[1]张鸿运,邵秋季,李 立,等.支架治疗颅内远端动脉瘤安全性和有效性分析[J].介入放射学杂志,2022,31(12):1146-1150.
 ZHANG Hongyun,SHAO Qiuji,LI Li,et al.Stenting for intracranial distal aneurysms: analysis of its safety and efficacy[J].journal interventional radiology,2022,31(12):1146-1150.
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支架治疗颅内远端动脉瘤安全性和有效性分析()

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

卷:
31
期数:
2022年12
页码:
1146-1150
栏目:
神经介入
出版日期:
2023-01-11

文章信息/Info

Title:
Stenting for intracranial distal aneurysms: analysis of its safety and efficacy
作者:
张鸿运 邵秋季 李 立 贺迎坤 常凯涛 张倩倩 林 枫 李天晓
Author(s):
ZHANG Hongyun SHAO Qiuji LI Li HE Yinkun CHANG Kaitao ZHANG Qianqian LIN Feng LI Tianxiao.
Department of Cerebrovascular Disease, People’s Hospital of Zhengzhou University(Henan Provincial People’s Hospital), Zhengzhou, Henan Province 450003, China
关键词:
【关键词】 颅内动脉瘤 远端动脉 血管内治疗 支架
文献标志码:
A
摘要:
【摘要】 目的 探讨血管内支架治疗颅内远端动脉瘤的安全性和有效性。方法 回顾性分析2018年1月至2021年12月在河南省人民医院接受血管内支架治疗的40例颅内远端动脉瘤患者临床资料,动脉瘤共43枚。动脉瘤辅助支架栓塞治疗32例(34枚),血流导向装置治疗8例(9枚)。颅内远端动脉瘤定义为位于前循环中A2/M2段、后循环中P2段及其远端动脉瘤。随访期采用Raymond分级评分评估动脉瘤栓塞情况,改良Rankin量表(mRS)评分评估临床预后。结果 34枚动脉瘤成功完成支架辅助弹簧圈栓塞治疗,末次影像随访结果显示31枚(91.2%)动脉瘤Raymond评分Ⅰ级,3枚Ⅱ级。4例(12.5%)患者发生手术相关缺血性并发症。中位随访6.5个月,31例(96.9%)患者mRS评分为0~2分,获得良好预后。9枚动脉瘤成功完成血流导向装置治疗,末次影像随访结果显示5枚动脉瘤Raymond分级Ⅰ级,3枚Ⅱ级,1枚失访。1例患者发生缺血性并发症。中位随访9个月,6例患者mRS评分为0~2分,获得良好预后。结论 血管内支架辅助栓塞颅内远端动脉瘤是一种安全有效的治疗策略。小口径支架应用提高了颅内远端动脉瘤治疗闭塞率,血流导向装置是用传统方法治疗具有挑战性的远端动脉瘤的有效替代方法。

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备注/Memo

备注/Memo:
(收稿日期:2022-05-08)
(本文编辑:边 佶)
更新日期/Last Update: 2023-01-11