[1]顾斌贤,李明华,王 武,等. 单个弹簧圈栓塞颅内微小动脉瘤的单中心经验[J].介入放射学杂志,2012,(01):7-13.
 GU Bin xian,LI Ming hua,WANG Wu,et al.Endovascular embolization with a single detachable coil for tiny intracranial aneurysms: a single-center experience[J].journal interventional radiology,2012,(01):7-13.
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 单个弹簧圈栓塞颅内微小动脉瘤的单中心经验 ()

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

卷:
期数:
2012年01期
页码:
7-13
栏目:
神经介入
出版日期:
2012-01-30

文章信息/Info

Title:
Endovascular embolization with a single detachable coil for tiny intracranial aneurysms: a single-center experience
作者:
 顾斌贤李明华王 武施万印
200233 上海交通大学附属第六人民医院介入影像科
Author(s):
GU Bin xian LI Ming hua WANG Wu SHI Wan yin.
Department of Diagnostic and Interventional Neuroradiology, the Affiliated Sixth People's Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200233, China
关键词:
 【关键词】颅内微小动脉瘤血管内治疗弹簧圈支架球囊
文献标志码:
A
摘要:
【摘要】 目的 探讨单个弹簧圈栓塞颅内微小动脉瘤(最大径< 3 mm)的可行性和疗效。方法 2001年1月至2011年1月对72例颅内微小动脉瘤患者的77个动脉瘤进行单个弹簧圈栓塞,其中动脉瘤破裂出血52例,多发性动脉瘤13例。用3DDSA选择工作角度测量动脉瘤大小(前后径、上下径、宽颈、最大径和瘤颈)。随访脑血管造影3 ~ 88个月(平均24.8个月)。结果 对所有77个微小动脉瘤成功实施了单个弹簧圈栓塞,其中10个采用球囊辅助弹簧圈栓塞,19个联合支架辅助弹簧圈栓塞。术中破裂出血7例,发生脑栓塞事件2例,术中弹簧圈移位2例。术后即刻造影示完全栓塞42个,次全栓塞30个,部分栓塞5个。除2例死亡外,所有病例进行了至少2次复查(术后3和12个月),其中再通5个,对3个进行了再次栓塞,延迟性弹簧圈移位2例。12个月后复查造影示完全栓塞61个,次全栓塞14个。结论 单个弹簧圈栓塞颅内微小动脉瘤可行、安全并有效,联合支架辅助治疗可以降低其再通率。

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备注/Memo

备注/Memo:
(收稿日期:2011-07-10)
更新日期/Last Update: