[1]李进一,管 生,徐浩文,等.颅内椎动脉夹层动脉瘤介入治疗个体因素分析[J].介入放射学杂志,2016,(05):377-381.
 LI Jin- yi,GUAN Sheng,XU Hao- wen,et al.The individual factors of interventional treatment for intracranial vertebral artery dissecting aneurysms[J].journal interventional radiology,2016,(05):377-381.
点击复制

颅内椎动脉夹层动脉瘤介入治疗个体因素分析 ()

PDF下载中关闭

分享到:

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

卷:
期数:
2016年05期
页码:
377-381
栏目:
神经介入
出版日期:
2016-05-25

文章信息/Info

Title:
The individual factors of interventional treatment for intracranial vertebral artery dissecting aneurysms
作者:
李进一 管 生 徐浩文 郭新宾 权 涛 刘 朝 王子博 陈 振
Author(s):
LI Jin- yi GUAN Sheng XU Hao- wen GUO Xin- bin QUAN Tao LIU Chao WANG Zi- bo CHEN Zhen
Department of Neurointervention, First Affiliated Hospital, Zhengzhou University, Zhengzhou, Henan Province 450052, China
关键词:
【关键词】 椎动脉 夹层动脉瘤 弹簧圈 支架
文献标志码:
A
摘要:
【摘要】 目的 总结介入栓塞治疗颅内椎动脉夹层动脉瘤(IVADA)影像和临床效果,探讨个体化治疗策略。方法 回顾性分析2011年至2015年郑州大学第一附属医院分别采用单纯弹簧圈栓塞、夹层动脉瘤及载瘤动脉闭塞、支架辅助弹簧圈栓塞和覆膜支架植入术治疗的24例IVADA患者资料、治疗经过及临床疗效,探讨不同动脉瘤介入治疗时须考虑的个体化因素。结果 24例IVADA患者介入治疗均获成功:动脉瘤和载瘤动脉闭塞5例,弹簧圈栓塞动脉瘤1例,支架辅助弹栓塞动脉瘤16例,覆膜支架植入2例。术后临床随访平均11个月(5~29个月),所有患者症状明显减轻或消失,无新发出血。12例获脑血管造影随访,11例夹层动脉瘤不显影,1例复发,再次介入治疗。结论 介入栓塞术治疗IVADA安全有效,须结合夹层动脉瘤是否破裂及相关临床症状、是否位于优势侧椎动脉及对侧椎动脉情况、动脉瘤形态及是否累及小脑后下动脉制定个体化治疗方案。

参考文献/References:

[1] Takemoto K, Abe H, Uda K, et al. Surgical treatment of intracranial VA dissecting aneurysm[J]. Acta Neurochir Suppl, 2010, 107: 51- 56.
[2] Debette S, Compter A, Labeyrie MA, et al. Epidemiology, pathophysiology, diagnosis, and management of intracranial artery dissection[J]. Lancet Neurol, 2015, 14: 640- 654.
[3] Santos- Franco JA, Zenteno M, Lee A. Dissecting aneurysms of the vertebrobasilar system. A comprehensive review on natural history and treatment options[J]. Neurosurg Rev, 2008, 31: 131- 140.
[4] Kim BM, Kim SH, Kim DI, et al. Outcomes and prognostic factors of intracranial unruptured vertebrobasilar artery dissection[J]. Neurology, 2011, 76: 1735- 1741.
[5] Trivelato FP, Salles Rezende MT, Castro GD, et al. Endovascular treatment of isolated posterior inferior cerebellar artery dissecting aneurysms: parent artery occlusion or selective coiling?[J]. Clin Neuroradiol, 2014, 24: 255- 261.
[6] Park SI, Kim BM, Kim DI, et al. Clinical and angiographic follow- up of stent- only therapy for acute intracranial vertebrobasilar dissecting aneurysms[J]. AJNR Am J Neuroradiol, 2009, 30: 1351- 1356.
[7] 赵文元, 刘建民, 许 奕, 等. 颅内椎动脉夹层动脉瘤的介入治疗[J]. 介入放射学杂志, 2003, 12: 173- 175.
[8] Endo H, Matsumoto Y, Kondo R, et al. Medullary infarction as a poor prognostic factor after internal coil trapping of a ruptured vertebral artery dissection[J]. J Neurosurg, 2013, 118: 131- 139.
[9] Lü X, Jiang C, Li Y, et al. Clinical outcomes of ruptured and unruptured vertebral artery- posterior inferior cerebellar artery complex dissecting aneurysms after endovascular embolization[J]. AJNR Am J Neuroradiol, 2010, 31: 1232- 1235.
[10] Peluso JP, van Rooij WJ, Sluzewski M, et al. Endovascular treatment of symptomatic intradural vertebral dissecting aneurysms[J]. AJNR Am J Neuroradiol, 2008, 29: 102- 106.
[11] 解 锋, 张鸿祺, 张 鹏, 等. 累及小脑下后动脉起始部椎动脉夹层动脉瘤的血管内治疗[J]. 中国脑血管病杂志, 2013, 10: 143- 145.
[12] 李 辉, 段传志, 何旭英, 等. 颅内夹层动脉瘤血管内治疗进展[J]. 介入放射学杂志, 2015, 24: 87- 90.

相似文献/References:

[1]李明华,陈星荣.颅内动脉瘤的经血管治疗[J].介入放射学杂志,1997,(03):166.
[2]张大海.螺旋CT在主动脉瘤介入治疗上的应用[J].介入放射学杂志,1998,(03):178.
[3]杨仁杰.内支架应用的几个问题[J].介入放射学杂志,1995,(04):187.
[4]贾中芝,李绍钦,田 丰.肾动脉夹层动脉瘤合并腘动脉瘤介入治疗1例 [J].介入放射学杂志,2019,28(03):299.
 JIA Zhongzhi,LI Shaoqin,TIAN Feng..Successful interventional treatment of dissecting aneurysm of renal artery associated with popliteal aneurysm: report of one case[J].journal interventional radiology,2019,28(05):299.
[5]谷涌泉,郭建明,崔世军,等.定向斑块切除联合药物涂层球囊治疗椎动脉重度狭窄1例[J].介入放射学杂志,2018,27(01):17.
 GU Yongquan,GUO Jianming,CUI Shijun,et al.Directional atherectomy together with drug- coating balloon for severe stenosis of vertebral artery: successful treatment of one case[J].journal interventional radiology,2018,27(05):17.
[6]许红淼,徐立权,顾宇翔,等.双支架治疗未破裂椎动脉夹层动脉瘤效果分析[J].介入放射学杂志,2021,30(08):761.
 XU Hongmiao,XU Liquan,GU Yuxiang,et al.Dual stenting for the treatment of unruptured vertebral artery dissecting aneurysms: analysis of clinical efficacy[J].journal interventional radiology,2021,30(05):761.

备注/Memo

备注/Memo:
(收稿日期:2015-09-15)
(本文编辑:边 佶)
更新日期/Last Update: 2016-05-16