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电解铂金弹簧圈栓塞治疗颅内动脉瘤76例分析

, PP. 472-474

Keywords: 颅内动脉瘤,血管内栓塞,电解铂金弹簧圈

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Abstract:

目的评估电解铂金弹簧圈栓塞治疗颅内动脉瘤的稳定效果。方法回顾性分析我院76例动脉瘤患者颅内动脉瘤栓塞术后即刻的数字减影造影(DSA)图片及随访中DSA的图片,并比较前后图像中动脉瘤填塞情况是否有变化,从而去评估弹簧圈栓塞治疗颅内动脉瘤的稳定性。结果初次治疗结果所有动脉瘤完全栓塞61个(68.6%),次完全栓塞26个(29.2%),不完全栓塞1个(1.1%),栓塞失败1个(1.1%),术后死亡3例;复查结果完全栓塞69个(81.1%),近完全栓塞12个(14.2%),不全栓塞4个(4.7%),其中再通3个(3.5%),3个再通动脉瘤接受2次治疗。结论应用可电解铂金弹簧圈对颅内动脉瘤的闭塞具有较稳定的效果。

References

[1]  Aikawa H, Kazekawa K, Nagata S, et al. Rebleeding after endovascular embolization of ruptured cerebral aneurysms[J]. Neurol Med Chir(Tokyo),2007,47:439-447.
[2]  Quadros RS, Gallas S, Noudel R, et al. Endovascular treatment of middle cerebral artery aneurysms as first option: a single center experience of 92 aneurysms[J]. Am J Neuroradiol,2007,28:1567-1572.
[3]  Johnston SC, Dowd CF, Higashida RT, et al. Predictors of rehemorrhage after treatment of ruptured intracranial aneurysms: the Cerebral Aneurysm Rerupture After Treatment(CARAT)study[J]. Stroke,2008,39:120-125.
[4]  Redekop GJ. Microsurgical clipping or endovascular coiling for ruptured cerebral aneurysms[J]. Stroke,2006,37:1352-1353.
[5]  Sprengers M, Schaafsma J, Van Rooij WJ, et al. Stability of intracranial aneurysms adequately occluded 6 months after coiling: a 3T MR angiography multicenter long-term follow-up study[J].Am J Neuroradiol,2008,29:1768-1774.
[6]  唐景峰,黄永旺,杜贻庆,等.血管内介入栓塞治疗颅内动脉瘤43例[J]. 广西医科大学学报,2010,27(3):451-452.
[7]  Molyneux A, Kerr R, Stratton I, et al. International Subarachnoid Aneurysm Trial(ISAT)of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomised trial[J]. Lancet,2002,360:1267-1274.
[8]  王忠诚.神经外科学[M].武汉:湖北科学技术出版社,2005:501-589.
[9]  Raymond J, Guilbert F, Weill A, et al. Long-term angiographic recurrences after selective endovascular treatment of aneurysms with detachable coils[J]. Stroke,2003,34:1398-1403.
[10]  Pierot L, Delcourt C, Bouquigny F, et al. Follow-up of intracranial aneurysms selectively treated with coils: prospective evaluation of contrast-enhanced MR angiography[J]. Am J Neuroradiol,2006,27:744-749.

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