[1]闫 磊,施万印,朱悦琦,等.双Willis覆膜支架在犬颈动脉梭形动脉瘤模型的初步应用[J].介入放射学杂志,2013,(09):709-713.
 YAN Lei,SHI Wan? yin,ZHU Yue? qi,et al. Initial application of dual Willis covered stent in treating carotid fusiform aneurysms in canine models[J].journal interventional radiology,2013,(09):709-713.
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双Willis覆膜支架在犬颈动脉梭形动脉瘤模型的初步应用 ()

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

卷:
期数:
2013年09期
页码:
709-713
栏目:
神经介入
出版日期:
2013-09-19

文章信息/Info

Title:
  Initial application of dual Willis covered stent in treating carotid fusiform aneurysms in canine models
作者:
 闫 磊 施万印 朱悦琦 李明华
 
Author(s):
YAN Lei SHI Wan?蛳 yin ZHU Yue?蛳 qi LI Ming?蛳 hua.
 Institute of Diagnostic and Interventional Radiology, the Sixth Affiliated People’s Hospital, Shanghai Jiaotong University, Shanghai 200233, China
关键词:
 【关键词】 梭形动脉瘤 覆膜支架 动物模型
文献标志码:
A
摘要:
 【摘要】 目的 建立梭形动脉瘤模型,用以评价双Willis覆膜支架在该动脉瘤模型中的应用价值。方法 采用静脉囊移植方法,在犬颈总动脉建立梭形动脉瘤模型。4周后采用“望远镜”技术植入2枚Willis覆膜支架。支架植入后2周、1个月和3个月行血管造影随访,并在1、3个月时行组织病理学检查。结果 成功制作8枚梭形动脉瘤模型,并植入16枚Willis覆膜支架。建立动脉瘤模型和支架植入过程均无并发症。血管造影随访显示,6枚动脉瘤模型完全闭塞,2枚动脉瘤模型有少量内漏。组织病理学检查显示支架植入后的内皮化过程,动脉瘤腔内则充满血栓。结论 静脉囊移植方法建立的梭形动脉瘤模型或许可以模拟其临床治疗特点,双Willis覆膜支架植入是犬颈动脉梭形动脉瘤模型的有效治疗方法。

参考文献/References:

 [1] Drake CG, Peerless SJ. Giant fusiform intracranial aneurysms: review of 120 patients treated surgically from 1965 to 1992[J]. J Neurosurg, 1997, 87: 141 ?蛳 162.
[2] Mizutani T, Miki Y, Kojima H, et al. Proposed classification of nonatherosclerotic cerebral fusiform and dissecting aneurysms[J]. Neurosurgery, 1999, 45: 253 ?蛳 259.
[3] Biondi A. Trunkal intracranial aneurysms: dissecting and fusiform aneurysms[J]. Neuroimaging Clin N Am, 2006, 16: 453 ?蛳 465.
[4] Barrow DL, Alleyne C. Natural history of giant intracranial aneurysms and indications for intervention[J]. Clin Neurosurg, 1995, 42: 214 ?蛳 244.
[5] Flemming KD, Wiebers DO, Brown RD Jr, et al. The natural history of radiographically defined vertebrobasilar nonsaccular intracranial aneurysms[J]. Cerebrovasc Dis, 2005, 20: 270 ?蛳 279.
[6] Lubicz B, Collignon L, Lefranc F, et al. Circumferential and fusiform intracranial aneurysms: reconstructive endovascular treatment with self?蛳 expandable stents[J]. Neuroradiology, 2008, 50: 499 ?蛳 507.
[7] Coert BA, Chang SD, Do HM, et al. Surgical and endovascular management of symptomatic posterior circulation fusiform aneurysms[J]. J Neurosurg, 2007, 106: 855 ?蛳 865.
[8] Tan HQ, Li MH, Li YD, et al. Endovascular reconstruction with the Willis covered stent for the treatment of large or giant intracranial aneurysms[J]. Cerebrovasc Dis, 2011, 31: 154 ?蛳 162.
[9] Zhu YQ, Li MH, Xie J, et al. Treatment of carotid siphon aneurysms by use of the Willis stent graft: an angiographic and histopathological study[J]. Eur Radiol, 2010, 20: 1974 ?蛳 1984.
[10] Li MH, Li YD, Tan HQ, et al. Treatment of distal internal carotid artery aneurysm with the willis covered stent: a prospective pilot study[J]. Radiology, 2009, 253: 470 ?蛳 477.
[11] 谢 剑, 李明华, 朱悦琪, 等. 快速原型技术建立人颅段颈内动脉弯曲的动物模型及Willis覆膜支架的柔顺性实验[J]. 介入放射学杂志, 2009, 18: 136 ?蛳 140.
[12] 朱悦琦, 李明华, 谢 剑, 等. Willis覆膜支架治疗犬颈内动脉虹吸段动脉瘤的影像学和组织病理学研究[J]. 介入放射学杂志, 2010, 19: 302 ?蛳 308.
[13] Reinald N, Fournier B, Naveau A, et al. Fusiform aneurysm model in rabbit carotid artery[J]. J Vasc Res, 2010, 47: 61 ?蛳 68.
[14] Pyo R, Lee JK, Shipley JM, et al. Targeted gene disruption of matrix metalloproteinase?蛳 9 (gelatinase B) suppresses develop?蛳 ment of experimental abdominal aortic aneurysms[J]. J Clin Invest, 2000, 105: 1641 ?蛳 1649.
[15] Fukui K, Negoro M, Keino H, et al. Experimental creation of fusiform carotid artery aneurysms using vein grafts in rats[J]. Neurosurgery, 1998, 43: 1419 ?蛳 1424.
[16] Geremia G, Brack T, Brennecke L, et al. Occlusion of experi?蛳 mentally created fusiform aneurysms with porous metallic stents[J]. Am J Neuroradiol, 2000, 21: 739 ?蛳 745.
[17] Jung F, Beysang R, Guceve L, et al. Angiography of the cervico?蛳 cephalic vessels of the dog. The carotid system[J]. J Chir(Paris), 1975, 109: 109 ?蛳 118.
[18] Lylyk P, Miranda C, Ceratto R, et al. Curative endovascular Reconstruction of cerebral aneurysms with the pipeline embo?蛳 lization device: the Buenos Aires experience[J]. Neurosurgery, 2009, 64: 632 ?蛳 642.
[19] Szikora I, Berentei Z, Kulcsar Z, et al. Treatment of intracranial aneurysms by functional Reconstruction of the parent artery: the Budapest experience with the pipeline embolization device[J]. Am J Neuroradiol, 2010, 31: 1139 ?蛳 1147.
[20] Turowski B, Macht S, Kulcsár Z, et al. Early fatal hemorrhage after endovascular cerebral aneurysm treatment with a flow diverter (SILK?蛳 Stent): do we need to rethink our concepts?[J]. Neuroradiology, 2011, 53: 37 ?蛳 41.
[21] Kulcsár Z, Houdart E, Bonafé A, et al. Intra?蛳 aneurysmal thrombosis as a possible cause of delayed aneurysm rupture after flow?蛳 diversion treatment[J]. Am J Neuroradiol, 2011, 32: 20 ?蛳 25.
[22] Darsaut TE, Bing F, Salazkin I, et al. Testing flow diverters in giant fusiform aneurysms: a new experimental model can show leaks responsible for failures[J]. Am J Neuroradiol, 2011, 32: 2175 ?蛳 2179. 

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备注/Memo

备注/Memo:
 (收稿日期:2013-02-05)
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