[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.
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颅内椎动脉夹层动脉瘤介入治疗个体因素分析 ()

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《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:

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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