[1]孙贞魁,李永东,李明华,等.Willis覆膜支架治疗颅段颈内动脉动脉瘤的前瞻性研究[J].介入放射学杂志,2010,(04):263.
 SUN Zhenkui,LI Yongdong,LI Minghua,et al.Treatment of distal internal carotid artery aneurysm with the willis covered stent :a prospective pilot study[J].journal interventional radiology,2010,(04):263.
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Willis覆膜支架治疗颅段颈内动脉动脉瘤的前瞻性研究()

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

卷:
期数:
2010年04期
页码:
263
栏目:
神经介入
出版日期:
2010-04-15

文章信息/Info

Title:
Treatment of distal internal carotid artery aneurysm with the willis covered stent :a prospective pilot study
作者:
孙贞魁李永东李明华
200233上海交通大学附属第六人民医院介入影像科
Author(s):
SUN Zhen-kui LI Yong-dongLI Ming-huaTAN Hua-qiaoWANG Wu LUO Qi-yiCHENG Ying-sheng
the Sixth Affiliated People's Hospital,Shanghai Jiao Tong University,Shanghai200023,China
关键词:
数字减影血管造影颈内动脉支架
分类号:
R743.4
文献标志码:
A
摘要:
目的评价Willis覆膜支架治疗颅段颈内动脉(ICA)动脉瘤的柔顺性和疗效。方法31例患者33枚颅段ICA(CICA)动脉瘤患者接受Willis覆膜支架治疗。根据血管造影表现,分为完全栓塞和不完全栓塞。术后第1,3,6,12个月及之后每年1次随访复查并收集最初及最终造影结果、死亡率、致残率及最终临床结果等数据。结果42枚覆膜支架中41枚顺利通过ICA并成功释放,成功率97.6%(95%CI :93%~102%)。术后即刻造影显示,23例患者中25枚为完全栓塞,占78.1%(95%CI :63%~93%);7例患者7枚动脉瘤为不完全栓塞(21.9%)。随访血管造影示27例患者共31枚动脉瘤,其中29枚完全栓塞,占93.5%(95%CI :84%~103%);2例为不完全栓塞(6.5%),其中2例患者出现轻度支架内狭窄。临床随访显示15例患者痊愈,14例症状改善。结论初步结果显示,Willis覆膜支架治疗CICA动脉瘤有效且具有良好的柔顺性,但仍需长期随访及大样本临床研究。

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备注/Memo

备注/Memo:
收稿日期:2009-12-29
基金项目:国家自然科学基金面上项目(305708540)
更新日期/Last Update: 2010-04-15