[1]王威,盖延廷,檀书斌,等.可解脱微导管结合增压技术栓塞脑动静脉畸形[J].介入放射学杂志,2020,29(04):345-349.
 WANG Wei,GAI Yanting,TAN Shubing,et al.Embolization of brain arteriovenous malformation by using detachable tip microcatheter plus pressure cooker technology[J].journal interventional radiology,2020,29(04):345-349.
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
29
期数:
2020年04
页码:
345-349
栏目:
神经介入
出版日期:
2020-05-08

文章信息/Info

Title:
Embolization of brain arteriovenous malformation by using detachable tip microcatheter plus pressure cooker technology
作者:
王威盖延廷檀书斌彭方强孙伟刘旻谛叶宇阳宋冬雷
Author(s):
WANG Wei GAI Yanting TAN Shubing PENG Fangqiang SUN Wei LIU Mingdi YE Yuyang SONG Donglei.
Department of Neurosurgery, Punan Hospital of Pudong New District, Shanghai 200125, China
关键词:
【关键词】 脑动静脉畸形治愈性栓塞Apollo可解脱微导管近端血流阻断增压技术
文献标志码:
A
摘要:
【摘要】 目的?探讨可解脱微导管结合近端血流阻断增压技术(PCT)栓塞脑动静脉畸形(bAVM)的疗效及并发症。方法?前瞻性队列研究2016年1月至2018年12月冬雷脑科医生集团上海浦南医院采用Onyx胶经动脉途径栓塞治疗bAVM患者133例,其中Spetzler-Martin分级Ⅰ级10例,Ⅱ级54例,Ⅲ级49例,Ⅳ级18例,Ⅴ级2例。按时间段将患者分为A组(n=70,2016年1月至2018年2月结合非解脱微导管)、B组(n=63,2018年3月至12月结合Apollo可解脱微导管),对B组中30例采用PCT。分析两组患者疗效及并发症发生率等。结果?133例患者bAVM总栓塞率为33.8%(45/133);
A组栓塞率为25.7%(18/70),B组为49.2%(31/63), 差异有显著统计学意义(P<0.01);B组中PCT技术组栓塞率为66.7%(20/30),非PCT技术组为33.3%(11/33), 差异有统计学意义(P<0.05)。并发症发生在A组为5.7%(术中微导管粘管1例,术中出血1例,术后出血2例,其中1例死亡),B组为4.8%(术后出血3例,其中1例转外科手术)(P>0.05),总体并发症发生率为5.3%,无新发神经功能障碍。132例患者随访3~26个月(平均8个月),再发出血3例,其中1例死亡,完全栓塞患者无一例复发或再生血管畸形。131例患者中改良Rankin 量表(mRS)评分0~1分106例,2分25例。结论?经动脉途径采用Apollo可解脱微导管结合PCT技术栓塞治疗bAVM,可在不增加相关并发症情况下提高栓塞治
愈率。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2019-05-07)
(本文编辑:边?佶)
更新日期/Last Update: 2020-05-06