式治疗效果。结果 传统血管内治疗组瘤体破裂患者占比较多(P=0.043),FD治疗组患者年龄较小(P=0.041),动脉瘤长径较大(P=0.018)。两组患者随访(12.1±5.8)个月,范围为3~30个月。围手术期及随访结果显示,FD治疗、传统血管内治疗均能达到较高的动脉瘤闭塞率(83.3%比85.7%),疗效间差异无统计学意义(P=0.749)。FD治疗组围手术期及远期并发症发生率更低(0比10.6%)。结论 FD与传统血管内重建治疗VADA均安全有效,初步结果表明FD治疗后并发症及再治疗发生率较低、更安全。远期疗效有待多中心大规模研究进一步验证。
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备注/Memo
- 备注/Memo:
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(收稿日期:2021- 08- 22)
(本文编辑:边 佶)
更新日期/Last Update:
2022-07-27