[1]辛 涛,贺西亮,高述礼,等.多支架技术治疗椎-基底动脉巨大夹层动脉瘤疗效分析[J].介入放射学杂志,2012,(12):976-980.
 XIN Tao,HE Xi? liang,GAO Shu? li,et al. Multiple stent technique for the treatment of giant vertebrobasilar dissecting aneurysms: a clinical therapeutic analysis[J].journal interventional radiology,2012,(12):976-980.
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多支架技术治疗椎-基底动脉巨大夹层动脉瘤疗效分析 ()

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

卷:
期数:
2012年12期
页码:
976-980
栏目:
神经介入
出版日期:
2012-12-25

文章信息/Info

Title:
 Multiple stent technique for the treatment of giant vertebrobasilar dissecting aneurysms: a clinical therapeutic analysis
作者:
 辛 涛 贺西亮 高述礼 卢佩林 张在金
Author(s):
 XIN Tao HE Xi?蛳 liang GAO Shu?蛳 li LU Pei?蛳 lin ZHANG Zai?蛳 jin.
 Department of Neurosurgery, No.401 Hospital of PLA, Qingdao 266071, China
关键词:
 【关键词】 夹层动脉瘤 椎-基底动脉 血管内治疗 支架
文献标志码:
A
摘要:
 【摘要】 目的 探讨多支架技术治疗椎-基底动脉巨大夹层动脉瘤的技术要点及疗效。方法 2005年8月至2011年7月收治9例椎-基底动脉巨大夹层动脉瘤患者,瘤体最大径 > 25 mm,均经磁共振成像(MRI)、二维及三维DSA造影重建明确诊断,其中颅内段椎动脉病变7例,椎-基底动脉病变2例。根据椎-基底动脉夹层动脉瘤形态不同,选用双支架治疗7例,双支架辅助弹簧圈治疗1例,三支架治疗1例。结果 术后即刻造影显示6例支架植入处血流发生明显改变,夹层扩张处缩小。术中无血栓事件及动脉瘤破裂出血,1例出现严重血管痉挛,对比剂滞留,应用罂粟碱后迅速缓解。随访时间为3个月至30个月,8例头晕病例中有7例症状消失或减轻,7例术前饮水呛咳病例症状消失4例,减轻2例,1例无变化。造影随访9例,双支架辅助弹簧圈治疗1例动脉瘤无再通;5例多支架治疗后夹层动脉恢复正常,另4例扩张部分明显变小。结论 多支架技术治疗椎-基底动脉巨大夹层动脉瘤安全、有效,可以有效缓解相关症状。

参考文献/References:

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备注/Memo

备注/Memo:
 (收稿日期:2012-02-20)
更新日期/Last Update: